Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Phase 2 PEDs > Neuro/Behavioral > Flashcards

Neuro/Behavioral Flashcards

1
Q

Wessels rule of three?

A

Colic definition
Crying >3h/d
Crying >3d/w
Crying >3w

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Crying by age

A

1st 2wk - cries little
6w - 3hr/day
12w - 1/d

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

M-Chat is used to screen what? When?

A

Autism 18-24mo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Cerebral palsy is?

A

Non-progressive motor impairment due to brain anomalies/lesions before/after birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Hemiparesis is?

A

Unilateral Arm/Leg (AKA - hemiplegia)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Diplegia is?

A

Motor impairment of legs (+- limited arms)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

6 types of Cerebral palsy?

A 
Spastic
Dyskinetic 
Dystonic 
Choreathetotic
Ataxic
Mixed Cerebral Palsy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

MC cerebral palsy?

A

Spastic Cerebral palsy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Spastic Cerebral palsy affects? what area of the brain?

A

Pyramidal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Extrapyramidal defects of the brain cause what types of cerebral palsy?

A

Dyskinetic (Dystonic or Choreathetotic)

Ataxic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Spastic Cerebral palsy is due to?

A

Injury to UMN of pyramidal tract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Spastic Cerebral palsy criteria?

A

At least 2/3

  • ABNL movement
  • Increased tone
  • Pathologic reflexes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Neonates w/ spastic Cerebral palsy often present as?

A

Hypotonic w/ brisk reflexes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Toddlers w/ spastic Cerebral palsy often present as?

A

Muscular hypertonicity (contractures)
Hyperactive DTRs
Scissor gait/toe walking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Clinical features of Cerebral palsy?

A

Basal ganglia involvement
ABNL - involuntary, uncontrolled, recurring movements
-(Athetoid/choreiform, INC w/ stress - gone w/ sleep)
Facial grimacing - dysarthria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Dyskinetic Cerebral palsy - Athetosis general hand position?

A

A-town down/gang

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Dyskinetic Cerebral palsy - Chorea general hand position?

A

Extended up (stop hand)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Mixed Cerebral palsy indicates?

A

More than one type of motor pattern present

Ass/w sensory deficits, seizures, cog impairments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Ataxic Cerebral palsy is?

A

Cerebellar injury - ABNL posture/movement - loss coordination of muscles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Dystonic Cerebral palsy is?

A

Reduced activity and stiff movement

hypokinesia - hypotonia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Choreoathetotic Cerebral palsy is?

A

Due to hyperbilirubinemia - increased stormy movements (Hyperkinesia) and Hypotonia

22
Q

Dx of Cerebral palsy?

A 
Developmental delay w/ UMN signs
Persistent infantile reflexes
Asymmetric motor activity (Hand dominance <12mo)
Labs - UA - organic acids
Rad - Brain CT/MRI and EEG
23
Q

Signs of UMN issues?

A

Brisk DTRs

Spasticity

24
Q

Cerebral palsy is ass/w what other d/o?

A

MR and seizures mostly

  • sensory defects
  • ADHD
  • GERD
25
Q

Cerebral palsy TXT?

A

PT
Medical therapy (Decrease spasticity/co-morbids)
Surgical

26
Q

Rx to TXT Cerebral palsy spasticity?

A

Botox
PO muscle relaxants
Intrathecal Baclofen

27
Q

Surgical therapy of Cerebral palsy?

A 
Dorsal Rhizotomy (cut L5-S1 nerve roots) (incontinence)
Selective osteotomies (reduce hip-dislocation)
Superior-medial cortex implant (decrease brain activity)
28
Q

Best factor of good prognosis of Cerebral palsy?

A

Nl mental fx

29
Q

Dx of ADHD?

A

Several S/S present <12yo
<16yo - >6 S/S
>17yo - >5 S/S
At least 6mo in 2 or more environments

30
Q

NEPI-Reup inhibitor used for ADHD?

A

Atomoxetine (Strattera)

31
Q

Oppositional vs Conduct d/o?

A

Oppositional - Irritable, argumentative, vindictive

Conduct - Basic rights of others/norms violated

32
Q

Sleep length of PEDs?

A

Infants - 16-18h
1yo - 10-11h/d AND nap 2-3h/d
12yo - 9-10yo

33
Q

Behavioral insomnia types?

A

Sleep-onset - (Infants/young) change in conditions than when child fell asleep causes insomnia

Limit-setting - (preschool/older) Bedtime resisance

34
Q

Parasomnias occurs in what stage of sleep?

A

NREM

35
Q

MC pop of parasomnias?

A

Preschool children

36
Q

Types of parasomnias?

A

Sleep walking
Sleep/night terrors
Confusional arousals

37
Q

Difference between nightmare, night terror, confusion arousal?

A

Nightmares - Later in the night (REM) - remembers
Night terror - Abrupt loud scream, Doesn’t remember
Confusion arousal - Like night terror, but less dramatic but longer

38
Q

Can someone have parasomnia w/ nightmares that child remembers?

A

No - nightmares occur in REM, Night terrors occur in NREM

39
Q

What is circadian rhythm d/o?

A

Inability to arouse in AM, cognition/emotional issues

MC of adolescence

40
Q

Anorexia Nervosa presents as?

A 
Wgt loss
Lanugo/alopecia
Brady-C
Osteopenia
Amenorrhea
41
Q

Standout clues of Anorexia Nervosa

A

Restriction of calories unnecessarily
Self perception disturbance
Fear of wgt gain + behavior cause of it (diet, purge, PT)

42
Q

Dx criteria of Anorexia Nervosa?

A

<85% body weight due to wgt loss
Intenst fear
Denial of seriousness
Amenorrhea

43
Q

TXT of Anorexia Nervosa?

A

1st step - feeding program

Admit PRN

44
Q

Bulimia Nervosa is?

A 
Binge eating episodes of
- LRG quantites 
- Rapid consumption
- Followed by vomiting
Metabolic d/o due to excess vomiting/laxative/diuretics
45
Q

Differences between Bulimia Nervosa and Anorexia Nervosa?

A

Bulimia Nervosa

  • Slightly over wgt
  • Enamel erosion / hand scrapes
  • Abuse laxatives/diuretics

Anorexia Nervosa

  • Under-wgt!
  • Calorie/exercise programs
46
Q

TXT of Bulimia Nervosa?

A

Nutrition, education, monitoring

Antidepressants

47
Q

Electrolytes affected by Eating d/o’s?

A

Hypokalemia
Hypochloremia
(Alkalosis)

48
Q

Female athlete triad is?

A

Eating D/O
Menstrual dysfx
Osteoporosis

49
Q

Pathophys of female athlete triad?

A 
Too much exercise vs calories >
Malnutrition >
Body fat % is low >
Shuts down HPA >
Menstrual dysfx / osteoporosis
50
Q

Eval of Female athlete triad?

A

HCG,
Labs (CBC, TSH, ESR, CMP, FSH/LH, PRL)
XR - femur, hip, spine
DEXA scan

51
Q

TXT of Female athlete triad?

A 
PO OCP - restore menstruation
Nutrition
Lifestyle - decrease exercise
WGT # is NOT a goal
Supplement - Ca2, K+, Vit D
52
Q

What is the only approved Rx to TXT child depression?

A

Fluoxetine

Phase 2 PEDs (23 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions