neurodevelopmental Flashcards
prevalence of child onset fluency disorder
5%
child onset SCZ has poorer prognosis with earlier or later dx
earlier
have abn cogn/social devel prior to onset
modafinil works in what brain region & showed efficacy in treating ADHD in children or adults
hypothalamic, children
Li levels in kids are same or different than adults
same
early onset bipolar ie more or less responsive to Li
less
how many words in vocab by age 18m, 2y, 5y
18m 10-15
2y 50
5y 2000
visible features of FAS
flat upper lip/philtrum/midface, shortened 5th digit
% tourettes w coprolalia
10%
in ADHD does aggression respond to stimulants
yes
what to do w stimulant if ADHD kid gets psychotic/manic?
DC
presentation of OCD in kids
may not acknowledge sxs or recognize as unreasonable/abnormal
gender ratio in ODD
1.4:1 M:F BEFORE adolescence, then equal adolesc and on
ODD definition
defiant/disruptive behav, angry/irritable mood, & vindictive to authority figures x6m
approved meds for ODD
NONE
lithium effect on fluid status
can dehydrate, which can increase levels/risk toxicity
are Li side effects dose related
yes
prevalence of PTSD in americans
8%
children or adults disinhib more w benzos
children
medical/physical conditions assoc w ID
undescended testes, CP, congen heart dz, constipation, dental caries, sz, sleep do, obesity, lead poisoning, vision impairment, endo ebn
ID dx categories
intellectual & adaptive fxn impairment
+ conceptual, social, OR practical fxn impairment
why avoid potent antichol in ID?
cogn blunting
ASD neurobio abn
dec formation of purkinje cells @cerebellum, inc brain size, accel head growth in infancy, abn serotonin synthesis
ADHD symptom most likely to persist in adulthood
inattention
primary v secondary v tertiary dz prevention
1 prevent OCCURANCE by removing causes, ie counseling re lifestyle/substances, vaccines, prevention programs
2 prevent PROGRESSION by early detection when asx, tx to stop progression, ie HIV test, depr screen, ID prodromal SCZ
3 prevent COMPLICATIONS/deterioration, ie metab monitoring on antipsych, PACT for SCZ, case mngmt
% ODD that develop conduct do
30%
TCA MoA for ADHD
5HT + NE reuptake inhib