OCD Flashcards

1
Q

What likely symptoms are missed using the children’s YBOCS?

A

Sensory discomfort

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2
Q

Difference between pediatric OCD and adult OCD?

A

Familial Pattern

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3
Q

Most common pattern of onset of obsessive compulsive disorder in pediatric population?

A

Gradual w/o clear aggravating factor

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4
Q

What is characteristic of early childhood obsessive compulsive disorder?

A

Higher frequency of compulsions w/o well defined obsessions

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5
Q

Child has thoughts of hurting other kids multiple times a day without trigger. Child says a prayer and goes back to play. Dx?

A

OCD

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6
Q

fMRI studies in patients with OCD reveals what activation pattern of glucose metabolism in patients with symmetry/arranging?

A

Reduced in the R inferior caudate and ventral striatum

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7
Q

Commonly seen in most studies of childhood onset OCD?

A

Switching of content of obsessions over time

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8
Q

What medication do you use to augment SSRI in patient with OCD and comorbid Tourette’s?

A

Clomipramine

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9
Q

Pediatric Obsessive-Compulsive Treatment Study (POTS I), what predicted poor response to CBT alone?

A

Family Hx

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10
Q

Most efficacious treatment for 5-8 yo’s according to POTS study (Pediatric Obsessive Compulsive Disorder Treatment Study)?

A

Family-based exposure and response prevention

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11
Q

Common comorbidity in children with OCD?

A

Autism, other anxiety disorder, disruptive behavior disorder

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12
Q

Adolescent with severe OCD, partial improvement on adequate trial of Sertraline, what is the most effective augmenting medication?

A

Risperdal

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