Ped Misc Flashcards

1
Q

When compared to adol, 8-12 y/o children with depression most often show which symptom? (3x)

A

SOMATIC COMPLAINTS

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2
Q

AACAP Diagnosis of Bipolar I in children requires (3x)?

A

A DISTINCT PERIOD OF ABNORMAL MOOD AND EPISODIC SYMPTOMS

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3
Q

Which of the following is the initial treatment of choice for mild anxiety disorders in children? (2x)

A

PSYCHOTHERAPY ALONE

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4
Q

Instead of depressed mood, children w MDD may primarily show: (2x)

A

IRRITABILITY

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5
Q

The treatment for adolescents with depression study recommended which of the following treatments for patients with moderate to severe depression? (2x)

A

FLUOXETINE AND CBT

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6
Q

16 y/o boy treated as outpatient for Schizophrenia after recent inpatient first break. Parents concerned re: anhedonia, withdrawn. No psychosis. Goal of outpatient eval: (2x)

A

ADDRESS PT’S FEELINGS OF DEPRESSION AND SCREEN FOR SI

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7
Q

When compared with adult-onset schizophrenia, children with schizophrenia have: (2x)

A

SIMILAR DEFICITS IN ATTENTION, LEARNING AND ABSTRACTION

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8
Q

Longitudinal studies have shown that obesity in later childhood, adol and adulthood can be predicted most commonly by presence of which psychiatric d/o in childhood and adol? (2x)

A

DEPRESSIVE

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9
Q

Primary advantage of treating childhood enuresis with behavioral methods vs desmopressin (2x)

A

LOWER RATES OF RELAPSE

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10
Q

Which concerns is the most common reason for referral of children and adol (6-16 y/o) to mental health professionals? (2x)

A

DISRUPTIVE BEHAVIOR

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11
Q

Most distinguishable aspect of childhood separation anxiety d/o when compared to other childhood anxiety disorders (2x)

A

FEAR THAT SOMETHING BAD WILL HAPPEN TO THEM OR THEIR PRIMARY CARETAKER

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12
Q

Most commonly reported SE of stimulants in kids (2x)

A

APPETITE SUPPRESSION AND SLEEP DISTURBANCES

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13
Q

An association has been reported in adol with BPD between serotonin dysregulation, suicidal behavior, aggression and (2x)

A

IMPULSIVITY

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14
Q

8yo p/w “always worried” and fearing getting lost or being kidnapped, frequently insisting on sleeping in parents room (does well academically & interacts with circle of friends, but frequently c/o HA and visiting school nurse office to call parent) (2x)

A

SEPARATION ANXIETY DISORDER

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15
Q

9 yo with prior urinary continence at 4 years starts wetting bed at 6, he is difficult to arouse and has enuresis at different times, male relatives wet bed until 10 year old, clue to psychiatric comorbidity

A

HAVING PREVIOUS PERIOD OF CONTINENCE

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16
Q

Dx for 9yo boy w/ irritability and aggression, failing grades, and hearing a voice saying he is bad.

A

MDD

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17
Q

7yo child w/ emotional outbursts at school and stomachaches, reluctance, and complaining at school time, but well-behaved at home, without stressors. Next step?

A

PERMISSION TO SPEAK WITH TEACHER

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18
Q

Schizophrenia with onset in childhood is different from adult-onset because

A

IT IS MORE LIKELY TO HAVE A GRADUAL ONSET

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19
Q

What are the characteristics of childhood-onset schizophrenia?

A

CHRONIC COURSE, UNFAVORABLE PROGNOSIS, HALLUCINATIONS, DELUSIONS

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20
Q

Not a likely characteristic of childhood-onset schizophrenia:

A

ACUTE ONSET

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21
Q

9 y/o is evaluated for bedwetting several times a week. Child has never been completely dry. Which Tx modality is likely to be most effective?

A

BELL AND PAD

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22
Q

Psychiatrist is evaluating a 5 y/o child in kindergarten. Child does well with puzzles and other performance activities. Teacher reports that the child has a limited vocabulary and immature grammar in comparison to the other children. Child interacts well with other children. The child also seems to have some trouble understanding questions. Child’s hearing and vision are normal. Explanation?

A

MIXED RECEPTIVE & EXPRESSIVE LANGUAGE D/O

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23
Q

12 y/o F not attending school for fear her mom may die in accident. Management?

A

RETURNING THE GIRL TO HER CURRENT CLASSROOM

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24
Q

7 y/o referred for psych eval due to learning probs. Most helpful info would be family’s approach to and hx

A

READING WITH THE CHILD

25
Q

Childhood-onset schizophrenia typically have a course described as:

A

CHRONIC AND UNREMITTING

26
Q

In preschool-age children isolated hallucinations are common with:

A

ANXIETY

27
Q

A preschooler presents to psychiatrist after being placed on psychotropic med by a PCP. Parents note that since med was started, child has shown irritability, skin picking, decreased appetite, social withdrawal, insomnia. Which med is child taking?

A

DEXTROAMPHETAMINE

28
Q

10 y/o child with 2-month h/o irritability, inattention, sleep disturbance, and withdrawal. Child attempted to run in front of a car. No family h/o psychiatric d/o. On examination, no eye contact and has psychomotor agitation. What med?

A

SSRI

29
Q

First-line Tx for 9 y/o w/ depression

A

SERTRALINE

30
Q

First-line Tx for adolescents w/ major depression

A

FLUOXETINE

31
Q

Child must have depressed or irritable mood for what length of time in order to meet criteria for dysthymic do?

A

ONE YEAR

32
Q

9 y/o w/ increased irritability and aggression for 3 mons. Used to be easygoing. Grades dropping. No insomnia or poor appetite. AH of voice telling him he is bad. Most likely Dx:

A

MDD

33
Q

What is first line tx for PTSD in children and adolescents?

A

CBT

34
Q

7 y/o girl dislikes going to her friend’s house, preferring her friends come to her home. She has recently had a stomach ache in the morning before attending school and sometimes cries uncontrollably if her mother insists she attends. Teachers reports after her mom leave she usually settles down and does academically well. Dx?

A

SEPARATION ANXIETY DISORDER

35
Q

7 y/o M w/ poor social skills, cognitive, but language wnl. Dx

A

ASPERGER’S SYNDROME

36
Q

Adopted children who have a biological parent with alcohol dependence are at increased risk of developing alcohol dependence when compared to their adoptive siblings. This is evidence for which of the following models of substance abuse?

A

DISEASE MODEL

37
Q

14 y/o pt with a long-standing h/o of perfectionism has recently developed a fear of talking in class after forgetting her lines in a school play. Pt says, “I don’t like talking to other kids” and practices reading aloud over and over so “I remember what I am saying.” Dx:

A

SOCIAL PHOBIA

38
Q

The Child-Adolescent Anxiety Multimodal Study (CAMS) compared sertraline, CBT, and combination therapy in children/adolescents with moderate/severe GAD, SAD, and Social Phobia. Primary findings?

A

COMBINATION TREATMENT SUPERIOR TO MONOTHERAPY

39
Q

6 y/o child generally healthy throws a fit every time family goes hiking. Exposure to snake on one hike led child to become loud, agitated. Now child has intense distress when hiking, pleads to stay with parents at all times. Dx?

A

SPECIFIC PHOBIA

40
Q

Diagnose a child who persistently refuses to attend school or sleep in bed alone, complaining of somatic symptoms with no physiological origin?

A

SEPARATION ANXIETY

41
Q

Which of the following is a manifestation of unresolved grief in a school-age child who has experience the loss of a sibling?

A

SEPARATION ANXIETY FROM PARENTS

42
Q

Childhood disorder with greatest genetic association for adult onset panic attacks?

A

SEPARATION ANXIETY DISORDER

43
Q

A child w/ selective mutism is most likely to have difficulties in which area?

A

AT SCHOOL

44
Q

A 5 year-old bilingual child has progressive refusal to speak in public, being very talkative at home and refusing to speak throughout the day in his kindergarten class. He is diagnosed with selective mutism. What is the appropriate intervention?

A

BEHAVIORAL TREATMENT TO INCREASE THE CHILD’S TOLERANCE FOR SPEAKING IN PUBLIC

45
Q

One controversy about pediatric bipolar disorder is whether severe irritability and emotional dysregulation are:

A

PREDICTIVE OF CLASSIC BIPOLAR DISORDER IN ADULTHOOD

46
Q

What is considered to be the determining component underlying the sx of selective mutism?

A

AVOIDANT BEHAVIOR

47
Q

Which of the following infant and toddler temperamental styles has been shown to have the greatest association with the eventual onset of anxiety symptoms in childhood? (2x)

A

INHIBITED

48
Q

Differential Dx in a 6 y/o with daily fecal soiling includes:

A

ANAL STENOSIS, HYPOTHYROIDISM, HIRSCHSPRUNG’S DZ, SMOOTH MUSCLE DZ

49
Q

Which med has FDA approval for tx of mania in children 12 years of age or older?

A

LITHIUM

50
Q

Unlike adults with bipolar disorder, prepubertal children with bipolar disorder are believed to have:

A

PREDOMINANTLY CHRONIC MIXED MANIC STATES

51
Q

Child OCD. Which comorbid diagnosis is associated with poor response to SSRI?

A

TIC DISORDER

52
Q

Which of the following is the initial treatment of choice for children with OCD?

A

CBT ALONE

53
Q

What infectious agent can exacerbate or cause initial manifestation of OCD in children?

A

GROUP A BETA-HEMOLYTIC STREPTOCOCCUS

54
Q

Presence of what disorder puts a child at greatest risk for developing panic disorder as an adult?

A

SEPARATION ANXIETY DISORDER

55
Q

10 y/o is seen in outpt clinic w/ hx of extreme fear of using the bathroom at school. He states to be afraid that other children will laugh if they hear or smell him in the bathroom. Dx?

A

SOCIAL PHOBIA

56
Q

Principal aim of treatment of child with school phobia is:

A

RETURN CHILD TO SCHOOL

57
Q

9 y/o child w apathy, decreased appetite, irritability, dizziness, confusion, ataxia, and HA. Recently moved to older house in an industrial city. Which lab test helpful for dx?

A

LEAD SERUM LEVELS

58
Q

High social economic status parents of a 16 year old who has met normal developmental milestones are worried that their child is using social media and texting to communicate with peers. They found text messages w/ romantic partners and visits to sexual health related websites. What is the most likely consequence of the adolescents reliance on electronic forms of communication?

A

CONTINUED SOCIALIZATION WITHIN THE CURRENT PEER GROUP