Ped Misc Flashcards
When compared to adol, 8-12 y/o children with depression most often show which symptom? (3x)
SOMATIC COMPLAINTS
AACAP Diagnosis of Bipolar I in children requires (3x)?
A DISTINCT PERIOD OF ABNORMAL MOOD AND EPISODIC SYMPTOMS
Which of the following is the initial treatment of choice for mild anxiety disorders in children? (2x)
PSYCHOTHERAPY ALONE
Instead of depressed mood, children w MDD may primarily show: (2x)
IRRITABILITY
The treatment for adolescents with depression study recommended which of the following treatments for patients with moderate to severe depression? (2x)
FLUOXETINE AND CBT
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 Parents concerned re: anhedonia, withdrawn.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)
ADDRESS PT’S FEELINGS OF DEPRESSION AND SCREEN FOR SI
When compared with adult-onset schizophrenia, children with schizophrenia have: (2x)
SIMILAR DEFICITS IN ATTENTION, LEARNING AND ABSTRACTION
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)
DEPRESSIVE
Primary advantage of treating childhood enuresis with behavioral methods vs desmopressin (2x)
LOWER RATES OF RELAPSE
Which concerns is the most common reason for referral of children and adol (6-16 y/o) to mental health professionals? (2x)
DISRUPTIVE BEHAVIOR
Most distinguishable aspect of childhood separation anxiety d/o when compared to other childhood anxiety disorders (2x)
FEAR THAT SOMETHING BAD WILL HAPPEN TO THEM OR THEIR PRIMARY CARETAKER
Most commonly reported SE of stimulants in kids (2x)
APPETITE SUPPRESSION AND SLEEP DISTURBANCES
An association has been reported in adol with BPD between serotonin dysregulation, suicidal behavior, aggression and (2x)
IMPULSIVITY
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)
SEPARATION ANXIETY DISORDER
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
HAVING PREVIOUS PERIOD OF CONTINENCE
Dx for 9yo boy w/ irritability and aggression, failing grades, and hearing a voice saying he is bad.
MDD
7yo child w/ emotional outbursts at school and stomachaches, reluctance, and complaining at school time, but well-behaved at home, without stressors. Next step?
PERMISSION TO SPEAK WITH TEACHER
Schizophrenia with onset in childhood is different from adult-onset because
IT IS MORE LIKELY TO HAVE A GRADUAL ONSET
What are the characteristics of childhood-onset schizophrenia?
CHRONIC COURSE, UNFAVORABLE PROGNOSIS, HALLUCINATIONS, DELUSIONS
Not a likely characteristic of childhood-onset schizophrenia:
ACUTE ONSET
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?
BELL AND PAD
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?
MIXED RECEPTIVE & EXPRESSIVE LANGUAGE D/O
12 y/o F not attending school for fear her mom may die in accident. Management?
RETURNING THE GIRL TO HER CURRENT CLASSROOM