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Behavioral Med > Pediatric/Adolescent-Related Disorders > Flashcards

Pediatric/Adolescent-Related Disorders Flashcards

1
Q

what is the most common neurobehavioral condition in children?

A

ADHD

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2
Q

developmentally inappropriate lack of attention and/or hyperactivity and impulsivity that interferes with a patient’s life

A

ADHD

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3
Q

what are the general findings of an MRI in patients with ADHD?

A

different morphology and decreased metabolic activity in frontal lobe

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4
Q

what is the #1 risk factor of ADHD, based on twin studies?

A

inheritability

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5
Q

how many symptoms must persist and over how long, to diagnose a patient with ADHD?

A

at least 6 symptoms within one category that persist for over 6 months

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6
Q

at what age should symptoms be present to diagnose a patient with ADHD?

A

several symptoms present before 12 yo

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7
Q

in how many settings must symptoms be present to diagnose a patient with ADHD?

A

present in at least 2 settings

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8
Q

what is the most effective tool in diagnosing ADHD?

A

Conners Abbreviated Symptoms Questionnaire

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9
Q

what is the 1st line management for 4-6 yo with ADHD?

A

parent-training in behavioral management

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10
Q

what medications are used for ADHD?

A

psychostimulants

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11
Q

what is the titrate rule for psychostimulants for ADHD?

A

start at low dose and titrate as needed in 2-4 week intervals

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12
Q

what is NOT recommended for psychostimulants in patients with ADHD?

A

drug holidays

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13
Q

what can be helpful for sleeping problems in ADHD?

A

melatonin at bedtime

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14
Q

what should NOT be given to children with ADHD, due to being ineffective and potentially dangerous?

A

megavitamins

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15
Q

pattern of angry/irritable mood, argumentative/defiant behavior, or vindictiveness lasting at least 6 months and exhibited during interaction with at least one individual who is not a sibling

A

oppositional defiant disorder

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16
Q

recurrent behavioral outbursts representing a failure to control aggressive impulses

A

intermittent explosive disorder

17
Q

patients have difficulty recognizing and respecting the rules and rights of others, leading to trouble at home, in school, and law enforcement

A

conduct disorder

18
Q

at what age is conduct disorder most diagnosed?

A

before 16 years of age

19
Q

conduct disorder is most often associated with which disorder?

A

ADHD

20
Q

what is the timeline necessary to diagnose a patient with conduct disorder?

A

symptoms/behaviors in the past 12 months

21
Q

a patient presents with aggression to animals/people, destruction of property, deceitfulness/theft, and serious violation of rules before age 13. what are they likely experiencing?

A

conduct disorder

22
Q

what is the general goal of management in patients with conduct disorder?

A

early intervention with multi-professional team to avoid the problems from becoming a part of the child’s personality

23
Q

what is helpful to parents who have children younger than 3 with conduct disorder?

A

group parent training

24
Q

what type of management should be recommended for everyone with conduct disorder?

A

therapy

25
Q

what medication can be used for conduct disorder to reduce aggression in children 5-18

A

risperidone

26
Q

40% of childhood onset conduct disorder develops into adult _____ _____ _____

A

antisocial personality disorder

27
Q

in ASD, when must symptoms be present?

A

in early developmental period

28
Q

core deficits in reciprocal social interactions, verbal and nonverbal communication, and restricted and repetitive patterns of behavior or interest

A

autism spectrum disorder

29
Q

abnormal or impaired development evident before the age of 3 in receptive/expressive language, selective social attachments, and functional/symbolic play

A

autistic disorder

30
Q

isolated special skills, intense circumscribed interest of restrictive, repetitive, and stereotyped patterns of behavior, interests and activities, and motor clumsiness

A

asperger syndrome

31
Q

what would be seen in children with possible ASD during their 1st year of life? (2)

A

reduced response to name
reduced frequency of looking at faces

32
Q

what would be seen in children with possible ASD during their 2nd year of life?

A

difficulties sharing experiences, interest, or attention with others

33
Q

when does the american academy of pediatrics recommend all kids to be screened for ASD?

A

18 AND 24 months old

34
Q

what is the management of a positive screening of ASD? (2)

A
  1. parental education
  2. referral to developmental specialist
35
Q

what kind of developmental specialist would a child with ASD see, that is younger than 3?

A

early intervention specialist

36
Q

what kind of developmental specialist would a child with ASD see, that is older than 3?

A

public schools

37
Q

what are the 3 treatments for ASD?

A

anti-psychotics
SSRIs
speech/occupational therapy

38
Q

what anti-psychotics can be used for patients with ASD to reduce irritability and behavioral problems? (2)

A

risperidone
aripoprazle

39
Q

what medication can be used for patients with ASD to improve repetitive behaviors, irritability, depression, anxiety, and aggression?

A

SSRIs

Behavioral Med (9 decks)

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