Pediatric Psych

Question 1

Associations with ADHD

Answer 1

Prenatal exposure to tobacco
Prematurity and low birth weight
Prenatal exposure to alcohol 
Head trauma in young children
Maternal acetaminophen use ?

Question 2

the DSM-5 diagnosis of ADHD requires

Answer 2

≥6 symptoms of hyperactivity and impulsivity
or ≥6 symptoms of inattention
For adolescents ≥17 years and adults, ≥5 symptoms of hyperactivity and impulsivity or ≥5 symptoms of inattention are required

Question 3

Methylphenidate

Answer 3

Immediate release: Ritalin, Methylin
1st line Stimulant
Then titrate up to long acting Ritalin SR

Question 4

Dextroamphetamine

Answer 4

1st line Stimulant

Short acting: Formerly Dextrostat, start with and titrate up to Long acting: Adderall XR

Question 5

Atomoxetine

Answer 5

2nd line Nor-epi re-uptake inhibitor (non-stimulant) Strattera
only 2nd line approved for kids

Question 6

Routine Screening for ASD

Answer 6

MCHAT – modified checklist for autism in toddlers
Screen specifically for ASD at 18 and 24 months
Parent fills out form

Question 7

Conduct disorder vs. Oppositional defiant disorder

Answer 7

Children with ODD seem to have worse social skills than those with CD.
Children with ODD seem to do better in school.
Conduct disorder is the most serious childhood psychiatric disorder.

Question 8

Signs and symptoms of major depression

Answer 8

S	Sleep disturbance
I	Interests (decreased for usual activities)
G	Guilt (excessive or inappropriate)
E	Energy (decreased)
C	Concentration problems
A	Appetite change
P	Pleasure (decreased)
S	Suicidal thoughts or actions

Question 9

Medical treatment with SSRIs (selective serotonin reuptake inhibitors)

Answer 9

Fluoxetine (Prozac)
(FDA approved ages 8-17)
Escitalopram (Lexapro)
(FDA approved ages 12-17)

Question 10

SSRI black box warning

Answer 10

Increased suicidality risk in children, adolescents, and young adults w/ major depressive or other psychiatric disorders