Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PHRM 845 > Pediatric psych Ott > Flashcards

Pediatric psych Ott Flashcards

1
Q

T or F: kids have lower significant adverse effects from drugs than adults

A

false, moree

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Tourettes onset

A

before 18

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

how long do tics have to be present to be considered tourettes

A

1 year

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is provisional tic disorder

A

same sxs as persistant motor or vocal tic disorder but present <1 year

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what percentage of people with tic disorders have adhd or ocd

A

75% adhd, 50% ocd

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is the rule of thirds for tic disorders?

A

1/3 resolve, 1/3 improve, 1/3 stay the same

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

first line for tx of tics

A

alpha 2 antagonists
clonidine, guanfacine, er guanfacine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

second line for tics

A

atypicals
aripiprazole, risperidone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

third line for tics

A

typicals
haloperidol, pimozide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what age range is aripiprazole fda approved for in kids

A

6-17

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what kind of stimulants do you avoid in kids with tourettes

A

amphetamine based, they exacerbate sxs, use atomoxetine or a TCA instead

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what other disorder is common in ODD & CD (the behavior disorders)

A

ADHD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

first line drugs for ODD & CD

A

stimulants and clonidine/guanfacine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what drugs may be used to treat severe persistent aggression and serious oppositional behaviors in ODD & CD?

A

Atypicals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

first line tx for mild separation anxiety

A

psychotherapy with combo therapy for moderate to severe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

first line drug for separation anxiety

A

ssri

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

T or F: atypical antipsychotics have shown efficacy in treating the core ASD sxs

A

false, no meds have

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

ASD is associated with 2 other medical problems, what are they

A

seizure disorders and GI disorders

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

first line tx for disruptive behaviors in ASD

A

applied behavioral analysis

20
Q

what 2 drugs are fda approved for the management of irritability/aggression and are considered first line agents for disruptive behaviors in asd

A

aripiprazole and risperidone

21
Q

T or F: lamotrigine and levetiracetam have no significant effect on irritability in ASD

A

true

22
Q

FDA approved 6-17
A. Aripiprazole
B. Risperidone

A

A

23
Q

FDA approved 5-16
A. Aripiprazole
B. Risperidone

A

B

24
Q

Tx for repetitive behaviors in asd

A

antipsychotics -> haloperidol, risperidone, aripiprazole

25
Q

Tx for adhd in asd

A

stimulants -> methylphenidate preferred
clon/guan -> modest effect on irritability and explosive behavior

26
Q

tx for sleep in asd

A

melatonin -> reduced sleep latency and increased time asleep 1-6 mg nightly

27
Q

Disruptive Mood Dysregulation Disorder (DMDD) has to be present in 2/3 settings between which settings?

A

home, school, with peers

28
Q

T or F: Diagnosis of DMDD should not be made before 6 or after 18

A

true

29
Q

T or F: DMDD is more similar to bipolar than depression/ADHD/anxiety

A

False, other way around

30
Q

for DMDD tx, you need to differentiate from what other disorder when considering tx

A

bipolar

31
Q

first line tx for DMDD

A

SSRI

32
Q

What chapter of the DSM is DMDD in?

A

depression, weird

33
Q

physical complaints, irritability, conduct problems, can have suicidal ideation
A. Children
B. Adolescents

A

A

34
Q

express feelings of depression and suicidal behaviors more than the other option
A. Children
B. Adolescents

A

B

35
Q

T or F: Pediatric depression is More chronic than episodic, instability in mood common; may be marker for bipolar disorder

A

true.

36
Q

first line depression tx

A

CBT (70% remission rates)

37
Q

First line drug tx of pediatric depression

A

ssri

38
Q

What ssri is the only fda approved one for children down to 8 years old

A

fluoxetine

39
Q

what is the age range for use of escitalopram in pediatric depression>

A

12-17

40
Q

what was the 1st ssri for kids that is now avoided due to suicidal thinking

A

paroxetine

41
Q

pediatric bipolar disorder wonder drug

A

lithium

42
Q

when do you use carbamazepine/olanzapine in pediatric pts with bipolar?

A

in adjunct if they have psychosis

43
Q

first line tx for pediatric PTSD

A

ssri

44
Q

onset of sxs in pediatric schizo is before what age

A

13

45
Q

T or F: Visual hallucinations are more common in children than adults with schizo

A

true, adults have auditory more

46
Q

review that chart on slide 26

A

thanks cole, ill make sure to look at least once!

PHRM 845 (34 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions