Pediatric Psychiatry

Question 1

What are the standardized screening tools for mental health disorders

Answer 1

PHQ9
Beck Depression Inventory

Question 2

according to USPSTF when does MDD screening begin

Answer 2

age 12-18

Question 3

what are the etiologies of depression

Answer 3

genetic and environmental

F>M

Question 4

What is SIG ECAPS

Answer 4

DSM-V Criteria for depression in Adolescents
Sleep, Interest, Guilt
Energy, Concentration, Appetite, Psychomotor, Suicidal

Question 5

What is the treatment for depression

Answer 5

Rule out physical source
therapy (psycho, family, CBT)
Medications: SSRI
exercise and nutrition are important

Question 6

what is the black box warning on SSRIs

Answer 6

may increase suicidal ideation and attempts
informed consent is important

Question 7

What is generalized anxiety disorder

Answer 7

excessive, uncontrollable anxiety about events or activities that occurs more oftan than not for at least 6 months

associated with atleast one of the following: restlessness, muscle tension, easy fatigue, difficulty concentrating, irritability, sleep disturbances

Question 8

What lab work and tests should be done for the workup of GAD

Answer 8

TSH and FT4, UDS, metanephrines, PFT, Echo, EKG, EEG

Question 9

what is the treatment of GAD

Answer 9

combo of therapy and mood stabilizers
hydroxyzine, fluoxetine, escitalopram, sertraline, citalopram

Question 10

what is the definition of obsessions

Answer 10

recurrent and persistent thoughts, impulses or images that are experienced, at some time during the disturbance, as intrusive and inappropriate and that cause marked anxiety or distress

Question 11

what is the definition of compulsions

Answer 11

repetitive behaviors or mental acts that the person feels driven to perform in response to an obsession
aimed at preventing or reducing distress

Question 12

what is the treatment for OCD

Answer 12

therapy (and mood stabilizers?)

Question 13

What is Bipolar Disorder

Answer 13

severe mood changes
inflated self esteem or grandiosity
increased energy
decreased need for sleep
talkative, frequent subject changes
distracible, constant movement
risk-taking behaviors
assess. forfamily hx

Question 14

What is the DSM-V criteria for bipolar disorder

Answer 14

A distinct period of abnormally and persistently elevated, expansive or irritable mood (mania), lasting at least 1 week +/- episodes of lowered mood and activity (depression)

Question 15

What is the treatment of Bipolar disorder

Answer 15

combo therapy and meds
refer to psychiatry

Question 16

what is ODD

Answer 16

negative, hostile and defiant behavior which is excessive compared to others at same age

Question 17

what are the clinical features of ODD

Answer 17

active defiance, argumentative, argues
easily loses temper
blames others
deliberately does things to annoy others

Question 18

what is the treatment of ODD

Answer 18

parent education
refer for confirmation and therapy
collaborate with school

Question 19

what are the ADHD tools

Answer 19

Narrow band
* -ADHD rating scales
* Vanderbilt Scales
* Connors scales
Broad band
* Achenbach Child behavior checklist (CBCL)
* behavior assessment scales for children (BASC)
* Brown attention Deficit disoder scales (BADDS)

Question 20

Who is the Connor’s scale appropriate for

(ages)

Answer 20

ages 6-18 years

Question 21

what tool is one of the most widely used broad-based behavioral instruments in the world for ADHD

Answer 21

Achenbach Child behavior checklist (ACBC)

Question 22

what is the treatment of ADHD

Answer 22

combo medication plus therpeutic intervention has the best results

Question 23

What is the treatment of ADHD in preschool children (4-5 years)

Answer 23

evidence-based behavior therapy
prescribe methylphenidate if not effective and mod-severe disturbance

Question 24

what is teh treatment of ADHD in school ages (6-11 years)

Answer 24

medication + behavioral intervention
-stimulant, followed by atomoxetine, extended release guanfacine