Pediatrics Wrong Answers, Etc

Question 0

Symptoms of Narcolepsy =

Answer 0

Classic Triad:

1) Sleep Attacks
2) Cataplexy (loss of muscle tone)
3) Hypnopompic / Hypnagogic hallucinations or sleep paralysis

Question 1

Intermittent Explosive Disorder =

Answer 1

Children will have outbursts of extreme anger or violent behavior.

Question 2

Sleep stages associated with night terror disorder vs. nightmare disorder =

Answer 2

Night Terror - deep sleep (stages 3-4)

Nightmare - REM sleep

Question 3

Signs of expressive language disorder =

Answer 3

Markedly limited vocabularly

Errors in tense

Difficulty recalling words or producing sentences with developmentally appropriate length or complexity.

Decline in academic performance

Question 4

Normal number of words spoken by a 2 yo:

Answer 4

200

Question 5

Risk factors for developing separation anxiety disorder:

Answer 5

Parents with an anxiety disorder

Parents with an overly controlling and rejecting parenting style.

Insecure attachment with the primary caregiver

Inhibited and shy temperament.

Question 6

Delusions in mania vs schizophrenia:

Answer 6

Often the delusions seen in manic episodes are grandiose–whereas this is almost never the case in schizophrenia.

Question 8

Signs of depression seen in kids and less so in adolescents and adults:

Answer 8

Irritability

Psychomotor Agitation

Anxiety

Question 9

Most common method of suicide in children:

Answer 9

Substance ingestion

Question 10

Drugs which are commonly associated with manic symptoms:

Answer 10

Stimulants

• Cocaine
• Amphetamines

Question 11

What sets adjustment disorder apart from MDD:

Answer 11

Adjustment disorder does not last past 6m following the termination of a stressor

Question 12

What can commonly develop in children recently diagnosed with type 1 diabetes:

Answer 12

Adjustment Disorder

Question 13

Which tics are needed for a diagnosis of Tourette’s?

Answer 13

Multiple motor tics

At least 1 verbal tic

Question 14

Normal age for stranger anxiety:

Age at which stranger anxiety should go away:

What it might mean if stranger anxiety never occurs:

Answer 14

7-8 months

Should go away at age 3-4yo

Could indicate autism if it is never present.

Question 15

Age at which kids begin to understand the irreversibility of death:

Why then?

Answer 15

Ages 6-10

This is the age at which cognitive maturity begins to develop and concrete thinking becomes more evident.

Question 16

Normal age for stranger anxiety:

Age at which stranger anxiety should go away:

What it might mean if stranger anxiety never occurs:

Answer 16

7-8 months

Should go away at age 3-4yo

Could indicate autism if it is never present.

Question 17

Likely defense mechanism in a young girl who just visited the doctor and received a dx of SLE and went home and wanted to play doctor:

Answer 17

“Identification”

This is a defense mechanism in which the person adopts a different person’s characteristics in order to put the fear of the person they are emulating onto something less anxiety provoking.

Question 18

Additional tests to perform on patient presenting with likely panic attacks:

Asthma on the differential?

Answer 18

Perform routine labs to screen for other medical causes of the symptoms.

Asthma is not on the differential in most cases of panic attacks. Therefore it isn’t very useful to order PFTs

Question 19

Most common perpetrator of factitious disorder by proxy in kids:

Answer 19

Mother

Question 20

Most common outcome in child’s behavior if they are being abused:

Answer 20

Major Depressive Disorder

Question 21

Most common perpetrator of factitious disorder by proxy in kids:

Answer 21

Mother

Question 22

Hallmark of ODD and hallmarks of conduct disorder; i.e. how can you tell them apart?

Answer 22

ODD: Disobedience to authority figures

Conduct Disorder: Breaking rules; aggression; violence

Question 23

Severe Mental Retardation IQ =

Answer 23

25-39

Question 24

Normal IQ =

Answer 24

90-110

Question 25

Profound Mental Retardation =

Answer 25

<25

Question 26

Moderate Mental Retardation IQ =

Answer 26

40-54

Question 27

Profound Mental Retardation =

Answer 27

<25

Question 28

Ages at which a developmental milestone is focusing on following rules:

Answer 28

7-12 yrs (School Age)

Question 29

Ages at which a developmental milestone is establishing self as autonomous, separate from caregiver by practicing leaving and returning to the caregiver:

Answer 29

18-36 months (toddlers)

Question 30

Ages at which a developmental milestone is establishing trust in the world through the responsiveness and empathy of one’s caregiver:

Answer 30

0-18 months (infants)

Question 31

Ages at which a developmental milestone is preoccupation with superheroes and why?

Answer 31

3-6 years (preschool age)

These superheroes represent idealized caregivers. They are preoccupied with them as a result of mixed feelings towards their caregivers.

Question 32

Age at which a kid should develop the ability to think about and manipulate ideas abstractly:

Answer 32

Adolescence

Question 33

Age at which a kid should be able to apply reasoning:

Answer 33

7-12 yrs (school age)