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Pediatric EOR exam > Peds Behavioral/psych > Flashcards

Peds Behavioral/psych Flashcards

1
Q

what is the diagnostic criteria for generalized anxiety disorder

A
  • excessive worry more days than not
  • worry about multiple things
  • present for at least 6 months
  • difficult to control
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2
Q

what are the somatic s/s related to GAD

A
  • muscle tension
  • HA
  • neck and back pain
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3
Q

what are screening tools for GAD

A
  • GAD-7
  • beck anxiety inventory
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4
Q

what is the treatment of GAD

A

SSRI + CBT

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5
Q

what are the SSRIs

A

Sertraline (Zoloft)
Citalopram (Celexa)
Escitalopram (Lexapro)
Fluoxetine (Prozac)
Paroxetine (Paxil)
Fluvoxamine (Luvox)

SCEFF P

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6
Q

what is a panic disorder

A

recurrent episodes of panic attacks

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7
Q

what is the criteria for panic attack

A
  • abrupt surge of intense fear or discomfort that peaks within minutes
  • associated with 4 other symptoms
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8
Q

what is the criteria for panic disorder

A

1+ attack followed by 1 month of worry about additional attacks or change in behavior

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9
Q

treatment of panic disorder

A

SSRI (paroxetine) + CBT

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10
Q

what is the definition of agoraphobia

A

anxiety about or avoidance of situations where escape may not be available or leaving would be difficult if the patient were to develop incapacitating or embarrassing symptoms

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11
Q

what is the criteria for agoraphobia

A

6 months of marked fear or anxiety of a place or situation

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12
Q

what is the treatment of agoraphobia

A

SSRI + CBT

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13
Q

what is the criteria for social anxiety disorder

A

6 months of anxiety about 1+ social situations

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14
Q

what is the treatment of social anxiety disorder

A

SSRI + CBT

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15
Q

what is the definition of acute stress disorder

A

acute stress reaction occurring in the initial month after an individual experiences a trauma

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16
Q

what is the criteria for acute stress disorder

A
  • exposure to threatened death, serious injury, or sexual violation
  • 3 days to 1 month after trauma
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17
Q

what is the treatment of acute stress disorder

A

trauma oriented CBT with exposure therapy

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18
Q

what is the diagnostic criteria for for PTSD

A
  • exposure to actual or threatened death, serious injury, or sexual violation
  • symptoms lasting 1 month
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19
Q

what is the treatment of PTSD

A

trauma oriented CBT + SSRIs

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20
Q

what are obsessions vs compulsions

A
  • obsessions: recurrent intrusive thoughts
  • compulsions: repetitive acts that patient feels driven to perform
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21
Q

what is good vs poor vs absent level of insight into illness

A
  • good: patient recognizes OCD beliefs are definitely or probably not true
  • poor: patient thinks OCD are probably true
  • absent: completely convinced that beliefs are true
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22
Q

what is the treatment of OCD

A

CBT with exposure therapy + SSRI

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23
Q

what is the criteria of phobic disorder

A

6 months of marked fear/anxiety about a specific situation or object

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24
Q

what is the treatment of phobic disorder

A

CBT with exposure therapy

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25
Q

what is ADHD

A

diminished sustained attention and high levels of impulsivity or hyperactivity

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26
Q

what are types of ADHD

A
  • hyperactive/impulsive
  • inattentive
  • combined type
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27
Q

What is the etiology of ADHD

A
  • impaired catecholamine (nor-epi and dopamine) metabolism in brain.
  • genetics
  • possibly environmental etiology
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28
Q

what are the criteria for ADHD

A
  • 6+ months of symptoms
  • before age 12
  • clear functional impairment in 2+ settings
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29
Q

what is non-pharm treatment of ADHD

A
  • behavioral interventions (schedules, charts, minimal distractions)
  • cognitive therapy
30
Q

what is pharm treatment of ADHD

A
  • stimulants (vyvanse, ritalin, adderal, Desoxyn)
  • strattera (SNRI)
  • clonidine
31
Q

child must be how old to be on ADHD medication

A

6 years

32
Q

autism is most commonly recognized around what age

A

2 years

33
Q

what are the s/s of autism

A
  • impaired social skills
  • language delay
  • social reciprocity
  • joint attention
  • difficulty with nonverbal communication
  • poor social relationships
  • stereotyped behaviors
34
Q

what is screening for ASD

A

MCHAT

35
Q

what is the treatment of ASD

A
  • functional and behavioral interventions
  • routine screening and preventative care
  • treat other conditions
36
Q

what is good vs poor prognosis of ASD

A
  • good: higher cognitive abilities, less severe symptoms, early identification, functional play skills
  • poor: severe symptoms, seizures, lack of joint attention by age 4 or functional speech by age 5
37
Q

what is amnesia

A

recurrent gaps or other defects in the memory

38
Q

depersonalization

A

sense of detachment or disconnection from ones self

39
Q

derealization

A

sense of disconnection from familiar people or one’s surroundings

40
Q

identity confusion

A

inner struggle about ones sense of self/identity

41
Q

identity alteration

A

sense of acting like a different person some of the time

42
Q

dissociative amnesia

A

potentially reversible memory impairment that primarily affects autobiographical memory

43
Q

dissociative fuge

A

unexpected travel or wandering in a dissociative state, with subsequent dissociative amnesia for the episode

44
Q

what is the treatment of dissociative amnesia

A

psychotherapy

45
Q

what is depersonalization/derealization disorder

A

a dissociative disorder marked by the presence of persistent and recurrent episodes of depersonalization, derealization, or both

46
Q

treatment of depersonalization/derealization disorder

A

SSRIs + psychotherapy

47
Q

dissociative identity disorder

A

multiple personalities

48
Q

criteria for dissociative identity disorder

A
  • two or more distinct identities or personality states
  • amnesia must occur
49
Q

treatment of dissociative identity disorder

A

psychotherapy

50
Q

stages of impulsivity

A
  • Urge
  • Tension
  • Act
  • Relief
  • Guilt
51
Q

what is Intermittent Explosive Disorder

A

discrete episodes of losing control of aggressive impulses that are out of proportion to the stressor and then feels regret after

52
Q

treatment of intermittent explosive disorder

A

-psychotherapy and SSRIs

53
Q

what is oppositional defiant disorder

A

disobedient behavior towards adults and authority figures

54
Q

what are types of oppositional defiant disorder

A
  • angry/irritable
  • argumentative/defiant
  • vindictive
55
Q

what is the criteria for ODD

A

angry/irritable/argumentative/defiant behavior or vindictiveness for at least 6 months during interactions with at least 1 individual who is NOT a sibling

56
Q

How do you rate severity of ODD

A
  • mild: symptoms confined to 1 setting
  • Moderate: symptoms in 2 settings
  • Severe: 3+ settings
57
Q

what is the treatment of oppositional defiant disorder

A

psychotherapy

58
Q

25% of ODD progresses to what

A

conduct disorder

59
Q

what is conduct disorder

A

aggression and violation of the rights of others

60
Q

what is the criteria for conduct disorder

A

patters of behavior in which basic rights of others or major ago appropriate social norms/rules are violated.

3+ criteria in 12 months (at least 1 in the past 6 months)

including aggression to people/animals, destruction of property, deceitfulness or theft, serious violation of rules.

61
Q

treatment of conduct disorder

A
  • psychotherapy
  • antipsychotics or SSRIs (risperidone shows most promise)
62
Q

what is major depressive disorder

A
  • at least one major depressive episode lasting at least 2 weeks
  • either depressed mood or anhedonia
63
Q

what is used for screening for major depressive disorder

A
  • PHQ-2
  • PHQ-9
64
Q

what is the management of major depressive disorder

A
  • therapy
  • SSRIs
65
Q

inpatient vs outpatient tx for MDD

A
  • outpatient: mild/mod
  • inpatient: severe
66
Q

what is the criteria for MDD

A

Depressed mood OR anhedonia for >2 weeks AND >4 of the following

67
Q

best treatment for severe, refractory depression

A

electroconvulsive therapy

68
Q

what is dysthymia

A

2+ years of depressed mood with no more than 2 months free of s/s

69
Q

what is the treatment of dysthymia

A

SSRIs + therapy

70
Q

what is avoidant restrictive food intake disorder

A

avoiding or restricting food intake and failing to meet nutritional or energy needs

71
Q

what drug is CI in bulimia and anorexia patients? and why?

A
  • wellbutrin
  • can lower seizure threshold and cause patients to have seizures

remember this cuz bulimic patients are more likely to be alkalotic due to vomiting and getting rid of stomach acid. Alkalosis increases risk of seizure. So theyre already at increased risk and you wouldnt wanna increase the risk more.

Pediatric EOR exam (20 decks)

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