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Psychiatry > Peds Neuronal Development > Flashcards

Peds Neuronal Development Flashcards

1
Q

Name three examples that intellectual disability is found genetically

A
  • down syndrome
  • fragile X
  • cri du chat
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2
Q

Give some examples of acquired intellectual disability

A
  • mom uses etoh while pregnant
  • lead poisoning
  • decreased t4 while in utero
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3
Q

A patient with an IQ of 70 or greater will have what type of functioning in terms of cognitive skills

A
  • they can live, work, do their ADLs, and live independently
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4
Q

A patient with an IQ of 50- 70 will have what type of cognitive skills?

A
  • they can work, perform their ADLs, but may live in a group home for some assistance
  • up to 6th grade intelligence
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5
Q

A patient with an IQ of 35-49 will have what type of cognitive skills?

A
  • can do some ADLs by themselves but will need constant reminders
  • Have up to 3rd grade intelligence
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6
Q

A patient with an IQ of 20-34 will have about what level of intelligence?

A
  • preschool level
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7
Q

A patient with an IQ of 20 or less will need?

A
  • total care
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8
Q

How will a patient with autism spectrum disorder present?

A
  • decreased social communication
  • no emotion connection
  • stereotypy
  • have rigid patterns and gets anxiety with chnage
  • have restricted interests
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9
Q

What should be ruled out before diagnosing autism spectrum disorder?

A
  • learning disabilities and intellectual disabilities
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10
Q

What is the treatment for autism spectrum disorder?

A
  • special ed and social interaction
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11
Q

How will a patient with ADHD present?

A
  • inattentive
  • impulsive
  • talks fast, easily distracted, fails to complete tasks
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12
Q

What are the criteria to diagnose ADHD?

A
  • must be present in at least two settings–? like home and school
  • age has to be 7-12
  • in two settings for at least 6 months
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13
Q

Treatment for ADHD

A
  • stimulants, like methylphenidate

- atomoxetine is second line

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14
Q

What should be ruled out before diagnosing ADHD?

A
  • absence seizures–> maybe the child is spacing out because they are having seizures
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15
Q

Treatment for tic disorder

A
  • D2 receptor antagonists and CBT
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16
Q

What are the criteria to diagnose tic disorder?

A
  • age must be less than 18
  • tics must be going on for at least a year
  • tics can be verbal or physical
17
Q

What are some possible things to rule out before diagnosing a learning disability in a child?

A
  • check their hearing, vision
18
Q

Define enuresis

A
  • the act of urinating in the bed or in his or her clothes
19
Q

A child less than ___ years old who has never been dry/still wets the bed/clothes is normal.

A

7

20
Q

If the child had a dry period for longer than 6 months, what are some things to consider that may be causing the enuresis?

A
  • Is the child acting out?/ Is there a new stressor
  • Does the child have an anatomical problem?
  • Does the child have an infection?
  • Is the child being abused?
21
Q

In working up a child with enuresis and the child is over 7 or has had a dry period for longer than 6 months, what is the first thing to be ordered?

A
  • U/A
22
Q

Alarm bells and training are first line treatment for enuresis. What medication can be used to help with enuresis (will not fix the enuresis over time- only help for the time used)?

A
  • vasopressin/ DdaAVP
23
Q

What age is autism spectrum disorder most likely detected at?

A
  • between 2-4 y/o
24
Q

define encopresis

A
  • pooping bed/clothes
25
Q

patient is <18 y/o, acts criminally, bullies others and constantly gets into fights. He or she will violate the rules with no remorse.

A

Conduct disorder

26
Q

Treatment for conduct disorder

A
  • juvenile rehabilitation
27
Q

Conduct disorder is the precursor to which personality disorder?

A
  • antisocial personality disorder
28
Q

teen is acting out/ fights authority but gets along with his or her peers–> most likely due to incongruent parenting styles

A

oppositional defiant disorder

29
Q

Treatment for oppositional defiant disorder

A
  • train the parents–> need to be a unified front

Psychiatry (15 decks)

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