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PHRM 845 > Peds Psych > Flashcards

Peds Psych Flashcards

1
Q

who has highest risk adverse effects from medications?

A

kids

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2
Q

Tourettes

A

tics for >1 year
onset before 18

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3
Q

prevalence of other disease states with tic disorder

A

ADHD 75 %
OCD 50%

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4
Q

rule of thirds tic disorders

A

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

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5
Q

what percent have tic symptoms as adults

A

10%

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6
Q

first line treatment of tics

A

alpha 2 agonists
clonidine
guanfacine

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7
Q

second line treatment of tics

A

atypical antipshchotics
aripiprazole
risperidone

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8
Q

third line treatment of tics

A

typical antipsychotics
haloperidol
pimozide

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9
Q

aripiprazole FDA approved ij what age and dosing
tics

A

6-17 years
weight based dosing

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10
Q

stimulant use in tourettes can do what

A

exacerbate vocal and motor tics

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11
Q

what if cant use stimulant in ADHD due to bad sx of tics

A

try atomoxetine or tricyclic antidepressant

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12
Q

conduct disorder age specifications

A

childhood <10 years
adolescent > 10 years
or unspecified

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13
Q

when to consider drug therapy for ODD/CD

A

adjunct after baseline sx determined
interventions failed
aggression to dangerous levels

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14
Q

first line drugs ODD/CD

A

stimulants / guanfacine / clonidine

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15
Q

when to use atypical antipsychotics in ODD/CD

A

severe persisten aggression, serious behaviors or defiance

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16
Q

pts with ADHD and ODD or CD we commonly see with what meds

A

stimulant and clonidine/guanfacine

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17
Q

separation anxiety mild

A

psycotherapy

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18
Q

separation anxiety moderate to severe treatment

A

SSRi - fluoxetine / escitalopram

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19
Q

autism spectrum disorder is defined as

A

-persistent deficits in social communication and social interaction across multiple contexts

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20
Q

autism spectrum behaviors

A

resetrictive, repetitive patterns of behavior, interests, activities

21
Q

symptoms of autism

A

agression
hyperactivity
inatytyention
irritable
poor frustration tolerance
temper tantrum
OCD
hypersensitivty

22
Q

medical problems associated with autism spectrum disorder

A

seizures and GI disorders

23
Q

medications efficacious in core autism sx

A

none

24
Q

first line ASD

A

applied behavior analysis (ABA)

25
Q

medications for autism irritability / aggression

A

6-17: aripiprazole
5-16 risperidone

26
Q

lamotrigine / levitiracetam effect on irritability

A

no effect

27
Q

repetitive behavior treatment

A

haloperidol, risperidone, aripiprazole

28
Q

ADHD and autism treatment

A

methylphenidate
clonidine / guanfacine - irritable/explosive

29
Q

sleep in autism treatment

A

melatonin 1-6 mg nightly

30
Q

what is disruptive mood disorder

A

severe recurrent temper outbursts that are verbal and are out of pocket for the situation

31
Q

disruptive mood disorder diagnosis

A

age 6-17
two settings (home, school, friends)
must be severe in one

32
Q

DMD - what do we need to rule out

A

bipolar (antidepresants vs mood stabilizers)

33
Q

first line DMDD

A

stimulants and SSRIs

34
Q

pediatric depression children complaints

A

physical complaints - irritable, conduct probs, sucidal

35
Q

pediatric depression adolescnet complaints

A

more feeling based

36
Q

pediatric depression, chronic or episodic

A

chronic, instability may be bipolar

37
Q

remission rates after CBT in depression

A

70%

38
Q

black box warning antidepressants

A

suicide risk first three months treatment

39
Q

antidepressant for 8+

A

fluoxetine

40
Q

escitalopram ages

A

12-17

41
Q

fluoxetine ages

A

8+

42
Q

avoid which antidepressant in kids

A

paroxetine, suicide risk

43
Q

1st line bipolar in kids

A

lithium

44
Q

first like therapy for PTSD

A

trauma focused psychotherapy

45
Q

medication treatment for PTSD in kids

A

SSRIs
citalopram/sertraline

46
Q

schizophrenia in kids onset age

A

before 13

47
Q

visual hallucinations more common in ____

A

adults

48
Q
A

PHRM 845 (32 decks)

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