Psy 2 - Child Psych

Question 1

What is the most common type of child maltreatment?

Answer 1

Child neglect.

Question 2

What is the cause and the symptoms associated with Reactive attachment disorder?

Answer 2

Caused by infant deprivation. Poor language and socialization skills. Withdrawn attitude. Lack of basic trust. Poor feeding. Weight loss. Failure to thrive. Nutritional and immune deficiencies.

Question 3

What is disinhibited social engagement disorder?

Answer 3

No fear of strangers without caution, no social boundaries. Seen in toddler years not being able to form any attachment to caregiver.

Question 4

What are the three most common genetically causes of intellectual disability?

Answer 4

Down syndrome. Fragile X syndrome. Rett syndrome.

Question 5

What is the overall most common cause of intellectual disability?

Answer 5

Fetal alcohol syndrome.

Question 6

What is hair-pulling disorder? What is the treatment?

Answer 6

Compulsive nervous hair pulling. More common in young girls. Examination reveals unusual patterns of broken hairs of varying lengths, causing wire brush feel In bald spot. Treatment is education, cognitive behavioral therapy, or even fluoxetine or clomipramine.

Question 7

What are the symptoms of ADHD?

Answer 7

Onset before the age 12. Poor impulse control. Limited attention span.

Question 8

What is the treatment for ADHD?

Answer 8

Methylphenidate (Ritalin) and dextroamphetamine (Adderall): CNS stimulants, causes release of catecholamines at the synaptic cleft. Atomoxetine (Strattera): Norepinephrine reuptake inhibitor.

Question 9

What is the difference between conduct disorder and antisocial personality disorder?

Answer 9

Before the age of 18 is conduct disorder. Same symptoms.

Question 10

What is Oppositional defiant disorder?

Answer 10

Enduring pattern of hostile, defiant behavior toward authority figures. No serious violations of social norms.

Question 11

What is Disruptive Mood Dysregulation Disorder?

Answer 11

Baseline irritability. Recurrent temper tantrums. Symptoms presents for at least 1 year, onset must be before age 10. Diagnosable only ages 6-18.

Question 12

What are the symptoms of Tourette syndrome?

Answer 12

Motor or vocal tics, usually before age 18.

Question 13

What are the treatments for Tourette syndrome?

Answer 13

Behavioral therapy. Fluphenazine, Pimozide, Tetrabenazine.

Question 14

What is the new (DSM V) word for stutter?

Answer 14

Childhood onset fluency disorder.

Question 15

What might someone with Separation anxiety disorder say they have?

Answer 15

Abdominal pain to avoid going to school.

Question 16

What are some of the characteristic features of autism spectrum disorder?

Answer 16

“Living in his own world”. Early childhood. Lack of responsiveness to others, poor eye contact, absence of social smile. Impairments in communication, language delay, repetitive phrases. Peculiar repetitive, ritualistic habits (hand flapping). Fascination with specific, seemingly mundane objects (sprinklers). Usually below normal intelligence.

Question 17

What is Rett disorder?

Answer 17

X-linked dominant, seen almost exclusively in girls. Loss of milestones or developmental regression. Intellecutal disability. Loss of verbal abilities. Ataxia. Hand-wringing and hand-to-mouth gestures.

Question 18

What name is given to chronic obsessive hair pulling, common in young girls?

Answer 18

Trichotillomania (now called hair-pulling disorder).

Question 19

Which childhood impairment disorder causes Impairments in social interactions, communications, play, repetitive behaviors?

Answer 19

Autism spectrum disorder.

Question 20

Which childhood impairment disorder causes ignoring basic rights of others.

Answer 20

Conduct disorder.

Question 21

Which childhood impairment disorder causes characterized by hostility, annoyance, vindictiveness, disobedience, and resentfulness?

Answer 21

Oppositional defiant disorder.

Question 22

Which childhood impairment disorder causes multiple motor and vocal tics?

Answer 22

Tourette syndrome.

Question 23

Which childhood impairment disorder causes impulsive and inattentiveness?

Answer 23

ADHD.

Question 24

What does a 7-year old that avoids going to school to stay home with parent have?

Answer 24

Separation anxiety disorder.

Question 25

RFF: The most common medication for ADHD.

Answer 25

Methylphenidate (Ritalin).

Question 26

What are some ques to look for in physical child abuse?

Answer 26

Inconsistencies in history (1month old rolled off bed..they can’t). Burns in the shape of something. Bruises on the cheeks, torso or buttocks, linear (not on shins, they are normal). Unexplained fractures and multiple fracture at various phases of healing: suspicious locations such as rib fractures, long bone fractures, spiral fractures. Subdural hematomas, retinal hemorrhages or retinal detachment.