Psych

Question 1

Which gender is OCD more common?

Answer 1

Boys

Question 2

Clonidine is used in the treatment of ADHD T/F

Answer 2

T -when stimulants are ineffective or contraindicated.

Question 3

CRAFFT is a screening test for what? when is it considered positive

Answer 3

Drug and alcohol abuse
Positive if 2 or more points

Note: first ask adolescent: 1. have you ever drunk more than a few sips of alcohol 2. have you ever used marijuana or a synthetic marijuana 3. have you ever used any other substances to get high. If yes to any of these proceed to CRAFFT screen

Question 4

3 cardinal features of autism spectrum disorder?

Answer 4

Impaired verbal and non verbal communication
Restricted interest and stereotypical body movements
Impaired social interactions

Question 5

Special education services should be provided in a separate classroom, when possible. T/F

Answer 5

F - the children should be removed from their usual classroom as little as possible. In other word the services should be provided in the least restrictive environment

Question 6

How long must symptoms of ADHD be present before a diagnosis can be made?

Answer 6

At least 6 months

Note: must also have symptoms in 2 or more environments (eg at home and school)

Question 7

Contra indications to the use of stimulants for treatment of ADHD

Answer 7

Glaucoma
Uncontrolled seizures
Cardiac disease
Active substance misuse

Question 8

3rd line tx of ADHD

Answer 8

Atomoxetine

Note: 1st and 2nd line is stimulants

Question 9

How long dose it take for steady state of Atomoxetine to be reached?

Answer 9

About 6 weeks (due to long half life)

Question 10

Common side effect of Atomoxetine include abdominal pain, decreased appetite and somnolence T/F

Answer 10

True

Less common headaches, fatigue, dyspepsia, vomiting, and diarrhea
Rarely hepatitis

Question 11

What % of children will have ADHD symptoms into adulthood?

Answer 11

Up to 60%

Question 12

A child with ODD often initiates physical alterations T/F

Answer 12

F - that is one of the major differences between ODD and conduct disorder.

Note: 30% of children with ODD will progress to conduct disorder.

Question 13

Cocaine use can lead to cerebral haemorrhage T/F

Answer 13

T - due to vasoconstriction

Other complications from the vasoconstriction include MI, stroke and seizure

Question 14

Fire setting always requires intervention by a mental health specialist T/F

Answer 14

T

Question 15

First line medication for OCD?

Answer 15

SSRIs (fluoxetine)

Note: CBT is the psychotherapy of choice

Question 16

Timing of acute stress disorder?

Answer 16

3 days to one month post event

Note: > 1 month the disorder may be PTSD

Question 17

Timing of adjustment disorder?

Answer 17

Within 3 months of the onset of the stressor

Note: persists for no longer than 6 months

Question 18

What is the most common comorbidity with depression?

Answer 18

Anxiety

Question 19

Initiating SSRI at higher than recommended initial doses is associated with what?

Answer 19

Associated with increased self harm episodes

Question 20

Bipolar disorder is more common in females T/F

Answer 20

F - equal sex distribution

Question 21

Duration of mania vs hypomania?

Answer 21

Mania lasts at least 7 days

Hypomania lasts at least 4 days but less than 7 days and the impairment is less severe

Question 22

Features of cyclothymic disorder

Answer 22

Multiple episodes of hypomania and subsyndromal depression for at least 1 year

Question 23

Patients with a diagnosis of bipolar II have episodes of depression, alternating with mania T/F

Answer 23

F - depression and hypomania

Note: Bipolar I can be diagnosed after one episode of mania; in bipolar II need depression and hypomania

Question 24

When does AAP recommend screening for depression?

Answer 24

12 - 21 yrs old

Question 25

Common cardiac complication of anorexia nervosa?

Answer 25

Prolonged QT

MVP

Question 26

History of adoption places an adolescent at high risk for depression T/F

Answer 26

T

Other RFs - personal or family history of depression; other psych diagnosis; substance use; trauma; psychosocial adversity; frequency somatic complaints

Question 27

Patient with anorexia nervosa hospitalised and being feed develops respiratory distress, new gallop and bilateral rales what is the most likely cause?

Answer 27

Hypophosphataemia (decreased myocardial contractility and weakness of diaphragm)