Psych Across The Lifecourse

Question 1

10 year old girl, doesn’t want to sleep in the room alone, gets raised heart rate, sweating and difficulty breathing in crowded places and does not like doing presentations in class
What is this a case description of?

Answer 1

Anxiety disorder

Question 2

10 year old boy, several attendances to GP and Emergency Department with recurrent abdominal pain, no physical cause found so far
What is this a case description of?

Answer 2

Somatisation (bodily distress disorder)

Question 3

15 year old young woman with tiredness, sleeping 12 hours/day, irritability and reduced enjoyment from her hobbies
What is this a case description of?

Answer 3

Depressive disorder

Question 4

4 year old boy, language is behind peers in class, doesn’t interact much with others, prefers watching buses/trains to playing in the playground
What is this a case description of?

Answer 4

Autistic spectrum disorder

Question 5

8 year old boy who has been fidgeting in lessons, speaking out of turn and struggling to stay focused on homework tasks
What is this a case description of?

Answer 5

ADHD

Question 6

9 year old boy, has been using increasing amounts of alcohol hand gel, wearing rubber gloves when going outdoors and lining up the toys in his room before going to sleep
What is this a case description of?

Answer 6

OCD

Question 7

10 year old boy with involuntary movements in the face, neck and arms as well as making sounds which are not context-appropriate
What is this a case description of?

Answer 7

Tic disorder/ Tourette’s

Question 8

14 year old girl who has been spending a lot of time thinking about her weight, has cut out carbohydrates from her diet, has been skipping breakfast and is using grandfather’s laxatives to lose weight
What is this a case description of?

Answer 8

Anorexia nervosa

Question 9

Outline the DSM-5 criteria for ADHD diagnosis

Answer 9

Persistent pattern of inattention and/or hyperactivity–impulsivity
•Present for at least 6 months
•Inappropriate for their developmental level
•Interferes with functioning or development
•Several symptoms present before age 12
•Several symptoms present in two or more settings
•The symptoms are not better explained by another mental disorder

Question 10

What are the environmental risk factors associated with ADHD?

Answer 10

Premature birth
Low birth weight
Prenatal smoking exposure

Question 11

What are the main differences between mild, moderate, and severe dementia?

Answer 11

Mild - can appear unimpaired to those who dont know them,
Moderate - difficulties with ADLs, significant memory loss, may behave inappropriately
Severe - total disorientation from time and place may have urinary and faecal incontinence

Question 12

ADHD is characterised by a triad of ________

Answer 12

Inattention, impulsivity and hyperactivity

Question 13

What is the prognosis like for ADHD?

Answer 13

Variable, 70% still have it when teenagers, 40-50% still have it as adults