Psych / Behavioral

Question 1

For a fussy infant think what with ddx

Answer 1

GERD or disorder causing pain or obstruction

pyloric stenosis, incarcerated hernia, torsion, hair tourniquet, fx

Question 2

colic is sometimes worse in the ___

Answer 2

afternoon / evening

Question 3

soothing 5 S

Answer 3

swaddle 
side or stomach position 
sush 
swing 
suck

Question 4

4 keys to parenting tantrum

Answer 4

positive behavior modification
extinguishing behavior
consistency
avoiding pitfalls

Question 5

nocturnal enuresis

Answer 5

bed wetting

Question 6

signs that the enuresis will resolve

Answer 6

primary: never not wet bed

small bladder with deep sleeper

Question 7

when refer for bed wetting

Answer 7

after 2-3mo
not growing
UA findings
occult spina bifida

Question 8

tx for nocturnal enuresis

Answer 8

fluid restriction
complete void before bed
bed wet alarm
vasopressin (last resort)

Question 9

encopresis def

Answer 9

involuntary passage of stool

Question 10

tx encopresis

Answer 10

bowel training 
diet changes 
behavioral changes 
medical therapy (mg citrate, miralax)  

counseling - only if old enough for insight

Question 11

t/f adhd predisposes kid to sleep disturbances

Answer 11

true

Question 12

what are 3 types of ADHD dx?

Answer 12

hyperactive, inattentive, combo

Question 13

what are connor and Vanderbilt test for?

Answer 13

screen for adhd

Question 14

comorbid conditions seen with adhd

Answer 14

anxiety, motor tic disorder, OCD

Question 15

how does anxiety present in kids and teens?

Answer 15

functional abdominal pain
HA
internalizing stressors

Question 16

depression sx for kids

Answer 16

wt gain, tired, stopped enjoying things, moody, irritable

SIGECAPS

Question 17

autism presentation examples

Answer 17

tantrums 
not talking 
needs strict routine 
picky eater 
hand flapping

Question 18

3 autisim screens

Answer 18

MCHAT: modified checklist of autism in toddlers
PEDS: Parent’s Eval of Developmental Status
ASQSE: Ages and Stages Quest: social / emotional

Question 19

when peds screen given

Answer 19

up to age 4

for autism

Question 20

when is ASQse given

Answer 20

at 9 and 18 mo (and 24?)

Question 21

def of failure to thrive

Answer 21

crossing 2+ percentile lines