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EOR - Pediatrics > Psych/Behavioral Med > Flashcards

Psych/Behavioral Med Flashcards

1
Q

3 anxiety d.o’s to know

A

gad
panic d.o
phobias

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2
Q

GAD involves persistent/excessive worry pertaining to multiple events/domains that continues for _ or more

A

6 months

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3
Q

panic d.o is characterized by recurrent unexpected panic attacks with at least _ or more of of worry or avoidant behavior

A

1 month

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4
Q

symptoms of panic attack develop abrupty and reach a peak w.in _

A

10 mins

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5
Q

symptoms of phobias begin _ prior to stressful event

A

10-15 min

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6
Q

first line tx for phobias

A

exposure therapy

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7
Q

tx for agoraphobia

A

ssri
cbt

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8
Q

ADHD involves hyperactvity, impulsivity, or inattentiveness prior to age

A

12

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9
Q

dsm 5 for ADHD

A

> 6 symptoms of inattention/hyperactivity/
impulsivity x 6 months

symptoms must occur in more than 1 setting

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10
Q

non stimulant used to tx ADHD

A

atomoxetine

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11
Q

moa for stimulants vs non stimulants

A

stimulants: block reuptake up NE, DA, and 5HA

non stimulants: selective NE reuptake inhibitor

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12
Q

second line pharm for ADHD

A

antidepressants:
guanfacine
clonidine
imipramine
buproprion
venlafaxine

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13
Q

developmental delay in socialization, language, and cognition

A

autisim spectrum d.o (asd)

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14
Q

ASD encompasses (4)

A

autistic d.o
childhood disintegrative d.o
pervasive developmental d.o nos
asperger

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15
Q

normal cognitive development, poor relationships, does not spontanesously seek activities w. others

A

asperger d.o

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16
Q

dsm 5 for ASD

A

-social communication/interaction deficit in many contexts (emotion,verbal, relationships etc)
-restricted/repetitive patterns of behavior, interests, or activities (motor/inability to change/restricted or fixed interests/hyper or hypoactivity)

-symptoms present in early developmental period
-symptoms not better explained by other condition

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17
Q

tx for ASD (6)

A

refer
audiology eval
SLP
CBT
SGA’s
SSRIs

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18
Q

SSRI’s are used to treat what type of ASD behavior

A

stereotyped/repetitive behavior

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19
Q

definition of child abuse/neglect

A

deliberate action that is harmful to a child’s physical, emotional, or sexual well-being

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20
Q

what type of fx makes you concerned for child abuse

A

spiral

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21
Q

what type of burns make you concerned for child abuse (2)

A

doughnut shaped
stocking-glove

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22
Q

possible manifestations of child abuse (lots!)

A

anxiety
aggression
PTSD
dpn/suicide
SUD
poor self esteem
dissociative d.o
paranoid ideation
ftt

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23
Q

neglect can include (2)

A

-minor allowed to engage in harmful behavior
-minor left unattended

24
Q

t/f: healthcare providers must report any suspicion of child abuse to protective services

A

t!

25
Q

3 depressive disorders to know

A

mdd
persistent depressive d.o (dysthymia)
pmdd

26
Q

dsm 5 for mdd

A

-5 or more sigecaps >/= 2 weeks nearly every day
-at least one symptom is dpn or anhedonia

27
Q

what does sigecaps stand for

A

sadness
interest loss (anhedonia)
guilt
energy loss
concentration issues
appetite (increased vs decreased)
psychomotor acvitity
suicidal

28
Q

titration for ssri’s

A

uptitrate 3-4 weeks until desired effect

29
Q

ssri’s become fully effective in _ weeks

A

4-6

30
Q

dsm 5 for persistent depressive d.o (dysthymia) (3)

A

depressive sx > 2 years
never been w.o sx > 2 months at a time
no mania or hypomania

31
Q

dsm 5 for pmdd (3)

A

-at least 5 sx in the week before onst of menses
-begin to improve w.in a few days after onset
-minimal to absent 1 week post menses

32
Q

second line tx for pmdd (3)

A

birth control
diuretics
GnRH

33
Q

2 disruptive, impulse-control, and conduct d.o to know

A

conduct d.o
oppositional defiant d.o

34
Q

less intense form of conduct d.o

A

odd

35
Q

dsm 5 for odd

A

-4 sx for at least 6 months
-exhibited during interaction with at least one non sibling

frequent temper tantrums
arguments w. authority
non-conforming to rules/regulations
intentional exasperation of others
easily annoyed by others
revenge-seeking/vindictive
angry attitude
harsh/unkind

36
Q

major differentiator btw odd and conduct d.o

A

w. odd:
-no aggression towards people or animals
-no destruction of property
-no pattern of theft/deceit

37
Q

pharm for odd/conduct d.o (2)

A

antipsychotics
stimulants

38
Q

anorexia is < _% IBW

A

85

39
Q

how does anorexia differ from bulimia (2)

A

BMI < 17
< 85% IBW

40
Q

_ has the highest rate of eating disorders

A

anorexia

41
Q

2 types of anorexia

A

binging/purging
restricting

42
Q

t/f: binging/purging includes laxatives/diuretic use and excessive exercise

A

t!

43
Q

restricting includes (2)

A

eating very little
excess exercise

44
Q

indication for hospitalization w. anorexia

A

< 75% IBW

45
Q

t/f: SSRIs have little proven efficacy for anorexia

A

t!

but may help w. weight gain

46
Q

t/f: bulimia is binge eating +/- purging

A

t!

47
Q

lab abnl’s seen w. bulimia (3)

A

metabolic alkalosis
urinary chloride < 20 mEq
hypokalemia

48
Q

t/f: bulimia includes laxative/diuretic use and excessive exercise

A

t!

49
Q

t/f: bulimia pt’s are disturbed by their behavior

A

t!

50
Q

dsm 5 for bulimia

A

binging and compensatory behaviors occur at lest once a week for 3 months

51
Q

PE findings of bulimia (4)

A

scars on knuckles
swollen parotids
dental erosions
normal weight/overweight

52
Q

pharm for bulimia

A

fluoxetine 60 mg (greater dose than for dpn)

alt: TCAs, MAOIs

53
Q

t/f: male deaths by suicide outnumber female 4 to 1

A

t!

54
Q

t/f: females attempt suicide more ofthen than males

A

t!

55
Q

5 rf for suicide

A

mental d.o
previous suicide attempt
LGBTQ
hx physical or sexual abuse
fam hx suicide

56
Q

general principles for managing suicidal kids/adolescents (6)

A

-address fam interactions/increase fam support
-sufficient treatment sessions
-target AUD/SUD
-discuss motivation for tx
-initiate tx quickly and w. higher intensity
-coordinate tx from multiple providers

EOR - Pediatrics (15 decks)

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