Psych - child

Question 1

bipolar child triad

Answer 1

inappropriate sexual behaviour
physical violence
mood swings in 24 hrs

Question 2

separations anxiety s&s

Answer 2

school refusal, distress x 2wks after separation, worry, sleep, clingy, somatic

Question 3

social anxiety s&s

Answer 3

temper tantrums, freezing, clingy, mutism, timid, not involved in group play

Question 4

ptsd

Answer 4

repetitive play involving event, nightmares, psychosomatic

Question 5

ocd

Answer 5

child does not realize, do it at home, tourette’s

Question 6

pervasive dd examples

Answer 6

autism, asperger’s, childhood disintegrative, rett’s, pdd nos

Question 7

autism s&s

Answer 7

1. social interaction
2. communication
3. restricted/repetitive behaviours/interests/activities

Question 8

autism dx

Answer 8

6 features before 3 yrs old, 2 from social and 1 from other 2 categories

Question 9

aspergers

Answer 9

impaired social interaction with >2 nonverbal, relationships, sharing, reciprocity
repetitive behaviours, inflexible

Question 10

childhood disintegrative disorder

Answer 10

autism but period of 2-10 years of normal devpt

Question 11

Rett’s

Answer 11

X-linked, girls, normal devpt 6mp-4y then regression, MR, seizures, hand movts

Question 12

adhd s&s

Answer 12

inattention, hyperactivity, impulsivity

Question 13

adhd dx

Answer 13

6+ s for at least 6 mo in 2 settings, interferes, avg onset 3 yrs

Question 14

adhd tx

Answer 14

1. behavioural
2. stimulants (methylphenidate, dextromethamphetamine)
3. non-stimulants (atomoxetine)

Question 15

adhd px

Answer 15

65% continues to adulthood

Question 16

conduct disorder

Answer 16

behaviour violates rights, norms, >3 in past 12 mo/ >1 in past 6 mo:
aggression, forced sex, destroy property, theft, deceit, violate rules

Question 17

odd

Answer 17

negative, hostile, defiant behaviours for >6mo, >4 of temper, argues, break rules, annoys, angry, vindictive, usually <8yrs old