Psychiatry and Adolescence

Question 1

What co-morbid condition in Anorexia Nervosa gives the worst prognosis?

Answer 1

OCD

Question 2

NMS vs SS?

Answer 2

NMS is lead pip rigidity

SS is hyperreflexia and clonus

Question 3

Tics. Most common co-morbidity?

Answer 3

ADHD

Question 4

ADHD. Most common co-morbidity?

Answer 4

ODD or Learning Difficulties (then anxiety and depression are about equal)

Question 5

Best non-pharm therapy for AN?

Answer 5

The ‘Maudsley Approach’ Family Based Therapy (Parents control, then give it back to the child)

Question 6

Best non-pharm therapy for BN?

Answer 6

CBT is the best (RACP 2014)

Question 7

Do SSRIs work better for anxiety or depression?

Answer 7

Anxiety

Question 8

Most common comorbidity in depression?

Answer 8

Anxiety

Question 9

How many children with major depression attempt suicide?

Answer 9

30% (60% think about it)

Question 10

How many bipolar 1 patients complete suicide?

Answer 10

10-15%

Question 11

Pharmacologic therapy for Bipolar?

Answer 11

Atypical Anti-psychotics: Olanzepine, Quetiapine, Risperidone

Question 12

Most prevalent comorbidity with Anorexia nervosa?

Answer 12

Depression

Question 13

Bulemia Nervosa Pharmacotherapy

Answer 13

SSRIs -> reduced purge-binging, regardless of comorbid depression

Question 14

How many ODD kids progress to CD?

Answer 14

30%, but higher if you have ADHD too

Question 15

Treatment for ODD?

Answer 15

Parent management training directed at the child’s caregivers

Question 16

Treatment for CD?

Answer 16

Multisystemic

Question 17

Schizophrenia in one child. Risk in his
A. Monozygotic Twin
B. Dizygotic Twin / Sibling?

Answer 17

A. 50%

B. 10-15%

Question 18

Risk of ASD in a sibling if the patient is:
A. Male
B. Female

Answer 18

A. 4%
B. 7%

> 30% if there’s 2 or more children affected

Question 19

How many children with ASDH have ID?

Answer 19

45-60%

Question 20

ASD

1. Risk in MZ twin
2. Risk in sibling
3. Risk in Fragile X

Answer 20

1. 70%
2. 10%
3. 7%

Question 21

ASD Comorbidities:

1. ID
2. ADHD
3. Anxiety

Answer 21

1. 50% <50 and 75% <70
2. 50%
3. 50%