Psychiatry/Behavioral Medicine

Question 1

What are some warning signs of child abuse

Answer 1

Injuries of different ages, injuries inconsistent with a child’s abilities
Lab abnormalities based on pattern of injuries
Shaped injuries like belts, spatulas, burns, or hematomas

Question 2

What should you do if you suspect child abuse

Answer 2

Mandated reporting and documentations identifying injuries in other kids

Question 3

Criteria for ADHD

Answer 3

Must last >6 months with onset before 12yrs
No association with psychosis
Must occur in more than one setting (home/school)

Question 4

Medication tx for ADHD. What is their MOA, and what are some examples

Answer 4

Stimulant Drugs which increase Norepinephrine and Dopamine
Methylphenidate (Riatline, Concerta)
D-Amphetamine (Adderall)
Lisdexamfetamine (Vyvanse)

Question 5

What are common characteristics of ADHS

Answer 5

Short attention span with easy distractability, hyperactivity, and imuplsivity

Question 6

What is Autism

Answer 6

A spectrum of developmental disorders with social and communication deficits

Question 7

Tx for Autism

Answer 7

Refer for neuropsychological testing, behavioral modification, meds

Question 8

What is anorexia

Answer 8

Refusal to maintain minimally normal weight

Question 9

Sx of Anorexia

Answer 9

Weight loss, Bradycardia, Emancieated, Skin/Hair changes, dry skin, salivary gland hypertrophy, amenorrha

Question 10

Tx of Anorexia

Answer 10

Hospitalization if

Question 11

What is Bulimia

Answer 11

Purging behaviors at least twice a week

Question 12

Sx of Bulimia

Answer 12

Normal weight or overweight
Binge eating then purging with laxatives, enemas, diuretics, or weight loss meds
Tooth pitting or enamel decay and finger trauma
HYPOKALEMIA, Hypomagnesemia

Question 13

Tx for Bulimia

Answer 13

Cognitive behavior therapy

Fluoxetine

Question 14

Sx of Depression

Answer 14

Anhedonia, Dysphoric mood, fatigability, morbid ideation, somatic sx (changes in sleep, eating patterns, concentration patterns)

Question 15

Tx of Depression

Answer 15

Cognitive behavioral therapy

Meds when sx interfere with realtionships or school: SSRI first then SNRI

Question 16

Disorders related to anxiety

Answer 16

Anxiety based school refusal
Generalized anxiety
Social anxiety
Phobias
PTSD

Question 17

Tx for Anxiety

Answer 17

Fluoxetine, Sertraline, Paroxetine, Citalopram

Question 18

What age group and ethnicity has the highest rates of Suicide

Answer 18

US adolescent white boys

Question 19

What questions should you ask if someone is suicidal

Answer 19

Screening includes direct questioning about suicide ideation, if positive, ask about plans, intention to complete, and previous attempts

Question 20

Tx for Suicide ideation

Answer 20

Immediate referral

Possible hospitalization

Question 21

What are Dx criteria for ADHD

Answer 21

Must last >6 months
Onset before 12yrs old
Must occur in >1 setting (school/home)
No association with psychosis

Question 22

First line treatment for ADHD

Answer 22

Stimulants: Sympathomimetics which Increase Norepinephrine and Dopamine
Methylphenidate, D-Amphetamine, Lisdexamfetamine

Question 23

What are side effects for ADHD stimulants

Answer 23

Loss of appetite, insomnia, loss of growth velocity, Tic develompent

Question 24

What is a lab value for someone with Bulimia

Answer 24

Hypokalemia and Hypomagnesemia