Psychosocial

Question 1

By what age will 75% of children have full bladder/bowel control

Answer 1

36 months

Question 2

Percent chance that a child will have enuresis if one parent had it and if two parents had it

Answer 2

40%

70%

Question 3

Ddx for enuresis

Answer 3

Sickle cell trait, uti or anomaly, diabetes, seizure or sacral

Question 4

What percentage of cases of enuresis will resolve with no intervention

Answer 4

15%

Question 5

What is the typical response to divorce for a 2-5 yr old

Answer 5

Regression

Question 6

Typical response to divorce for a 6-8 yr old

Answer 6

Overt grieving, fear of rejection, guilt and fantasies that the parents will get back together

Question 7

Typical response to divorce for a 9-12 yr old

Answer 7

Anger and open mourning of the loss of the safety and structure

Question 8

Typical response to divorce for a teenager

Answer 8

Depression and acting out

Question 9

Response to death in the family for a pre schooler

Answer 9

Regression, acting out and tantrums

May confuse death with sleep

May think the death is a result of magical thinking

Question 10

Response to death in family for a school age child

Answer 10

Somatic complains, sleep disturbance, decreased school performance

Question 11

Response to death in family for a teenager

Answer 11

Acting out

May challenge mortality and take more risks

Question 12

Screen time recommendations

Answer 12

Less than 2 - none

Over 2 - 2 hr limit

Question 13

How many hours should a 1 year old sleep in a day

Answer 13

13-14 hrs

Question 14

How long may the period of transition and attachment take after adoption

Answer 14

1 year

Question 15

Lab test recommended for international adoptees

Answer 15

CBC, lead, Hep b, hiv, syphilis

Hep C if from endemic area

TB testing despite BCG vaccine

Question 16

When does colic begin, peak and resolve by

Answer 16

2 wks of age
6 wks of age
4 months of age

Question 17

Between what ages is head banging normal in a neurologically intact child

Answer 17

8months to 4 years

Question 18

Until what is is biting for a child considered normal behavior as a reaction to frustration

Answer 18

3 years

Question 19

Risk factors for ADHD

Answer 19

Maternal tobacco or alcohol use, lead exposure, low birthweight, prematurity, IUGR

Question 20

Conditions that can mimic ADHD

Answer 20

Visual or hearing deficit 
Lead toxicity 
Hyperthyroidism or hypo
Previous Neuro damage as in infection/trauma
Meds (phenobarbital or antihistamine)

Question 21

What are conditions that coexist with ADHD

Answer 21

Oppositional defiant, conduct disorder, anxiety, mood disorder, learning disorder or social immaturity

Question 22

What are non stimulant meds for ADHD

Answer 22

Atomoxetine a norepinephrine reuptake inhibitor

Clonidine and guanfacine which are alpha adrenergic agonists

Question 23

First line medication tx for depression

Answer 23

Fluoxetine

Contraindicated in pts on MAO inhibitors. Use with caution in kids on diuretic, liver disease or kidney disease

Question 24

Presentation of oppositional defiant

Answer 24

Defiant, disobedient and hostile behaviors

They refuse to do what they are told

Little respect for authority

Question 25

Presentation of conduct disorder

Answer 25

Behavior concerns such as lying, stealing, setting fires, cruelty to animals Impinge on basic rights or violate major age appropriate social rules

Question 26

Definition of delusion

Answer 26

A believe to be held as true despite absence of proof Ex being watched by aliens

Question 27

Risk factors for aggressive behaviors

Answer 27

``` Neglect Psychological maltreatment Family Hx of aggressive behavior Exposure to violence in the media Lead poisoning ```

Question 28

What percentage of adolescent suicide victims had a mood disorder at the time of their death

Answer 28

60