Psychosocial Flashcards

1
Q

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

A

36 months

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2
Q

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

A

40%

70%

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3
Q

Ddx for enuresis

A

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

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4
Q

What percentage of cases of enuresis will resolve with no intervention

A

15%

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5
Q

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

A

Regression

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6
Q

Typical response to divorce for a 6-8 yr old

A

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

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7
Q

Typical response to divorce for a 9-12 yr old

A

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

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8
Q

Typical response to divorce for a teenager

A

Depression and acting out

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9
Q

Response to death in the family for a pre schooler

A

Regression, acting out and tantrums

May confuse death with sleep

May think the death is a result of magical thinking

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10
Q

Response to death in family for a school age child

A

Somatic complains, sleep disturbance, decreased school performance

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11
Q

Response to death in family for a teenager

A

Acting out

May challenge mortality and take more risks

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12
Q

Screen time recommendations

A

Less than 2 - none

Over 2 - 2 hr limit

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13
Q

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

A

13-14 hrs

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14
Q

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

A

1 year

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15
Q

Lab test recommended for international adoptees

A

CBC, lead, Hep b, hiv, syphilis

Hep C if from endemic area

TB testing despite BCG vaccine

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16
Q

When does colic begin, peak and resolve by

A

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

17
Q

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

A

8months to 4 years

18
Q

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

A

3 years

19
Q

Risk factors for ADHD

A

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

20
Q

Conditions that can mimic ADHD

A
Visual or hearing deficit 
Lead toxicity 
Hyperthyroidism or hypo
Previous Neuro damage as in infection/trauma
Meds (phenobarbital or antihistamine)
21
Q

What are conditions that coexist with ADHD

A

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

22
Q

What are non stimulant meds for ADHD

A

Atomoxetine a norepinephrine reuptake inhibitor

Clonidine and guanfacine which are alpha adrenergic agonists

23
Q

First line medication tx for depression

A

Fluoxetine

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

24
Q

Presentation of oppositional defiant

A

Defiant, disobedient and hostile behaviors

They refuse to do what they are told

Little respect for authority

25
Q

Presentation of conduct disorder

A

Behavior concerns such as lying, stealing, setting fires, cruelty to animals

Impinge on basic rights or violate major age appropriate social rules

26
Q

Definition of delusion

A

A believe to be held as true despite absence of proof

Ex being watched by aliens

27
Q

Risk factors for aggressive behaviors

A
Neglect 
Psychological maltreatment 
Family Hx of aggressive behavior
Exposure to violence in the media 
Lead poisoning
28
Q

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

A

60