Psyche

Question 1

Behavioral syndrome characterized by persistent or ongoing pattern of in attention and or hyper activity impulsivity the interferes with daily life

Answer 1

Attention deficit hyper activity disorder

Question 2

Typical on set for ADHD

Answer 2

Three years

Question 3

How many symptoms are needed in a DSM- V criteria for ADHD

Answer 3

Six or more symptoms of an attention for children up to 16 years or five or more for adolescent 17 years and older symptoms must be present for six months

Six or more symptoms of hyper activity/impulsivity for children up to 16 years or five or more for adolescents 17 years or older symptoms have been present for at least six months

Several symptoms should’ve been present before 12 years of age

Symptoms are present in two or more settings that disrupts or reduce the quality of social school or work functioning

Question 4

Management of ADHD

Answer 4

Provide a structured environment, regular routine
Clear simple rules
Farm limits
Mental health referral child-based therapy if depressed anxiety or low self-esteem; parenting classes
Behavioral management to reinforce good behaviors

Time out for punishment or extinction techniques ignoring to decrease unacceptable behaviors

Medication (growth retardation/ insomnia unacceptable)

Question 5

Medication for ADHD

Answer 5

Methylphenidate - 2030 minutes before meals; avoid p.m. Dose is to minimize insomnia ; 2-3 week trial

Dextroamphetamine- 70-75%effective/rapid response

Atomoxetine - non-stimulant, less insomnia

Discontinue medication after 2 to 3 months if no change in behavior

Question 6

Aggressive/threatening behavior to people or animals, intentional destruction of property, line, stealing, serious rule violations running away , truancy

Answer 6

DSM-V Criteria for conduct disorder

Question 7

Repetitive and persistent dysfunctional patterns characterized by negative disobedient, defiant, and hostile behavior directed at authority figures

Answer 7

Oppositional defiant disorder

Clinical findings:
Lose his temper easily, argumentative, defiant of rules, annoys other people, blames others for mistakes, easily annoyed, resent for angry, spiteful and vindictive behavior

Question 8

Chronic severe disturbances in eating behavior accompanied by distorted perception of body weight size and shape

Answer 8

Anorexia nervosa

Question 9

Eating disturbances associated with binging/purging; or restricting

Answer 9

Anorexia nervosa

Question 10

Eating disturbance associated with episodic binge eating fall by comp and Centauri efforts to prevent weight gain self induced vomiting; fasting; excessive exercise; miss use of laxatives enemas or diuretics

Answer 10

Bulimia nervosa

Question 11

Anorexia nervosa clinical findings

Answer 11

Self-imposed weight loss
Vigorous exercise regimen
Constipation
Dry skin brittle nails
Low body temperature, blood pressure, and heart rate
Sore throat
Can be suicidal
Anemia, jaundice, secondary amenorrhea

Question 12

Ideal body weight malnutrition

Answer 12

Mild malnutrition 20%below IBW

Moderate malnutrition 20 to 30% below IBW

Severe malnutrition > 30% below IBW

Question 13

Eating disorders management

Answer 13

Interdisciplinary treatment plan with nutritional, behavior, psychotherapy

May need hospitalization for rehydration, refeeding, and psychiatric treatment

Question 14

Depression medication‘s

Answer 14

SSRIs most affective medication for major depressive episodes
Fluoxetine Or sertraline