Child Psychiatry

Question 1

What are the screening tools for ASD?

Answer 1

• DISCO
• Autism Diagnostic Observation Schedule (ADOS-2)
• Autism Diagnostic Interview-Revised (ADI-R)

Question 2

What are the Rx for ASD?

Answer 2

• Male
• Family Hx
• Fragile X syndrome
• Tuberous sclerosis
• Congenital rubella and phenylketonuria

Question 3

What are the features of ASD?

Answer 3

• Addiction to restrictive repetitive behaviours, interests and activities
• Impairment in social interaction and communication

Question 4

What is the management of ASD?

Answer 4

Psychotherapy: for patient and parents
• CBT
• Behaviour management programmes

Social:
• Respite care
• Education support in the form of learning support, SENCOs, special schools

Medication:
• SSRIs
• Risperidone
• Melatonin

Question 5

What is ADHD?

Answer 5

Triad:

1. Inattention
2. Impulsivity
3. Hyperactivity

Question 6

What are the Rx for ADHD?

Answer 6

• Family Hx
• Maternal smoking in pregnancy
• Prematurity
• Male

Question 7

How do you diagnose ADHD?

Answer 7

Symptoms should be:
o Present for at least 6 months
o Present in 2 settings (home and school)
o Present before the age of 6 to make a diagnosis

10wk watch and wait period
If symptoms persist -> referral to CAMHS

Question 8

How do you manage ADHD?

Answer 8

1. Ritalin - methylphenidate
2. Lisdexameftamine
3. Dexamfetamine

Question 9

What must you monitor when on ADHD treatment?

Answer 9

Weight, height, CV exam

Question 10

What is conduct disorder?

Answer 10

Child/young person repeatedly carrying out antisocial acts that cause distress and social impairment to themselves and disruption and damage to others

Question 11

What is oppositional defiant disorder?

Answer 11

At least 6 months of negative, hostile, disobedient and defiant behaviour, without serious violations of societal norms or the rights of others.