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Psychiatry > Child Psychiatry > Flashcards

Child Psychiatry Flashcards

1
Q

What is ADHD

A

attention deficit hyperactivity disorder

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2
Q

what is the diagnostic triad of ADHD

A

inattention
hyperactivity
impulsivity

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3
Q

what else does there need to be to have a diagnosis of ADHD

A 
symptoms are:
developmentally inappropriate
impairing
pervasive
longstanding
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4
Q

what things are often comorbid with ADHD

A 
Social communication difficulties
LD
Attachment difficulties
Mood and anxiety problems
Behavioural disorders (ODD/CD)
Substance use
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5
Q

what is poorly treated ADHD associated with

A

crime
substance misuse
other mental disorders

in later life

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6
Q

how is a child with adhds cognistion affected

A

working memory is impaired

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7
Q

what is 1st line psychological therapy in ADHD

A 
parent training (new forest program)
behavioural classroom management strategies
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8
Q

what is 2nd line psychological therapy for ADHD

A

social skills training

sleep and diet

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9
Q

what is first line pharmocologocal therapy for ADHD

A

methylpenidate
dexamfetamine
lisdexamfetamine

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10
Q

what is second line pharmacological therapy in ADHD

A

atomoxetine

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11
Q

what is third line drug therapy in ADHD

A

antidepressents
antihypertensives
antipsychotics

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12
Q

why are stimulants good treatment of adhd

A

improved dopamine transmission involved in executive functioning in prefrontal cortex

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13
Q

what are the side effects of stimulatns

A

reduced appetite and sleep

dysphoria, anxiety and tics also possible

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14
Q

what is autism

A

problems in social communication, interaction and restrictive/repetitive patterns of thinking

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15
Q

what gender is ASD more common in

A

males

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16
Q

what are the triad of impairements in ASD

A

impaired social interaction
language and communication impairment
problems with thoughts and behaviour

additional - sensory differences

17
Q

what things are co morbid with ASD

A 
LEARNING DISABILITY 
DEPRESSION
SOCIAL ANXIETY
OBSESSIVE COMPULSIVE DISORDER
Overlaps with stereotypies
ATTENTION DEFICIT HYPERACTIVITY DISORDER
Overlap in symptoms
DYSPRAXIA
18
Q

what is needed for a diagnosis of autism

A

Must have at least 6 symptoms total with :

2 in social interaction
1 in communication
1 in restricted or repetitive behaviour

must be early onset and longstanding

19
Q

what causes ASD

A

strongly heritable

no clear pathological mechansims

20
Q

what is risperidone used for in autism

A

aggression or self injury

21
Q

what is methylphenidate used in ASD

A

ADHD symptoms

22
Q

when is melatonin used in ASD

A

sleep problems

Psychiatry (18 decks)

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