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Flashcards in child psych Deck (40)
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1

what is a common presentation of MDE in kids

irritability

2

to define MDD, kid must display sx for how long

>2weeks

3

mean age of onset for childhood MDD

14.3 yrs

4

recurrence rate for childhood MDD by 2 yrs

40% by 2 yrs

5

what is double depression

dysthymia + major depression

6

how is double depression characterized?

1. severe and long episodes
2. higher comorbidity
3. incr suicidality
4. worse social impact

7

1st line med tx in MDD

SSRI

8

drug to use for kids with comorbidity of ADHD and MDD

wellbutrin

9

MOA of wellbutrin

incr NE and DA

10

SE especially seen with wellbutrin

seizure

11

SE especially seen with effexor

incr in diastolic bp

12

SE especially seen with cymbalta

GI bleeding

13

autonomic instability, delirium, psychosis, myoclonic jerks

serotonin syndrome

14

dizziness, HA, N/V, diarrhea, insomnia, tremor, electric shock sensation

discontinuation syndrome

15

leading cause of disability age >5

depression

16

the black box warning for peds is relevant within 1st____weeks/months

within first 4 weeks

17

questions to ask if kid contemplating suicide

(1) plan?
(2) access to following thru with plan?
(3) intent?
(4) famhx of suicide
(5) previous suicide attempt

18

what differentiates childhood bipolar disorder from adult

mixed state with RAPID cycling

19

inner feeling of restlessness; assc'd with?

akathisia; assc'd with side effects of antipsychotics

20

which anticonvulsants known to cause the most weight gain?

Olanzapine + clozapine

21

which drug SE: hyper prolactinemia

risperdal (risperidone)

22

which drug SE: agranulocytosis

clozapril

23

which antipsychotics are asscd with less weight gain

abilify, geodon

24

which antipsychotic has less EPS sx?

seroquel

25

antipyschotic utilization in tx of bipolar disorder

reduce amt of DA in mesolimbic area of brain

26

severe muscle rigidity, fever, altered mental status, autonomic instability

neuroleptic malignant syndrome

27

which mood stability AE: PCOS

depakote

28

which mood stability AE: aplastic anemia agranulocytosis

tegretol

29

which mood stability AE: steven johnson syndrome

lamictal

30

what sort of adverse rxn: course tremor, slurred speech, confusion, N/V, seizure, coma

lithium toxicity