child psych

Question 1

what is a common presentation of MDE in kids

Answer 1

irritability

Question 2

to define MDD, kid must display sx for how long

Answer 2

> 2weeks

Question 3

mean age of onset for childhood MDD

Answer 3

14.3 yrs

Question 4

recurrence rate for childhood MDD by 2 yrs

Answer 4

40% by 2 yrs

Question 5

what is double depression

Answer 5

dysthymia + major depression

Question 6

how is double depression characterized?

Answer 6

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

Question 7

1st line med tx in MDD

Answer 7

SSRI

Question 8

drug to use for kids with comorbidity of ADHD and MDD

Answer 8

wellbutrin

Question 9

MOA of wellbutrin

Answer 9

incr NE and DA

Question 10

SE especially seen with wellbutrin

Answer 10

seizure

Question 11

SE especially seen with effexor

Answer 11

incr in diastolic bp

Question 12

SE especially seen with cymbalta

Answer 12

GI bleeding

Question 13

autonomic instability, delirium, psychosis, myoclonic jerks

Answer 13

serotonin syndrome

Question 14

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

Answer 14

discontinuation syndrome

Question 15

leading cause of disability age >5

Answer 15

depression

Question 16

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

Answer 16

within first 4 weeks

Question 17

questions to ask if kid contemplating suicide

Answer 17

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

Question 18

what differentiates childhood bipolar disorder from adult

Answer 18

mixed state with RAPID cycling

Question 19

inner feeling of restlessness; assc’d with?

Answer 19

akathisia; assc’d with side effects of antipsychotics

Question 20

which anticonvulsants known to cause the most weight gain?

Answer 20

Olanzapine + clozapine

Question 21

which drug SE: hyper prolactinemia

Answer 21

risperdal (risperidone)

Question 22

which drug SE: agranulocytosis

Answer 22

clozapril

Question 23

which antipsychotics are asscd with less weight gain

Answer 23

abilify, geodon

Question 24

which antipsychotic has less EPS sx?

Answer 24

seroquel

Question 25

antipyschotic utilization in tx of bipolar disorder

Answer 25

reduce amt of DA in mesolimbic area of brain

Question 26

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

Answer 26

neuroleptic malignant syndrome

Question 27

which mood stability AE: PCOS

Answer 27

depakote

Question 28

which mood stability AE: aplastic anemia agranulocytosis

Answer 28

tegretol

Question 29

which mood stability AE: steven johnson syndrome

Answer 29

lamictal

Question 30

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

Answer 30

lithium toxicity

Question 31

what NSAIDS should be avoided with lithium

Answer 31

ASA, ibuprofen

Question 32

which mood stability AE: incr liver enzymes, thrombocytopenia, pancreatitis, PCOS

Answer 32

depakote

Question 33

chronic severe persistent irritability

Answer 33

disruptive mood dysregulation disorder

Question 34

1st line tx of ADHD

Answer 34

methylphenidate

Question 35

only non stimulant approved for ADHD

Answer 35

straterra

Question 36

how to tx kids with extreme hyperactivity and impulsivity?

Answer 36

alpha 2 agonist (clonidine, tenex)

Question 37

3 domains of autism

Answer 37

(1) impairment in social interactions (2) communication impairment (3) restricted pattern of interest and stereotypical behavior

Question 38

drugs that helps with socialization, language development, attn span, obsessions, aggression in tx of autism

Answer 38

namenda

Question 39

what sort of delays are common in schizo patients/

Answer 39

language

Question 40

what type of schizos have the best prognosis?

Answer 40

paranoid type schizo