Neurodevelopment DOs

Question 1

Dx for Differences in milestones 5-18yo

Answer 1

Intellectual disability

Question 2

If pt <5yo is not meeting developmental milestones, it is Dx as _____

Answer 2

Global Developmental Delay

It is NOT an intellectual Disability Dx bc theyre too young to have their severity reliably assessed yet

Question 3

You must complete a FMH pedigree that goes back at ____+ generations

Answer 3

3

Question 4

Routine screens for behavior/developmental progress should be done at:
____mo, ____mo, and ____ - ____mo

Answer 4

9mo
18mo
24-30mo

Question 5

Routine autism screen should be done at ___mo and ___mo

Answer 5

18mo
24mo

Question 6

Suspect a communication DO if:
* no babbling by ___mo
* no 1st words by ___mo
* no consistent words by ___mo
* no word combos by ___mo
* speech difficult for caregivers to understand at ___
* speech difficult for strangers to understand at __mo
* poor memory skills at __-___yo

Answer 6

• no babbling by 9mo
• no 1st words by 15mo
• no consistent words by 18mo
• no word combos by 24mo
• speech difficult for caregivers to understand at 24mo
• speech difficult for strangers to understand at 36mo
• poor memory skills at 5-6yo

Question 7

____ Communication DO is when the speech does NOT match the social setting (social norm)

Answer 7

Social (Pragmatic)

Question 8

Tx for Autism if Hyperactive/Innatentive/Impulsive

Answer 8

• Stimulants
• Atomoxetine (Strattera)
• Guanfacine - Alpha-2-adrenergic agonist
• Risperdal -2GA
• Valproic Acid - Anticonvulsant Mood Stab

Question 9

Tx for Autism if Aggressive/Outbursts/Self-injury

Answer 9

Risperdal, Ariprazole - 2GA

Question 10

Tx for Autism if Anxiety/Depression/OCD

Answer 10

SSRI

Question 11

1 Tx for ADHD

Answer 11

Med + CBT

Question 12

ADHD Tx in Adults
- W/O Sub abuse?
- W/Sub abuse?

Answer 12

W/O -> Stimulants
With -> Atomoxetine (Strattera)

Question 13

ADHD Tx if Preschool age?

Answer 13

PTBM

Parent trained in behavior management

Question 14

ADHD Tx if School Age?

Answer 14

Stimulant + PTBM

Parent trained in behavior management

Question 15

Meds for Dissociative DOs?

Answer 15

NONE BY FDA

Question 16

____ DO is when you have 2+ personalities and have lapses in your own memory & identity

Answer 16

Dissociative Idenitity

Question 17

Pt reports their child is odd and talks to their imaginery friends A LOT and roleplays so intensely that it seems like a personality trait. What DO should you be sussy of?

Answer 17

Dissociative Identity DO

Multiple personalities

Question 18

_____ DO is when you dissociate -> wander -> forget where you are

Answer 18

Dissociative Amnesia

Question 19

______ DO is when you feel detached from your OWN BODY or THE WORLD AROUND YOU

Answer 19

Depersonalization/Derealization

Question 20

EDMR and Hypnosis are Tx options for which dissociative DOs?

Eye Movement Desensitization and Reprocessing (EMDR)

Answer 20

• Dissociative Amnesia
  *Depersonalization/Derealization

NOT Dissociative Identity