Pediatric Psych II

Question 1

Sx include: phobias, separation anxiety, somatic complaints, auditory hallucination. Temper tantrums, behavior problems

Answer 1

childhood depression

Question 2

Sx include: More sleep and appetite disturbances, delusions, suicidal ideation & acts, impairment of functioning

Answer 2

adolescent depression

Question 3

Difference between adolescent and adult depression

Answer 3

Compared to adults, more behavioral problems, fewer neuro-vegative symptoms

Question 4

Broad classes of medications that may induce depressive symptoms

Answer 4

stimulants, neuroleptics, corticosteroids, contraceptives

Question 5

Best initial treatment for children/adolescents with depression

Answer 5

fluoxetine (Prozac)and cognitive behavioral therapy is best

Question 6

Major sign of impending suicide in adolescents

Answer 6

hopelessness

Question 7

neurodevelopmental disorder with multiple etiologies that encompass a broad spectrum of functioning, disability, and strengths

Answer 7

intellectual disability

Question 8

term applied to children under 5 who fail to meet expected developmental milestones and have significant impairments in several areas of functioning

Answer 8

Global developmental delay (GDD)

Question 9

T/F Not all children with GDD will meet criteria for ID as they grow older

Answer 9

true

Question 10

What IQ level indicates deficits in intellectual fxn?

Answer 10

70 or below

Question 11

characterized by difficulties with accurateand/orfluent word recognition and by poor spelling and decoding abilities

Answer 11

dyslexia

Question 12

Sx include problems processing and understanding what they hear, following more than one command at a time, remembering sequences, and reversals of letters/words

Answer 12

dyslexia

Question 13

Most important teaching approach for dyslexia

Answer 13

frequent instruction by a reading specialist who uses these multisensory methods of teaching.

Question 14

difficulty performing math calculations

Answer 14

dyscalculia

Question 15

learning disability resulting from the difficulty in expressing thoughts in writing and graphing. Typically have extremely poor handwriting

Answer 15

dysgraphia

Question 16

How do you distinguish between dyslexia and dysgraphia?

Answer 16

problems with spelling alone, in the absence of a problem expressing ideas in writing is more indicative of dyslexia

Question 17

Sx include irregular letter sizes and shapes, writing fatigue, difficulties in using writing as a communication tool, unfinished letters and letter inconsistencies

Answer 17

dysgraphia

Question 18

Why do children with ADHD have difficulty writing and with handwriting?

Answer 18

have difficulty organizing and sequencing detailed information. don’t have fine-motor coordination to kee up with thoughts

Question 19

What are the two subtypes of ADHD?

Answer 19

Inattentive and Impulsive-hyperactivity

Question 20

By what age must ADHD symptoms occur for diagnosis?

Answer 20

must present before age 12

Question 21

Treatment of choice for ADHD

Answer 21

Methylphenidate (Ritalin, Concerta)

Question 22

What is the percentage of concordance of autism in monozygotic twins?

Answer 22

90%

Question 23

neurodevelopmental disorder that affects the functioning of the brain. limited emotional connection, need routine, deeply affected by noises/bright lights/smells

Answer 23

autism

Question 24

key diagnostic factor of autism

Answer 24

deficits in social responsiveness and interpersonal relationships

Question 25

By what age does autism present?

Answer 25

onset before age 3

Question 26

What syndrome is a child likely to have if during the first year of life they have delayed or absent social smile, failure to anticipate interaction w/parents, lack of attn to parent's face?

Answer 26

autism

Question 27

The mildest form of autism, these children become obsessively interested in a single object or topic. Marked clumsiness and impaired social interaction. Normal to above average intelligence

Answer 27

Aspberger's

Question 28

HIgh risk for the development of anxiety and depression as adults

Answer 28

Aspberger's

Question 29

Feigning illness has an external incentive (avoiding work, obtaining money)

Answer 29

malingering

Question 30

Has no other incentive than to be a patient and experience the sick role

Answer 30

factitious disorder

Question 31

Fabricating or inducing illness in a child by the parent or primary caregiver in order to get attention, that results in persistent medical evaluation

Answer 31

Munchausen by proxy

Question 32

Presentation includes: discrepant h/o, unexplained illness that is prolonged and recalcitrant to tx, problem only originates in presence of perpetrator

Answer 32

Munchausen by proxy

Question 33

Common signs and symptoms of Munchausen by proxy

Answer 33

bleeding from various sites, seizures, CNS depression, apnea

Question 34

Management of Munchause by proxy

Answer 34

hospitalization of child to ensure safety of child. CPS