Peds Psych

Question 1

who has highest risk adverse effects from medications?

Answer 1

kids

Question 2

Tourettes

Answer 2

tics for >1 year
onset before 18

Question 3

prevalence of other disease states with tic disorder

Answer 3

ADHD 75 %
OCD 50%

Question 4

rule of thirds tic disorders

Answer 4

1/3 resolve
1/3 improve
1/3 stay the same

Question 5

what percent have tic symptoms as adults

Answer 5

10%

Question 6

first line treatment of tics

Answer 6

alpha 2 agonists
clonidine
guanfacine

Question 7

second line treatment of tics

Answer 7

atypical antipshchotics
aripiprazole
risperidone

Question 8

third line treatment of tics

Answer 8

typical antipsychotics
haloperidol
pimozide

Question 9

aripiprazole FDA approved ij what age and dosing
tics

Answer 9

6-17 years
weight based dosing

Question 10

stimulant use in tourettes can do what

Answer 10

exacerbate vocal and motor tics

Question 11

what if cant use stimulant in ADHD due to bad sx of tics

Answer 11

try atomoxetine or tricyclic antidepressant

Question 12

conduct disorder age specifications

Answer 12

childhood <10 years
adolescent > 10 years
or unspecified

Question 13

when to consider drug therapy for ODD/CD

Answer 13

adjunct after baseline sx determined
interventions failed
aggression to dangerous levels

Question 14

first line drugs ODD/CD

Answer 14

stimulants / guanfacine / clonidine

Question 15

when to use atypical antipsychotics in ODD/CD

Answer 15

severe persisten aggression, serious behaviors or defiance

Question 16

pts with ADHD and ODD or CD we commonly see with what meds

Answer 16

stimulant and clonidine/guanfacine

Question 17

separation anxiety mild

Answer 17

psycotherapy

Question 18

separation anxiety moderate to severe treatment

Answer 18

SSRi - fluoxetine / escitalopram

Question 19

autism spectrum disorder is defined as

Answer 19

-persistent deficits in social communication and social interaction across multiple contexts

Question 20

autism spectrum behaviors

Answer 20

resetrictive, repetitive patterns of behavior, interests, activities

Question 21

symptoms of autism

Answer 21

agression
hyperactivity
inatytyention
irritable
poor frustration tolerance
temper tantrum
OCD
hypersensitivty

Question 22

medical problems associated with autism spectrum disorder

Answer 22

seizures and GI disorders

Question 23

medications efficacious in core autism sx

Answer 23

none

Question 24

first line ASD

Answer 24

applied behavior analysis (ABA)

Question 25

medications for autism irritability / aggression

Answer 25

6-17: aripiprazole 5-16 risperidone

Question 26

lamotrigine / levitiracetam effect on irritability

Answer 26

no effect

Question 27

repetitive behavior treatment

Answer 27

haloperidol, risperidone, aripiprazole

Question 28

ADHD and autism treatment

Answer 28

methylphenidate clonidine / guanfacine - irritable/explosive

Question 29

sleep in autism treatment

Answer 29

melatonin 1-6 mg nightly

Question 30

what is disruptive mood disorder

Answer 30

severe recurrent temper outbursts that are verbal and are out of pocket for the situation

Question 31

disruptive mood disorder diagnosis

Answer 31

age 6-17 two settings (home, school, friends) must be severe in one

Question 32

DMD - what do we need to rule out

Answer 32

bipolar (antidepresants vs mood stabilizers)

Question 33

first line DMDD

Answer 33

stimulants and SSRIs

Question 34

pediatric depression children complaints

Answer 34

physical complaints - irritable, conduct probs, sucidal

Question 35

pediatric depression adolescnet complaints

Answer 35

more feeling based

Question 36

pediatric depression, chronic or episodic

Answer 36

chronic, instability may be bipolar

Question 37

remission rates after CBT in depression

Answer 37

70%

Question 38

black box warning antidepressants

Answer 38

suicide risk first three months treatment

Question 39

antidepressant for 8+

Answer 39

fluoxetine

Question 40

escitalopram ages

Answer 40

12-17

Question 41

fluoxetine ages

Answer 41

8+

Question 42

avoid which antidepressant in kids

Answer 42

paroxetine, suicide risk

Question 43

1st line bipolar in kids

Answer 43

lithium

Question 44

first like therapy for PTSD

Answer 44

trauma focused psychotherapy

Question 45

medication treatment for PTSD in kids

Answer 45

SSRIs citalopram/sertraline

Question 46

schizophrenia in kids onset age

Answer 46

before 13

Question 47

visual hallucinations more common in ____

Answer 47

adults