psych

Question 1

by what age are ADHD symptoms have required to present for diagnosis?

Answer 1

presnet before age 12

Question 2

Name 5+ criteria of oppositional defiant disorder

Answer 2

At LEAST 6 mo:
-often loses temper
-often easily annoyed
-often angry and resentful
-often argues with authority figures (adults)
-often deliberately defies authority figures
-deliberately annoys others
-blames others
-vindictive or spiteful behaviour

Question 3

Name the four pillars of conduct disorder

Answer 3

-aggression to people and animals (physical harm, mugging, sexual assault, etc)
-destruction of property
-deceitfulness or theft
-serious violations of rules (missing school, sneaking out overnight from parents, etc)

Question 4

pharmacotherapy for anorexia?

Answer 4

olanzapine

Question 5

pharmacotherapy for bulimia?

Answer 5

fluoxetine
OR olanzapine

Question 6

risk factors for refeeding syndrome?

Answer 6

-little to no intake for >10 days
-pt with profound / rapid weight loss
-abnormal electrolytes prior to refeeding
-hx of diuretic/laxative use

Question 7

Indications for Anorexia hospitalization?

Answer 7

-Unstable vitals
-wt < 75% ideal
-arythmia
-hypoglycemia
-syncope
-prolonged QT
-suicidality
-refusing food
-arrested growth/development

Question 8

common comorbidities for body dysmorphic disorder?

Answer 8

-abuse (sexual, physical, emotional)
-psychiatric illness