Psych conditions in children Flashcards

(56 cards)

1
Q

what is disruptive behavior disorder in <12yo (primary school) called

A

oppositional defiant disorder

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2
Q

what is disruptive behavior disorder in >12yo (secondary school) called

what is this a risk factor for

A

conduct disorder

criminality

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3
Q

age inappropriate refusal to go to school

excessive anxiety about being separated from parents

A

separation anxiety disorder

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4
Q

what does separation anxiety disorder lead to in teenagers

A

perfectionism

social anxiety

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5
Q

what % of population has a learning disability

A

3%

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6
Q

learning disability definition

A

IQ <70 (avg is 100)

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7
Q

treatment and prognosis of PKU aetiology learning disorder

A

specialized diet

will be fine with diet - wont be disabled

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8
Q

examples of chromosome abnormalities causes learning disability

A

down syndrome
turners
prader willi
et etc etc

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9
Q

trisomy 21

A

downs syndrome

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10
Q

trisomy 13

A

patau syndrome

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11
Q

trisomy 18

A

Edwards syndrome

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12
Q

5P chromosome abnormality

A

cri du chat

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13
Q

15Q maternal chromosome abnormality

A

angleman

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14
Q

15Q paternal chromosome abnormality

A

prader willi syndrome

Paternal = Prader willi

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15
Q

7Q chromosome abnormality

A

Williams syndrome

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16
Q

45 XO

A

turners syndrome

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17
Q

47 XXX

A

trisomy X

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18
Q

XXY

A

kleinfelter

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19
Q

treatment and prognosis of congenital hypothyroidism causing learning disability

A

thyroid replacement

will be fine! not disabled

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20
Q

what antenatal factors can cause a baby to be born with a learning disability

A

alcohol - fetal alcohol syndrome

infection - rubella, CMV, toxoplasmosis

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21
Q

borderline learning disability IQ

A

70-84

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22
Q

mild learning disability IQ

A

50-69

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23
Q

moderate learning disability IQ

24
Q

severe learning disability IQ

25
profound learning disability IQ
<20
26
what neurological condition is associated with learning disabilities
epilepsy
27
management of learning disabilities
extra support in school ?specialist school | NOT medication
28
which psych conditions are common in those with learning difficulties
depression schizophrenia adjustment disorders autism
29
what neuro condition is downs syndrome associated with
alzhiemers dementia
30
aetiology of autism spectrum disorder
multifactorial - genetic and environmental
31
does the MMR vaccine cause autism
NO!
32
which type of ASD has normal intelligence
aspergers
33
do girls/boys get retts syndrome
girls
34
do more boys or girls have ASD
boys harder to diagnose in girls
35
which endocrine problem is a risk factor for ASD
congenital adrenal hyperplasia
36
what hormone is high in ASD (even girls)
testosterone
37
what happens to the amygdala in ASD
enlarged
38
ASD triad
abnormal social interaction impaired communication rigid/repetitive behavior, interests and activities
39
treatment of ASD (2)
specialist education | communication aids - Makaton, social stories, schedules
40
sensory differences in ASD
hyperstimulation to sensory things noises magnified tastes strong
41
treatment of aggression in ASD
risperidone (second generation atypical antipsychotic)
42
treatment of anxiety/depression in ASD
SSRI
43
treatment of sleep disordes in ASD
melatonin
44
how common is ADHD
common | 5% people
45
aetiology of ADHD
genetic or biological (brain structure)
46
ADHD triad
inattention hyperactivity impulsivity
47
what does impulsivity cause in ADHD
increased risk of harm - poor road safety etc
48
what age does ADHD usually present at
5
49
how long does ADHD symptoms need to have gone on for for diagnosis
>6 months
50
first line treatment for ADHD
mindfulness/meditation parent training sleep diet NOT drugs first line
51
second line treatment for ADHD (after non drug trial)
methylphenidate
52
how does methylphenidate work in ADHD
stimulant = increased dopaminergic transmission
53
third line treatment in ADHD after methylphenidate
SSRIs eg atomoxetine
54
what are the 2 behavioural disorders that ADHD predisposes someone to
oppositional defiant disorder conduct disorder leads to criminality
55
what MSK condition is associated with ADHD how does this present
perthes 4-8yo boys short stature hyperactive (ADHD) hip pain, Trendelenburg gait
56
how do you treat perthes
no treatment