SA2021 Flashcards
(100 cards)
Which risk factor for substance use disorder is cited by the CDC for people with autism spectrum disorder?
Bullying
A system is set up where pediatrician can call child psychiatrist essentially at time of service to discuss patients with mental health needs. The child psychiatrist’s role in these “access programs” or informal consultation programs is generally to provide:
Education to the primary care provider about diagnostic and treatment options.
In a longitudinal analysis of depression/anxiety treatment for young people, when measuring treatment as usual, what was noted in regards to symptom change when compared to baseline?
A large reduction in symptoms initially
Cross cultural studies of infant temperament show that Western children differ from non-Western children in that Western children:
Demonstrate higher activity levels
As of 2020, research suggests that autism and seizures have a:
shared underlying pathology
Which class of medication is the first line treatment for catatonia in youth?
Benzodiazepines
In the presence of a family history of psychiatric disorders, harsh parenting leads to a 13-fold increase of which personality pathology?
Borderline
A pediatric oncologist calls a child psychiatrist because the mother of a 10yo girl who has just died has begun to bathe her. What should the child psychiatrist recommend the oncologist do?
Allow the mother to continue uninterrupted
Which characteristic of individuals with autism spectrum disorder makes it difficult for them to identify and report forms of sexual victimization?
Communication impairments
Sixteen years of consistent stimulant treatment of children with attention-deficit/hyperactivity disorder (ADHD) in the Multimodal Treatment Study of ADHD (MTA) study was associated with a reduction in adult height along with an ___ in body mass index.
increase
The onset of unipolar depression occurs on average how many years earlier in people with history of childhood maltreatment compared to people without this history?
4 years earlier
In comparing children and adolescent refugee and asylum seekers displaced less than 2 years to those displaced more than 2 years, those displaced more than 2 years had higher prevalence of which disorder?
- Anxiety
- Attention deficit/hyperactivity disorder
- Depression
- Posttraumatic stress disorder
Attention-deficit/hyperactivity disorder
According to a retrospective chart review, in adolescent patients with history of concussion presenting with chronic posttraumatic headaches, up to 70% met criteria for what?
Medication-overuse (non-steroidal anti-inflammatory drugs, acetaminophen).
At what age do individuals generally possess the capacity to appreciate the long-term consequences of their choices?
21
Which medication is the first line treatment of attention-deficit/hyperactivity disorder in children with intellectual disability/intellectual development disorder?
Methylphenidate
A child’s obsessive-compulsive disorder and depression worsen during the pandemic, along with intrusive thought that family members will die from COVID. To help the child accept feelings of helplessness and work on developing control of the situation and creating meaning, it is suggested to FaceTime grandparents daily and to read a story together. This approach best fits under which orientation?
Acceptance and commitment therapy
In order to best assess and treat consequences of the pandemic in youth, which developmentally informed perspective is recommended?
Trauma
It is generally acceptable to continue an effective, tolerated dose of a pharmacologic treatment for anxiety disorders for how many months after remission?
12 months
What is the most effective method for obtaining information about a pediatric patient’s gender identity and expression as well as underlying psychiatric difficulties related to gender?
Direct patient interview
In the Collaborative Lithium Trial cohort discontinuation study, which of the following clinical outcomes in the lithium treatment group was most common?
- Completed suicide
- Completed 28 weeks of the discontinuation trial
- Discontinued due to emergence of mood symptoms
- Reported 1 or more adverse events
Reported 1 or more adverse events
A 9yo boy presents to the ED due to chronic irritable and angry moods with regular temper outbursts that the parents no longer feel able to safely manage at home. Parents report that he has outbursts of anger every other day that resolve within 6-12 hours. During the most recent outburst, he threw rocks at their house and broke all the first-floor windows after parents insisted he play outside for an hour prior to using their Nintendo Switch. This description is most consistent with which psychiatric disorder?
Disruptive mood dysregulation disorder
According to research on the age of first suicide attempt among people with lifetime mood disorders, which of the following lifetime comorbid disorders was significantly higher among childhood (aged 5-12) attempters compared to adult attempters?
- Alcohol use disorder
- Attention-deficit/hyperactivity disorder
- Eating disorder
- Obsessive-compulsive disorder
- Posttraumatic stress disorder
Posttraumatic stress disorder
Which of the following treatment options reduced repeat hospitalization at one-year follow-up in youth with treatment-resistance schizophrenia according to the Hospital Clinic of Barcelona study?
- ECT alone
- ECT+clonazepam
- ECT+clozapine
- ECT+risperidone
ECT+clozapine reduced repeat hospitalization at one-year follow-up in youth with treatment-resistance schizophrenia according to the Hospital Clinic of Barcelona study
Which term describes the condition in which the epileptic activity itself contributes to severe cognitive and behavioral impairments beyond what one might expect from the underlying pathology?
Epileptic encephalopathy
