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PSYCH (Peds) 🟢🟢✅

Terms in this set (46)

Intellectual Disability Disorder
(used to be "mental retardation")
____________________ Disorder child has LOW Cognitive, thought process ability, LOW Adaptive function.
Genetic Testing
(if (+) she MUST terminate)
If pregnant mom is suspecting she has an IDD (intellectual disability disorder) fetus, what test can be done to confirm this?
1. Cri Du Chat1
2. Downs
3. Fragile X
Name the 3 SYNDROMES that IDD (intellectual disability disorder) is associated with?
1. Lead poisoning (child)
2. Etoh (mom)
3. Hypothyroidism (mom)
Name the 2 ways that IDD can be ACQUIRED from mom/child?
Clinically
(based on how LOW is their ability to ADAPT)
How is IDD in children diagnosed?
< 70
NOT used for diagnosis, but what IQ is below normal, therefore, present in children w/IDD?
Special ED, Social Skills Training
Best Tx for children w/IDD?
DECREASED Social Communication
What is the MAIN PATHOLOGY in patients that fall w/in the Autism Spectrum?
GENETIC
Autism is a type of _______________ disorder. Not, necessarily because mom or dad have it.
1. DECREASED Social Communication
2. Repetitive/Restrictive Behavior
What are the 2 MAIN FEATURES in patients that fall w/in the Autism Spectrum?
Special Ed & Social Skills Training
Best Tx for children w/AUTISM?
1. LOW Cognitive/thought process ability
2. LOW Adaptive function.
What are the 2 MAIN Pathologies in Intellectual Disability Disorder?
UNKNOWN
What is the MAIN PATHOLOGY in patients w/ADHD?
1. Impulsivity
2. Inattention
What are the 2 MAIN FEATURES in patients w/ADHD?
MUST be present in ≥ 2 settings
What is a NECESSARY component to make the diagnosis of ADHD in a child?
7-12 years old
What is the ONSET of ADHD?
≥ 6 months
An accurate diagnosis of ADHD, MUST have a DURATION of ________ months.
1. Stimulants
2. Special Ed
3. Train Parents

*f/u absence seizures
Best DRUG & CLINICAL Tx for ADHD?
ADHD
What CHILD Neurodevelopment Disorder is one of the few, if not the ONLY (on exam) disorder that NECESSITATES TRAINING PARENTS as part of the Tx regimen?
1. Physical
2. Vocal (ex: grunting)
Name the 2 VARIATIONS of Tic Disorder?
BEFORE 18 years of age
Age of DIAGNOSIS for a Tourette Syndrome?
> 1 year
DURATION of Tourette Syndrome to ACCURATELY diagnose?
D2-Antagonists
Best Tx for Tic Disorder?
• Vision
• Hearing
• Native Language
• Dyslexia
What MUST be considered when making the diagnosis of Learning Disorder?
MECP2
(on X chromosome)
What de novo mutation is affected in children with Rett Syndrome?
Females
(males die in utero)
What GENDER is Rett Syndrome seen most commonly?
1-4 years
Symptoms of Rett syndrome usually appear between ages ______.
Rett Syndrome
__________ Syndrome usually appears between ages 1-4 years and are characterized by regression in motor, verbal & cognitive abilities; ataxia; seizures; growth failure; and stereotyped hand-wringing (Autistic-like).
Autism Spectrum
Psychometric Testing can be used to identify any delays in a child that is suspected to have what disorder?
Dopamine & NE
(MOSTLY: NE)
What 2 NEUROTRANSMITTERS are most directly involved in ADHD?
Asperger's Syndrome
(still texted on EXAMS-but no longer part of DSM-5)
____________ Syndrome: milder form of autism; this child is unable to develop an understanding of social interactions, but still develops good cognitive skills.
Tourette Syndrome
A Tic Disorder is VOCAL or MOTOR. If a patient has both, for more than a year, what is this called?
Stimulants:
MethylPHEnidate
AmPHEtamines

Alpha-2-Agonists:
Clonidine
Guanfacine

Non-stimulant:
Atomoxetine
What the 3 TYPES of DRUG Tx's for ADHD (children >6 years old)?
CBT
What is the most effective Tx for ADHD (children younger than 6 years old)?
up to age 5
Up to what age is nighttime bed-wetting considered to be NORMAL?
1. FACIAL:
• Smooth Philtrum
• Thin upper lip
• Short Palpabral Fissures

2. GROWTH Retardation
3. NEUROBEHAVIORAL Impairment
4. BRAIN Damage
Name the characteristic features caused by prenatal alcohol exposure (Fetal Alcohol Syndrome)?
Regression
(usually due to new sibling or abuse)
What is the PSYCHIATRIC reason that children have ENURESIS (both: potty-trained and non-potty-trained)?
1. New Sibling
2. Abuse
What are the 2 main psychiatric causes of REGRESSION in children who are potty-trained to wet their beds at night?
POSITIVE reinforcement
(2nd line Tx: water restriction at night)
What type of REINFORCEMENT is recommended for TRAINING a >7 yr old child who has NEVER been potty-trained and is still experiencing ENURESIS?
Urinalysis (UA)
&
Ultra Sounds
What is the NEXT BEST STEP for a >7 yr old child patient who was PREVIOUSLY potty-trained and is now experiencing ENURESIS?
Conduct Disorder
What is "Antisocial Personality Disorder" called, if the child is < 18 years?
Train Parenting
What is the Tx for Oppositional Defiant Disorder?
Borderline Personality Disorder
Traumatic childhood experience, especially sexual abuse is usually the cause of what PERSONALITY disorder?
Cannabis Abuse
What is the MOST likely thing to TEST for in the following child patient: teenager w/lethargy, introversion, increased appetite & change in sleep patterns?
Borderline Intellectual Disability
Child patient 14 yo presents w/mild decrease in IQ & mild developmental disability, but NOT below IQ 70. What is likely diagnosis?
DLPC (dorsalateral prefrontal cortex)
What part of the brain is most significantly affected in patient w/ADHD?
THIS SET IS OFTEN IN FOLDERS WITH...