Behavioral Med (Lec 13): ADHD and Child Psychiatry

Symptoms of ASD begin to present when?

A child who demonstrates inattention and hyperactivity at home, but not at school most likely has undiagnosed ADHD.

To distinguish between a normal acting out child and one with undiagnosed ADHD, 6 symptoms must be present for ADHD.

Which milestone: ability to balance on one foot for 4-8 secs, going downstairs with alternating feet, copying a square.

Which stage of cognitive development is described by the development of conservation and hierarchical thinking?

Patients with Autism Spectrum Disorder, also have an Intellectual Disability. They are synonymous.

Which hormone do ADHD stimulants impact?

What is described by having deficits in intellectual and adaptive functioning?

Select all that apply regarding the Vanderbilt Survey.

Student comes in wearing shorts mid-winter, and you've noticed they haven't had lunch all week.

If the usual ADHD treatments are not working, Bupropion (Wellbutrin) might be a good option.

Predominantly hyperactive ADHD is more common in __ while predominantly inattentive ADHD is more common in __.

When starting a new ADHD med, increase by 5mg each week until effective or you max is reached. What is the max dose?

ADHD is the most common childhood disorder (8-10%) and is most common in males.

Which stage of cognitive development is described by the idea of object permanence?

Which stage of cognitive development describes by the development reason?

Child does not follow instructions and it forgetful, also fidgets constantly and always seems "on the go." ADHD likely?

Compulsion to steal.

Piaget's cognitive development involves assimilation and accommodation, and 3 mechanisms. What are they?

Which of the following is a good option for treating atypical ADHD when the usual options fail?

Which of the Erickson's 8 stages addresses the conflict of Trust vs. Mistrust?

In a room full of mini people pleasers, one child is argumentative, defiant, and constantly speaks out. They have?

A child who bullies others, shows aggression toward others and animals, and frequently breaks rules most likely has?

You can prescribe a long acting ADHD med in the morning, and a short acting in the afternoon.

The prevalence of ASD is increasing, with predominance in females.

Patients with ASD, may have trouble with?

Patient's with Tourette's Syndrome may have comorbidities such as OCD and ADHD.

In patients with ASD, receptive language is delayed more than expressive language.

Which of the Erickson's 8 stages addresses the conflict of Generativity vs. Stagnation?

Which of the Erickson's 8 stages addresses the conflict of Autonomy vs. Shame and doubt?

Child gets overly upset when he misses the a goal and avoids post-practice social events especially when dad is around.

Who do you report to when there is evidence of serious non-accident trauma involving a child?

Mom constantly berates daughter, and you've notice she's lost weight since her last visit and seems depressed.

Smart kid is reluctant to engage in school projects, frequently loses supplies, and doesn't listen well. ADHD possible?

Which stage of cognitive development is described by the idea of language and pretend play development, and egocentrism?

Someone cuts off your friend on the highway, then they roll down the window and threaten to kill the driver's family.

Specific Learning Disorder may be specific in 1 or more of the following (select all that apply):

Who do you report to when suspicious of abuse or neglect of a child?

CAPS is essentially a briefer version of Vanderbilt that is often used to monitor treatment.

A key clinical feature of ASD is deficits in __.

A patient cannot be diagnoses with both ADHD and Depression.

Oppositional Defiant Disorder is to anger and defiance, while Conduct Disorder is to destruction and lack of empathy.

Which milestone is marked by walking?

What is the most noteworthy side effect of stimulants, especially in children?

What are the patterns of attachment? Select all that apply.

Child often interrupts others mid-sentence and talks excessively. Otherwise they are a well behaved. ADHD likely?

Select all that apply regarding Tourette's Syndrome.

Which of the Erickson's 8 stages addresses the conflict of Ego Integrity vs. Despair?

The side effects of ADHD medications may inhibit growth in kids - take breaks over the summer to allow growth spurts.

Some patients with ASD have the ability to remember extreme detail in a specific area such as math, or music. This is?

To diagnose with ADHD, symptoms must persistent for at least how long?

Which milestone is marked by the ability to ride a tricycle, jump from the bottom step and can copy a circle?

Bowlby had a theory in

Treatment of Tourette's Syndrome generally involves Habit Reversal Training and meds that block dopamine receptors.

Child presents with knee bruises and a superficial laceration on their forehead.

Parents feel like they have to "walk on eggshells" due to frequent tantrums both at school and home. Child may have?

Teen wears very promiscuous clothes, teases others about their "innocence" but is oddly compliant when parent is around.

In the US, medical providers are mandated reporters of child abuse!!!

When you ask about sexual activity when filling out a 13yo's annual social history info, they blush & awkwardly say no.

A child is constantly fidgeting, is disruptive at school, blurts out questions, and can't "relax" at home. ADHD likely?

Young boy talks very loud, and is constantly horsing around at home. At school he is a good student. Does he have ADHD?

All children should be screened for Autism Spectrum Disorder (ASD) at __ and __ time intervals.

The diagnosis of Oppositional Defiant Disorder requires 4 symptoms that cause impairment and last at least how long?

Child is disorganized, frequently makes careless mistakes, and is easily distracted. ADHD likely?

How many symptoms of hyperactivity/impulsivity must be present to diagnose w/ predominantly hyperactive/impulsive ADHD?

There is no cure for ASD, treatment is based on individual symptoms in order to improve social fxn and behaviors.

Child who started wetting the bed, makes inappropriate adult comments, and acts out especially around her uncle.

Which of the Erickson's 8 stages addresses the conflict of Industry vs. Inferiority?

Which theory regarding Motor Development has no formal stages, and is based on hereditary, and biologic maturation?

People with ASD generally have trouble abiding to a routine or focusing on one interest.

Which of the Erickson's 8 stages addresses the conflict of Intimacy vs. Isolation?

As people with ADHD age, the progression of ADHD can be described as:

Which milestone is marked by the ability to run well, walk up and down stairs, throw and kick and ball?

When starting children on AHDH medications, what are some things that should be considered?

Child presents with bite marks and unusual small round burn marks under their clothes.

Which of the Erickson's 8 stages addresses the conflict of Indentity vs. Role confusion?

Treatment adherence is more common in adults with ADHD than in childhood.

Cognitive Development that stresses active role children take in adapting to their environment. Involves 3 mechanisms.

Erickson's Stages describe the development of category?

Everyone will progress through all of the 8 Erickson's Stages.

Which of the Erickson's 8 stages addresses the conflict of Initiative vs. Guilt?

Progress through child development is followed by...

Select the ADHD drugs.

Compulsion to set fire.