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42 Cards in this Set
- Front
- Back
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What is a considerable risk in depressed adolescents?
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Suicide
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What are 3 situations in which suicide should be specifically addressed in a psych interview w/ an adolescent?
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-Pt appears depressed
-Pt appears agitated -Hx of suicide attempt |
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What % of adolescents have attempted suicide at least once in their lives?
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9%
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What sex of adolescents demonstrates more suicidal behavior?
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Females
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What sex successfully COMMITS suicide more?
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Boys - 5X more
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Why do boys commit suicide more than girls?
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Because they use guns and more violent methods to attempt
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What risk factor is identified in the majority of cases of successful committed suicidal adolescents?
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prior suicide attempt
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What has happened to the adolescent suicide rate over the past few decades?
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It has increased substantially
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What is the most common method by which adolescents commit suicide?
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Firearms
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What is the most common method by which adolescents ATTEMPT suicide?
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Drug overdose
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During what sleep stages do episodes of Sleep Terror or Sleepwalking occur?
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Deep sleep - Stage 3/4
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What is the first line drug of choice for treating MDD in children and adolescents?
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An SSRI
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What is Imipramine?
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a TCA
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Why not use Imipramine for treating MDD in children/adolescents?
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More side effects and more likely to cause death if overdose
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What are Carbamazepine and Lithium for?
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Mood stabilizing in bipolar disorder or adjunct txmt of refractory MDD
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What is Olanzapine?
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An antipsychotic
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What is the most effective treatment for Bulimia?
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CBT
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What is Tegretol?
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Carbamazepine the mood stabilizer for bipolar
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What is Tofranil?
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Imipramine, the TCA for depression
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What is Zyprexa?
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Olanzapine the antipsychotic
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What is Zoloft?
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Sertraline the SSRI for depression
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In a 6yo boy that is quiet in class, speaks in simple sentences w/ limited vocab, makes errors with verb tense, and had delayed onset of speech, what is the most likely diagnosis?
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Expressive language disorder
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What would be the most likely best test to confirm the diagnosis of an Expressive language disorder?
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IQ testing
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What would you suspect if the boy had failed to develop normal speech sounds, or if his speech was nor clear on exam?
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Phonological disorder
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Why is an IQ test the test of choice to confirm the diagnosis of Expressive language disorder?
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To rule out the presence of mental retardation
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What is Rumination Disorder?
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Repeated regurgitation and rechewing of food for at least 1 month following a period of normal functioning.
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In what scenario is Rumination Disorder typically seen?
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Infants with variety of caretakers in an unstable environment
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What would be an appropriate test to confirm diagnosis of rumination disorder? Why?
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Esophageal pH measurement - to rule out another cause such as acid reflux, when the pH would be acid in times OTHER than active regurgitation
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What is a common finding in babies with rumination disorder?
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Lack of appropriate weight gain
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What test would indicate PICA?
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Serum lead level
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What is the diagnosis in an 8yo boy that gets stomach aches every morning at school, doesnt like school, sleeps in parents bed every night?
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Separation anxiety disorder
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What is required for the diagnosis of reactive attachment disorder?
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Markedly disturbed social relatedness BEFORE AGE 5
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How do children with social phobias or specific phobias manifest their anxiety?
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Marked/persistent fear in response to exposure or anticipation of exp to a specific object or situation - manifested as a TANTRUM or PANIC ATTACK
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What is the defense mechanism where emotional concerns are manifested as physical symptoms?
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Somatization
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What is repetitive speaking of obscene words as in Tourettes called?
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Coprolalia
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What is the defense mechanism where an unacceptable impulse is transformed into its opposite called?
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Reaction formation
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What is eating of feces?
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Coprophagia
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So the most common cause of florid visual hallucinations in a child is:
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Substance-Induced Psychotic Disorders
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If Schizophrenia, though rare, were present in a child what kind of hallucinations would be more likely to e seen?
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Auditory (not visual)
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What is the most common psychiatric emergency in Children and Adolescents?
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Suicidal behavior
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What symptom of MDD is more commonly seen in Children vs Adolescents?
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Psychomotor agitation
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What is the most commonly used method by children for attempting suicide?
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Substance ingestion
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