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11 Cards in this Set
- Front
- Back
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What are the 3 main features of ADHD
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- Inattention
- Problems regulating behaviour - Impulsive behaviour NB. For diagnosis, it must start before the age of 7 and there must be significant impairment in 2/more settings (eg. classroom, home) |
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Self Esteem in ADHD is above average for age matched controls
T/F |
F
NB More academic, aggression, motor and social problems |
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Name 4 Ddx'es for ADHD. (6)
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- Age appropriate high spiritedness/inattention
- Intellectual delay/superiority relative to educational enviro - Conduct problems or frank disorder (ie meeting criteria) - Autistic syndromes - Mood/Anxiety Disorders - Rxn to neglect/abuse Varied Ddx is due to clinicians hedging their bets and also difficulty in diagnosing in kids as this development period is very tumultuous and ever changing and also, the presentation of disorders can vary greatly from somatising to psychosis to just w/in normal imagination. |
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Fill in the blanks
____--> CD(____) --> _____ |
Oppositional defiant disorder --> CD (Conduct Disorder) --> Antisocial Personality Disorder.
This cascade commonly occurs without intervention. Get in early as antisocial personality is pretty much only remediable by jails and even then its very limited improvement |
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Name 3 Features of Oppositional Defiant Disorder.
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- Negativistic, hostile & defiant behaviour for more than 6 months causing distress/disability
- Loses temper - Blames others |
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Name 3 features of conduct disorder. (5)
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- Persistent pattern of behaviour in which others' rights are often violated
- Aggression to ppl/animals - Child/Adolescent onset - Destructive, deceitful - High risk absconding from services/support |
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Which of the following is least implicated in the aetiology of ADHD?
A GENETICS B NA C PERINATAL HAZARD D DA E PARENTING STYLE |
E Parenting Style is more important in ODD/CD
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Which of the following is NOT an established risk factor for developmental impair in early years of life?
A MATERNAL SMOKING IN ANTENATAL PERIOD (>1/2 PACK PER DAY) B SAME SEX PARENTS C LOW MATERNAL AGE D LOW PARENTAL SUPERVISION E HARSH DISCIPLINE |
B
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Name 2 critical risk factors for develpmental impairment in "middle childhood" (4) and "adolescence"(3)
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mc. Parenting Style - coercive/inconsistent
- reacts to temperament of child ("non-shared environment") Abuse/Neglect School - Absence of leadership - Harsh/inconsistent discipline - Limited classroom behaviour strategies - Limited emphasis on educational attainment Neighbourhood Influences a. School - As above. Neighbourhood Peer Influences - Deviant behaviour - Exposure to D & A - Exposure to early sexual experience |
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Which of the following medications is/are not indicated in ADHD.
A ATOMOXETINE B SERTRALINE C CLOMIPRAMINE D DEXAMPHETAMINE E METHYLPHENIDATE |
C - Clomipramine is a mainly seratonergic TCA which is of most use in severe OCD
a. SNRI (Selective Noradrenaline Re-uptake Inhibitor) - delayed action compared to ritalin (standard Rx presently), 24hr coverage, less likely to aggravate tics, anxiety, depression. b. used if comorbid with moderate - severe depression d. similar to ritalin, cheaper, long acting form not in AUS. e. RITALIN - Long term benefit best established (15 months) |
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Which method of management is superior in ADHD
A MEDICATION or B BEHAVIOUR MGMT + COMMUNITY CARE |
A Combining both doesnt improve core ADHD symptoms anymore than monotherapy (A), but the addition of B can help comorbid ODD and internalising symptoms if present and also improve social skills and the parent is more satisfied with its use (B).
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