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60 Cards in this Set
- Front
- Back
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Mild Mental Retardation IQ of
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55-70
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Moderate MR IQ
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of 35 to 40 - 55
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Severe MR IQ of
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20 to 25- 40
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Profound MR - Level below
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25
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Oppositional Defiant Disorder sx:
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refusal to follow adult directives
easily annoyed blames others spiteful defiant argues excessively |
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Conduct Disorder sx:
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lying
stealing setting fires truancy torturing animals bullying others |
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what age and sex is most common to get tourretes
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male age 8
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what is the drug class used to treat tourrettes
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antipsychotics
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what are the sx of Hyperactivity
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restless
excessive running excessive talking cannot stay in seat cannot play quietly like a “Motor” answers ?’s too soon cannot wait turns interrupts |
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What 4 muscles allow you to inspire?
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Normal: (DIIE) Diaphram, Innermost Intercoastals (open opposite side), External Intercostals
Forced: Pectoralis minor/major, Sternocleidomastoid, Trapezius, Scalene |
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what are the components of temperment
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Activity Level. Reactivity to Stimuli
Cyclic behaviors - eating and sleeping .Reactions to people Mood. Distractibility. Attention Span |
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what are the three types of children
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easy children, difficult children ( high risk for problems etc), and slow to warm up children
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what is normal for a 4 yo
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Show overconcern over injury
Show curiosity about sex Have nightmares and phobias Have imaginary friends Can copy a cross and speak well Can do simple drawings of a person Can button, zipper, hop and throw a ball |
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what is normal for a 5 yo
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Play with other children
Seek affection from opposite sex parent Draw persons in detail Skip with alternating feet Can copy a square |
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what is normal for age 6
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Tie shoelaces, Ride bikes
Begin to understand moral values Copy triangles, learn letters and to read Empathy increases Understanding of the finality of death by age 7 Fears of abandonment can occur |
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what disorders are included in pervasive developmental disorder
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Autism, Asperger’s, Rett’s disorder and Childhood Disintegrative Disorder
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what are three parasomnias
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Parasomnias
Sleepwalking * Sleep Terror Disorder * Nightmare Disorder |
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what are some dysomnias
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Primary Insomnia * Narcolepsy *
Sleep apnea (Breathing-related Sleep Disorder) *Circadian Rhythm Sleep Disorder * |
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what dz is this: extended sleep, broken by brief alertness, hyperphagia, hypersexuality/irritability, slow withdrawn apathetic when awake
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Keline levin syndrome its a common kind of hypersomnia
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what is the classic tetrad of narcolepsy
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sleep attacks
cataplexy hypnogogic, hypnopompic hallucinations sleep onset/offset paralysis |
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what is seen on the sleep study of narcolepsy
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short sleep latency, short REM latency, jumbled sleep elements
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what is the treatment plan for narcoplepsy
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Stimulants to maintain alert state
Antidepressants for cataplexy tricyclics suppress REM Brief, planned naps reduce sleep attacks (brief period of effect) |
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what do sleep studies of sleep apnea show
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short sleep latency, short REM latency, apneic episodes
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what is the treatment method for sleep apnea
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Weight loss if overweight
Continuous positive airway pressure (CPAP) machine Uvulopalatoplasty Tracheostomy (last resort) |
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what meds can be used for sleep walking
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Time limited but can Rx with TCA’s, BZD’s – both disrupt stage 4
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what can supress night terrors
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TCAs and BZDs
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what is the diff between nightmare disorder and night terrors
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night terrors- not awakened and dont rmember in the morning
nightmare disorder- awakened and do remember in the morning |
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what dz is this: typically during NREM sleep, Q 20-40 sec for minutes to hours
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periodic leg movement d/o aka nocturnal myoclonus
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what drug may suppress periodic leg movement disorder
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bzds
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what drug may help RLS
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antidepressants, DA enhancers, analgesics, hypnotics
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what dz is this: prevents the onset of sleep, may accompany dys and parasthesias
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RLS
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what are the modern sedative hypnotics for sleep disorders
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trazodone, temazepam (et alia), zolpidem (Ambien), zaleplon (Sonata)
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what is moa of trazadone
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trazodone increases serotonin effect
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what does temzxepam, triazolam do
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temazepam, triazolam enhance GABA @ BZD receptors (non-specifically)
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what do zolpidem and zalepon do
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Zolpidem, zaleplon bind specifically to BZD W1 receptor - little anticonvulsant, anxiolytic or muscle relaxant effect
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what happens to sleep w age
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shorter total duration
reduced delta (slow-wave; stages 3/4) sleep reduced REM sleep increased awakenings |
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what is selective mutism
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no just being shy, usually girls, refuse to speak or only speak to a select few, usually after a stressful event
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what is the tx for selective mutism
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antidep and therapy
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what age of premature birth can cause MR, learning disabilities and delays
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less than 32 weeks
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what characterizes post pardum psychosis
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onset of delusions or hallucinations
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do most children devel at the same pace
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yes
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what is mahler main point
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separation and individuations-- if trust develops then development should go well
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what is freuds main point
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devel related to parts of the body from which the person got the most pleasure at each stage, oral stage, anal , phallic
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what is reactive attachment disorder of infancy
inhibited type disinhibited type |
exposed to really poor care
inhibited type: child is withdrawn or unresponsive disinhibited type: child approaches and cuddles u to strangers |
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when does social smile start
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1-2 months
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when does stranger anxiety start
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after 4-6 months
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when does object permanence form by
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one year- and after that separation anxiety can occur
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what happens from 18 mo to 2 years
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move away from primary caregiver, but then quickly return, temper tantrums terrible twos, play is parallel
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what happens at 3 yo
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autonomy- can be away from mom for a few hours each day- failure to have this is separation anxiety and school refusal, toilet trained, gender identity
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what is pervasive devel disorder
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failure to aquire or early loss of social skills, motor skills, communication skills--> no cure for these
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what are the sx of autism that usually occur before age 3
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CBS ( cog, behav,soc): imparied social with parents, poor communication, delayed or unusual motor, boys
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what are sx of aspergers
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limited social skills, have repetitive behavior, unusual interests, normal cognitive devel, few language delays
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what are the sx of rett's syndrome
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girls, devel normal till age 4 then, decr in social verbal and cognitive, hand writhing, ataxia, dec IQ
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what is child disintegrative disorder
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normal devel from age 2-10 then they lose those skills, more common in boys
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what is characteristic of early adolescents
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ages 11-14- puberty begins, they are still obediant
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middle adolescents what is characteristic
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ages 15-17: clothing, music freinds are important, more risk taking
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what is characteristic of late adolescents
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ages 18-20 identity crisis. erickson ( role confusion) and piaget formal operations- higher reasoning
inc independence, transition goes well |
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what is the avg age of first intercourse
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16-19
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what are sx of fragile x
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males, delayed cognitive abilities, behavior probs, hand flapping large ears, elongated faces and enlarged testicles
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what is separation anxiety disorder
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aka school phobia or school refusal
they complain of physical sx so they dont have to go to school- tx with ssri bc its considered an anxiety disorder |
