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25 Cards in this Set
- Front
- Back
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in communication disorders of children which is harder to treat :
language disorders speech disorders |
language disorders
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treat stuttering with ?
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behavioral therapy
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toddler robert sleeps alot, doesn't engage in cooperative play, and is remarkably quiet. He should be tested for?
ussual onset? |
autism
by age 3 |
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symptoms of ADHD (3)?
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inattention
impulsivity hyperactivity |
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what 2 neurological findings in ADHD?
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elevated theta waves and alpha waves
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ADHD without hyperactivity most common in ?
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women
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most common comorbidity with ADHD?
most common cause? |
conduct disorder
hereditary |
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brain scan of ADHD shows?
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lower levels of dopamine transport in nucleus accumbens
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first line Tx for ADHD?
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behavioral modification
paired with methylphenidate |
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bupropion side effect?
alpha agonist effective for ADHD? |
possible seizures
clonidine, guanfacine |
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most common complaint in children with depression?
functional decline ? |
sleep disturbances
school performance |
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Tx of childhood depression?
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CBT
family involvement SSRI's see them weekly (suicidality) |
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irritable child, inattentive, high lability, impulsive. when given methylphenidate they get worse, what might be the Dx?
what drug to Tx? |
bipolar disorder
LITHIUM |
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there is a genetic assos. between tourette's and ?
might be caused by ? |
OCD
PANDAS(strep B) |
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diff between somatization disorder and hypochondrasis?
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SD= multiple specific complaints in multiple systems
hypochondriasis= usually one specific complaint, convinced it is fatal |
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screening criteria for somatization disorder?
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Gas,diarrhea, ab pain, chest pain, pain in extremities, weakness, nausea, dizziness, fainting spells, vomiting, "feeling sick"
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behaviors of a hypochondriac
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concerned about meaning and authenticity of symptoms
seek diagnostic label reject psychological contrib. to stress suffering part of personal dependency |
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common etiology of pain disorder ?
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more common in women often following injury insistent on a surgical relief. depression develops after pain started.
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body dysmorphic disorder is linked to ?
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OCD
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def. of conversion disorder?
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loss or alteration in physical fxn resulting from psychological need or conflict
has historical roots |
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my leg is turning into wood, what do I have doc?
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somatic delusions
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Dx of conversion disorder?
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sensory or motor symptoms suggesting neurologic origin
positive evidence of psychological etiology |
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unemployed homeless man in ED shows extreme pain while walking during examination and you later see him walking normally from behind
Dx? |
factitious disorder
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restaurant employee in ED complains of falling in kitchen on greasy floor. you find no bruising, redness,edema or sublexation on CT.
Dx? |
malingering
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how do you help manage a somatiform disorder?
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have patient see you once a month regardless of illness.
takes away need for complaint in order to get attention desired |
