Wsu Som Psych 1.13

Front 1

Three components of ADHD?

Back 1

Inattention, impulsivity, hyperactivity

Front 2

Requirements for ADHD diagnosis?

Back 2

6+ symptoms of inattention or hyperactivity-impulsivity for at least 6 months before age 7 in 2 or more settings

Front 3

Course of hyperactive/impulsive symptoms over time with ADHD?

Back 3

Decrease in severity with age

Front 4

When is oppositional behavior part of normal development?

Back 4

18-24 months

Front 5

Criteria for oppositional defiant disorder (ODD)?

Back 5

Pattern of negativistic, hostile, and defiant disorder lasting at least 6 months

Front 6

Criteria for conduct disorder (CD)?

Back 6

Aggression to people/animals, destruction of property, deceitfulness or theft, and serious violations of rules

Front 7

Emergence of ODD symptoms as related to CD?

Back 7

Earlier

Front 8

Most frequent comorbid conditions with ODD and CD?

Back 8

ADHD, major depression, substance abuse

Front 9

Result of MTA study for ADHD treatment?

Back 9

Optimized medication best for management of core symptoms

Front 10

Stimulant medication types?

Back 10

Methylphenidate, amphetamine

Front 11

Mechanism of stimulants?

Back 11

Block NE and DA reuptake

Front 12

Adverse effects with stimulants?

Back 12

Headache, insomnia, decreased appetite

Front 13

Contraindications for stimulants?

Back 13

Bipolar disorder, psychotic disorders

Front 14

Concerns with stimulant use?

Back 14

CV effects

Front 15

Prototype stimulants?

Back 15

Methyphenidate (Ritalin), lisdexamphetamine (vyvanse)

Front 16

Mechanism of atomoxetine (strattera)?

Back 16

Specific NE reuptake inhibitor

Front 17

Metabolism of atomoxetine?

Back 17

CYP2D6

Front 18

Adverse effects with atomoxetine?

Back 18

Liver injury, suicide

Front 19

Alpha agonists?

Back 19

Guanfacine, clonidine

Front 20

Adverse effects with alpha agonists?

Back 20

Drowsiness, dizziness, nd decreased BP and HR

Front 21

Mechanism of buproprion?

Back 21

NDRI

Front 22

Second line agents for ADHD?

Back 22

TCAs, buproprion

Front 23

Characteristics of developmental disorders?

Back 23

Patterns of delay and alterations in the development of social, communicative, and cognitive skills

Front 24

Criteria for autistic disorder?

Back 24

Qualitative impairments in social interaction and communication, with restricted repetitive and stereotyped patterns of behavior, interests, and activities

Front 25

What is not delayed with Asperger's disorder?

Back 25

Language and cognitive development

Front 26

Cause of Rett's disorder?

Back 26

MeCP2 gene mutation on X chromosome

Front 27

Clinical features of Rett's disorder?

Back 27

Normal development for first 5 months, followed by progressive encephalopathy beginning between 6 months and 2 years

Front 28

Criteria for childhood disintegrative disorder?

Back 28

Normal development for first 2 years followed by clinically significant loss of previously acquired skills

Front 29

Main difference between CDD and Rett's?

Back 29

CDD deterioration plateaus with no further loss

Front 30

Criteria for Tourette's disorder?

Back 30

Multiple motor with +1 vocal tic for >1 year before age 18

Front 31

Criteria for Chronic Motor or Vocal Tic disorder?

Back 31

Single or multiple motor or vocal tics, but not both, for >1 year before age 18

Front 32

Criteria for Transient Tic disorder?

Back 32

Single or multiple motor and/or vocal tics for >4 weeks but <1 year before age 18

Front 33

Commonalities with transient tics?

Back 33

Common in childhood and more often motor

Front 34

Common comorbidities with TS?

Back 34

ADHD, OCD

Front 35

Course of tics?

Back 35

Simple, transient motor in rostrocaudal progression, phonic tics appear later

Front 36

Etiology of primary enuresis?

Back 36

Maturational delay

Front 37

Etiology of secondary enuresis?

Back 37

Manifestation of stress

Front 38

Criteria for enuresis?

Back 38

Child >5 with wetting 2x per week for >3 months

Front 39

Majority of enuresis?

Back 39

Primary

Front 40

Most successful treatment for enuresis?

Back 40

Conditioning (alarm)

Front 41

Pharmacologic treatments for enuresis?

Back 41

Imipramine, DDAVP

Front 42

Criteria for encopresis?

Back 42

Child >4 with bowel issues at least once per month for >3 months

Front 43

Majority of encopresis?

Back 43

Secondary

Front 44

One of the most common conditions in children and adolescents?

Back 44

Anxiety

Front 45

Criteria for separation anxiety disorder?

Back 45

Child <18 with excessive anxiety upon separation lasting >4 weeks

Front 46

Criteria for selective mutism?

Back 46

Persistent failure to speak in social situations lasting >1 month