Domain III - Georgette's (Diagnosis & Treatment) Review 2022 with complete solution

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Development of specific deficits following a period of normal functioning after birth occurs in what disorder? - ANSWER Rhett Rhett disorder occurs primarily in what gender? - ANSWER Females Los... s of purposeful hand skills, stereotypic hand movements, loss of language skills, and deceleration of head growth is found in what disorder? - ANSWER Rhett What is the process of becoming less responsive to a particular drug over time called? - ANSWER Tolerance What is the relative dose required to achieve certain effects? - ANSWER Potency How many settings are required for symptoms for a DSM-5 diagnosis of ADHD? - ANSWER 2 Why is important to get both teacher and parent ratings on the Vanderbilt? - ANSWER DSM-5 diagnosis for ADHD requires 2 settings Which screening instrument is most commonly used for ADHD? - ANSWER Vanderbilt (public domain) How many symptoms are necessary per category to be diagnoses with ADHD? - ANSWER 6 children (5 adults) What is the required direction for DSM-5 diagnosis of ADHD? - ANSWER 6 months What is the required onset for DSM-5 diagnosis of ADHD? - ANSWER <12 What 3 brain structures are affected in ADHD? - ANSWER Frontal cortex (impulse control) Basal ganglia RAS What 3 neurotransmitters are involved in ADHD? - ANSWER DNS GI upset/cramps/anorexia, Weight loss, VS (Increased BP, Increased HR), Growth suppression (rare), Headache, Dizziness, Irritability and Psychosis (rare) should be monitored with what medication? - ANSWER Stimulants At what age are amphetamines FDA-approved for use in ADHD? - ANSWER 3 At what age is methylphenidate (Ritalin) FDA-approved for use in ADHD? - ANSWER 6 At what age are alpha agonists (clonidine, guanfacine) FDA-approved for use in ADHD? - ANSWER 6 What 2 amphetamine-type stimulants are used in ADHD? - ANSWER Adderall (amphetamine/dextroamphetamine) Vyvanse (Lisdexamfetamine) What 3 methylphenidate-type stimulants are used in ADHD? - ANSWER Ritalin (methylphenidate) Concerta (methylphenidate) Focalin (dexmethylphenidate) What are typical stimulant doses? - ANSWER 10-60 (amphetamines usually 1/2 dose) What are typical doses of guanfacine (Intuniv)? - ANSWER 1-4 What are typical doses of clonidine (Catapres)? - ANSWER .1-.4 What is the typical dose of atomoxetine (Strattera) - ANSWER 10-100 Abdominal pain and tenderness, Nausea, Weight loss, GI bleeding Hypertension, Anxiety, Insomnia, Tremors, and First-episode seizure in adult are symptoms of what type of substance abuse? - ANSWER stimulant Which 3 classes o drugs are FDA-approved for ADHD? - ANSWER stimulants atomoxetine (Strattera) alpha agonists What are 4 symptoms of stimulant abuse? - ANSWER insomnia tremors increased BP & HR heart palpitations What are 5 nonpharmacological treatments for children with ADHD? - ANSWER Psychoeducation (or all psychiatric disorders) Behavioral therapy CBT Family therapy Treatment for a learning disorder Impulsivity, Self-damaging behavior, and Recurrent suicidal behavior are hallmark symptoms of what personality disorder? - ANSWER Borderline What is first-line treatment for borderline personality disorder? - ANSWER DBT What are the 3 primary symptoms of ADHD? - ANSWER inattention hyperactivity impulsivity Reckless disregard for the welfare of others, Lack of remorse, and Indifference to the feelings of others are hallmark symptoms for what personality disorder? - ANSWER antisocial Why are the 3 CV risks factors for treatment with stimulants that necessitates a cardiac history prior to initiation? - ANSWER MI CVA aneurysm rupture What is the age requirement for a DSM-5 diagnosis of antisocial personality disorder? - ANSWER 18 What is the age criteria for a DSM-V diagnosis of Disruptive Mood Dysregulation Disorder (DMDD)? - ANSWER >6 yrs. to < 18 yrs. (between 7-17 yo) What is the duration criteria for a DSM-V diagnosis of Disruptive Mood Dysregulation Disorder (DMDD)? - ANSWER 12 mo. Chronic dysregulated mood ("moody"), frequent temper outbursts, and severe irritability are symptoms of what disorder? - ANSWER Disruptive Mood Dysregulation Disorder (DMDD) How are 4 pharmacologic treatments for DMDD? - ANSWER SSRIs Mood stabilizers Atypical antipsychotics Stimulants Why are stimulants used in DMDD? - ANSWER often comorbid ADHD A child that reacts grossly out of proportion to the situation and feels badly afterward most likely has what diagnosis? - ANSWER IED What are the 3 most common symptoms of depression in older adults? - ANSWER Decreased concentration Decreased memory Decreased appetite What is an example of an identify disturbance in borderline personality disorder? - ANSWER feeling empty What is the primary goal of DBT in borderline personality disorder? - ANSWER Decrease suicidality Homicidal ideation is most common in which psychiatric disorder? - ANSWER antisocial personality disorder An older patient that does not respond to answers and confabulates is most likely to have what disorder? - ANSWER Dementia And older adult that says "I don't know" to questions is most likely to have what disorder? - ANSWER Depression (pseudodementia) What is the onset of action for antidepressants? - ANSWER 4-6 weeks What is a primary difference between IED and DMDD? - ANSWER There is an identifiable stressor that triggers an overreaction in IED, but there is no stressor in DMDD How long should antidepressants be continued? - ANSWER 6-12 mo. When should antidepressants be continued indefinately? - ANSWER More than 2 prior episodes What are the 3 neurotransmitters that are decreased in MDD? - ANSWER DNS How long should antidepressants be continued in MDD? - ANSWER 6-12 mo. What is first-line treatment for MDD? - ANSWER SSRI What is second-line treatment for MDD? - ANSWER TCAs A patient that tries to answer a question but may not be able to is most likely to have what disorder? - ANSWER dementia Which SSRI has a relatively short half-life? - ANSWER Sertraline What are second-line treatments for MDD? - ANSWER Tricyclics What is the Black Box Warning on all antidepressants? - ANSWER Increased suicidal thoughts in patients 24 yrs and younger. [Show More]

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