Child Psychiatry
What are the clinical characteristic features of the Rett disorder?
Normal prenatal, perinatal, and psychomotor development through the first 5 months after birth.
Normal head circumference at birth.
Deceleration of head growth beginning in early childhood (5 to 48 months).
Loss of previously acquired purposeful hand skills and subsequent development of stereotyped hand movements (e.g., hand-wringing or hand-washing).
Loss of social engagement.
Poor coordination in gait or trunk movement.
Severe impairment of expressive and receptive language development.
Severe psychomotor retardation.
Children with Turner syndrome are most likely to manifest what sexual behavior during adulthood?
Heterosexuality.
What are the core features of the Prader-Willi syndrome?
Mental retardation.
Obesity.
Short stature.
Hypogonadism.
Hyperphagia.
Chromosome 15 deletion exists in 70% of cases.
How should one manage the school phobia associated with nonpsychotic separation anxiety in a preadolescent child?
Rapidly return the child to school.
Though proper support is helpful, parents should avoid rewarding undesired behavior.
What most significantly affects a child’s psychological adjustment to the divorce of his or her parents?
The amount of parental conflict after the divorce.
What are the adverse effects of methylphenidate?
Emotional lability.
Weight loss.
Insomnia.
Decreasing tricyclic antidepressant concentration.
Rebound hyperactivity.
According to Erik Erikson, the developmental crisis most typical of normal middle age involves what?
Generativity versus stagnation.
What are the choices of pharmacologic treatment for attention-deficit/hyperactivity disorder (ADHD)?
Psychostimulants: Methylphenidate (Ritalin, Methylin, Metadate, Concerta); dexmethylphenidate (Focalin); dextroamphetamine (Dexedrine, Dextrostat); and dextroamphetamine/amphetamine (Adderall).
Selective norepinephrine reuptake inhibitor: Atomoxetine (Strattera).
Central α-agonists: Guanfacine (Tenex); and clonidine (Catapres).
Antidepressants: Imipramine (Anafranil); bupropion (Wellbutrin); desipramine (Norpramin).
In the emergency room of a hospital, a young child holds his familiar blanket. As what does this blanket serve?
A transitional object.
What are the differences in the diagnostic criteria for a major depressive episode in children as compared to adults?
In children, the diagnostic criteria for a major depressive episode are the same as for adults, except that:
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