Things you should know
Things you may know
Some other important things
Column #4
Random things I just thought of...
100
Characterized by a body dissatisfaction related to overavulation of a thin body ideal associated with dysfunctional patterns of cognition and weight control behaviors; that result in significant biologic, psychological, and social complications.
What is eating disorders. [although largely affecting white, adolescent girls. EDs also affect boys and cross all racial, ethnic, and cultural boundaries. Early intervention improves outcome!
100
Characterized by a repetitive and persistent pattern over at least 12 months of serious rule violating behavior in which the basic rights of others or major societal norms or rules are violated.
What is conduct disorder [CD]? There are four major categories: aggression to people/animals, destruction of property, deceitfulness/theft, and serious rule violations. The disturbance in behavior causes clinically significant impairment in social, academic, or occupational functioning.
100
What is a common tool to aid in screening for symptoms that are related to the autism spectrum disorder? And what ages does the AAP recommend to screen during well child checks?
What is MCHAT R/F? What is 18 and 24 months?
100
Name 3 indications for inpatient medical hospitalization of patients with anorexia nervosa.
Physical and laboratory: HR <50 bpm​, Cardiac rhythm abnormalities, Hypotension, Postural hypotension, Hypokalemia, Hypophostemia, Hypoglycemia​, Dehydration ​ Hypothermia , <80% healthy body weight, Hepatic, cardiac or renal compromise​. Psychiatric​: SI and plan, Very poor motivation to recover [family and patient]​, Pre-occupation with egosyntonic thoughts​, Co-existing psychiatric disorders . Misc: Requires supervision after meals and while using the restroom​, Failed day treatment​. ​ ​ ​
100
Which word goes before vest, beans and quartet?
What is string?
200
Characterized by a pattern lasting at least 6 months of angry, irritable mood, argumentative/defiant behavior, or vindictiveness exhibited during interaction with at least 1 individual who is not a sibling.
What is Oppositional defiant disorder [ODD]? For preschool children- behavior occurs on most days vs school aged children- behavior occurs at least once a week. Severity based on symptoms are present in 1, 2 or 3 or more settings. [mild/moderate/severe]
200
involves significant overestimation of body size and shape, with a relentless pursuit of thinness. characterized by episodes of eating large amounts of food in a brief period, followed by compensatory vomiting, laxative use, and exercise or fasting to rid the body of the effects of overeating in and effort to avoid obesity. binge eating is not followed regularly by any compensatory behaviors
What is anorexia nervosa? What is blimia nervosa? What binge eating?
200
Discuss common skin findings of patient's with restrictive intake AND binge eating/purging.
Restrictive intake [ie: AN]- skin can be dry, increased prominence of hair follicles, orange/yellow hands [carotenemia]. Binge eating/purging [ie: BN, BE]- calluses over proximal knuckle joints of dominant hand = russell's sign 2y to maxillary incisors abrasion from chronic digital pharyngeal stimulation
200
You have a parent during a WCC and reports their child is angry/aggressive/defiant/antisocial/not doing well at school and home...etc. What common standardized screening tool can you use?
What is the Vanderbilt diagnosing rating scales? There are a number of standardized broad-band screening instruments widely used in the primary care setting. Vanderbilt is a screening tool for parent and teacher- can look for ADHD with subtypes, ODD, CD, anxiety/depression. Other tools: Pediatric symptom checklist, strengths and difficulties questionnaire...etc. Use a tool that can be more objective during the screening/diagnosing process.
200
May Queen, Wisley Crab, Foxwhelps and Lane's Prince Albert are all species of what?
What are apples?
300
Persistent impairment in reciprocal social communication and interaction, and restricted, repetitive patterns of behavior or interests.
What is Autism Spectrum Disorder [ASD]? Symptoms must be present in the early developmental period [may not become fully present until social demands exceed limited capacities or may be masked by learned strategies in later life]. Level 1-3 of severity levels that help lead diagnosis.
300
What is an IEP? What type of student's need an IEP?
What is an Individualized Education Program? A child with delayed skills or other disabilities might be eligible for special services that provide individualized education programs in public schools, free of charge to families. It’s a written statement. Is developed, reviewed, and revised in a meeting at the beginning of each school year. May be requested by either the school or parent at any time. Describes the goals the team sets for a child during the school year. Describes as any special support the child will need to help achieve them. Students who have learning disabilities, ADHD, emotional disorders, intellectual disabilities, ASD, hearing impairment, visual impairment, speech or language impairment, developmental delay.
300
What are common cardiac complications seen with eating disorders [AN]?[name 2]
Involves structural and functional abnormalities -- murmur/click/changes in heart rate/orthostatic changes/chest pain/palpitations/bradycardia/hypotension/arrhythmias.
300
Characterized by the sudden onset [within 2 weeks from baseline function] of these symptoms [delusions, hallucinations, disorganized speech, or grossly disorganized behavior] in the context of emotional turmoil or overwhelming confusion, followed by complete resolution.
What is Brief psychotic disorder? Although brief, the level of impairment in this disorder may be severe enough that supervision may be required to ensure that basic needs are met and the individual is protected from the consequences of poor judgment and cognitive impairment.
300
The llama belongs to the family of animals commonly called what?
What are camels?
400
Characterized by onset of psychosis with an episode of the disorder lasts at least 1 month but less than 6 months.
What is schizophreniform disorder?
400
Characterized by onset of psychosis with an episode of the disorder lasts more than 6 months.
What is schizophrenia?
400
Characterized by recurrent verbal or physical aggression that is grossly disproportionate to the provocation or to any precipitating psychosocial stressors.
What is Intermittent explosive disorder [IED]? The outbursts, which are impulsive and/or anger-based rather than premeditated and/or instrumental, typically last for less than 30 mins and commonly occur in response to a minor provocation by a close intimate. Occur at least twice weekly, on average, for a period of 3 months.
400
Can occur with severely malnourished patients in the setting of aggressive nutritional rehabilitation.
What is refeeding syndrome? Metabolic, cardiovascular, neurological and hematologic complications 2y to shifts of phosphate from extra-cellular to intracellular spaces in the setting of total body phosphorus depletion Occurring in the first 7-10 days of hospitalization Carefully monitoring of serum electrolytes, magnesium, phosphorus and glucose levels [PICU profile] Low threshold for Phosphorus supplementation Unusual after the first 2 weeks of nutritional rehab.
400
I see a little silhouetto of a man... [finish the lyric]
Scaramouche, Scaramouche, will you do the Fandango!
500
Name 3 medical conditions associated with psychotic like behavior.
Medications[steroids, B blockers, cyclosporine], drugs of abuse, CNS infections, autoimmune encephalitis, ADEM, SLE, Fragile X, Trisomy 21, Tuberous sclerosis, Wilson disease, Porphyria, Seizures, Hyper/hypo-parathyroidism, hyper/hypo-thryoidism, hyper/hypo-adrenalsim, hypoglycemia, thiamine deficiency, vitamin B12 deficiency, inborn errors of metabolism.
500
Name 3 side effects that can occur with any anti-psychotic medications.
Sedation, abnormal movements, weight gain, hyperprolactinemia, elevated LFTs, diabetes, hyperlipidemia, hematological effects, seizures, neuroleptic malignant syndrome, and cardiovascular effects.
500
Characterized by a poorly defined state presenting as an unusual manifestation of decreased or increased muscle tone and decreased responsiveness occurring in associated with a broad array of conditions including psychotic disorders/mood disorders/drugs/neurological conditions/infections/endocrine abnormalities/electrolyte imbalances
What is Catatonia? Diagnosis with the presence of 3 or more of criteria per DSM5... catalepsy, waxy flexibility, stupor, agitations, mutism, negativism, posturing, mannerisms, grimacing, echolalia, echopraxia. Treat with benzodiazepams +/- ECT.
500
Characterized by perceptions - auditory, visual, tactile or olfactory, that occur in the absence of identifiable external stimuli.
What are Hallucinations? Can be secondary to psychosis vs severe traumatic stress, developmental difficulties, social/emotional deprivation. Treatment involves understanding underlying cause.
500
Which glass slipper did Cinderella leave behind at the ball?
Her left slipper! [Cindy's fairy godmother could have gone a half-size smaller.]
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