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Neurology
Genetics
Child Psychiatry
Psychopharmacology
Wild Card
100
What is the best treatment for rolandic seizures?
What is many children do not take medication (could take CBZ). In almost every case, seizures are benign and stop on their own by age 15.
100
13 y/o w developmental delay, stereotyped behaviors, impaired social interactions, hyperactive behavior, large anteverted ears, hyperextensible joints, macroorchidism. Dx?
What is Fragile X
100
Among sertraline, buproprion, venlafaxine, fluoxetine and citalopram, this is considered the first-line medication treatment for adolescents with major depression.
What is fluoxetine?
100
What is the most common reason that patients discontinue the use of SSRI’s early in treatment.
What is gastrointestinal side effects?
100
Most common factor in cases of termination of parental right:
What is neglect by the parent.
200
15 y/o patient w/ hx of atypical seizures that include psychomotor attacks and generalized motor episodes. Pt does poorly in school. Exam reveals skin lesion, no other abnormalities. A mutation of which gene?
What is TSC-1 (TUBEROUS SCLEROSIS GENE 1)
200
What is the most common genetic cause of intellectual disability?
What is Downs Syndrome
200
Among number of caretakers, child’s participation in day care, socioeconomic status of the family, number of languages spoken at home and amount of talk directed toward the child, this factor is most associated with vocabulary growth and pre-literacy language skills in preschoolers.
What is amount of talk directed toward the child
200
Among dopamine agonists, low potency phenothiazines, anticholinergic agents, serotonergic agents and GABA-ergic agents, this class of medication (in addition to life support measures) can be considered for treatment of patients with neuroleptic malignant syndrome.
What are dopamine agonists
200
Retrospective interviews with homosexual adults have established that, for the majority, their sexual orientation was self-recognized at what age?
What is "school age".
300
What might you suspect in a patient with axillary freckles and brown marks on the abdomen?
What is the Neurofibromatosis type 1 - café au lait spots or macules are observed in 95% of NF1. This is an AD inherited disorder that causes abnormal protein synthesis of neurofibromin - gene found on Chr 17. Children often have lisch nodules, neurofibromas and schwannomas, abnormal bone development, seizures and cognitive abnormalities (linked to LD and ASD).
300
Child presents w/ moderate intellectual disability, deficits in visual-spatial processing, high levels of anxiety, a phobia, and is highly sociable. Which genetic d/o?
What is 7q11.23 deletion, Williams Syndrome
300
Among hyperkalemia, hyperchloremic acidosis, decreased serum amylase levels, QT and T wave changes and increased bone density, this finding is most likely to be observed in patients with bingeing and purging behavior.
What is QT and T wave changes
300
You diagnose ADHD for a 9 year old boy, he has tried Concerta up to 36mg daily with weight loss and also Vyvanse up to 40mg with more irritability - what next?
What is consider Strattera or an alpha 2 agonist OR consider revisiting your diagnosis.
300
Which of the following is the most common method of completed suicide in female children and adolescents?
What is Firearms. Actually, this is the most common method of completed suicide in US.
400
A 15 year old female is admitted to your inpatient psychiatric unit with acute onset aggression, hallucinations and paranoia. You evaluate that patient and she appears cognitively below age level as well. What medical problems would you consider ruling out before diagnosing this patient with psychiatric pathology alone?
What is NMDA encephalitis or PANDAS, etc.
400
A 4 y/o child that was hypotonic as an infant is now demonstrating developmental delays, foraging for food and having many temper tantrums. DX?
What is Prader willi syndrome
400
Among normal grief, pathological denial, reaction formation, separation anxiety disorder and PTSD, this is most likely represented when a 5-year-old child, who experienced the sudden death of his mother in a motor vehicle collision, several months later reports knowing that his mother is “watching me from the sky every day.”
What is normal grief
400
A 7 year old Male patient is diagnosed with ADHD, combined type and has impulsive issues at home and school. You decide to rec starting a medication - what might you choose?
What is EITHER Methylphenidate or Amphetamine salt options are equally efficacious. Stimulants are the gold standard for treating ADHD.
400
Which is the most common mitochondrial disorder (of 4 listed)?
What is MITOCHONDRIAL ENCEPHALOPATHY, MYOPATHY, LACTIC ACIDOSIS, AND STROKE-LIKE EPISODES (MELAS)
500
Among Gabapentin, Vigabatrin, Pheyntoin, Valproate and Carbamazepine, this medication is an adequate initial treatment of absence seizures in children.
What is Valproate?
500
Which is seen in 90 – 100% of pt w/ narcolepsy (genetics)?
What is HLA-DR2
500
Among phenylketonuria, hyperphenylalaninemia, congenital hypothyroidism, maple syrup urine disease and Tay-Sachs disease, this metabolic disease is most likely to manifest in the neonatal period.
What is maple syrup urine disease?
500
What medication is FDA approved for treating a 7 year old with significant GAD?
What is Cymbalta. approved for Generalized anxiety disorder -ages 7-17 years
500
Among Sigmund Freud, Erich Fromm, Carl Jung, Jacques Lacan and Carl Rogers, this theorist introduced the concept of introversion and extroversion as types of personality organization.
Who is Carl Jung?