Questions
PANDAS Correct Answer - Pediatric Autoimmune
Neuropsychiatric Disorders Associated with Streptococcal infections
Presentation appears like acute onset of OCD including food
restriction and two or more of the following:
anxiety
emotional lability
depression
irritability
opposition
ADHD symptoms
Academic decline
regressive bx
MSE may reveal SIB, regressive language such as "baby talk"
incongruent laughter
Treat the source of the infection, immunotherapies and anti-
inflammitory treatments.
Also recommend benzo or antipsychotic agent
Symptoms may reoccur
PANS Correct Answer - Pediatric Acute Onset
Neuropsychiatric Symptoms
Associated with bacterial or viral infections such as influenza or M.
Pneumonia or lyme
Symptoms are often severe and episodic
often accompanied by Severe separation anxiety
, MSE may reveal SIB, regressive language such as "baby talk"
incongruent laughter
Treat the source of the infection, immunotherapies and anti-
inflammitory treatments.
Also recommend benzo or antipsychotic agent
Symptoms may reoccur
ACES Correct Answer - Adverse Childhood Experiences
There are 10 types of childhood trauma
5 person-physical abuse, verbal abuse, sexual abuse, physical
neglect, and emotional neglect
5 family related-family substance use, domestic violence, family
member in jail, family with mental illness, and divorce of parents
Each type of trauma counts as a 1 which totals the ACE score
Questions are asked in relation to prior to 18th birthday
The ACE study was large and well known and linked childhood
trauma to chronic disease states and emotional/social problems i.e
as the ACE score increases so does the risk of disease states
primary prevention Correct Answer - Efforts to prevent an
injury or illness from ever occurring.
secondary prevention Correct Answer - Efforts to limit the
effects of an injury or illness that you cannot completely prevent.
tertiary prevention Correct Answer - actions taken to contain
damage once a disease or disability has progressed beyond its early
stages