PMHS EXAM STUDY GUIDE (SOLVED) CORRECTLY TO PASS!!
contraindications to methylphenidate - (ANSWER)marked anxiety
glaucoma
use of MAO within 2 weeks
caution with tic or tourette
Methylphenidate - (ANSWER)dose range 0.3-1.0 mg/kg/dose
using amphetamines - (ANSWER)start with Adderall 5mg transition to Adderall xr 10mg. Max dose 1.5
mg/kg/day or 30 mg/day
alpha-2 agonist mechanism of action - (ANSWER)increase basal activity of the locus coeruleus
noradrenergic cell bodies in patients with adhd may decrease the response of the PFC
intuniv (extended release guanfacine) - (ANSWER)binds to receptors in prefrontal cortex
improves executive function
takes one to two weeks to see effects
off label use
not as helpful for inattention
treatment for mild depression - (ANSWER)support and monitoring for initial 6-8 weeks
moderate depression - (ANSWER)
baumrinds parenting styes - (ANSWER)authoritarian
authoritative
permissive
rejecting/neglecting
,PMHS EXAM STUDY GUIDE (SOLVED) CORRECTLY TO PASS!!
authoritarian parenting - (ANSWER)Demanding and directive, but not responsive
status oriented
They want obedient children that follow orders
parents provide orderly environment
May cause children to internalize probs, low self-esteem. Kids can be withdrawn and distrustful.
authoritative parenting - (ANSWER)both demanding and responsive
Directs child with rationale
children are competent, well- adjusted self-reliant
permissive parenting - (ANSWER)style of parenting in which parent makes few, if any demands on a
child's behavior
children of permissive parents are least self-reliant
rejecting-neglecting parenting - (ANSWER)a disengaged parenting style that is low in both
responsiveness and demandingness. Rejecting-neglecting parents do not set limits for or monitor their
children's behavior, are not supportive of them, and sometimes are rejecting or neglectful. They tend to
be focused on their own needs rather than their children's needs.
rejecting-neglecting parenting may cause low self-esteem
SBIRT - (ANSWER)Screening, Brief Intervention, and Referral to Treatment
Thomas and Stella Chess - (ANSWER)temperament
three most widely used screening tools in pediatric primary care - (ANSWER)Ages and Stages
Questionnaire (ASQ)
Parents' Evaluation of Developmental Status (PEDS)
,PMHS EXAM STUDY GUIDE (SOLVED) CORRECTLY TO PASS!!
M-CHAT
ASQ - (ANSWER)More accurate than PEDS in children over 30 mos.
ASQ-3 - (ANSWER)2-60 mos
ASQ-3 - (ANSWER)communication
gross motor
fine motor
problem solving
personal social
ASQ-SE - (ANSWER)Ages and Stages Questionnaire: Social Emotional
7 categories - self-regulation, compliance communication, adaptive functioning, autonomy, affect,
interaction with people
Pediatric Symptom Checklist - (ANSWER)broad emotional and behavioral screening tool
Time: completed by parents, youth, or staff in 5‐10 m
Cost: Free
Features: Specificity and sensitivity of 0.95 using cutoff scores
Designed to evaluate the psycho‐social functioning of children ages 4‐16
There is a youth (>age 11) self‐report version of the PSC
PSC 35 Cutoff Scoring
Pediatric Symptom Checklist (PSC) - (ANSWER)for children ages 6-18, score greater than 27 impaired
for younger children , score greater than 24 impaired
, PMHS EXAM STUDY GUIDE (SOLVED) CORRECTLY TO PASS!!
PSC-Y scores of 30 or higher
Screening for Drug and alcohol use - (ANSWER)CRAFFT (car, relax, alone, forget, friends trouble) (12-18
years)
BASTD (Brief Screener for Tobacco, Alcohol and other Drugs )
CRAFFT - (ANSWER)12-18 years
DepressionScreener - (ANSWER)Mood and Feeling Questionnaire (MFQ-SI) 7-17 years
PHQ-Adolescent Version
PHQ-9 - (ANSWER)assessment that evaluates degree of depression
0-4 no depression
5-9 minimal symptoms
10-14 possible dysthymia, mild depression
15-19 consistent with major depression
>/= 20 severe major depression
major depressive disorder - (ANSWER)5 or more of the following symptom for 2 weeks with at least one
of the symptoms being depressed or diminished interest in all activities
depressed mood most of the day
diminished interest in activities
significant wt loss
insomnia or hypersomnia most days
psychomotor agitation nearly every day
fatigue or loss of energy
feeling of worthlessnessdecreased ability to think or concentrate/indecisiveness
contraindications to methylphenidate - (ANSWER)marked anxiety
glaucoma
use of MAO within 2 weeks
caution with tic or tourette
Methylphenidate - (ANSWER)dose range 0.3-1.0 mg/kg/dose
using amphetamines - (ANSWER)start with Adderall 5mg transition to Adderall xr 10mg. Max dose 1.5
mg/kg/day or 30 mg/day
alpha-2 agonist mechanism of action - (ANSWER)increase basal activity of the locus coeruleus
noradrenergic cell bodies in patients with adhd may decrease the response of the PFC
intuniv (extended release guanfacine) - (ANSWER)binds to receptors in prefrontal cortex
improves executive function
takes one to two weeks to see effects
off label use
not as helpful for inattention
treatment for mild depression - (ANSWER)support and monitoring for initial 6-8 weeks
moderate depression - (ANSWER)
baumrinds parenting styes - (ANSWER)authoritarian
authoritative
permissive
rejecting/neglecting
,PMHS EXAM STUDY GUIDE (SOLVED) CORRECTLY TO PASS!!
authoritarian parenting - (ANSWER)Demanding and directive, but not responsive
status oriented
They want obedient children that follow orders
parents provide orderly environment
May cause children to internalize probs, low self-esteem. Kids can be withdrawn and distrustful.
authoritative parenting - (ANSWER)both demanding and responsive
Directs child with rationale
children are competent, well- adjusted self-reliant
permissive parenting - (ANSWER)style of parenting in which parent makes few, if any demands on a
child's behavior
children of permissive parents are least self-reliant
rejecting-neglecting parenting - (ANSWER)a disengaged parenting style that is low in both
responsiveness and demandingness. Rejecting-neglecting parents do not set limits for or monitor their
children's behavior, are not supportive of them, and sometimes are rejecting or neglectful. They tend to
be focused on their own needs rather than their children's needs.
rejecting-neglecting parenting may cause low self-esteem
SBIRT - (ANSWER)Screening, Brief Intervention, and Referral to Treatment
Thomas and Stella Chess - (ANSWER)temperament
three most widely used screening tools in pediatric primary care - (ANSWER)Ages and Stages
Questionnaire (ASQ)
Parents' Evaluation of Developmental Status (PEDS)
,PMHS EXAM STUDY GUIDE (SOLVED) CORRECTLY TO PASS!!
M-CHAT
ASQ - (ANSWER)More accurate than PEDS in children over 30 mos.
ASQ-3 - (ANSWER)2-60 mos
ASQ-3 - (ANSWER)communication
gross motor
fine motor
problem solving
personal social
ASQ-SE - (ANSWER)Ages and Stages Questionnaire: Social Emotional
7 categories - self-regulation, compliance communication, adaptive functioning, autonomy, affect,
interaction with people
Pediatric Symptom Checklist - (ANSWER)broad emotional and behavioral screening tool
Time: completed by parents, youth, or staff in 5‐10 m
Cost: Free
Features: Specificity and sensitivity of 0.95 using cutoff scores
Designed to evaluate the psycho‐social functioning of children ages 4‐16
There is a youth (>age 11) self‐report version of the PSC
PSC 35 Cutoff Scoring
Pediatric Symptom Checklist (PSC) - (ANSWER)for children ages 6-18, score greater than 27 impaired
for younger children , score greater than 24 impaired
, PMHS EXAM STUDY GUIDE (SOLVED) CORRECTLY TO PASS!!
PSC-Y scores of 30 or higher
Screening for Drug and alcohol use - (ANSWER)CRAFFT (car, relax, alone, forget, friends trouble) (12-18
years)
BASTD (Brief Screener for Tobacco, Alcohol and other Drugs )
CRAFFT - (ANSWER)12-18 years
DepressionScreener - (ANSWER)Mood and Feeling Questionnaire (MFQ-SI) 7-17 years
PHQ-Adolescent Version
PHQ-9 - (ANSWER)assessment that evaluates degree of depression
0-4 no depression
5-9 minimal symptoms
10-14 possible dysthymia, mild depression
15-19 consistent with major depression
>/= 20 severe major depression
major depressive disorder - (ANSWER)5 or more of the following symptom for 2 weeks with at least one
of the symptoms being depressed or diminished interest in all activities
depressed mood most of the day
diminished interest in activities
significant wt loss
insomnia or hypersomnia most days
psychomotor agitation nearly every day
fatigue or loss of energy
feeling of worthlessnessdecreased ability to think or concentrate/indecisiveness
