Psychiatry - Pathology (Part 1) Flashcards Preview

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Flashcards in Psychiatry - Pathology (Part 1) Deck (160)
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1

What are the seven effects of long-term affection deprivation on infants?

Decreased muscle tone, poor language skills, poor socialization skills, lack of basic trust, anaclitic depression, weight loss, and physical illness

2

True or False? Severe long-term affection deprivation can result in infant death.

True

3

What are the "four W's" that result from long-term affection deprivation of infants?

Weakness, Wordlessness, Wanting (social), and Wariness

4

In cases of physical abuse in children, is the abuser most frequently female or male?

Female

5

True or False? In cases of physical abuse in children, the abuser is usually the primary caregiver.

True

6

In cases of sexual abuse in children, is the abuser more frequently male or female?

Male

7

True or False? In cases of sexual abuse in children, the abuser is usually a stranger to the victim.

False; the abuser is usually known to the victim

8

Approximately how many deaths per year result from the physical abuse of children in the United States?

Approximately 3000

9

The peak incidence of sexual abuse in children occurs in what age range?

9 to 12 years

10

A diagnosis of a sexually transmitted disease in a young child may be evidence of what?

Child abuse

11

A young girl with a history of urinary tract infections presents with multiple bruises and decreased vision in the right eye; ophthalmic evaluation revealed retinal detachment; imaging studies revealed healed fractures and subdural hematoma; these findings may be evidence of which condition?

Child abuse

12

Name the most common form of child maltreatment.

Child neglect

13

True or False? Child abuse must be reported to local child protective services but child neglect does not.

False; both must be reported to local child protective services

14

Child neglect is characterized by failure to provide what support for the child?

Adequate food, shelter, supervision, education, affection

15

What signs and symptoms can be indicative of child neglect?

Withdrawal, malnutrition, poor hygiene, failure to thrive

16

What is anaclitic depression?

Depression in an infant as a result of continued separation from the caregiver

17

What is a major consequence of anaclitic depression in infants?

Failure to thrive or other developmental disturbances

18

What is the response of an infant with anaclitic depression to human contact?

Infants can become withdrawn and unresponsive to people when suffering from anaclitic depression

19

Name four stressors that can lead to regression in children.

Physical illness, punishment, birth of a new sibling, or fatigue

20

Bedwetting in a previously toilet-trained child during hospitalization is an example of what type of behavior?

Regression as a result of a stressor

21

What psychiatric disorder is characterized by poor impulse control and an inability to pay attention?

Attention-deficit hyperactivity disorder

22

What is the average intelligent quotient of a child with attention-deficit hyperactivity disorder?

Patients with attention-deficit hyperactivity disorder have a normal intelligence quotient

23

Which drugs are used to treat attention-deficit hyperactivity disorder?

Methylphenidate (Ritalin), amphetamines, atomoxetine

24

Attention-deficit hyperactivity disorder is characterized by what three traits?

Hyperactivity, motor impairment, emotional lability

25

What brain region has been found to be smaller in patients with attention-deficit hyperactivity disorder?

Frontal lobe

26

True or False? Attention-deficit hyperactivity disorder is exclusively a disorder of childhood.

False, as many as 50% of children will carry the disorder into adulthood

27

A mother brings her nine-year-old son in for evaluation for attention-deficit hyperactivity disorder because his teacher has noticed distractibility, restlessness, and inattention at school, which has never been present before now. Does her child have attention-deficit hyperactivity disorder?

No, the onset of symptoms must begin before 7 years of age

28

An 14-year-old boy is brought to the clinic after he set the neighbor's cat on fire; this patient has many arrests and school expulsions in his background; what is the most likely diagnosis?

Conduct disorder

29

After reaching the age of 18 years, patients with conduct disorder are commonly rediagnosed with what psychiatric diagnosis?

Antisocial personality disorder

30

A boy has been defying authority; he commonly makes rude remarks to his parents, teachers, and other adults; he has no history of violence toward people or animals; what is the most likely diagnosis?

Oppositional defiant disorder