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SPMM CAMHS – Questions With Complete Solutions
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SPMM CAMHS – Questions With Complete Solutions
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SPMM CAMHS – Questions With Complete SolutionsHeritability of ADHD Right Ans - 70-80%
Risk of ADHD in siblings - 2-3x increased
Rates increased in prem babies, babies born to mothers who used substances
during pregnancy (incl tobacco or alcohol), following head trauma, and in
some gneetic and metabolic disorders
Presentation of depression in younger children (3-8 years) Right Ans -
decreased interest in play
increased somatic complaints
crying or shouting outbursts
Features of depression in older children (9-18years) Right Ans - low self-
esteem
guilt
hopelessness
increased boredom
feelings of wanting to run away
decreased grades and poor school performance
Age group where the prevalence of depression is equal between males and
females Right Ans - prepubertal children
1-2% with no sex difference
Common co-morbidities of PANDAS syndrome Right Ans - anxiety (incl
seperation anxiety)
emotional lability and/or depression
irritability
aggression and/or severely oppositional behaviours
behavious (developmental) regression
deterioration in school performance)
sensory or motor abnormalities
somatic signs and symptoms - incl sleep disturbances, enuresis or increased
urinary frequency
Wechsler Adult Intelligence Scale (WAIS) Right Ans - the WAIS is the most
widely used intelligence test; contains verbal and performance (nonverbal)
subtests
, Verbal - vocab, information, arithmetric, similarities, comprehension
performance - block design, picture completion, picture arrangement, object
assembly, coding
can be given to children aged 6 to 17
yields verbal IQ, performance IQ and combined full-sclae IQ
Age at which 99% of kids have no daytime wetting Right Ans - 5 years
nocturnal enuresis can still affect 15-22% boys and 7-15% girls at age of 7
years
Environmental risk factors for ASD Right Ans - maternal SSRI use
prem
perinatal hypoxia
maternal vit D deficiency
high paternal age
maternal valproate exposure
maternal obesity
birthweight <1500g
prevalence of ADHD in UK Right Ans - 3-4% boys, 1% girls
M:F 4:1
first line medication for Tourettes Right Ans - clonidine
% of people with autism who have intellectual disability Right Ans - 80%
have mild to moderate intellectual disability
1-2% "normal life"
5-20% borderline diagnosis (varying degrees independence)
70% totally dependent upon support
presentation of PTSD in children Right Ans - - compulsive repetitive play
representing part of the trauma and failing to relieve anxiety
- recurrent, involuntary, and intrusive distressing memories of the traumatic
event
- intrusive re-experiencing of the events
- dissociative reactions (eg flashbacks) in which child feels or acts as if the
traumatic events were recurring
- avoidance
- nightmares, sleep terrors and/or difficulty going to sleep
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