Tag: Compilation Of Psychiatric Disorders In Pediatric Patients

Compilation Of Psychiatric Disorders In Pediatric Patients

COMPILATION OF PSYCHIATRIC DISORDERS IN PEDIATRIC PATIENTS

Q. 1 Dyslexia is characterized by all except
 A Mental retardation
 B Inability to interpret written language
 C Male preponderance
 D Retardation reading
Q. 1 Dyslexia is characterized by all except
 A Mental retardation
 B Inability to interpret written language
 C Male preponderance
 D Retardation reading
Ans. A

Explanation:

Mental retardation

Dyslexia: An imprecise term concerning a condition in which an individual with normal vision is unable to interpret written language. The condition is more common in males and is noticed in children with reading difficulty in the first grade. These individuals can see and recognize letters but are unable to spell and write words. They have no difficulty recognizing the meaning of objects and pictures. Dyslexia is unrelated to intelligence.


Q. 2

A 12-year-old boy presents with disruptive behaviour at school, aggression towards teachers and truancy. He was recently suspended from the school for destruction of school property. Which of the following diagnosis best suits his presentation?

 A

Oppositional defiant disorder

 B

Conduct disorder

 C

Attention deficit hyperactivity disorder

 D

Autism spectrum disorder

Q. 2

A 12-year-old boy presents with disruptive behaviour at school, aggression towards teachers and truancy. He was recently suspended from the school for destruction of school property. Which of the following diagnosis best suits his presentation?

 A

Oppositional defiant disorder

 B

Conduct disorder

 C

Attention deficit hyperactivity disorder

 D

Autism spectrum disorder

Ans. B

Explanation:

Conduct disorder in children is characterised by behaviours which could cause harm to self or others or property.

Cruelty to animals is also a feature.

There is frequent violation of the rights of others and rule breaking behaviours. The behaviours are persistent and not occasional.

Ref: Kaplan & Sadock’s Synopsis of Psychiatry: Benjamin J Sadock, M.D., Harold I. Kaplan, Virginia A Sadock, M.D, Edition: 10, Page 1218


Q. 3

Conduct disorder in a child manifests with

 A

Disregard for right of others

 B

Doesn’t care for authority

 C

Backward in studies

 D

All

Q. 3

Conduct disorder in a child manifests with

 A

Disregard for right of others

 B

Doesn’t care for authority

 C

Backward in studies

 D

All

Ans. D

Explanation:

A i.e. Disregard for rights of others; B i.e. Doesn’t care for authority; C i.e. Backward in studies

  • C.D. is characterized by a persistent & significant pattern of conduct in which the basic rights of others are violated or rules of society are not followedQ.
  • Clinical features include:
  1. Frequent lying
  2. Stealing or robberyQ
  3. Running away from home or school
  4. Physical violence like rape, fire setting, assaults or breaking in, use of weapons.
  5. Cruelty towards other people & animal
  6. Destruction of property
  7. Serious violation of rulesQ
  8. Backward in studiesQ

May 1/ t – drug abuse & dependenceQ, unwanted pregnancies, criminal record, suicidal or homicidal behaviour, STDs.

Quiz In Between


Q. 4

A child fights with other childrens frequently. He has disciplinary problem in school and steals things. Most likely diagnosis is:           

March 2012

 A

Autism

 B

Attention deficit hyperkinetic disorder

 C

Conduct disorder

 D

Obsessive compulsive disorder

Q. 4

A child fights with other childrens frequently. He has disciplinary problem in school and steals things. Most likely diagnosis is:           

March 2012

 A

Autism

 B

Attention deficit hyperkinetic disorder

 C

Conduct disorder

 D

Obsessive compulsive disorder

Ans. C

Explanation:

Ans: C i.e. Conduct disorder

Child psychiatric conditions and presentation

  • Triad of symptoms of autism includes abnormal reciprocal social interaction; communication and language impairment; and a restricted, stereotyped and repetitive repertoire of interests and activities
  • Clinical features of ADHD includes inattention, hyperactivity and impulsiveness
  • Conduct disorder is characterized by aggression/cruelty to people and/or animals, theft, theft, fire setting, severe provocative or disobedient disorder etc.
  • Features of OCD include obsessions (intrusive, repetitive and distressing thoughts), compulsions (repetitive, stereotyped, unnecessary behaviours)

Q. 5

A 13 years old boy often argue with parent and teachers. However he is not physical aggressive and there is no history of drug abuse, theft, lying or bullying. Most likely diagnosis is-

 A

Conduct disorder

 B

Oppositional defiant disorder

 C

Autism

 D

Pervasive developmental disorder

Q. 5

A 13 years old boy often argue with parent and teachers. However he is not physical aggressive and there is no history of drug abuse, theft, lying or bullying. Most likely diagnosis is-

 A

Conduct disorder

 B

Oppositional defiant disorder

 C

Autism

 D

Pervasive developmental disorder

Ans. B

Explanation:

Ans: B. Oppositional defiant disorder

(Ref: Kaplan & saddock’s th/e p. 11391)

  • This boy is showing a pattern of defiance of authority (arguing with parents and teachers).
  • There are no features of conduct disorder (drug abuse, theft’ lying).
  • Thus, the diagnosis is oppositional defiant disorder.

Q. 6

A 13 years old boys is often aggressive, arguing with parent and teachers. He has history of frequent lying and stealing money at home. He always runs away from class to play. The diagnosis is-

 A

Conduct disorder

 B

Oppositional defiant disorder

 C

Autism

 D

Pervasive developmental disorder

Q. 6

A 13 years old boys is often aggressive, arguing with parent and teachers. He has history of frequent lying and stealing money at home. He always runs away from class to play. The diagnosis is-

 A

Conduct disorder

 B

Oppositional defiant disorder

 C

Autism

 D

Pervasive developmental disorder

Ans. A

Explanation:

Ans: A. Conduct disorder

(Ref: Kaplan & Saddock’s th/e p. 1139).

  • Conduct disorder is characterized by a persistent and significant pattern of conduct in which the basic rights of others are violated or rules of society are not followed.
  • The onset occurs much before 18 years of age, usually even before puberty.

The characteristic clinical features include: –

  1. Frequent lying
  2. Stealing or robbery
  3. Physical violence like rape, fire setting, assault, use ofweapons, fighting and aggresiveness.
  4. Running away from home and school → Therefore, backward in studies.

Quiz In Between



Compilation Of Psychiatric Disorders In Pediatric Patients

COMPILATION OF PSYCHIATRIC DISORDERS IN PEDIATRIC PATIENTS


COMPILATION OF PSYCHIATRIC DISORDERS IN PEDIATRIC PATIENTS

  • Important psychiatric disorders in pediatric patients include,
    • Conduct disorder.
    • Oppositional defiant disorder.
    • Specific disorders of scholastic skills – Learning disorders.

Conduct disorder:

  • Associated with unsatisfactory family relationships & failure at school.
  • Later stages lead to antisocial personality disorder (dissocial personality disorder).

Features:

Characterized by –

  • Repetitive & persistent pattern of disregard for rights of others.
  • Aggressiveness & dissocial behavior (excessive fighting or bullying).
  • Cruelty to animals/people.
  • Severe destruction of property (fire setting).
  • Stealing.
  • Truancy from school.
  • Repeated lying.
  • Frequent running from school & home.
  • Defiance of authority figures.
  • Disobedience pattern.

Oppositional defiant disorder:

  • Less severe than conduct disorder.

Features: 

  • Characterized by persistently negativistic & defiant behavior (frequent arguing with adults, refusal to comply with adults).
  • Frequent loss of temper (deliberately annoying adults).
  • Note: No serious violations (theft, fire setting, destruction, etc.) – Unlike conduct disorder.

Management:

  • Conduct & oppositional defiant disorder –
    • Family intervention & behavioral therapy.
    • Low dose antipsychotics effective in some.

Learning disorders:

  • Also referred as Specific developmental disorders of cholastic skills”.

Features: 

  • Characterized by significant impairment in one or more of scholastic skills which are out of proportion to intellectual functioning of child.
  • Eg: Significant difficulty in reading while having normal writing & arithmetic skills with normal IQ.

Subtypes: 

  • Specific reading disorder (Dyslexia).
  • Disorder of written expression (specific spelling disorder).
  • Specific disorder of arithmetic skills.
  • Mixed disorders of scholastic skills (reading, writing & arithmetics).

Other features:

  • Inattention.
  • Hyperactivity.
  • Emotional disturbances.

Exam Important

  • Repetitive & persistent pattern of disregard for rights of others is seen in conduct disorder.
  • Aggressiveness & dissocial behavior (excessive fighting or bullying) and repeated lying is feature of conduct disorder.
  • Dyslexia is specific reading disorder.
  • Learning disorders are developmental disorders are characterized by significant impairment in one or more of the scholastic skills which are out of proportion to intellectual functioning of child.
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