CAMHS

Question 1

Conservative and medical management of ADHD

Answer 1

• Healthy diet and exercise
• Medication : methylphenidate, dexamphetamine, atomoxetine

Question 2

How can deficits seen in ASD be classified

Answer 2

Social interaction
Communication
Behaviour

Question 3

what social interaction deficits are seen in ASD ?

Answer 3

• Lack of eye contact
• Delay in smiling
• Avoids physical contact
• Unable to read non-verbal cues
• Difficulty establishing friendships
• Not displaying a desire to share attention (i.e. not playing with others)

Question 4

what communication deficits are seen in ASD

Answer 4

• Delay, absence or regression in language development
• Lack of appropriate non-verbal communication such as smiling, eye contact, responding to others and sharing interest
• Difficulty with imaginative or imitative behaviour
• Repetitive use of words or phrases

Question 5

What behaviour deficits are seen in ASD ?

Answer 5

• Greater interest in objects, numbers or patterns than people
• Stereotypical repetitive movements. There may be self-stimulating movements that are used to comfort themselves, such as hand-flapping or rocking.
• Intensive and deep interests that are persistent and rigid
• Repetitive behaviour and fixed routines
• Anxiety and distress with experiences outside their normal routine
• Extremely restricted food preferences

Question 6

Features of anorexia

Answer 6

Belief that they are overweight, despite normal or low body weight. Obsessively restricting calorie intake

• Excessive weight loss
• Amenorrhoea
• Lanugo hair is fine, soft hair across most of the body
• Hypokalaemia
• Hypotension
• Hypothermia
• Changes in mood, anxiety and depression
• Solitude

Question 7

Features of bulimia

Answer 7

• Alkalosis, due to vomiting hydrochloric acid from the stomach
• Hypokalaemia
• Erosion of teeth
• Swollen salivary glands
• Mouth ulcers
• Gastro-oesophageal reflux and irritation
• Calluses on the knuckles where they have been scraped across the teeth = Russell’s sign.

Question 8

3 features of refeeding syndrome

Answer 8

Hypomagnesaemia
Hypokalaemia
Hypophosphataemia

Question 9

1st line antidepressant in children with depression

Answer 9

Fluoxetine (10mg, increased to max 20mg)

Question 10

Triad of shaken baby syndrome

Answer 10

Retinal haemorrhages, subdural haematoma and encephalopathy is the triad of the shaken baby syndrome