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Gurpal

Part 2 ISQ Club - Child Psychiatry

37 posts in this topic

Below are some ISQs from the autumn 2004 exam. The complete paper can be downloaded by clicking here.

1. Object constancy occur before the onset of stranger anxiety

2. According to Piaget's theory, experiences are stored as cognitive constructs

3. The heritability of conduct disorder is 0.1 - 0.2

4. Conduct disorder is associated with mood disorders in adulthood

5. In conduct disorder without ADHD, executive function is normal

6. Juvenile delinquency is reported in more than 10% of British urban teenagers

7. Girls with juvenile delinquency have higher rates of psychiatric illnesses than boys

8. A typical British 14 year old boy will use solvents in next 6 months

9. Truancy is commonly associated with anti-social behaviour

10. School refusal is more common in boys than girls

11. Encopresis is associated with school refusal

12. There is a 90% monozygotic twin concordance rate in autism

13. Autism is associated with epilepsy in adolescence

14. Autistic adolescents have high incident of fits

15. In autism IQ is less than 70%

16. Obsessive rumination is seen in >5% of Asperger’s syndrome

17. In ADHD, drug and behavioural treatment leads to a better outcome than drug treatment alone

18. Adolescent girls have more depressive cognitions than boys when they grow up

19. A 12 year old girl complains of repeated sexual abuse by her father; interviews using ‘anatomically correct’ dolls is appropriate

20. A 12 year old girl complains of repeated sexual abuse by her father; a child protection order should be secured immediately

21. Use of SSRI in child and adolescent depression may increase suicidal thoughts

22. Primary enuresis in an 8 year boy with normal intelligence and urology test is an indication for EEG

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1. Object constancy occur before the onset of stranger anxiety

false. Stranger A. developes between 8-18 months [ Revision notes in Psychiatry]

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2. According to Piaget's theory, experiences are stored as cognitive constructs

False. just a guess, because i think, new experiences get stored in already existing Constructs.

Am I right, or I make myself too clever, perfectionist and obsessive? Please see the 'Revision notes in Psychiatry' and your better understanding of what it says might solve this problem.

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3. The heritability of conduct disorder is 0.1 - 0.2

false. The range may be greater than between 0.1-0.2. But really not sure! I repeatedly see this Q. and looked at few books. no one mentions 0.1-0.2. any comments?

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4. Conduct disorder is associated with mood disorders in adulthood

TRUE

And with poor self esteem and poor peer relationships, plus of course, with antisocial personality disorder.

Compan psych studies 7th ed pag 594

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5. In conduct disorder without ADHD, executive function is normal

FALSE

E F describes higher order functioning including initiation, planning, hypothesis generation, cognitive flexibility, decision making, flexibility.. this form the basis of CD pathology.

If they were normal, it'd be delinquency.

(got this from several sources, companion and examination notes)

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10. School refusal is more common in boys than girls

false. equally common in boys and girls.[Manchester course]

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11. Encopresis is associated with school refusal

true

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12. There is a 90% monozygotic twin concordance rate in autism  

true

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conduct disorder heritability?

It is 0.4-0.6

Reliably checked through google search.

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21. Use of SSRI in child and adolescent depression may increase suicidal thoughts

TRUE

CSF Warning Dec 2003 : Only Fluoxetine is licensed under 18y with caution.

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The heritability of conduct disorder is 0.1 - 0.2

?FALSE

'heritability estimates for conduct disorder symptoms range from .40 to .70, with most studies reporting estimates of around .50'

http://ps.psychiatryonline.org/cgi/content/full/54/11/1455

Alcohol & Drug Abuse: Drug Policy by Analogy: Well, It's Like This...

Douglas B. Marlowe, J.D., Ph.D. and David S. DeMatteo, J.D., Ph.D.

Psychiatr Serv 54:1455-1456, November 2003

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1. Object constancy occur before the onset of stranger anxiety

false?

size and shape constancy are achieved much earlier but colour / location constancy continue to develop till the age of two yrs.

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6. Juvenile delinquency is reported in more than 10% of British urban teenagers

true? i can't find anything better than this...

26% of UK convictions (inc. cautions) are of people aged 10-17

can anyone help?

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13. Autism is associated with epilepsy in adolescence

14. Autistic adolescents have high incident of fits

true

Epilepsy in adolescents and young adults with autistic disorder.

Giovanardi Rossi P, Posar A, Parmeggiani A.

Brain Dev. 2000 Mar;22(2):102-6

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15. In autism IQ is less than 70%

false...high functioning autism / asperger's have IQs in the normal/above normal range

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17. In ADHD, drug and behavioural treatment leads to a better outcome than drug treatment alone

true

NICE:

There is evidence, some of relatively good quality, which suggests that the addition of MPH to behavioural treatment is beneficial. Improvements in short and medium outcomes were observed across a number of dimensions.

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Ques. 1 is the qu. asking about M mahler's costancy or Object constancy of perception(perceptual constancy). ???

It can be true or false depending on the way u see it! :o

This is not uncommon in Psychiatry :lol:

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conduct disorder heritability

0.4 (cambridge course)

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18. Adolescent girls have more depressive cognitions than boys when they grow up

I'm tempted to say True....only because women are more prone for depression anyway...

any thoughts?

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16. Obsessive rumination is seen in >5% of Asperger’s syndrome

False

Obsessive rituals and behaviours rather than ruminations.

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18. Adolescent girls have more depressive cognitions than boys when they grow up

I think also, it is true as they have more ruminative response style proposed by Noelen Hoeksema :P

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15. In autism IQ is less than 70%

'Around 70% of people with autism have an IQ below 70 (the average IQ of the population is 100). This is classed as a learning disability. Some people with autism have normal or high intelligence'

http://hcd2.bupa.co.uk/fact_sheets/html/autism.html

Depends on how question phrased. If majority of autism IQ<70 may say true, but not all.

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In autism, IQ is <70. True

MR is present in the majority. 50% have IQ <50, 70% <70, almost 100% (95%) <100.

verbal IQ is almost always lower than performance IQ and IQ should be judged by non-verbal tests.

Goodman & Scott (p 43)

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In ADHD, drug and behavioural treatment leads to a better outcome than drug treatment alone.  

False

MTA trial : the major finding was that there was no superiority for combined behavioural and medication interventions over carefully titrated medication alone.

www.nelmh.org then child and adolescent- ADHD- management

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