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Gurpal

Part II ISQ Club - Child Psychiatry

26 posts in this topic

Part II ISQs on two topics will be posted twice a week. You are encouraged to post a reply in the thread, stating whether you think an ISQ is true or false and why (eg. a short explanation, with reference to the textbook you used). Please only deal with one ISQ in each post and include the question as the first line of your post. All ISQs are taken from previous posts by Forum members.

In a few days this ISQ Club thread will be moved to the Question Bank board. If you submit an answer, your status will be changed to 'Question Bank member' and you will be able to see the Question Bank board. Please allow up to 48 hours for this change to happen.

Last Part II ISQ Club post on 25 March 2004. Nearly all the recalled past paper questions will have been posted. Hope the revision is going well!

1. The semantic content is completely contained in the word

2. In dyslexia, automatic lexical recognition is normal

3. In dyslexia there is decreased regional cerebral blood flow in the left temporal region

4. In bilingual patients, the original language is most effected in aphasia

5. Children with chronic fatigue syndrome have more problems than those with chronic juvenile arthritis

6. School refusal is seen only in boys

7. Object constancy means being consistent

8. Perinatal complications predict future ADHD

9. A child born with hypothyroidism is normal at birth

10. Tic disorder in childhood is of a transient nature

11. 0.1% -0.2% of genetic disorders can be detected in the next generation.

12. Reading difficulties are associated with otitis media

13. Inter-ictal psychosis is more common in epilepsy with LD

14. Traffic calming schemes reduce the incidence of LD

15. After gradual reduction of neuroleptics in LD, further medication is usually needed

16. People with LD are more sensitive to side effects of antipsychotics

17. In a child of 18 months, a puzzled expression when the mother enters the room is a sign of insecure attachment

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6.school refusal is seen only in boys.

answer:FALSE

REF(PG 355 revision notes in psychiatry Puri and Hall)

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q.14 Traffic calming schemes do decrease LD as less head injuries from RTAs, therefore less mental retardation. (therefore true)

ans from exact same question in the Manchester course

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Q 7: Object constancy

False.

This refers to a basic concept in Gestalt Psychology, in which objects are perceived of a constant size even if they move towards the viewer.

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1. The semantic content is completely contained in the word

TRUE

(Pg 188, Child Psychiatry, Goodman & Scott)

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14. Traffic calming schemes reduce the incidence of LD

TRUE

(Pg 177, Child Psychiatry, Goodman & Scott)

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9. A child born with hypothyroidism is normal at birth

TRUE

Appearance is normal at birth; abnormalities appear at 6 months; growth failure, puffy skin, lethargy

(Pg 736, Oxford Txt of Psych, 3rd Ed, Gelder et al)

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10. Tic disorder in childhood is of a transient nature

FALSE

Can be chronic

(Pg 106, Child Psychiatry, Goodman & Scott)

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12. Reading difficulties are associated with otitis media

FALSE

(Pg 1156, Synopsis of Psy, 8th Ed, Kaplan & Sadock)

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14. Traffic calming schemes reduce the incidence of LD

TRUE

(Pg 177, Child Psychiatry, Goodman & Scott)

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5. Children with chronic fatigue syndrome have more problems than those with chronic juvenile arthritis

TRUE

Psychological symptoms in chronic fatigue and juvenile rheumatoid arthritis.

Carter et al. Pediatrics. 1999 May;103(5 Pt 1):975-9.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Abstract&list_uids=99240848

Impairment and coping in children and adolescents with chronic fatigue syndrome: a comparative study with other paediatric disorders M. Elena Garralda and Luiza Rangel

Journal of Child Psychology and Psychiatry Volume 45 Issue 3 Page 543 - March 2004

http://www.blackwell-synergy.com/links/doi/10.1111/j.1469-7610.2004.00244.x/abs/;jsessionid=lTfxJL0nY28e

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17. A puzzled expression when the mother enters the room is a sign of insecure attachment..

FALSE

16. People with LD are more sensitive to the s/e of antipsychotics........ TRUE

15. After gradual reduction of neuroleptics in LD, further medication is usually needed

FALSE........ 'not usually'

Sorry......... no references for the above

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12. Reading difficulties are associated with otitis media

TRUE

Several web-pages discuss the relationship. I am not sure what the answer would be if the question was about SPECIFIC READING RETARDATION however!

http://www.beaconliteracy.com/r_phonemic.html

Phonemic Processing

Phonemic processing involves the auditory and speech sensory systems. It involves:

the ability to discriminate the sound patterns within the word

the ability to categorize these sounds.

Individuals with problems in this area often have experienced middle ear infections (Otitis Media) in early childhood. This condition can subtly but adversely affect the hearing at a time when the brain is working at making sense out of speech sounds. This means that the quality of the sound pattern getting to the child's auditory centers in the brain is not as clear as it should be and subsequently some speech frequencies may not be fully analyzed and categorized by the brain. Research in other countries shows that this condition is known to affect literacy development in both the long and short term. Remedial programming to improve phonemic processing skills is fairly easy to accomplish using the Beacon Program as the program basically builds auditory discrimination of speech sounds. The patterns or categories are an integral part of the program, which covers all the major speech sounds and most common spelling rules.

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11. 0.1% -0.2% of genetic disorders can be detected in the next generation.

Any ideas?

I am tempted to say true

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Q10.Tic disorder in childhood is of transient nature.

A-false.usually 2/3 of patients can have improvement or remission in early adult life.

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1. The semantic content is completely contained in the word - T

2. In dyslexia, automatic lexical recognition is normal - F

3. In dyslexia there is decreased regional cerebral blood flow in the left temporal region T

4. In bilingual patients, the original language is most effected in aphasia -F

5. Children with chronic fatigue syndrome have more problems than those with chronic juvenile arthritis -T

6. School refusal is seen only in boys - F

7. Object constancy means being consistent  -F

8. Perinatal complications predict future ADHD - T

9. A child born with hypothyroidism is normal at birth - T

10. Tic disorder in childhood is of a transient nature -F

11. 0.1% -0.2% of genetic disorders can be detected in the next generation. -T

12. Reading difficulties are associated with otitis media -T

13. Inter-ictal psychosis is more common in epilepsy with LD ?

14. Traffic calming schemes reduce the incidence of LD -T

15. After gradual reduction of neuroleptics in LD, further medication is usually needed -T

16. People with LD are more sensitive to side effects of antipsychotics -T

17. In a child of 18 months, a puzzled expression when the mother enters the room is a sign of insecure attachment - F

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Title: Primary Progressive Aphasia in a Bilingual Woman

Christopher M. Filley, Denver, Colorado, United States, Gail Ramsberger, Boulder, Colorado, United States,

Lise Menn, Boulder, Colorado, United States, Jiang Wu, Denver, Colorado, United States, Bessie Y. Reid,

Monument, Colorado, United States and Allen L. Reid, Monument, Colorado, United States.

Objective: To report neurolinguistic features of a Chinese- and English-speaking woman with primary

progressive aphasia (PPA).

Background: Aphasia in bilingual individuals provides an interesting context in which to investigate the

cerebral representation of language. Most knowledge of this area is based on study of individuals who have

had a stroke; neurodegenerative disease permits observation of this syndrome as progressive language

impairment develops. We present a case of PPA in a bilingual patient.

Design/Methods: Case study of a highly educated, 75-year old, right-handed woman who is fluent in her

native Chinese (Shanghai dialect) and English.

Results: Language disturbance has progressed over five years. The first symptom was word-finding

impairment, followed by articulatory deficits and paraphasic errors. There has been no memory loss,

personality change, impaired recognition, or visuospatial deficit; mild depression has been improved by

antidepressant medication. Brain magnetic resonance imaging is unremarkable for her age, but single

photon emission computed tomography shows subtle left temporal and parietal hypometabolism. Routine

laboratory studies and the elemental neurologic examination are unremarkable. Neurobehavioral testing

shows fluent speech, normal auditory comprehension, impaired repetition, moderate anomia, and literal

paraphasias. Reading and writing are preserved, and there is no amnesia, apraxia, agnosia, acalculia, rightleft

disorientation, visuospatial disturbance, or executive dysfunction. Testing with the Boston Diagnostic

Aphasia Examination in Chinese and English reveals that, although Chinese is more affected than English,

the pattern of linguistic characteristics is remarkably similar.

Conclusions/Relevance: To our knowledge, this is the first case of PPA reported in a bilingual individual.

The current profile of linguistic deficits resembles conduction aphasia, and likely reflects neuronal

degeneration in left temporal and parietal regions. English is better preserved than Chinese, perhaps

because English has been the preferred language for many years. Qualitatively, aphasia is nearly identical in

the two languages, suggesting that they are represented in closely related cortical areas.

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10. Tic disorder in childhood is of a transient nature

False,could be persistent in the form of Tourettes.

Ref: Rutters

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Traffic calming schemes reduce the incidence of LD

False

Quote defn. of LD

Ref Superego cafe notes

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