VERIFIED 16, MARYVILLE N663 EXAM 2 QUESTIONS AND
ANSWERS
Tourette's Disorder
A disorder involving a combination of chronic movement and vocal tics
Must persist for at least one year
Onset before age 18
Persistent Motor or Vocal Tic Disorder
Single or multiple motor or vocal tics have been present during the illness, but not both
motor and vocal
Developmental Coordination Disorder
The acquisition and execution of coordinated motor skills is substantially below that
expected given the individual's chronological age and opportunity for skill learning and
use
Characteristics of developmental coordination disorder
Prevalence in ages 5-11 is 5-6%
Strongly associated with ADHD
Risk Factors: prematurity, hypoxia, perinatal malnutrition
Stereotypic Movement Disorder
Repetitive, seemingly driven, and apparently purposeless motor behavior such as Hand
flapping, body rocking, lip licking skin picking,self-hitting
Characteristics of stereotypic movement disorder
Typically rhythmic movements
Most frequent age of onset is 2 yrs old
Prevalence of 15-20% in children younger than 6
Occurs more often in boys
Problem in basal ganglia
Dopamine antagonists may decrease movements
Specific Learning Disorder
A marked deficit in a particular area of learning that is not caused by an apparent
physical disability, or by an unusually stressful home environment
, Feeding and Eating Disorders
Characterized by persistent disturbance of eating behavior, leading to altered
consumption or absorption of food that significantly impairs physical health and/or
psychosocial functioning
Pica
Compulsive eating of nonnutritive substances such as clay or ice
Rumination Disorder
Repeated regurgitation, rechewing of food w/o the apparent nausea or disgust.
Anorexia Nervosa
A restriction of energy intake due to fear of gaining weight or becoming fat, leading to
low weight
Can be restrictive or binge/purge
Pharmacologic treatment of anorexia nervosa
Fluoxetine for depression
Olanzapine (zyprexa) helps with promoting weight gain and changing obsessive thought
patterns
This disorder has the highest mortality rate of any mental disorder
Anorexia Nervosa
Common comorbidities in anorexia nervosa
OCD
Substance use disorder
Depression, dysthymia
bulimia nervosa
An eating disorder characterized by episodes of overeating, usually of high-calorie
foods, followed by vomiting, laxative use, fasting, or excessive exercise
3 characteristics:
Recurrent episodes of binge eating
Recurrent episodes to prevent weight gain
Self evaluation that is unduly influenced by body shape or weight
Pharmacologic treatment in bulimia nervosa
SSRI's (fluoxetine, sertraline, venlafaxine) and topiramate may help with urge to binge
ANSWERS
Tourette's Disorder
A disorder involving a combination of chronic movement and vocal tics
Must persist for at least one year
Onset before age 18
Persistent Motor or Vocal Tic Disorder
Single or multiple motor or vocal tics have been present during the illness, but not both
motor and vocal
Developmental Coordination Disorder
The acquisition and execution of coordinated motor skills is substantially below that
expected given the individual's chronological age and opportunity for skill learning and
use
Characteristics of developmental coordination disorder
Prevalence in ages 5-11 is 5-6%
Strongly associated with ADHD
Risk Factors: prematurity, hypoxia, perinatal malnutrition
Stereotypic Movement Disorder
Repetitive, seemingly driven, and apparently purposeless motor behavior such as Hand
flapping, body rocking, lip licking skin picking,self-hitting
Characteristics of stereotypic movement disorder
Typically rhythmic movements
Most frequent age of onset is 2 yrs old
Prevalence of 15-20% in children younger than 6
Occurs more often in boys
Problem in basal ganglia
Dopamine antagonists may decrease movements
Specific Learning Disorder
A marked deficit in a particular area of learning that is not caused by an apparent
physical disability, or by an unusually stressful home environment
, Feeding and Eating Disorders
Characterized by persistent disturbance of eating behavior, leading to altered
consumption or absorption of food that significantly impairs physical health and/or
psychosocial functioning
Pica
Compulsive eating of nonnutritive substances such as clay or ice
Rumination Disorder
Repeated regurgitation, rechewing of food w/o the apparent nausea or disgust.
Anorexia Nervosa
A restriction of energy intake due to fear of gaining weight or becoming fat, leading to
low weight
Can be restrictive or binge/purge
Pharmacologic treatment of anorexia nervosa
Fluoxetine for depression
Olanzapine (zyprexa) helps with promoting weight gain and changing obsessive thought
patterns
This disorder has the highest mortality rate of any mental disorder
Anorexia Nervosa
Common comorbidities in anorexia nervosa
OCD
Substance use disorder
Depression, dysthymia
bulimia nervosa
An eating disorder characterized by episodes of overeating, usually of high-calorie
foods, followed by vomiting, laxative use, fasting, or excessive exercise
3 characteristics:
Recurrent episodes of binge eating
Recurrent episodes to prevent weight gain
Self evaluation that is unduly influenced by body shape or weight
Pharmacologic treatment in bulimia nervosa
SSRI's (fluoxetine, sertraline, venlafaxine) and topiramate may help with urge to binge
