ADHD and Autism

Question 1

what are the dx criteria for ADHD?

Answer 1

• persistent symptoms of inattention and/or hyperactivity-impulsivity that interferes with funciton or development
• several symptoms were present before age 12
• several symptoms were present in 2 or more settings
• clear evidence that symptoms interfere with, or reduce the quality of , social, acedemic, or occupational functioning
• symptoms are not better explained by another doctor

Question 2

what are the 5 autism spectrum disorders?

Answer 2

• autistic disorder
• pervasive developmental disorder NOS
• asperger disorder
• rett syndrome
• disintegrative disorder of childhood

Question 3

ADHD subtype that has criteria met for inattention but not for impulsivity/hyperactivity

Answer 3

ADHD predominantly INNATENTIVE type

Question 4

ADHD subtype that has criteria met for impulsivity/hyperactivity but not for inattention

Answer 4

ADHD predominanty hyperactive-impulsive type

Question 5

ADHD subtype that has criteria me for both inattention and impulsivity/hyperactivity

Answer 5

ADHD combined type

Question 6

what are the two core domains of autism?

Answer 6

• communication and social intervention have been combined

- repetitive/restricted behavior

Question 7

what must be specified when talking about autism spectrum disorder?

Answer 7

severity

Question 8

regarding autism spectrum disorder, what is severity level 1?

Answer 8

“requiring support” - without supports, deficits are noticable impairments

Question 9

regarding autism spectrum disorder, what is severity level 2?

Answer 9

“requiring substantial support”, deficits are apparent even with supports

Question 10

regarding autism spectrum disorder, what is severity level 3?

Answer 10

“requiring very substantial support” - severe deficits causing marked impairment in abilities

Question 11

to be dx with autism spectrum disorder, you must have 2 of the following:

Answer 11

• stereotyped or repetitive motor movements, use of objects, or speech
• insistence on sameness, infexible, rituals
• highly restricted, fixated interests that are abnormal in intensity
• reactivity to sensory output

Question 12

what is the most common presenting complaint of autism spectrum disorder?

Answer 12

• delayed language

* few or no words, impaired comprehension, jargon

Question 13

seen in autism spectrum disorder, stereotypes (hand flapping, rocking), perserverance in activities (very focus on one thing), rigid or infexible routines (meltdown if not)

Answer 13

restricted range of activities

Question 14

what is the normal intelligence level of a person with autism?

Answer 14

-30% are less than 70, but verbal IQ poor even with overall average intelligence

• often overly sensitive to auditory and visual stimuli
• seizures

Question 15

what are the contraindications to ADHD meds for the dental provider?

Answer 15

virtually none

*so make sure they take meds on day of appointment

Question 16

what should the first appointment be like for a child with autism or severe ADHD?

Answer 16

desensitization appointment to help the pt become familiar with the office, staff, and equipment through a step-by-step process

• may take several visits
• let them bring comfort items like blankets

Question 17

what is the overall caries rate for those with autism?

Answer 17

caries and perio diseases are comparable to those in the general pop

• however, those with autism are much more prone to have damaging oral habits like tongue thrusting, bruxism, picking at the gingiva and lips
• recommend preventative measures such as fluroides and sealants