Assessment of Developmental Disorders

Question 1

What causes Fragile X?

Answer 1

Mutation in FMR1 gene from a CGG trinucleotide repeat

Question 2

IQ cannot be reliably measured before age ____.

Answer 2

5

Question 3

What is the plan if the developmental quotient is less than 70?

Answer 3

refer

Question 4

Cerebral palsy is a _____ impairment.

Answer 4

motor

Question 5

Name 2 inherited developmental disabilities.

Answer 5

1. Fragile X
2. trisomy 21

Question 6

Name 9 adaptive skill areas.

Answer 6

1. Communication
2. Self care
3. Home living
4. Social skills
5. Community use
6. Self direction
7. Health and safety
8. Functional academics
9. Leisure and work

Question 7

When does cerebral palsy present?

Answer 7

• en utero
• infancy
• early development

Question 8

Name 2 acquired developmental disabilities.

Answer 8

1. TORCHES
2. perinatal stroke

Question 9

Dx?:

• wide mouth and prominent chin
• seizures
• microcephaly
• nonverbal
• happy demeanor/frequent smiling
• ataxia
• hand flapping

Answer 9

Angelman Syndrome

Question 10

What is the plan if the developmental quotient = 70-85?

Answer 10

closely monitor

Question 11

What causes Angleman Syndrome?

Answer 11

chromosome 15p11-13 methylation/deletion

Question 12

Dx?

• Microcephaly
• Ataxia
• Autistic features
• Stereotypical hand movements
• Hyperventilation
• Seizures

Answer 12

Rett Syndrome

Question 13

Name 3 types of cerebral palsy.

Answer 13

1. spastic
2. athetoid/dyskinetic
3. ataxic

Question 14

Does cerebral palsy progress?

Answer 14

no

Question 15

Name 5 domains of development.

Answer 15

1. Gross motor
2. Fine motor
3. Language
4. Cognitive
5. Social

Question 16

This is when an individual who is unable to achieve developmental milestones as expected compared to those of similar age.

Answer 16

abnormal development

Question 17

Does cerebral palsy = intellectual disability?

Answer 17

no, it only does 70% of the time

Question 18

How is the developmental quotient calculated?

Answer 18

developmental age / chronological age

Question 19

What are the diagnostic criteria of intellectual disability?

Answer 19

present from childhood intellectual functioning at least 2 SD below the mean significant limitations in > 2 adaptive skill areas

Question 20

This dx shows delays or abnormal functioning in at least one of the following areas, with onset prior to age 3:

• Social interaction
• Language as used in social communications
• Symbolic or imaginative play

Answer 20

autism

Question 21

What causes Rett Syndrome?

Answer 21

X-linked MECP2 gene

Question 22

Delayed development is defined as?

Answer 22

2 standard deviations below the mean for a child’s chronological age

Question 23

Dx?:

• Long jaw
• High forehead
• Large/protuberant ears
• Hyperextensible joints
• Soft/velvety palmar skin
• Enlarged testes
• Initially shy with poor eye contact, then friendly and verbose
• Family history of MR

Answer 23

Fragile X

Question 24

What is a developmental disability?

Answer 24

• Severe, chronic disability of an individual 5 years of age or older that:
• Is attributable to a mental or physical impairment or combination
• Is manifested before the person attains age 22
• Is likely to continue indefinitely

Question 25

What is abnormal development?

Answer 25

when an individual who is unable to achieve developmental milestones as expected compared to those of similar age