Autism Flashcards

Learn the general knowledge of Autism.

1
Q

What is Autism characterized by?

A

Social impairment, communication impairment and repetitive behavior.
- Pervasive developmental disorder of early childhood.

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2
Q

What are the incidence rates?

A

1 in 88 (from 1 in 10,000 a few decades ago)

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3
Q

What gender is more common?

A

More common in males than females.

  • 4 to 1
  • 7-8 for 1 with higher functioning.
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4
Q

What are the pervasive developmental disorders?

A
  • Autistic Disorders
  • Asperger’s Disorders
  • Rett syndrome (genetic disorder in females)
  • Childhood Disintegrative Disorder
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5
Q

Other incidence rates tied to Autism.

A
~ 70% have intellectual disability.
~ 70% would have a co-morbid psychiatric diagnosis.
- 40% anxiety disorder
- 30% ADHD
- 20-30% seizure disorder
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6
Q

What’s the extreme male brain theory?

A
  • Females have more empathetic brain type.
  • Males have more systematic brain type.
  • In Autism: S&raquo_space; E
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7
Q

What are the communication symptoms of Autism?

A

Communication: Late/no speech development, Echolalia (repeating what people say), Disconnected facial expression/body-movement.

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8
Q

Explain the social interaction symptoms of Autism.

A
  • Aloof
  • More content with their own activities.
  • Inappropriate communication
  • Difficulty making eye contact
  • Lack of social and emotional reciprocity
  • Physically attacks or injures others for no reason.
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9
Q

What are the repetitive behavior symptoms of Autism?

A
  • Hand twitching
  • Arm flapping
  • Difficulty with imitation
  • Rocking back and forth
  • Obsessive behaviors/thoughts, objects
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10
Q

What percentage of kids show savant skills?

A

30%

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11
Q

What does an abnormal cerebellum lead to?

A

Problems with coordination. Cerebellum helps provide smooth, coordinated body movement.

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12
Q

What does altered connectivity lead to?

A

Altered synapses = root of altered connectivity in the autistic brain.

  • Ratio of excitation to inhibition is different due to synaptic binding proteins called neuroligins and neurexins.
  • Hyperactivity instead of lack of activity
  • Difference in white matter pathways (sets stage for altered development)
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13
Q

What happens with cholinergic differences?

A

Acetylcholine abnormalities in basal forebrain.

  • 30% lower muscarinic binding
  • 60-70% lower levels nicotinic receptors in frontal and parietal lobes
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14
Q

Explain mirror neurons.

A

Firing when acting and when watching action done by another. Helps with understanding intent, autistic children don’t have this.
- Altered connection between visual cortex and amygdala distorts child’s response.

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15
Q

What is a salience landscape?

A

How emotional significance could be altered in autism.

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16
Q

What’s the difference between DSM IV and V?

A

DSM V groups all of the single disorders into the Autism Spectrum Disorder, with a new emphasis on difference levels of severity.

17
Q

What are the 3 levels of severity for ASD?

A

Level 1: Requiring support
Level 2: Requiring substantial support
Level 3: Requiring very substantial support

18
Q

What are some diagnostic tools?

A

ADI-R
ADOS-G
CARS

19
Q

What are some screening tools?

A
CHAT
M-CHAT
STAT
SCQ
These provide the referral for a diagnosis.
20
Q

What are the drugs used for Pharmacological treatment and the diet?

A

Oxytocin
Melatonin
Vancomycin
SSRIs

Diet: Gluten free, Casein Diet, and GAPS diet.