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Psych > Autism and Intellectual Disability > Flashcards

Autism and Intellectual Disability Flashcards

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1
Q

Diagnostic criteria for Autism? 4

A
  1. Impaired socially
  2. Communication impaired
  3. Abnormal behavior
  4. Onset prior to age 3
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2
Q

How many social impairments are needed for diagnosis

A

2

Nonverbal impairment, no peers, lack of joy, lack of enjoying company

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3
Q

How many communication impairments are needed?

A

1

Can’t sustain convo, abnormal speech, repeated speech, can’t “play”

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4
Q

How many behavioral impairments are needed?

A

1

Preoccupation, Rituals, Repetitive movements, obsessed with objects

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5
Q

Total number of criteria met to diagnose autism?

A

6

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6
Q

What happens if child doesn’t get to six or above criteria?

A

Determine either PDD-NOS or something else

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7
Q

Two categories of autism in DSM-V?

A
  1. Social/communication impaired

2. Patterns of behavior, interests

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8
Q

Social Pragmatic Language disorder definition

A

Social features of autism without the restricted interests

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9
Q

Sex difference in autism

A

Males 5:1

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10
Q

% of autism kids with other genetic disorder

A

10%

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11
Q

Eye contact in autism?

A

Eye contact with no social purpose

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12
Q

Affection in autism?

A

Show affection differently

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13
Q

Speech in autism?

A

Use advanced words of no function

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14
Q

Pointing in autism

A

Develop pointing later

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15
Q

Intelligence in autism?

A

Severe disability to normal

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16
Q

Who is often the first purpose to bring up autism?

A

Physician

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17
Q

Best screening scale for autism

A

CARS

18
Q

5 parts of assessment for autism

A 
History
Medical
Psychological
Communication
Diagnostic instruments
19
Q

First level 3 studies for all kids with ASD’s?

A

Audiology
Educational testing
Speech and language eval

20
Q

Second level testing in ASD?

A

Co-existing intellectual disability

21
Q

Third level testing in ASD?

A

Targeted tests indicated by clinical eval

22
Q

3 medical problems with ASD?

A
  1. Seizures
  2. GI
  3. Sleep
23
Q

Essential step after diagnosis?

A

Parent education with genetic testing

24
Q

What to do with parents after delivering diagnosis?

A
  1. Acknowledge grief
  2. Give info
  3. Refer
  4. Encourage communication
  5. Set up followup
25
Q

Best prognosis factors? (2)

A
  1. Early identification AND intervention
26
Q

4 reasons to give drugs to ASD kids?

A
  1. Stimulants for ADHD
  2. Anxiety/Depression
  3. Aggression/self injury
  4. Sleep
27
Q

How to treat repetitive obsessive behaviors?

A

SSRI’s and 2nd gen Anti-Psy’s

28
Q

How to treat ADHD?

A

Stimulants, atomoxetine, clonidine, 2nd gen Anti-psy’s

29
Q

How to treat aggression/self injury?

A

2nd gen anti-psy’s, anticonvulsants, SSRI’s, clonidine, beta blockers

30
Q

How to treat sleep dysfunction?

A

Melatonin, clonidine, anti-histamine

31
Q

How to treat depression

A

SSRI’s

32
Q

How to treat bipolar?

A

Anti-convulsant
Lithium
Atypical psychotics

33
Q

Two drugs FDA approved for autism? (irritability specifically)

A

Risperidone

Aripiprazole

34
Q

Physician role in autism?

A

Gatekeeper

35
Q

What is intellectual disability defined as?

A

Cognitive functioning two standard deviations below average (typically less than 70 IQ)

36
Q

Mild ID

A

55 to 70

37
Q

Moderate ID

A

35 to 55

38
Q

Severe ID

A

25 to 35

39
Q

Profound ID

A

20-25

40
Q

Most common genetic cause of ID?

A

Trisomy 21 (Down)

41
Q

Most common inherited cause of ID?

A

Fragile X

42
Q

Treatment in ID?

A

Treat underlying cause

Psych (9 decks)

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