Behavior Disorders

Question 1

Types of ADHD

Answer 1

ADHD-CT (combined type)
ADHD-PI (predominantly inattentive type)
ADHD-PH/I (predom hyperactive-impulsive type)

Question 2

Autism Definition

Answer 2

Neurodev d/o of brain presenting with impairment in social interaction, communication and imaginative play

Question 3

Autism Clinical features

Answer 3

Stereotypic and ritualistic behaviors
Lack of eye contact
Difficulty playing with others
No response when name called
Delayed speech
IQ varies
Nutrition may be affected by sensory integration d/o

Question 4

Autism presentation

Answer 4

18 mo to 2 yo

Question 5

Autism Diagnosis

Answer 5

Autism Diagnostic Observation scale which evaluates social interaction and play

Question 6

Asperger’s

Answer 6

Dev d/o on autism spectrum
Difficulties with social interaction
Language delay
One-sided convo
Problems w/ cognitive dev and nonverbal communication
Clumsiness
Dec empathy

Question 7

Conversion Reaction

Answer 7

Sx and deficits in voluntary motor and/or sensory function suggest a neuro or physical cond but are w/o physiologic explanation

Question 8

Motor Features of Conversion Reaction

Answer 8

Paralysis
Gait disturbance
Incoordination
Tremor
Loss of speech
Atasia/abasia

Question 9

Atasia

Answer 9

Inability to stand upright unassisted

Question 10

Abasia

Answer 10

Lack of motor coordination in walking

Question 11

Sensory Features of Conversion Reaction

Answer 11

Parasthesia
Intractable pain
Tunnel vision
Hearing loss
Abd pain

Question 12

Other Features of Conversion Reaction

Answer 12

Pseudoseizures
HA
Fatigue
Hiccups

Question 13

History of Conversion Reaction

Answer 13

High achieving student/athlete
Onset of sx around identifiable life stressor
Limited coping strategies
Family conflicts
Poor interpersonal communication

Question 14

Conversion Reaction Exam

Answer 14

Variable depending on sx
Ratchet-like "give way" weakness
Inconsistent sx
Severe balance disturbance w/o falls
Narrow-based gait w/ exaggerated forward flexion
Sx magnification during observation

Question 15

Rhett syndrome

Answer 15

Postnatal progressive neurodevelopmental d/o

Question 16

Rhett syndrome Inheritance

Answer 16

X-linked mutation w/ MECP2 gene
Inactive Barr bodies
Since boys have 1 chr X, all active are fatal

Question 17

Rhett syndrome CF

Answer 17

Acquired macrocephaly w/ age
Stereotypic hand movements (wringing, clapping, mouthing)
Gait and truncal apraxia
Seizures
Dystonia, spasticity, contractures
Scolosis
Dec body fat and muscle mass
Severely impaired receptive and expressive language

Question 18

Sensory modulation disorder

Answer 18

Over or under responding to sensory stimuli

Question 19

Sensor modulation disorder CF

Answer 19

Child may have fearful or anxious behaviors
Negative or stubborn behaviors
Self-absorbed behaviors
Constantly seeking attention

Question 20

Sensory-based motor disorder

Answer 20

Disorganized motor output due to incorrect processing of sensory info

Question 21

Sensory Discrimination disorder

Answer 21

Sensory discrimination or postural challenges seen

Question 22

Sensory Discrimination disorder CF

Answer 22

Dyspraxia
Inattentiveness
Disorganization
Poor school performance