chapter 5

Question 1

down syndrome

Answer 1

-most common cause of intellectual disability within the US
-associated with the presence of trisomy of chromosome 21
-normal IQ: 80-120; DS IQ ranging from 30-70 with mean of 50
-mortality rate increases after 35 -> life expectancy of 60 years

Question 2

common features of ds

Answer 2

-presence of epicanthal folds and almond shaped eyes
-flat nasal bridge
-shorter limbs
-poor muscle tone
-single transverse palmar crease
-speech and language deficits
-strengths in areas of semantics and pragmatics
-frequent middle ear infections
-large tongue can interefere with speech and swallowing

Question 3

risk of developing AD

Answer 3

approx. 70% of people w/ ds may develop AD

Question 4

what increases the chances of developing AD in people with ds

Answer 4

-beta-amyloid is located on chromosome 21 and people with DS have 3 of them
-earlier onset of menopause

Question 5

prevalence

Answer 5

-AD is most commonly seen during the ages of 46-56
-prevalence does increase after 35

Question 6

observer rating scales of cognitive functioning

Answer 6

-CAMDEX
-dementia questionaire
-dementia scale for DS

Question 7

treatment considerations

Answer 7

-develop client-specific goals: safety awareness and independence with functional ADLs
-periodically re-evaluating
-provide education and counseling to client and family

Question 8

measures of functional and vocational abilities

Answer 8

-scales of independent behavior
-vineland adapative behavior scales
-disability assessment schedule

Question 9

neuropsychologic batteries

Answer 9

-cambridge exam for mental disorders of older people with down syndrome and other with intellectual disabilites (CAMDEX-DS)
-severe impairment battery