Children Differentials Flashcards

1
Q

First-line treatment for Tourette’s is

A

Behavioral Interventions

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2
Q

This domain of Adaptive Functioning includes self-management in areas of personal care, job responsibilities, money management, recreation and organizing school and work tasks.

A

Practical

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3
Q

These drugs can be used to treat aggression and IMPULSE CONTROL in ID

A

anticonvulsants and lithium

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4
Q

This drug can be used to treat repetitive harmful behaviors (head banging) in ID

A

Naltrexone

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5
Q

This type of neuroimaging provides biochemical brain functions by measuring concentration of several metabolites (ex: creatine and choline). Used to assess for METABOLIC and neurogenerative disorders

A

Magnetic Resonance Spectroscopy (MRS)

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6
Q

How is ID differentiated from neurocognitive disorders?

A

Neurocognitive disorders are LOSS OF COGNITIVE FUNCTION FROM A PREVIOUS LEVEL OF FUNCTIONING.

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7
Q

This drug can be used to treat HYPERACTIVITY and IMPULSIVITY in ID

A

clonidine

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8
Q

This law stripped away the term “mental retardation” and replaced it with “intellectual disability”

A

Rosa’s Law in 2010

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9
Q

Name 2 IQ tests for children

A

Weschler Intelligence Scale for Children (age 6-16)

Stanford-Binet Intelligence Scale (age 2-85+)

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10
Q

This domain of Adaptive Functioning includes empathy, social judgement, interpersonal communication skills, ability to follow rules and to make/retain friendships

A

Social

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11
Q

This type of neuroimaging is used to diagnose acute brain hemorrhage and CNS trauma

A

Computed Tomography (CT)

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12
Q

Tourette’s has been shown to be responsive to drugs such as (name 2)

A

Pimozide and Haldol (both are FGAs and MOA is by blocking dopamine)

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13
Q

The most common neuropsychiatric condition in children is:

A

ADHD

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14
Q

This severity level of ID is characterized by: identified usually in school (1st/2nd grade); IQ 50-70; Can live independently with appropriate support

A

Mild

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15
Q

A common example of co-occuring ID with neurocognitive disorder is:

A

Trisomy 21 (Down Syndrome) common to develop dementia

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16
Q

The most commonly prescribed class of medication for treatment of disruptive behaviors in children/adolescents with ID are:

A

Stimulants as there is often comorbid ADHD with ID

17
Q

The 2nd-line tx of ID is:

A

Psychotherapeutic Approaches (CBT, psychoeducation)

18
Q

The 1st choice for neuroimaging for pediatric population is

A

Magnetic Resonance Imaging (MRI)

19
Q

According to DSM-V, diagnosis of ID should be made only when there are deficits in intellectual functioning and deficits in adaptive functioning prior to age __

20
Q

This law mandated public schools to provide educational services to ALL children with disabilities

A

Public Law 94-142

21
Q

A screening tool used to identify developmental problems in INFANTS and PRESCHOOL children is the

A

Denver Developmental Screening Test

22
Q

This domain of Adaptive Functioning includes language, reading, math reasoning, knowledge and memory

A

Conceptual

23
Q

Children with this disorder have repetitive movements that are INTENTIONAL

A

Stereotypic Movement Disorder

24
Q

This severity level of ID is characterized by: cause more likely to be identified; IQ 20-35; May live in supervised living situations (group homes)

25
Conceptual, social and practical are the 3 domains of:
Adaptive Functioning
26
The 1st-line tx of ID is:
Behavioral Approaches (determine cause of bx and develop strategies to promote positive bxs)
27
This class of drugs can be used to treat IRRITABILITY and aggression in ID
antipsychotics
28
It is common for those with this condition to also meet criteria for ID (40-50%)
ASD
29
In this diagnosis, there is higher incidence of medical disorders such as seizures, sleep disturbances, GI symptoms, metabolic issues, hormonal imbalances, infections and allergies.
ASD
30
Low birth weight, lower socioeconomic status, multiple births and later born children are risk factors of what?
ID of UNKNOWN ETIOLOGY
31
Adaptive Functioning can be measured using scales such as the (name 2) and are useful in identifying underlying genetic syndromes and behavioral phenotypes.
Vineland Adaptive Behavior Scale | Adaptive Behavior Assessment (2nd Edition)(ages 0-89)
32
This severity level of ID is characterized by: IQ less than 20; Can be taught some self-care skills and learn to communicate their needs.
Profound
33
These drugs can be used to reduce anxiety, obsessional and self-injurious behaviors in ID
clomipramine (Anafranil) and SSRIs
34
This severity level of ID is characterized by: struggling academically, usually only able to obtain 2nd/3rd grade level; IQ 35-50; socialization issues in adolesence, need more vocational and social supports
Moderate
35
Last-line tx of ID is:
Pharmacological Treatment (anticonvulsants, antipsychotics, antidepressants, stimulants)
36
This type of communication disorder occurs when there is difficulty using language in social, situational and communication context
Pragmatic disorders
37
Name 2 FDA-approved drugs indicated for irritability/aggression or self-injurious bx in children with ASD
Risperidone | Aripiprazole
38
The most common learning disability (LD) in children is:
Dyslexia
39
This drug can be used to treat AGITATION and aggression in ID
buspirone