Children Differentials

Question 1

First-line treatment for Tourette’s is

Answer 1

Behavioral Interventions

Question 2

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

Answer 2

Practical

Question 3

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

Answer 3

anticonvulsants and lithium

Question 4

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

Answer 4

Naltrexone

Question 5

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

Answer 5

Magnetic Resonance Spectroscopy (MRS)

Question 6

How is ID differentiated from neurocognitive disorders?

Answer 6

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

Question 7

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

Answer 7

clonidine

Question 8

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

Answer 8

Rosa’s Law in 2010

Question 9

Name 2 IQ tests for children

Answer 9

Weschler Intelligence Scale for Children (age 6-16)

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

Question 10

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

Answer 10

Social

Question 11

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

Answer 11

Computed Tomography (CT)

Question 12

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

Answer 12

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

Question 13

The most common neuropsychiatric condition in children is:

Answer 13

ADHD

Question 14

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

Answer 14

Mild

Question 15

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

Answer 15

Trisomy 21 (Down Syndrome) common to develop dementia

Question 16

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

Answer 16

Stimulants as there is often comorbid ADHD with ID

Question 17

The 2nd-line tx of ID is:

Answer 17

Psychotherapeutic Approaches (CBT, psychoeducation)

Question 18

The 1st choice for neuroimaging for pediatric population is

Answer 18

Magnetic Resonance Imaging (MRI)

Question 19

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 __

Answer 19

18

Question 20

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

Answer 20

Public Law 94-142

Question 21

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

Answer 21

Denver Developmental Screening Test

Question 22

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

Answer 22

Conceptual

Question 23

Children with this disorder have repetitive movements that are INTENTIONAL

Answer 23

Stereotypic Movement Disorder

Question 24

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)

Answer 24

Severe

Question 25

Conceptual, social and practical are the 3 domains of:

Answer 25

Adaptive Functioning

Question 26

The 1st-line tx of ID is:

Answer 26

Behavioral Approaches (determine cause of bx and develop strategies to promote positive bxs)

Question 27

This class of drugs can be used to treat IRRITABILITY and aggression in ID

Answer 27

antipsychotics

Question 28

It is common for those with this condition to also meet criteria for ID (40-50%)

Answer 28

ASD

Question 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.

Answer 29

ASD

Question 30

Low birth weight, lower socioeconomic status, multiple births and later born children are risk factors of what?

Answer 30

ID of UNKNOWN ETIOLOGY

Question 31

Adaptive Functioning can be measured using scales such as the (name 2) and are useful in identifying underlying genetic syndromes and behavioral phenotypes.

Answer 31

Vineland Adaptive Behavior Scale

Adaptive Behavior Assessment (2nd Edition)(ages 0-89)

Question 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.

Answer 32

Profound

Question 33

These drugs can be used to reduce anxiety, obsessional and self-injurious behaviors in ID

Answer 33

clomipramine (Anafranil) and SSRIs

Question 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

Answer 34

Moderate

Question 35

Last-line tx of ID is:

Answer 35

Pharmacological Treatment (anticonvulsants, antipsychotics, antidepressants, stimulants)

Question 36

This type of communication disorder occurs when there is difficulty using language in social, situational and communication context

Answer 36

Pragmatic disorders

Question 37

Name 2 FDA-approved drugs indicated for irritability/aggression or self-injurious bx in children with ASD

Answer 37

Risperidone

Aripiprazole

Question 38

The most common learning disability (LD) in children is:

Answer 38

Dyslexia

Question 39

This drug can be used to treat AGITATION and aggression in ID

Answer 39

buspirone