Classroom Expectations (monopoly man)

Question 1

what is dyslexia

Answer 1

An unexpected difficulty in learning how to read despite adequate intelligence, instruction, and motivation

Question 2

what is characterized by problems w/ accurate and/or fluent word. Poor spelling. Decoding difficulties.

Answer 2

Dyslexia

Question 3

is dyslexia a reading disability or reading difficulty

Answer 3

reading disability

Question 4

Difficulty in Learning nursery rhymes, rhyming games, word pronunciation, and learning and remembering the names of the letters. When do we see these signs in a kids life.

Answer 4

Preschool presentation

Question 5

Have difficulty naming pictured items, yet may easily point to items upon request. Also guess at words or have difficulty sounding out written words they do not know. when is this evident in school

Answer 5

early elementary school years

Question 6

Kids with dyslexia. Are their other skills and cognitive functions affected (like great verbal vocab, good comprehension of spoken stories, curiosity, imagination, conceptual understanding, ability to reason things out

Answer 6

No. Kids w/ dyslexia have all these skills

Question 7

when do kids w/ dyslexia develop a somatic compliant (he said like GI or headache)

Answer 7

beyond the second grade

Question 8

when do kids w/ dyslexia start to develop “strengths” in other areas (like reasoning, imagination, conceptualization, visual arts)

Answer 8

beyond the second grade

Question 9

does the reading disability such as dyslexia persist throughout life

Answer 9

yes. Those affected develop proficiency in reading the words associated w/ areas of interest
- FYI Einstein and bill gates had dyslexia

Question 10

what are some differential diagnosis that are seen w/ reading disability

Answer 10

Cognitive impairment and EMOTIONAL ILLNESS (depression, low self esteem)

Question 11

As the primary care physician, we want to listen to parental concerns especially this when treating dyslexia

Answer 11

especially regarding item identification (naming pictures, naming colors and letters)

Question 12

At four years of age your patient w/ dyslexia should be able to do what

Answer 12

Recite a nursery rhyme, recognize and name things, Phonemic awareness, associate sounds w/ letters, verbal memory, word retrieval

Question 13

what is in the family history as a doctor you should ask when treating a kid w/ a reading disability

Answer 13

speech problems and reading problems

Question 14

manifests in early childhood w/ symptoms of hyperactivity, impulsivity, and/or inattenion

Answer 14

ADHD

Question 15

this deficit has symptoms that affect; cognitive function, academic performance, behavior, emotional function, and social function

Answer 15

ADHD

Question 16

Kids w/ ADHD receive their initial complaints about their deficit from what people

Answer 16

Parents, teachers, and caregivers

Question 17

**This core symptom of ADHD starts around 4 and peaks around 7 years of age. Fortunalty this symptom declines from peak to adolescence which becomes hardly discernable

Answer 17

ADHD

-Hyperactivity

Question 18

**This core symptom of ADHD remains a problem throughout life. Can be tied to substance abuse later in life

Answer 18

ADHD

• Impulsivity
• note this peaks at age 7-8 years of age

Question 19

Impulsive behaivor is most often seen in conjunction with what

Answer 19

hyperactivity

Question 20

difficulty waiting turns, blurting out answers, disruptive behavior, unintentional injuries. ALL of THESE CAN LEAD TO PEER REJECTION

Answer 20

ADHD

-impulsivity

Question 21

***This core symptom of ADHD typically not apparent until age 8-9 years of age

Answer 21

ADHD

• Inattention
• note hyperactivity and impulsivity start at 7

Question 22

what core symptoms usually present throughout life

Answer 22

impulsivity and inattention

Question 23

what is the diagnostic criteria for ADHD

Answer 23

Symptoms present in more than one setting, symptoms present for MORE than 6 months, symptoms present PRIOR to age of 7 years, symptoms must impair function, symptoms must be excessive for the developmental age of the child, other mental or developmental disorders that could account for the symptoms must be excluded

Question 24

what are the three subtypes of ADHD

Answer 24

1) predominantly inattentive 2) Predominantly hyperactive-impulsive 3) Combined type

Question 25

When diagnosing the subtypes of ADHD, how many daignostic symptoms do they need to have and for how long

Answer 25

6 symptoms for more then 6 months

-note the combined subtype doesnt have the 6 month criteria. I just think he forgot to add it.

Question 26

Often does not follow through/complete schoolwork or homework

Answer 26

inattentive subtype

Question 27

Presenting complaints are most often disruptive or aggressive behavior, overactivity, disinhibition, and reduced attention span. WHat subtype

Answer 27

combined subtype

Question 28

what are some differential diagnosis when a kid presents w/ ADHD

Answer 28

depression, bipolar disease, anxiety, PTSD

Question 29

Deliberately annoys others, blames others for his/her mistakes, angry/spiteful, easily loses temper/argumentative, DEFIES RULES/REQUESTS/RULES

Answer 29

Oppositional defiant disorder

Question 30

Oppositional defiant disorder on roids, aggressive physically, THEFT/SERIOUS RULES VIOLATIONS

Answer 30

Conduct disorder

Question 31

what are comorbid disorders

Answer 31

anxiety, depression learning disability, and reading disability.
-NOTE MOST KIDS W/ ADHD HAVE AT LEAST ONE COMORBID DISORDER

Question 32

what alpha-2-adreneergic agonist is really good in treating impulsivity and the monopoly man’s favorite

Answer 32

Clonidine

-note Guanfacine can also be used same class

Question 33

what are some stimulants used in tx

Answer 33

Methylphenidate, DEXTROAMPHETAMINE, amphetamine-dextroamphetime

Question 34

what is a selective norepinephrine reuptake inhibitor

Answer 34

Atomoxetine (straterra)