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CSD > CogLang2 > Flashcards

CogLang2 Flashcards

1
Q

True or False: Early Intervention has a heavy emphasis on unidisciplinary care.

A

False; EI has a heavy emphasis on team-based care

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2
Q

Three parts in an Assessment Procedure

A
  1. Patient History
  2. Clinical Exam
  3. Add’tl Factors
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3
Q

Seven parts of Patient History

A
  1. Current and past history
  2. Current and immediate past medications
  3. Level of arousal
  4. History of feeding/swallowing problem including descriptions by family, patient/client, educational/medical staff, etc…
  5. Presence, type, duration, and method of placement (emergency or planned) of any airway device (tracheostomy, mechanical ventilation, intubation)
  6. Presence, type, duration of placement, adequacy, and complications of oral and non-oral feeding methods.
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4
Q

When you first meet the patient/client look for these things (6)

A
  1. Patient/Client’s posture
  2. Alertness level and reaction to the clinician
  3. Eye contact and Proxemics
  4. Presence or absence of medical support equipment
  5. Secretions: how does he manage them are they copious, thick, etc.
  6. Observe Interaction abilities
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5
Q

5 types of Clinical Examination

A
  1. Conversational or Play-Based Interview
  2. Language Evaluation
  3. Speech Examination
  4. Neurological Examination
  5. Cognitive Examination
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6
Q

Three etiologies of Language Disorders

A
  1. Idiopathic
  2. Genetics
  3. Environmental
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7
Q

Genetic Causes of Language Disorders that are Chromosomal Anomalies (3)

A
  1. Trisomy
  2. Genetic Deletion
  3. Translocation
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8
Q

What is Peridontal Disease?

A

systemic inflammatory response that can lead to preterm birth; has a clear robust association with language disorders.

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9
Q

Considerations (# of weeks) for being :
- Extremely premature
- Very premature
- Late preterm

A
  • 24-27 weeks
  • 28-31 weeks
  • 34-36 weeks
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10
Q

List of Complications Related to Prematurity

A
  1. PDA - Patent Ductus Arteriosus
  2. BPD - Bronchopulmonary Dysplasia
  3. ROP - Retinopathy of Prematurity
  4. NEC - necrotizing enterocolitis
  5. Sepsis - Systemic infection
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11
Q

What is Patent Ductus Arteriosus (PDA)?

A

-Ductus arteriosus is expected to close at moment of birth
-DA expected to close at birth to allow blood supply and oxygen to circulate on its own
-If DA stays open or patent, the preterm baby will struggle to keep oxygenated
-Treatment: outside of SLP scope
-Robustly associated with later disorders; language, cognition, learning disorders

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12
Q

What is Bronchopulmonary Dysplasia (BPD)?

A

-4 weeks post birth, baby still needs respiratory support
-We want to see consistent improvements after time
-Long-term effects are not seen?

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13
Q

What is retinopathy of prematurity (ROP)?

A

Blood vessels of eyes are affected.
Can lead to permanent visual impairment.

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14
Q

What is necrotizing enterocolitis (NEC)?

A

-Necrosis: Tissue death
-Most feared complication after IVH due to high instance of death
-Inflammation in intestines and colon that causes necrosis
-Often treatable, language and cognitive impairments associated in future

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15
Q

What is the most feared complication after IVH due to its high instance of death?

A

Necrotizing Enterocolitis (NEC)

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16
Q

What is Sepsis?

A

-Systemic infection
-History or use of gentamycin or neomycin antibiotic can cause hearing loss
-More vulnerable to future struggles

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17
Q

All complications for babies with IVH involve three complications. What are they?

A
  1. Birth weight - the smaller the baby, the sicker they will be
  2. Oxygenation - lack of this to the brain will have more severe long term affects
  3. Inflammation
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18
Q

What are the Neurological Anomalies that affect Language development? There are 7 we discussed in class.

A
  1. Microcephaly
  2. Spina Bifida
  3. Cerebral Palsy
  4. Fetal Alcohol Syndrome
  5. Lissencephaly
  6. Seizure Disorders
  7. Hydrocephaly
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19
Q

What is Microcephaly?

A

a birth defect where a baby’s head is smaller than expected when compared to babies of the same sex and age.
-Size of head and skull is indicative of brain size

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20
Q

What causes Microcephaly?

A
  • Fetal Alcohol Syndrome
  • Toxins
  • Infectious agents
  • Genetic Anomalies
  • Zika Virus
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21
Q

What is Spina Bifida?

A

a condition that affects the spine and is usually apparent at birth
-the neural tube defect we see most frequently

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22
Q

True or False: for kids with ASD, delays in joint attention are an indicator.

A

True

23
Q

What is Cerebral Palsy?

A

non-progressive brain injury sustained in the peripartum period. May be spastic, ataxic, athetoid, or mixed, with widely varying severity and limb involvement. Mildly involved babies may struggle with feeding for a long period prior to dx.

24
Q

What is Fetal Alcohol Syndrome?

A

a condition in a child that results from alcohol exposure during the mother’s pregnancy. Fetal alcohol syndrome causes brain damage and growth problems

25
Q

What is Lissencephaly?

A

a rare congenital condition that causes a developing brain to appear smooth instead of having normal bumps and folds.

Gyri do not form; cortical area is diminished.
- associated with FTT, pneumonia, developmental disability
- strongly predictable of development disability

26
Q

True or False: Hearing sensitivity can be normal in the presence of atypical auditory processing skills

A

True

27
Q

What are four early indicators of atypical development?

A

-dysmorphia
-tone anomalies
-feeding impairment
-dysregulation

28
Q

What are the four language prerequisites?

A

-engagement with others
-joint attention
-responsivity and reciprocity
-gesture development

29
Q

Joint attention appears around ___ months of age

A

8

30
Q

First spoken words appear around ____ months of age

A

12

31
Q

True or False: DLDs cause problems with vocabulary learning

A

True

32
Q

Problems with what two sounds in isolation or blends can impede grammatical development

A

/s, z/

33
Q

True or False: fast-mapping is effective for kids with DLD

A

False

34
Q

What are the three social communication indicators of ASD?

A
  1. Deficits in social-emotional reciprocity
  2. Deficits in nonverbal communicative behaviors used for social interaction
  3. Deficits in developing, maintaining, and understanding relationships
35
Q

What are the four behavioral patterns of ASD?

A
  1. Stereotyped or repetitive motor movements, use of objects, or speech
  2. Insistence on sameness, inflexible adherence to routines, or ritualized patterns of verbal or nonverbal behavior
  3. Highly restricted, fixated interests that are abnormal in intensity or focus
  4. Hyper- or hyporeactivity to sensory input or unusual interest in sensory aspects of the environment
36
Q

What are the four criteria of Social Communication Disorder?

A
  1. Persistent difficulties in the social use of verbal and nonverbal communication
  2. The deficits result in functional limitations
  3. The onset of the symptoms is in the early developmental period
  4. The symptoms are not attributable to another medical or neurological condition or to low abilities in the domains or word structure and grammar
37
Q

When children are struggling at age ___, the language difficulty is more likely to persist.

A

Age 6

38
Q

Developmental Disability is based on…

A

physical or mental impairments that begin before age 22

39
Q

How is Oppositional Defiant Disorder (ODD) different than Conduct Disorder (CD)?

A

brains are wired differently, do not respond to reward/punishment, more defiance of social expectations (destructing property/societal rules)

40
Q

Which is more directed VERTICALLY towards authority. ODD or CD?

A

ODD

41
Q

What is CD?

A

a child who displays aggressive or destructive behavior, with dishonesty and rule violations, which is directed towards peers

42
Q

True or False: CD is more resistant to treatment than the ODD?

A

True

43
Q

True or False: Conduct Disorder effects around 2% of children with communication impairment.

A

True

44
Q

Is ODD or CD more directed towards peers (HORIZONTALLY)?

A

Conduct Disorder

45
Q

True or False: Newborn screenings detect about half of the bilateral hearing losses seen in school-age kids

A

True

46
Q

When assessing the semantic abilities in bilingual children, think (dynamic/static) assessment

A

Dynamic

47
Q

True or False: Language Impairment often presents with pronounced syntactic deficits

A

True

48
Q

Impairments in social language are seen in children with these 5 different diagnoses.

A

SLI
NLI
TBI
Deaf/HoH
Syndromic diagnoses

49
Q

Developmental Coordination Disorder is often associated with speech-language concerns and may co-occur with what disorder?.

A

ADHD

50
Q

True or False: Dyslexia is a problem with reading, writing, and/or spelling.

A

False! Language-based Learning Disability

51
Q

True or False: Most students with LLDs have IQs in the abnormal range.

A

False! Normal

52
Q

True or False: Dysgraphia is a specific learning disability that affects reading skills, impairing accurate, fluent word recognition and decoding. Spelling is frequently affected as well.

A

False, Dyslexia

53
Q

True or False: Fine motor issues do NOT co-occur with dysgraphia

A

False! They do.

54
Q
A

CSD (6 decks)

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