Development Disability, Brandt Flashcards

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1
Q

what is intellectual disability

A

deficits in intellecutal functions such as reasoning, problem solving, planning, abstract thinking, judgement, academic learning, learning from experience confirmed by intellectual testing and clinical eval

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2
Q

how is intellectual disability Dc

A

failure to meet developmental and sociocultural standards for independence and responsibility

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3
Q

levels of intellectual disability

A

mild IQ: 50 to 55-70
mod IQ: 35 to 40-50 to 55
severe IQ: 20 to 25-35 to 40
profound: level below 20 to 25

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4
Q

syndromes with intellectual disability

A

downs
tay sach
untreated PKU
fragile X syndrome

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5
Q

signs of downs

A
single palmar transverse crease
protruding tongue
flat facies
small ears
thick neck
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6
Q

chromosome fragile X

A

Xq27
males more: severe delayed cognitic abilities, behavior problems, hand flapping, large ears, elongated faces, enlarged testicles

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7
Q

clinical management intellectual disability

A

placement issues
supportive counseling and training in behavioral techniques for family
medication management

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8
Q

learning disorders

A

inability to achieve in a specific area of learning at a level consistent with person’s overall IQ
reading math, written expression

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9
Q

learning disorders

A

inability to achieve in a specific area of learning at a level consistent with person’s overall IQ
reading math, written expression

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10
Q

learning disorders also comorbid with what

A
oppositional defiant disorder
mood disorder
substance abuse
ADHD
truancy
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11
Q

Tx for learning disorders

A

remedial instruction

supportive counseling for child and family

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12
Q

autistic spectrum disorder

A

impaired social interactions
impaired ability to communicate
restricted range of activites and interests

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13
Q

onset autism

A

first 3 yeras of life

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14
Q

demographic autism

A

10-15 / 10,000
boys 4X more likely than girls
no link to toxins, vaccines etc

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15
Q

good prognostic indicators for autism

A

higher IQ and better language and social skills

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16
Q

asperger syndrome

A

good verbal language
milder nonverbal language problems
restricted range of interests and relationships
often engage in repetitive routines

17
Q

etiology of autism spectrum disorder

A

brain dysfunction with abnormalities in brain structure
abnormalities in NT like serotonin and dA
genetics may play role

18
Q

what helps patients with autistic spectrum disorders

A

well structured classroom and home routines
individualized instruction
behavior modification techniques

19
Q

Retts syndrome

A

girls>boys
normal development to age 4
dec social verbal and cognitive skills, hand wringing, ataxia, dec IQ

20
Q

Childhood disintegrative disorder

A

rare condition, normal development to age 2-10 then lose skills
boys>girls

21
Q

age of onset for feeding and eating disorder of infancy or early childhood. Sx?

A

onset before age 6
apathetic
temperament, intrauterine growth retardation, pre-existing developmental impairments
girls=boys

22
Q

tic disorder spectrum

A

tourettes
chronic motor or vocal tic disorder
transient tic disorder

23
Q

tourettes

A

5-30/10,000 children
onset 6-7 y.o
boys 3-5x>girls
lifelong or resolve with adulthood

24
Q

what are the vocal and motor tics in tourettes

A

motor: acial grimacing or blinking
vocal: barking, profanity, grunting

25
Q

Tx tourettes

A

antipsychotics

26
Q

transient tic disorder

A

single or multiple motor or vocal tics for no longer than 12 months

27
Q

Separation anxiety disorder

A

fear of loss of major attachment figure

complain of physical Sx so not leave mom

28
Q

Tx separation anxiety disorder

A

SSRI, antidepressants

29
Q

important Hx for separation anxiety disorder

A

anxiety disorders run in family

30
Q

important Hx for separation anxiety disorder

A

anxiety disorders run in family