Developmentally Disabled

Question 1

Intellectual Disability

Answer 1

Deficits in intellectual functions: planning, problem solving, abstract thinking, judgment,
Fail to meet developmental & sociocultural standards
Onset in developmental period

Question 2

Mild IQ

Answer 2

50-75

Question 3

Moderate IQ

Answer 3

35-55

Question 4

Severe IQ

Answer 4

20-40

Question 5

Profound IQ

Question 6

Intellectual Disability Syndromes

Answer 6

Down’s syndrome: single palmar transverse crease, protruding tongue, flat facies, small ears, thick neck
Tay Sachs
Untx PKU
Fragile X Syndrome: males–severely delayed cognitive abilities, behavior problems, hand flapping, large ears, elongated face & enlarged testes

Question 7

Tx/management of Intellectual disability

Answer 7

Placement issues
Supportive counseling & training in behavior for family
Meds if indicated

Question 8

Learning Disorder

Answer 8

Unable to achieve a specific area of learning (reading, writing, math) at a level consistent with their overall IQ
-often assoc with: ADHA, mood disorder, conduct disorder, truancy, substance abuse

Question 9

Learning disorder Tx

Answer 9

Remedial instruction

Supportive counseling for child & family

Question 10

Autistic Spectrum Disorder-ASD

Answer 10

Impaired social interactions
Impaired ability to communicate
Restricted range of activities & interests

Question 11

Autism

Answer 11

Onset: first 3 years of life
Boys 4x > girls
Good px: Higher IQ, better language & social skills

Question 12

Asperger Syndrome

Answer 12

Good verbal language
Milder nonverbal problems
Restricted range of interests & relationships
Engage in repetitive routines

Question 13

Theory of autism spectrum disorders

Answer 13

Brian dysfxn with abnormalities in brain structure & abnormalities in NT (serotonin & DA)
Genetic cause

Question 14

Tx/Management of ASD

Answer 14

Well-structured classroom & home routines
Individualized instruction
Behavior modification techniques

Question 15

Rett’s Syndrome

Answer 15

Girls >

Normal development to age 4 then –> dec social & verbal cognitive skills, hand wringing, ataxia, dec IQ

Question 16

Childhood Disintegrative Disorder

Answer 16

Boys>

Normal development until age 2 to 10 –> lose all skills

Question 17

Feeding Disorders of Infancy & early childhood

Answer 17

Onset

Question 18

Tourette’s Disorder

Answer 18

Onset: 6-7 yo (as early as 2)
Boys 3-5x > girls 
Lifelong or resolve by adulthood 
Involuntary motor & vocal tics 
Tx: antipsychotics-Haloperidol

Question 19

Chronic Motor & Vocal Tic Disorder

Answer 19

Either Motor or vocal tics (NOT BOTH)

Question 20

Transient Tic Disorder

Answer 20

Single or multiple motor or vocal tics for

Question 21

Separation Anxiety Disorder

Answer 21

4% of school kids: "School Phobia"
Fear of a loss of major attachment figure
c/o physical sx
FH of anxiety disorders
Tx: SSRI: good results