Gen Paeds/Developmental Flashcards
What are the 4 diagnostic assessment tools used for intellectual disability and their age range?
WPPSI- 2.5-7yo (prekindy/kindy)
WISC- 6y-16yo (6yo have whisk icecream)
WAIS: 16 and above
Stanford Benet- made by diff company, over 2yo
Name one adaptive function assessment tool used for diagnosing intellectual disabilitu
There is an increasing shift AWAY from just using IQ measurement scores to diagnose ID.
ABAS-3 is one of the functional assessment tools which looks at their ability to carry out routine function
What is the % of kids with dyslexia that have dyslexic parents?
40-60%
Which gender is more common for dyslexia?
M
What happens to Tics during sleep? Are they distractable?
Not present during sleep, distractable.
3 components that define a tic?
Premonitory urge + the tic behaviour+ sense of relief post
% of kids with tics that resolve, get better or persist after adolescent age
25-50% resolve
25-50% get better
25-30% persist
Difference in diagnostic criteria for chronic tic disorder vs Tourettes
Chronic tic: Motor OR vocal tic, NOT BOTH present >1 year and not secondary to anything else
Tourettes: Motor AND vocal tic present >1 year and not due to anything else
What neurodevelopmental disorder is most commonly linked with Tourettes/tics
ADHD
Does ADHD severity impact outcome of tic disorder?
Yes.
Severity and treatment impacts on the prognosis of tic disorder
Best treatment for tic disorder? Pharm and non-pharm
CBT is the best.
Pharm: a-agonist ie clonidine and guanfacine
Where is the damage from HIE most likely to occur and why
Most commonly in basal ganglia, as its the most active part
Rough age for the following milestones:
Sitting unaided
Crawling
Pull to stand
Walk
Sitting unaided: 6 months
Crawling: 8 months
Pull to stand: 12 months
Walk: 15 months
Most common type of CP
Spastic diplegia
Then dyskinetic and then ataxic
Full form of GMFCS and what does it measure?
Gross motor function classification scale
Measures self initiated movements and level of support required.
Roughly, what are the 5 levels of CP
1= can walk independently
2= Require rail with stairs
3= Not able to walk independently, need assistance
4= wheelchair dependant
5= lack head control
What is the full form of FMS and what does it measure in relation to CP
Functional mobility score
Measures level of functioning at home, school and community
6= capable
1= not capable
How does Botox work, when is the peak effect post injection for CP
Anticholinergic effect- blocks transmission of signals between nerve and target muscle.
Peak impact ~1month post injection
What receptor/neurotransmitter does Baclofen act on?
GABA
What are 4 predictors of long term outcomes for CP
- Persistence of primitive reflexes at 2yo
- Gross motor outcomes
- Type of CP
- Intellectual impairment= good predictor
Name 3 tools used to assess ADHD
Vanderbilt
Swanson, Nolam and Reiham (SNaP)
ADD-H: teacher’s scale
Most common mental health disorder with ADHD
Anxiety
Most frequently used screening for autism?
M-CHAT
Rate of sleep difficulty in kids with autism
50-80%
