intellectual and communication disorder

Question 1

basic definition of intellectual development disorder

Answer 1

intellectual and adaptive functioning deficits in conceptual, social, and practical domains

Question 2

what three criteria have to be met for dx of intellectual development disorder

Answer 2

-intellectual disability confirmed by standardized tests
-adaptive functioning deficit causes failure to meet standards for independence
-onset during early developmental period

Question 3

what determines severity of intellectual disability

Answer 3

adaptive funcitoning not IQ scores

Question 4

3 domains of adaptive funcitoning to measure for intellectual developmental disorder

Answer 4

conceptual domain
social domain
practical domain

Question 5

conceptual domain of adaptive functioning

Answer 5

competence in memory, language, reading, writing, etc

Question 6

social domain of adaptive funcitoning

Answer 6

awareness of others feelings, empathy, interpersonal skills

Question 7

practical domain of adaptive functioning

Answer 7

personal care, job responsibilities, money management, organization of tasks

Question 8

when is adaptive functioning deficit criteria met for intellectual development disorder

Answer 8

when 1 of the 3 domains is impaired enough to require ongoing support to function adequately

Question 9

differential diagnoses for intellectual development disorder that may also be comorbid

Answer 9

neurocognitive disorders
communication disorders
specific learning disorder
autism

Question 10

most common comorbidities with intellectual development disorder

Answer 10

ADHD
depression/bipolar
anxiety
autism
impulse control disorders
stereotypic movement disorders

Question 11

when do you give a diagnosis of global developmental delay

Answer 11

when the child is under 5 and clinical severity cannot yet be assessed reliably

Question 12

how old do you have to be to get a diagnosis of intellectual development disorder

Answer 12

at least 5

Question 13

basic definition of language disorder

Answer 13

difficulty in the acquisition and use of language d/t deficits in comprehension or production

Question 14

diagnostic criteria for language disorder

Answer 14

-language abilities substantially below expected for age enough to cause limitations in communication or social, academic, and occupational domains
-onset in early developmental period
-not attributable to sensory deficit or another disorder

Question 15

clinical features of language disorder

Answer 15

-deficits in written, spoken, sign language
-language problems d/t comprehension/production of vocabulary, grammar and sentence structure
-first words/phrases delayed

Question 16

prognosis if diagnosed with language disorder after 4 years old

Answer 16

likely to be stable and persist into adulthood

Question 17

are receptive or expressive language deficits associated with a poorer prognosis

Answer 17

receptive

Question 18

common comorbidities with language disorder

Answer 18

-specific learning disorder
-ADHD
-intellectual disability
-autism
-developmental coordination disorder
-social pragmatic communication disorder

Question 19

diagnostic criteria for speech and sound disorder

Answer 19

-difficulty w/ sound production interferes w/ intelligibility of speech
-communication limitations affects social, academic, or occupational domains
-onset in early developmental period
-not attributable to another condition

Question 20

possible problems causing speech and sound disorder

Answer 20

may have phonetical knowledge deficit or inability to coordinate movements of anatomical structures required for speech

Question 21

development and course of speech and sound disorder

Answer 21

most respond well to treatment and difficulties improve over time. Poorer prognosis if language disorder comorbid

Question 22

basic defintion of childhood onset fluency disorder

Answer 22

disturbances in fluency pattern inappropriate for age that are persistent and cause anxiety about or limitations in communication,, social interaction, and academic/occupational functioning

Question 23

6 possible manifestations of childhood onset fluency disorder (must have 1)

Answer 23

-repetition of sounds/syllables
-sound prolongations
-broken words/pauses within a word
-audible or silent blocking
-circumlocutions
-monosyllabic word repetitions

Question 24

what are circumlocutions

Answer 24

word substitutions to avoid problematic words

Question 25

other diagnostic criteria for childhood onset fluency disorder

Answer 25

-causes anxiety about speaking or limits communication
-onset in early developmental period
-not attributable to another disorder

Question 26

common differential diagnoses for childhood onset fluency disorder

Answer 26

sensory deficits
specific learning disorder
bilingualism
medication side effects
tourette’s

Question 27

Onset of stuttering

Answer 27

from 2-7 years old
can be sudden or insidious

Question 28

basic definition of social pragmatic communication disorder

Answer 28

difficulty with social use of verbal and nonverbal language

Question 29

4 manifestations required for social pragmatic communication disorder

Answer 29

-problems with language for social purposes (greeting, sharing info)
-problem changing communication style to match context or needs of the listener
-difficulty following rules of conversation
-difficulty understanding anything that is not explicitly said (inferences)

Question 30

other diagnostic criteria for social pragmatic communication disorder

Answer 30

-limits communication and/or function in at least one important area
-onset in early developmental period
-not attributable to another condition

Question 31

when is social pragmatic communication disorder diagnosed

Answer 31

not before age 5

Question 32

main differential diagnoses for social pragmatic communication disorder

Answer 32

autism
ADHD
social anxiety disorder
intellectual development disorder
global developmental delay

Question 33

what differentiates social pragmatic communication disorder from autism

Answer 33

the presence of restricted/repetitive patterns of behavior, interests, or activities

Question 34

what is the differentiating factor between social pragmatic communication disorder and social anxiety disorder

Answer 34

onset
no hx of adequate social communication in social pragmatic communication disorder