Intellectual disabilities Flashcards

1
Q

what is a learning disability

A

arrested or incomplete mental development

reduced intellectual ability and difficulty with everyday activities

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2
Q

how is a learning disability defined

A

IQ <70
present from <18
deficits in adaptive learning

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3
Q

what are the obrien principles of LD

A

continue to grow and develop in the appropriate environment
worthy of all dignity and rights
need to learn through risk taking
need availability of generic environments, normal conditions of life

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4
Q

diagnosis of LD?

A

clinical findings

IQ scoring by WAIS, weschler intelligence score for children or weschler preschool or primary scvale of intelligence

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5
Q

what % roughly have LD, how much is it increasing by annually and why is this

A

normal distribution of 2.5% have IQ<70

1% increase annual thought to be by increase in premature birth survival

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6
Q

what is the flynn effect

A

increase of 3 points IQ per decade in the USA - 10 per generation

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7
Q

what factors led to the flynn effect

A
better schooling 
test familiarity 
stimulation 
better nutrition 
decreased rates of infection and better treatment
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8
Q

what factors are leading to the flynn effect slowing

A

orientation towardas computer gaming
different schooling
immigration
dysgenic decline

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9
Q

racial and geographical discrepancies in IQ testing?

A

Asian IQ higher than european
Jewish higher than asian
african american lower than white american
IQ of developed countries are higher

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10
Q

categories of LD - Mild LD

A

50-69

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11
Q

categories of LD - borderline LD

A

> 70

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12
Q

categories of LD - moderate LD

A

49-35

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13
Q

categories of LD - severe LD

A

20-34

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14
Q

categories of LD - profound LD

A

<20

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15
Q

mental age of someone with a borderline LD

A

12-15

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16
Q

features of mild LD

A
most common LD 
age 9-12 mentally 
delayed speech 
fully independent 
difficulties with reading and writing 
unskilled or semi skilled work 
rarely organic
17
Q

features of moderate LD

A
slow comprehension and language 
delayed self care and motor skill
supervised simple tasks 
fully mobile 
often organic aetiology and may have comorbid physical disability/epilepsy
18
Q

features of severe LD

A

marked impairment
achievements are highly restricted
very frequently associated with epilepsy

19
Q

features of profound LD

A

mental age <3
severe limitation in ability to understand of comply with request/instruction
little to no self care
often severe mobility restriction

20
Q

antenatal genetic causes of LD

A
cri du chat 
angelman syndrome 
prader willi
williams syndrome 
downs syndrome 
edwards syndrome 
patau syndrome 
turners syndrome 
trisomy X 
klinefelter
XYY 
fragile X 
PKU
TS 
congenital hypothyroidism
21
Q

antenatal non-genetic causes of LD

A
substnace abuse 
poor diet 
toxoplasmosis 
CMV 
rubella
22
Q

perinatal causes LD

A

hypoxia
prematurity
cerebral anoxia

23
Q

postnatal causes LD

A

hypoglycaemic
metabolic
high bilirubin

24
Q

infancy causes LD

A

traum
infection
toxins
NAI

25
Q

social effects of LD

A
discrimination 
sexual abuse 
differing employment 
stigma 
poor educational provision
26
Q

physical effects of LD

A

physical disability
sensory issues
mobility issues

27
Q

health effects of LD

A

harder to diagnose mental illness
epilepsy
substance misuse
physical illness

28
Q

ways of managing LD

A

general support and therapeutic environmen t
communication aids
CBT, psychodynamic therapy and behavioural
treatment of epilepsy, GORD, constipation

29
Q

how may schizophrenia appear in a patient with LD

A

more likely to have negative symptoms

30
Q

how may depression appear in a patient with LD

A

increased somatisation
3x more common
reduced verbal expression affect
higher prevalence biological over affective symptoms