Intellectual Disability

Question 1

__% of patients with intellectual disability also have another psychiatric disorder

Answer 1

40% of patients with intellectual disability also have another psychiatric disorder

Question 2

DSM criteria for intellectual disability

Answer 2

1. Deficits in cognitive fields and learning confirmed by clinical assessment and individualized, standardized intelligence testing
2. Concurrent deficits in social/adaptive functioning
3. Onset of symptoms during the developmental period

Question 3

Adaptive functioning tests

Answer 3

Psychological assessments measuring social, communicating, daily living, community functioning skills

A collateral source who knows the patient well is required to answer the questions needed to complete this assessment

Vineland Social Maturity scale is a commonly utilized one.

Question 4

Most common causes of intellectual disability in the US (in order)

Answer 4

1. Down syndrome
2. Fragile X syndrome (more severely affects males)
3. Fetal alcohol syndrome
4. Phenylketonuria

Question 5

Most commonly used intelligence tests in psychiatry

Answer 5

Wechsler Scales

Stanford-Binet Scale

Question 6

What percentage of those with intellectual disability have no identifiable underlying etiology

Answer 6

33%

Question 7

Deficits in intellectual disability are ___, while they are ___ in communcation or learning disorders.

Answer 7

Deficits in intellectual disability are global, while they are uneven / specific in communcation or learning disorders.

Question 8

Degrees of intellectual disability

Answer 8

Question 9

Patients with which levels of intellectual disability are capable of holding jobs?

Answer 9

Mild only

Sometimes moderate for simple jobs and with significant support

Question 10

In invididuals with moderate to profound intellectual disability, it is important to remember that ___ may result in agressive or self-destructive behavior in an individual with limited means of communication

Answer 10

In invididuals with moderate to profound intellectual disability, it is important to remember that conditions causing pain may result in agressive or self-destructive behavior in an individual with limited means of communication

Question 11

Intellectual disability is a form of __ disorder

Answer 11

Intellectual disability is a form of neurodevelopmental disorder

As opposed to neurocognitive disorder, which is characterized by the loss of cognitive functioning