Intellectual Disability Flashcards

1
Q

What is the definition of intellectual disability

A

significantly sub average intellectual functioning with deficits in adaptic failure, all taking place <18 y/o

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the IQ cutoff between normal and intellectually disabled

A

<70

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

how is intellectual disability classified

A

By IQ

mild (69-50)

moderate (49-35)

severe (34-20)

Profound (<20)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is the distribution of cases across the classifications of intellectual disability

A

85% of all IDs are mild
2-3% total people are mildly intellectually impaired
0.5% of people are each moderately or severely impaired
0.05% are profoundly impaired

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What could you expect from someone with a mild intellectual disability in a functional sense

A

can sustain a relationship/hold a job

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What could you expect from someone with a moderate intellectual disability in a functional sense

A

mostly autonomous - probably requires some supervision
can communicate adequately
can do simple household jobs
probably requires supervision in the workplace

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What could you expect from someone with a severe intellectual disability in a functional sense

A

can wash and is continent but other ADLS need help
often physically disabled
limited communication
continuous care required

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What could you expect from someone with a profound intellectual disability in a functional sense

A

extensive help with basic ADLs required
minimal communications
continuous care required

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what are some chromosomal causes for intellectual disability and which is the most common

A
Trisomy 21 (most common)
Fragile X (2nd most) 
cri du chat 
tuberous sclerosis 
neurofibromatosis 
phenylketonuria
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what are some prenatal causes of intellectual disability

A
pre-eclampsia 
congenital hyperplasia
rubella/CMV
foetal alcohol syndromes
placental insufficiency
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what are some perinatal causes of intellectual disability

A

hypoxia
interventricular haemorrhage
hyperbilirubinemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what are some perinatal causes of intellectual disability

A
malnutrition
chronic food poisoning 
head injury 
neglect + abuse
brain infection 
childhood brain tumour
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

consequences ofintellectual diasbility

A
increased risk of: 
suicide
self harm
property damage
harm to others 
unsupervised exit 
harm from others
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

how many people with ID have comorbid autism

A

> 2/3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what are the typical presentations for autism

A
impaired social interaction 
communication issues
fixation of routines 
aloofness
little/no interaction with mother when young
little eye contact 
no imaginative play 
carry same object around 
agile but clumsy when copying movemeents
can't understand the world
speech disorder
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what kind of speech disorders do you see with autism

A
49% no speech
exact repitition 
pronoun reversal (no personal pronouns when referring to self) 
difficulty with abstractions 
poor NVC
17
Q

What are some features of aspergers/autism spectrum disorder

A
good speech but long winded and literal 
long monologues 
monotonous
good memories
lack of social common sense
physically clumsy 
variable intelligence, but generally above average
sufficient personal spacee important 
need organisation
18
Q

what is the behavioural approach to Aspergers/ASD

A

deal with obsessions in a graded change way, decrease frequency gradually with positive reinforcement

set limits for challenging behaviour
warn before interruption of a tantrum
destructive behaviour = immediate interruption
avoid saying NO
short and concrete explanation about why
allow tantrum to burn out

education
parent counselling
no medication as its not very useful

19
Q

How do suicide attempts manifest in intellectual disability

A

suicide attemps are rare and often poorly planned

20
Q

how can bipolar present in intellectual disability

A
challenging behaviour
giggling
overactivity
excitement
disinhibition - masturbation 
less elaborate delusions
21
Q

how can schizophrenia present in intellectual disability

A

poverty of thought
less elaborate delusions
simple/repetitive hallucinations
sudden deterioration from baeline
persecutory delusions/thought disorders less common
lower age of onset
may be fear, withdrawal, acting out of character, sleep disturbance

22
Q

what neurological condition is more common in intellectual disability and by how much

A

epilepsy

school kids 0.6% compared to 3-6% of mild ID and 44% of moderate and above by the age of 22