Learning Disabilities Flashcards

1
Q

What is a learning disability?

A

Condition of arrested growth or incomplete development of the mind, characterised by impairment of skills, manifested during developmental period contributing to overall level of intelligence

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2
Q

LD IQ criteria

A

<70

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3
Q

What is the most commonly used assessment for LD?

A

Wechnler adult intelligence scale (WAIS)

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4
Q

A borderline LD?

A

IQ 70+

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5
Q

A mild LD?

A

IQ 50-69

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6
Q

A moderate LD?

A

IQ 35-49

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7
Q

A severe LD?

A

IQ 20-34

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8
Q

A profound LD?

A

IQ <20

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9
Q

What age does a borderline LD equate to?

A

12-15 years old

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10
Q

What is the most common LD?

A

Mild

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11
Q

What age does a mild LD equate to?

A

9-12 years old

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12
Q

What age does a moderate LD equate to?

A

6-9 years old

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13
Q

What age does a severe LD equate to?

A

3-6 years old

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14
Q

What age does a profound LD equate to?

A

<3 years old

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15
Q

Examples of generic aetiology of LD?

A

Defects of proteins (phenylketonuria), carbohydrates (mucopolysaccharidoses), lipid metabolism (neurolipidoses)
Tuberous scerlosis
Congenital hypothyroidism
Lesch nyhan syndrome (x linked)

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16
Q

Examples of chromosomal aetiology of LD?

A
Down's syndrome (trisomy 21) 
Patau syndrome (trisomy 13) 
Edwards syndrome (trisomy 18) 
Cri du chat 5P
Angelman 15Q
Prader-willi 15Q
Velo cardiofacial syndrome 22Q
Williams syndrome 7Q
Turners 45, XO
Trisomy X , 47XXX
Kleinfelter, XXY
XXY male 
Fragile X
17
Q

Examples of prenatal aetiology factors causing LD?

A
Maternal infection - rubella, CMV, toxoplasmosis
Exposure to medications or drugs 
Alcohol
Poor diet
Substance abuse
18
Q

Examples of perinatal aetiology factors causing LD?

A
Neonatal septicaemia 
Pneumonia 
Meningitis/ encephalitis 
Problems at birth-delivery injury 
Newborn complications - resp distress, hyperbilirubinaemia, hypoglycaemia, extreme prematurity
19
Q

Examples of postnatal a aetiology factors causing LD?

A
Congenital hypothyroidism 
Cerebral palsies
Epilepsy 
Autism 
CNS infections, vascular incidents, tumours, hypoxic brain injury, head injury, NAI, exposure to toxic agents, psychosocial environment
20
Q

How much more common is schizophrenia is people with LD?

A

X3

21
Q

How much more common is depression in people with LD?

A

D3

22
Q

What percentage of LD population have autism?

A

30%

23
Q

Management for LD??

A

Therapeutic environment - general and specific support
Education
Meet needs, support network
Communication - hearing aids, glasses, pictorial
Behavioural
Cognitive
Pharmacological
Physical interventions - head gear, isolation
Admission - respite, Specialist unit