Learning disability Flashcards

1
Q

What is Angleman syndrome?

A

Happy disposition
Laughing at minimal provocation
Handflapping
Inquisitiveness

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2
Q

What is Down’s syndrome?

A
Trisomy 21
Obsessionality
Stubbornness
Small head, flat occiput
Flat nasal bridge
Almond shaped eyes
Protruding tongue
Hearing impairment
Single palmar crease
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3
Q

What is Fragile X syndrome?

A
X linked, repeat expansion
Long narrow face
Large ears
Flexible fingers
Large fingers
Seizures
Hyperactivity
Autism
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4
Q

What is Klinefelter’s syndrome?

A
XXY
Infertility
Weak muscles
Tall
Poor coordination
Lack of body hair
Retain intelligence
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5
Q

What is Lesch-Nyhan syndrome?

A

X-linked recessive
Compulsive severely mutilating self-injurious behaviour
Facial grimicing
Repetitive movements of arms and legs

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6
Q

What is Sanfilippo syndrome?

A

Autosomal recessive lysosomal storage disease

Loss of previously learnt skills

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7
Q

What is Noonan’s syndrome?

A
Autosomal dominant
Short height
Congenital heart disease
Skeletal deformations
Problems in peer relations
Stubborness
Perseverative behaviour
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8
Q

What is Prader-Willi syndrome?

A
Instiable appetite
Sleep abnormalities
Frequent temper tantrums
Skin Picking
High pain tolerance
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9
Q

What is Rett syndrome?

A
Reduced interest in play
Autistic like symptoms
Self injury
Anxiety 
Depression
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10
Q

What is tuberous sclerosis?

A

Benign tumours grow on brain
75% autism, hyperactivity or both
Lung+kidney disease

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11
Q

0-6 months milestones?

A
Roll over
Palmar grasp
Hand to hand
Smile + laugh
Double-syllable sounds
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12
Q

6-12 months milestones?

A
Crawling
Standing supported
Sit unsupported
Pincer grip
Stranger shyness
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13
Q

1-2 year milestones?

A

Walk, run
2-3 word sentences
Feeding self
Parallel play

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14
Q

Infancy milestones?

A
Continence
Co-operative play
Drawing
Questioning
Speech increases in fluency
Skipping
Hopping
Dress themselves
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15
Q

Childhood milestones?

A

Involvement in peer group

Increased autonomy

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16
Q

Adolescence milestones?

A

Independence

Related mostly to peer group

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17
Q

Avoidant attachment?

A

Aggressive with parent
Undisturbed when separated
Avoids/ignores presence

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18
Q

Normal attachment?

A

Exploratory with patent
Upset but consolable when separated
Actively greets when rejoined

19
Q

Anxious attachment?

A

Clingy with parent
Upset when separated
Angry when rejoined

20
Q

What is enuresis?

A

Voiding of urine in inappropriate places at an inappropriate age

21
Q

Causes of enuresis?

A
Deliberate
Genetic
Stressful life events
Poor toilet training
Developmental delay
Structural
Psychiatric disorder
22
Q

What is encopresis?

A

Fecal soiling - in pants or deposited in bizarre locations

23
Q

Causes of encopresis?

A
Constiation
Anal fissure
Bowel disorders
Abuse
Neglect
Family disharmony
24
Q

What is conduct disorder?

A
'pre personality disorder'
Fighting, bullying
Cruelty to animals or people
Severe destructiveness
Firesetting
Stealing
Repeated lying
Truancy
Absconding from home
Temper tantrums
Difiance
25
Q

What is oppositional defiant disorder?

A

Absence of behaviour that violates the law

26
Q

What is separation anxiety?

A

Real or imagined separation with attachment figures

27
Q

Cardinal features of ADHD?

A
Impaired attention
Impulsivity
Overreactivity
Social disinhibition
Recklessness
Impulsive flouting of social rules
Occur in more than one environment
28
Q

NICE base of autism diagnosis?

A

ONE OF:
Problems sustaining or obtaining employment or education
Difficulty initiating social reltionship
Previous contact with mental health service
History of neurodevelopmental conditions
ADHD or mental disorder

29
Q

Social features of autism?

A
Difficulty interpreting emotions, gestures, actions
Stilled pedantic language
Poor listening skills
Conversational reciprocity
Over compliant
Honest to extend of bluntness
Prefer to be alone
Lack of empathy
Avoid eye contact
Little imagination or creative play
Do not like change
Set rules
Minor details
30
Q

Theory of mind?

A

Lack of understanding what other people will think

e.g. Apple in basket challenge

31
Q

What is asperger’s syndrome?

A

Difficulties in social interaction and nonverbal communication but normal language and intelligence

32
Q

Mild LD?

A

IQ 50-69
Delayed understanding/use of language
Difficulties gaining independence
Practical occupations

33
Q

Moderate LD?

A
IQ 35-49?
Varying profiles of ability
Often associated with epilepsy, neurological and other disability
Delay in achievement of self care
Simple practical work
Independent living rarely achieved
34
Q

Severe LD?

A

IQ 20-34
Marked motor impairment
Globally reduced abilities

35
Q

Profound LD?

A
IQ <20
Severe limitation in ability to understand or comply with requests or instructions
IQ difficult to measure
Little/no self care
Severe mobility restriction
36
Q

Prenatal causes of LD?

A
Inborn error of metabolism 
Chromosomal abnormalities
Congenital infection
Irradiation
Drugs
Maternal alcohol intake
Malnutrition
37
Q

Perinatal causes of LD?

A
Hypoxia at birth
Mechanical brith trauma
Small babies
Hyperbilirubinemia
Hypoglycemia
Prematurity
38
Q

Postnatal causes of LD?

A
Meningitis
Encephalitis
Head injury
Lead poisoning
Malnutrition
MMR lol
39
Q

What is phenylketonuria?

A

Abnormal amino acid metabolism
Lack of PAH –> build up phenylalanine
Neurotoxicity

40
Q

What is tuner’s syndrome?

A
XO
Features vary at different ages but include
Small baby/small statues
Middle ear disease
Learning difficulties
Infertility
Webbed neck
41
Q

What is angleman syndrome?

A
Microdeletions
Happy excitable personalities
Laugh, smile often
Learning difficulties
Seizures
Gait problems
42
Q

Presentation of psychiatric conditions in LD?

A
Challenging behaviours
Violence to self
Violence to others
Undressing
Shouting
Masturbation
Urination
Defecation
Rocking
Flapping
Stealing
43
Q

Factors influencing mental health in LD?

A
Genetic vulnerability
Brain damage
Infection 
Physical disability
Sensory impairment
Tumours
Limited social interaction
Reduced employment 
Lack of finance
Lack of support
Reduced transport access
Exploitation
Poor housing
Family attitudes
Lack of choice
Learning experiences
Personality
Separation/loss
Coping style
Life events
Self-esteem
Lack of assertiveness
Feeling helpless