1.5 — 1 Autism Flashcards

(29 cards)

1
Q

drowning remains the leading cause of death for children with autism and accounts for approximately __% of deaths associated with wandering or bolting by those age 14 and younger

A

90%

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2
Q

developmental regression, or loss of skills, such as language and social interests, affects around in 5 children who will go on to be diagnosed with autism and typically occurs between ages __ and __

A

1-3yo

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3
Q

about __-__% of autistic are nonverbal or mcnally verbal

A

25-30%

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4
Q

according to DSM-5 a child must have persistent deficits in each of 3 areas of social communication and interaction:

and 2 of the 4 types of restricted, repetitive behaviors:

A
  • social-emotional reciprocity
  • nonverbal communication
  • developing, maintaining ad understanding relationships
  • stereotyped or repetitive movements, i use of objects or speech
  • insistence on sameness
  • highly restricted, fixated interests that are abnormal in intensity or focus
  • hyper- or hyporeactivity to sensory input or unusual interest in sensory aspects of the environment
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5
Q

What ages does the AAP recommend developmental and behavioral screening?

A
  • 9 months
  • 18 months
  • 30 months
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6
Q

what ages does the AAP recommend screening for ASD?

A
  • 18 months
  • 24 months
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7
Q

Signs of ASD:
- not responding to name by __ months
- not point at objects to show interest by __ months
- not play pretend games by __ months
- avoid eye contact and want to be alone

A

12 months
14 months
18 months

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8
Q

Signs of ASD:
- have trouble understanding other peoples feeling or talking about their feelings
- have delayed speech and language skills
- repeat words or phrases over and over (echolalia)
- no big smiles or other warm, joyful expression by __ months

A

6 months

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9
Q

Signs of ASD:
- give unrelated answers to questions
- get upset by minor changes
- no back-and-forth sharing of sounds, smiles or other facial expressions by __ months
- no babbling by __ months

A
  • 9 months
  • 12 months
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10
Q

Signs of ASD:
- have obsessive interests
- flap their hands, rock their body, or spin in circles
- have unusual reactions to the way things sound, smell, taste, look or feel
- no words by __ months

A
  • 16 months
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11
Q

Signs of ASD:

  • no back-and-forth gestures such as pointing, showing reaching or waving by __ months
  • no meaningful, two-word phrases (not including imitating or repeating) by __ months
  • any loss of speech, babbling or social skills at any age
A
  • 12 months
  • 24 months
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12
Q

What are signs of FAS that may mimic ASD?

A
  • speech and language delays
  • sleep problems
  • learning disabilities
  • hyperactivity
  • poor impulse control
  • vision problems
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13
Q

Single gene disorders appear to affect __-__% of those with ASD. Examples?

A

15-20%
- Fragile X syndrome
- Angelman syndrome
- tuberous sclerosis
- chormosome 15 duplication syndrome

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14
Q

autism is almost _ times more common in boys (1 in __) than among girls (1 in __)

A

3x
1 in 28
1 in 80

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15
Q

T/F? girls may somehow be resistant to mutations that contribute to autism and need a bigger genetic hit to have the condition

A

True

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16
Q

T/F? gender dysphoria, gender identity disorder and gender variance may be more common in individuals with ASD?

17
Q

It is estimated that less than __% of people with ASD live independently

18
Q

researches have tallied about ___# of genes they consider strongly linked to autism, and up to __# of exome sequencing loci (locations) contributing to ASD risk which is probably an underestimate

A

100 genes
234 loci

19
Q

what are other overlapping psychiatric/neurodevelopmental disorders that can occur with ASD?

A
  • learning disability
  • ADHD
  • motor coordination problems
  • tic disorders and epilepsy
  • OCD
  • bipolar
  • schizophrenia
  • major depression
  • anorexia nervous
  • tourette syndrome
21
Q

what are some risk factors for ASD stemming from gestational period?

A
  • first-born children
  • maternal gestational diabetes, maternal bleeding during pregnancy and maternal medication
  • intrauterine infection
  • gestational viral infections
  • antidepressants especially during first trimester
22
Q

T/F? mitochondrial dysfunction can connect the diverse medical symptoms associated with ASD?

23
Q

what is the Early Start Denver Model (ESDM)?

A

broad developmental approach based on the principles of plied Behavior Analysis. It is used with children 12-48 months of age. Parents and therapists use play, social exchanges and shared attention in natural settings to improve language, social and learning skills

24
Q

What is Discrete Trial Training?

A

an Applied Behavioral Analysis teaching style that uses step-by step instructions to teach a desired behavior or response. Lessons are broken down into their simplest parts, and desired answers and behaviors are rewarded while undesired answers are ignored

25
What is Pivotal Response Training (PRT)?
an Applied Behavior Analysis teaching style that takes place in a natural setting rather than a clinic setting. The goal of PRT is to improve a few “pivotal skills” that will help the person learn many other skills. One example of a pivotal skill is to initiate communication with others
26
What is the Treatment and Education of Autistic and Related Communication-Handicapped Children (TEACCH)
- based on the idea that children with autism thrive on consistency and visual learning - provides teachers with ways to adjust the classroom structure and improve academic and other outcomes Ex: daily routines can be written or drawn and placed in clear sight. Boundaries can be set around leaning situations. Verbal instruction can be complimented with visual instructions or physical demonstrations
27
T/F? there are medications that treat the core symptoms of ASD?
False - some medications treat co-occurring symptoms that can help people with ASD function better
28
the atypical antipsychotics ____ and ____ are the only two medications approved b y the FDA to help reduce irritability in autistic children and teens
risperidone (Risperdal) aripiprazole (Abilify)
29
Persons with autism seem to have a _____ mortality rate at younger ages compared to average individuals?
higher mortality rate - particular true for mortality that is related to seizures or infection