Autism and ADHD Flashcards

(58 cards)

1
Q

What are some language disturbances that may accompany autism

A

-deficits in development/use
-may express more than they understand
-echolalia or stereotypy phrases
-odd voice quality/rhythm
-total lack of speech

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

what are some signs of irritability in children with autism

A

aggression
self-injurious behavior
severe tantrums
may emerge w/o trigger

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

what are some other common associated features of autism

A

-instability of affect
-hyperactive/inattentive
-precocious skills
-insomnia
-minor infections/GI sx

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

what are the two medications approved to treat irritability in autism

A

risperidone
aripiprazole

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

core symptoms of autism

A

-persistent deficits in social communication/interaction
-restrictive/repetitive behaviors/interests

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

possible manifestations of social communication/interaction deficits in autism

A

-poor eye contact
-disrupting routine can cause extreme anxiety
-atypical attachment behavior
-impaired ability to infer feelings/empathy
-poor social skills

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

possible manifestations of restricted/repetitive behaviors/interests in autism

A

-Restricted/muted exploratory play
-rigid, repetitive, monotonous play
-ritualistic and compulsive behaviors
-increased self-stimulation and self-injury when intellectual disability is present
-

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

physical characteristics associated with autism

A

-ear malformations
-ambidextrous
-abnormal fingerprints

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

Possible disturbances in language usage associated with autism

A

-may express more than they understand
-echolalia or stereotypic phrases out of context
-peculiar voice quality and rhythm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

is it common for autism to have deficits in language development

A

No but it can happen
typically lack prosody and inflection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How can irritability be manifested in autism

A

-aggression
-self-injury
-severe temper tantrums
-may emerge unexpectedly w/o trigger

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

possible responses to sensory stimuli in autism

A

-may over/under respond
-not uncommon to appear deaf
-heightened pain threshold and altered response to pain
-particular enjoyment of vestibular stimulation (spinning, up-and-down, etc.)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

hyperactivity and inattention in autism

A

ADHD is often comorbid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

minor infections that are more frequent in autism

A

-URIs
-febrile seizures

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

standardized assessment tool for autism

A

autism diagnostic observation schedule-generic
(ADOS-G)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Targets for autism treatment

A

-core behaviors
-social interaction/communication
-strategies for school integration
-development of peer relationships
-independent living skills -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

psychosocial interventions for autism treatment

A

-early intensive behavioral/developmental interventions
-social skills training
-tx comorbid symptoms
-educational interventions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

early behavioral/developmental intervention for autism: UCLA/LOVAAS-based model

A

–given one-on-one for several hours weekly in the home
-focuses on social skills, language usage, play skills

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

early behavioral/developmental interventions for autism: ESDM

A

-parents/educators trained as cotherapists to deliver interventions in natural settings (school, daycare, home)
-focus on play and relationship skills

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

social skills training in autism

A

-typically in group setting w/ varying ages
-guided practice in initiating conversation, greetings, initiating games, and joint attention
-includes emotional identification and regulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

interventions for insomnia in autism

A

-change parental behavior towards child at bedtime to reduce reinforcement for being awake
-massage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

educational interventions for children with autism: TEACCH method

A

-structured teaching based on idea that children have a problem with perception
-uses visual aides to teach academic and social skills

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what is the use of medications in autism

A

to treat behavioral symptoms rather than core symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

medications approved to treat irritability in autism

A

risperidone
aripiprazole

25
what is risperidone/aripiprazole mainly used for in autism
1st line for aggression and self-injurious behavior 0.5-1mg
26
typical dosage of aripiprazole in autism patients
5-15mg weight gain not as bad as risperidone
27
medications used to treat hyperactivity, impulsivity, and inattention in autism
methylphenidate (moderate) atomoxetine (better than placebo)
28
how to treat repetitive/stereotypic behavior in autism
risperidone may help by reducing irritability
29
prenatal risk factors for autism
-advanced maternal age -gestational bleeding -gestational diabetes -first born baby
30
perinatal risk factors for autism
-umbilical complications -birth trauma/fetal distress -small for gestational age -low birth weight -low 5-minute APGAR -congenital malformations -Rh factor incompatibility -hyperbilirubinemia
31
frequent ADHD comorbidities
-learning disorders -anxiety disorders -mood disorders -disruptive behavior disorders
32
what is the age requirement for ADHD dx
sx must be present before age 12
33
most common ADHD characteristics
-hyperactivity -attention deficit -impulsivity -memory/thinking deficits -learning disabilities -speech/hearing deficits
34
medical problems with symptoms that overlap ADHD
-petit mal epilepsy -hearing/vision impairments -thyroid abnormalities -hypoglycemia
35
what is considered first line therapy for ADHD
stimulants
36
stimulants for the treatment ADHD
-methylphenidate -amphetamine-D -amphetamine D,L
37
brand names for amphetamine D
-dexedrine spansule -zenzedi -procentra
38
brand names for amphetamine D.L
-adderall -evekeo -adzenys -dyanavel -mydayis
39
what kind of agonists are methylphenidate and amphetamine
dopamine
40
what is the ER formulation of methylphenidate
Concerta
41
what is good abount the methylphenidate patch
it stops working 1 hour after removal
42
nonstimulant medications for ADHD
-atomoxetine -clonidine -guanfacine
43
drug class of atomoxetine
norepinephrine reuptake inhibitor
44
half-life and dosing of atomoxetine
half-life 5 hours and typically given BID
45
drug class of clonidine
norepinephrine receptor agonist
46
drug class of guanfacine
norepinephrine receptor agonist
47
clonidine dosage range for ADHD
0.1-0.2mg typically dosed BID
48
clonidine taper
increase by 0.1mg weekly do not taper any faster than q3-7 days
49
are ER and IR formulations of clonidine interchangeable
No
50
dosage of guanfacine in ADHD treatment
-start 1mg and titrate up by 1mg at weekly intervals to max dose of 4mg daily
51
dc taper of guanfacine
taper by 1mg q3-7 days
52
guanfacine and meals
do not take with high fat meal
53
what is best option for depression comorbid with ADHD
SSRIs
54
what may work for ADHD in adults
modafinil
55
what should be checked quarterly in children taking stimulants
height, weight, BP, P
56
psychosocial interventions for ADHD
-psychoeducation -academic organization skills -parent training -behavior modification -CBT -social skills training
57
which neurotransmitter is the focus of treatment for ADHD
dopamine
58
main treatment for ADHD in adults
long-acting stimulants