Autism and Intellectual Disability Flashcards

(42 cards)

1
Q

Diagnostic criteria for Autism? 4

A
  1. Impaired socially
  2. Communication impaired
  3. Abnormal behavior
  4. Onset prior to age 3
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2
Q

How many social impairments are needed for diagnosis

A

2

Nonverbal impairment, no peers, lack of joy, lack of enjoying company

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3
Q

How many communication impairments are needed?

A

1

Can’t sustain convo, abnormal speech, repeated speech, can’t “play”

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4
Q

How many behavioral impairments are needed?

A

1

Preoccupation, Rituals, Repetitive movements, obsessed with objects

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5
Q

Total number of criteria met to diagnose autism?

A

6

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6
Q

What happens if child doesn’t get to six or above criteria?

A

Determine either PDD-NOS or something else

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7
Q

Two categories of autism in DSM-V?

A
  1. Social/communication impaired

2. Patterns of behavior, interests

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8
Q

Social Pragmatic Language disorder definition

A

Social features of autism without the restricted interests

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9
Q

Sex difference in autism

A

Males 5:1

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10
Q

% of autism kids with other genetic disorder

A

10%

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11
Q

Eye contact in autism?

A

Eye contact with no social purpose

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12
Q

Affection in autism?

A

Show affection differently

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13
Q

Speech in autism?

A

Use advanced words of no function

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14
Q

Pointing in autism

A

Develop pointing later

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15
Q

Intelligence in autism?

A

Severe disability to normal

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16
Q

Who is often the first purpose to bring up autism?

A

Physician

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17
Q

Best screening scale for autism

18
Q

5 parts of assessment for autism

A
History
Medical
Psychological
Communication
Diagnostic instruments
19
Q

First level 3 studies for all kids with ASD’s?

A

Audiology
Educational testing
Speech and language eval

20
Q

Second level testing in ASD?

A

Co-existing intellectual disability

21
Q

Third level testing in ASD?

A

Targeted tests indicated by clinical eval

22
Q

3 medical problems with ASD?

A
  1. Seizures
  2. GI
  3. Sleep
23
Q

Essential step after diagnosis?

A

Parent education with genetic testing

24
Q

What to do with parents after delivering diagnosis?

A
  1. Acknowledge grief
  2. Give info
  3. Refer
  4. Encourage communication
  5. Set up followup
25
Best prognosis factors? (2)
1. Early identification AND intervention
26
4 reasons to give drugs to ASD kids?
1. Stimulants for ADHD 2. Anxiety/Depression 3. Aggression/self injury 4. Sleep
27
How to treat repetitive obsessive behaviors?
SSRI's and 2nd gen Anti-Psy's
28
How to treat ADHD?
Stimulants, atomoxetine, clonidine, 2nd gen Anti-psy's
29
How to treat aggression/self injury?
2nd gen anti-psy's, anticonvulsants, SSRI's, clonidine, beta blockers
30
How to treat sleep dysfunction?
Melatonin, clonidine, anti-histamine
31
How to treat depression
SSRI's
32
How to treat bipolar?
Anti-convulsant Lithium Atypical psychotics
33
Two drugs FDA approved for autism? (irritability specifically)
Risperidone | Aripiprazole
34
Physician role in autism?
Gatekeeper
35
What is intellectual disability defined as?
Cognitive functioning two standard deviations below average (typically less than 70 IQ)
36
Mild ID
55 to 70
37
Moderate ID
35 to 55
38
Severe ID
25 to 35
39
Profound ID
20-25
40
Most common genetic cause of ID?
Trisomy 21 (Down)
41
Most common inherited cause of ID?
Fragile X
42
Treatment in ID?
Treat underlying cause