Disorders of Childhood and Adolescence

Question 1

Most common cause of intellectual disability

Answer 1

down syndrome

Question 2

criteria of intellectual disability

Answer 2

onset of sx before 8 yo, and IQ less than or equal to 70 with concurrent deficits

Question 3

List IQ ranges for intellectual disability

Answer 3

less than 20- profound. 20-35- severe. 35-50, moderate. 50-70 is mild. 70-85 borderline

Question 4

onset of rett syndrome

Answer 4

between 6 and 18 months of age, only girls

Question 5

etiology of rett syndrome

Answer 5

mutation on MECP2 gene

Question 6

Most severe autistic spectrum disorder

Answer 6

CDD- Childhood disintegrative disorder

Question 7

list all disorders that are continuum on autism scale

Answer 7

PDD (Pervasive Developmental Disorder), asperger’s disorder, autistic disorder, Rett syndrome, CDD (childhood disintegrative disorder)

Question 8

onset of childhood disintegrative disorder

Answer 8

between age 2-4

Question 9

autistic disorder triad

Answer 9

impaired social interactions, impaired communication, and restricted reportoire of activities and interests

Question 10

in what neurodevelopmental disorder, does child develop a seizure disorder?

Answer 10

CDD

Question 11

at what age should signs be present in autistic disorder

Answer 11

less than 3 years

Question 12

First signs in autistic disorder in children

Answer 12

impairment in social interactions- eye to eye gaze, failure to social smile, facial expressions

Question 13

Dx of autism:

Answer 13

must have all 3 of these communication and social deficits: 1. Non-verbal communication problems. 2. severe problems maintaning relationships- lack of interest in others. 3. problems reciprocating social or emotional interaction. also 2 of the following: attached extremely to routins, repetitive speech or movements, intense and restrictive interests, or difficulty integrating sensory information

Question 14

onset of tourette’s

Answer 14

2-15 yo (most by age 11)

Question 15

tourette’s diagnosis

Answer 15

intermittently for more than 1 year or many times a day, usually in bouts

Question 16

obsessive compulsive sx in tourtett’s most prounonced at age

Answer 16

15, and remain at that level

Question 17

tourette’s more common in

Answer 17

M:F 3:1

Question 18

tourette’s dx, must rule out:

Answer 18

wilson’s disease, and huntington’s dz- motor involvement

Question 19

motor or vocal tics that occur many times a day nearly every day for less than a year

Answer 19

transient or provisional tic disorder.

Question 20

disruptive, impulse control, and conduct disorders in childhood and adolescence:

Answer 20

antisocial personality disorder, oppositional defiant disorder, conduct disorder, intermittent explosive disorder, ADHD

Question 21

childhood form of antisocial personality disorder

Answer 21

conduct disorder

Question 22

children with behavior conduct problems, that do not meet criteria for conduct disorder

Answer 22

oppositional defiant disorder

Question 23

oppositional defiant disorder must have 4 out of 8 sx:

Answer 23

refusal to comply with rules, actions deliberately to annoy others, angry and resentful, argues often, blames others for own mistakes, losing temper, seeks revenge, easily annoyed or touchy

Question 24

distracted, impulsive, and hyperactive

Answer 24

ADHD

Question 25

75% of adhd cases..

Answer 25

genetically inherited- strong link to genetics

Question 26

NT in adhd

Answer 26

dopamine- not as efficient as in normal person

Question 27

criteria for ADHD

Answer 27

either A or B. (6 or more sx of inattention present for more than 6 months OR 6 or more sx of hyperactivity- impulsivity present for 6 or more months)

Question 28

adults dx of ADHD

Answer 28

5 or more criteria in either A or B

Question 29

types of ADHD

Answer 29

combined type (tigger), predominately inattentive type (pooh), predominately hyperactive-impulsive type (rabbit)

Question 30

meds used to treat adhd

Answer 30

stimulants