Learning difficulties Flashcards

1
Q

What is a learning difficulty?

A

Difficulty in acquiring knowledge and skills to the normal level expected of those of the same age, especially because of mental disability or cognitive disorder

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2
Q

What is the difference between a learning disability and a learning difficulty?

A

Disability - low IQ, affecting global brain functioning, mental retardation
Difficulty - something that makes it harder to learn but can be corrected by a small thing eg changing paper colour, bigger text

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3
Q

Name 2 possible learning difficulties

A

ADHD

ASD

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4
Q

Name 2 learning disabilities

A

Down syndrome

Fragile X syndrome

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5
Q

What are the risk factors for ADHD?

A
Family history of ADHD or other mental health conditions
Exposure to environmental toxins
Maternal drug useage
Smoking during pregnancy
Premature birth
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6
Q

What are the risk factors for ASD?

A
Male sex
Family history
Other disorder - fragile X syndrome, tuberous sclerosis, Rett syndrome
Premature birth
Older parents
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7
Q

What are the risk factors for Down syndrome?

A

Advancing maternal age
Parents being carriers of genetic translocation for Down syndrome
Having had one child with Down syndrome

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8
Q

What are the risk factors for fragile X syndrome?

A

Genetically inherited
Male - mother carrier of gene
Female - father/mother carrier of gene

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9
Q

How common is ADHD?

A

8.4% of children and 2.5% adults

More common amongst boys

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10
Q

How common is ASD?

A

1 in every 54 (1.9%) of 8 year old
4.3 times more common in boys
Equal representation among different racial and ethnic groups

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11
Q

How common is Down syndrome?

A

Most common chromosomal condition diagnosed

1 in 700

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12
Q

How common is fragile X syndrome?

A

x2 more common in men
Women often have milder symptoms than men
Affects around 1 in 4000 men and 1 in 8000 women
Women can be carriers, men cannot

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13
Q

Name 3 genetic disorders that could be a differential diagnosis

A
Deletion at 22q11p
Kleinfelter's
Prader-Willi
Angelman's
Rett syndrome
Neurocutaneous disorders ef neurofibromatosis, Sturge-Weber syndrome, tuberous sclerosis
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14
Q

Name 3 acquired disorders that could be a differential diagnosis

A
History of prematurity
Congenital hydrocephalus
Traumatic brain injury
Prior cerebral infection eg encephalitis
Lead/mercury poisoning
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15
Q

Name 3 other disorders that could be a differential diagnosis

A
Intellectual disability/developmental delay
Language or developmental disorder
Visual or hearing impairment
Seizure disorder
Substance abuse
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16
Q

Name 3 emotional disorders that could be a differential diagnosis

A

Anxiety
Depression
PTSD
Psychosis

17
Q

How does ADHD present?

A

Inattention

Hyperactivity and impulsivity

18
Q

How does ASD present?

A

Problems with social interaction and communication skills

Limited, repetitive patterns of behaviour, interests or activities

19
Q

What are the physical symptoms of Down syndrome?

A
Flattened face
Small head
Short neck
Protruding tongue
Upward slanting eye lids
Unusually shaped or small ears
Poor muscle tone
Broad, short hands with a single crease in the palm
Relatively short fingers and small hands and feet
Excessive flexibility
Tiny white spots on iris
Short height
20
Q

What are the developmental symptoms of Down syndrome?

A

Mild-moderate cognitive impairment
Delayed language
Affects short and long term memory

21
Q

What are the physical symptoms of fragile X syndrome?

A
Low muscle tone
Large ears
Flat face
High forehead
Often difficult to recognise in children
22
Q

What are the developmental symptoms of fragile X syndrome?

A

Intellectual disability

23
Q

What are the behavioural symptoms of fragile X syndrome?

A
Significant social anxiety
Short attention span
Distractibility
Impulsiveness
Restlessness
Over-activity
Sensory problems (ADHD like symptoms)
Autism
24
Q

What are the possible carrier traits of fragile X syndrome?

A
Social interaction
Communication difficulties
Learning difficulties
ADHD
Anxiety
Depression
Early menopause
Parkinson's like conditions
25
How is ADHD diagnosed?
6 or more symptoms of inattentiveness or 6 or more symptoms of hyperactivity and impulsiveness Symptoms continuously for at least 6 months Started to show symptoms before 12 Over the age of 6
26
How is ASD diagnosed?
Look at how the child interacts | Ask parents a few questions
27
How is Down syndrome diagnosed?
Often diagnosed in the womb Or Diagnosed a birth which chromosomal analysis
28
How is fragile X syndrome diagnosed?
DNA blood tests looking for changes in the FMR1 gene
29
How is ADHD managed?
``` Medications to help with concentration and impulsions Psychoeducation CBT Parent training and education programmes Social skills training ```
30
What drugs might you give for ADHD?
``` Methylphenidate Dexamfetamine Lisdexamfetamine Atomoxetine Guanfacine ```
31
How is ASD managed?
``` Behavioural management therapy CBT Early intervention Educational and school-based therapies Joint attention therapy Medication treatment Nutritional therapy Occupational therapy Parent-medicated therapy Physical therapy Social skills training Speech-language therapy ```
32
How is Down syndrome managed?
SLT Physiotherapist Optician or hearing specialist Occupational and educational support
33
How is fragile X syndrome managed?
Treatments to minise symptoms - eg benzodiazepines when anxious Appropriate education and medication Therapy services
34
What does an IQ below 70 mean?
Significantly below average | May be lacking capacity for certain decisions