Learning disability Flashcards

(43 cards)

1
Q

What is Angleman syndrome?

A

Happy disposition
Laughing at minimal provocation
Handflapping
Inquisitiveness

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2
Q

What is Down’s syndrome?

A
Trisomy 21
Obsessionality
Stubbornness
Small head, flat occiput
Flat nasal bridge
Almond shaped eyes
Protruding tongue
Hearing impairment
Single palmar crease
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3
Q

What is Fragile X syndrome?

A
X linked, repeat expansion
Long narrow face
Large ears
Flexible fingers
Large fingers
Seizures
Hyperactivity
Autism
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4
Q

What is Klinefelter’s syndrome?

A
XXY
Infertility
Weak muscles
Tall
Poor coordination
Lack of body hair
Retain intelligence
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5
Q

What is Lesch-Nyhan syndrome?

A

X-linked recessive
Compulsive severely mutilating self-injurious behaviour
Facial grimicing
Repetitive movements of arms and legs

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6
Q

What is Sanfilippo syndrome?

A

Autosomal recessive lysosomal storage disease

Loss of previously learnt skills

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7
Q

What is Noonan’s syndrome?

A
Autosomal dominant
Short height
Congenital heart disease
Skeletal deformations
Problems in peer relations
Stubborness
Perseverative behaviour
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8
Q

What is Prader-Willi syndrome?

A
Instiable appetite
Sleep abnormalities
Frequent temper tantrums
Skin Picking
High pain tolerance
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9
Q

What is Rett syndrome?

A
Reduced interest in play
Autistic like symptoms
Self injury
Anxiety 
Depression
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10
Q

What is tuberous sclerosis?

A

Benign tumours grow on brain
75% autism, hyperactivity or both
Lung+kidney disease

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11
Q

0-6 months milestones?

A
Roll over
Palmar grasp
Hand to hand
Smile + laugh
Double-syllable sounds
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12
Q

6-12 months milestones?

A
Crawling
Standing supported
Sit unsupported
Pincer grip
Stranger shyness
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13
Q

1-2 year milestones?

A

Walk, run
2-3 word sentences
Feeding self
Parallel play

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14
Q

Infancy milestones?

A
Continence
Co-operative play
Drawing
Questioning
Speech increases in fluency
Skipping
Hopping
Dress themselves
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15
Q

Childhood milestones?

A

Involvement in peer group

Increased autonomy

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16
Q

Adolescence milestones?

A

Independence

Related mostly to peer group

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17
Q

Avoidant attachment?

A

Aggressive with parent
Undisturbed when separated
Avoids/ignores presence

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18
Q

Normal attachment?

A

Exploratory with patent
Upset but consolable when separated
Actively greets when rejoined

19
Q

Anxious attachment?

A

Clingy with parent
Upset when separated
Angry when rejoined

20
Q

What is enuresis?

A

Voiding of urine in inappropriate places at an inappropriate age

21
Q

Causes of enuresis?

A
Deliberate
Genetic
Stressful life events
Poor toilet training
Developmental delay
Structural
Psychiatric disorder
22
Q

What is encopresis?

A

Fecal soiling - in pants or deposited in bizarre locations

23
Q

Causes of encopresis?

A
Constiation
Anal fissure
Bowel disorders
Abuse
Neglect
Family disharmony
24
Q

What is conduct disorder?

A
'pre personality disorder'
Fighting, bullying
Cruelty to animals or people
Severe destructiveness
Firesetting
Stealing
Repeated lying
Truancy
Absconding from home
Temper tantrums
Difiance
25
What is oppositional defiant disorder?
Absence of behaviour that violates the law
26
What is separation anxiety?
Real or imagined separation with attachment figures
27
Cardinal features of ADHD?
``` Impaired attention Impulsivity Overreactivity Social disinhibition Recklessness Impulsive flouting of social rules Occur in more than one environment ```
28
NICE base of autism diagnosis?
ONE OF: Problems sustaining or obtaining employment or education Difficulty initiating social reltionship Previous contact with mental health service History of neurodevelopmental conditions ADHD or mental disorder
29
Social features of autism?
``` Difficulty interpreting emotions, gestures, actions Stilled pedantic language Poor listening skills Conversational reciprocity Over compliant Honest to extend of bluntness Prefer to be alone Lack of empathy Avoid eye contact Little imagination or creative play Do not like change Set rules Minor details ```
30
Theory of mind?
Lack of understanding what other people will think | e.g. Apple in basket challenge
31
What is asperger's syndrome?
Difficulties in social interaction and nonverbal communication but normal language and intelligence
32
Mild LD?
IQ 50-69 Delayed understanding/use of language Difficulties gaining independence Practical occupations
33
Moderate LD?
``` IQ 35-49? Varying profiles of ability Often associated with epilepsy, neurological and other disability Delay in achievement of self care Simple practical work Independent living rarely achieved ```
34
Severe LD?
IQ 20-34 Marked motor impairment Globally reduced abilities
35
Profound LD?
``` IQ <20 Severe limitation in ability to understand or comply with requests or instructions IQ difficult to measure Little/no self care Severe mobility restriction ```
36
Prenatal causes of LD?
``` Inborn error of metabolism Chromosomal abnormalities Congenital infection Irradiation Drugs Maternal alcohol intake Malnutrition ```
37
Perinatal causes of LD?
``` Hypoxia at birth Mechanical brith trauma Small babies Hyperbilirubinemia Hypoglycemia Prematurity ```
38
Postnatal causes of LD?
``` Meningitis Encephalitis Head injury Lead poisoning Malnutrition MMR lol ```
39
What is phenylketonuria?
Abnormal amino acid metabolism Lack of PAH --> build up phenylalanine Neurotoxicity
40
What is tuner's syndrome?
``` XO Features vary at different ages but include Small baby/small statues Middle ear disease Learning difficulties Infertility Webbed neck ```
41
What is angleman syndrome?
``` Microdeletions Happy excitable personalities Laugh, smile often Learning difficulties Seizures Gait problems ```
42
Presentation of psychiatric conditions in LD?
``` Challenging behaviours Violence to self Violence to others Undressing Shouting Masturbation Urination Defecation Rocking Flapping Stealing ```
43
Factors influencing mental health in LD?
``` Genetic vulnerability Brain damage Infection Physical disability Sensory impairment Tumours Limited social interaction Reduced employment Lack of finance Lack of support Reduced transport access Exploitation Poor housing Family attitudes Lack of choice Learning experiences Personality Separation/loss Coping style Life events Self-esteem Lack of assertiveness Feeling helpless ```