NEURODEVELOPEMTAL DISORDERS Flashcards

(47 cards)

1
Q

NEURODEVELOPMENT DISORDER

A

onset in a developmenal period
present in early childhood
may be presented in excess or deficit or delay
affects social , personal, academic or occupational

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2
Q

Interlectual disibiltiy diagnosis

A
  1. Deficits in intellectual functioning AND
  2. Deficits in adaptive functioning that lead to
    * Limitations in communication, social participation, independent living across
    multiple environments (home, school, work, community).
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3
Q

intellectual functioning test

A

➢ Wechsler intelligence tests
(versions for adult and children)

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4
Q

neurotypical average IQ

A

100 (SD=+/- 15)

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5
Q

intellectual disability

A

IQ scored 2 SD below the mean

less than or equal to 70 +/- 5

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6
Q

Mensa

A

IQ above 135

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7
Q

deficit in adapative functioning

A

inability to do age-appropriate activity
function independantly
conceptualise. eg academic
socal skills
practial skills. eg bathe, comb hair, brush teeth, take care of them selves

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8
Q

Adaptive functioning test

A

Vineland Adaptive behaviour scale

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9
Q

Intellectulal disibility classification

A

Mild (85%) - would eventuallu be able to grow up independently ( minimum support). immature social interactions.

Moderate - varying support needed; would be in group homes. limited communication and socialization skills

severe - requires daily assistance. simple speech and may have maladaptive behavior

profound - requires 24/7 care. nonveral patients

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10
Q

genetic cause of ID

A

down syndrome

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11
Q

inherited cause

A

fragile x syndrome

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12
Q

Specific learning disorder- diagnose

A

Difficulty learning and using academic skills
* At least one symptom for at least 6 months

AND

academic skills less than expected for age

academic skills less than expected for school

demands > capacity

cause significant interference with academic , occupational or daily living

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13
Q

Learning and academic difficulty

A
  • At least one symptom for at least 6 months
    a) Slow/inaccurate/effortful word reading
    b) Difficulty understanding meaning of what is read
    c) Difficulty spelling
    d) Difficulty with written expression
    e) Difficulty with numbers/calculation
    f) Difficulty with mathematical reasoning
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14
Q

Specific learning disorders specifiers

A

impairment in reading(Dyslexia)
impairment in written expression
impairment in mathematics (dyscalculia)

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15
Q

Communication disorder types

A
  1. languange
  2. speech
  3. social/ communication disorder
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16
Q

languange disorder diagnosis

A

difficulty with native languange.

  1. Persistent difficulty in the acquisition and use of language across modalities
    (speaking, reading, writing, signing, etc.)
    There is:
    a) Decreased vocabulary
    b) Limited sentence structure
    c) Impairments in conversing (limited vocabulary, cannot connect sentences)
  2. Language ability below expectations for age (typically present before 4 years)
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17
Q

Speech sound disorder diagnosis

A

difficulty in pronouncations

should sound intelligible by 3-4 year
milder cases by age 8

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18
Q

Speech Sound disorder management

A

Speech therapy

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19
Q

Childhood onset fluency disorder

A

A. Persistent disturbances in the normal fluency and time patterning of speech that
are inappropriate for age and level of language skill
1. Sound and syllable repetitions
2. Sound prolongations of consonants and vowels
3. Broken words
4. Blocking – pauses in speech
5. Words produced with excessive tension
6. Monosyllabic whole-word repetitions (e.g., “I-I-I-I see him”)

B. The disturbance causes anxiety about speaking or limits effective communication

20
Q

Social Communication disorder

A

difficulty with verbal and nonveral communication

(social use- make greetings, share information)
can’t paraphrase

take things literal.

have functional limitation in communication

can’t deffrientate between professional and personal meetings

diagnosis made aftter 5 years

21
Q

Tic Disorder

A

Motor movements or vocialization that is involunteery

22
Q

Tic disorder catageroy

A
  • Motor:
    a) Simple – eye blink
    b) Complex – gestures, sequence of movements
  • Vocal:
    a) Simple – throat clearing
    b) Complex – linguistically-meaningful utterances
23
Q

Tourettes disorder diagnoses

A
  1. Multiple motor tics AND at least one vocal tic sometime during the
    illness
  2. Symptoms last > 1 year
  3. Onset is before 18 years and not due to another cause
24
Q

tourettes disorder etiology

A

A genetic disorder with over-activity of dopamine

25
Autism eithology
Multiple genes
26
Autism diagnosis
1. Persistent deficits in social communication and social interaction across multiple contexts 2. Restricted, repetitive patterns of behavior (RRBs), interests, or activities
27
what is meant by social communication and interaction
social emational reciprocity can't have a converation if you talking to them. express themselves not able to share their thoughts limited nonverbal communication limited eye contacts and use of gestures. hard to make friends,developing, maintaining and understanding relationships. have a different interptrion of friendships
28
meaning of Restricted, repetitive patterns of behavior (RRBs), interests, or activities
A. Stereotyped or repetitive motor movements, use of objects, or speech B. Insistence on sameness, inflexible adherence to routines, or ritualized patterns of verbal or nonverbal behaviour C. Highly restricted, fixated interests that are abnormal in intensity or focus D. Hyper- or hypo-reactivity to sensory input or unusual interest in sensory aspects of the environment Diagnosis usually made by age 2.
29
AUTISM SPECIFIERS
with or without intellectual impairments with or without accompanying language impairment Asperger' s Disorder
30
Asperger's disorder
Autism without language impairment and without intellectual impairment
31
Autism spectrum disorder behavioural features
ADHD anxiety depression self-injurious behaviours pica(eating non nutritive substances)
32
Cognitive features of autism spectrum disorder
some persons shows savantism (savant syndrome)
33
Savant syndrome
having a notable skill in music or art despite significant cognitive deficiencies
34
Types of Savant syndrome
Talented Prodigious
35
Talented savant syndrome
regular talent in the face of deficiency.
36
Prodigious savant syndrome
a talent that would be considered amazing. very rare
37
Brain of autism with cognative impairment
left hemisphere of brain is affected verbal/language funcation affected
38
Brain of autism without cognative impariment
right hemesphere is affected non verbal language function affected
39
ADHD-(attention-deficit/hyperactivity disorder) diagnosis
Symptoms presented before 12 years 6 or more symptoms of inattention 6 or more symptoms of hyperactivity-impulsivity persisted for at least 6 months
40
inattention symptoms- 6 or more in 2 different settings
a) Lack of attention to details b) Difficulty in remaining focused c) May seem not to be listening d) Lack of follow through e) Difficulty organizing tasks f) Avoids tasks that require sustained effort g) Loses things h) Easily distracted i) Forgetful
41
Hyperactivity - 6 or more in 2 different settings
a) Fidgets, squirms in seat b) Leaves seat, when being seated is expected c) Runs about, inappropriately (adult may feel restless) d) Unable to remain quiet while at play or leisure e) On-the-go; motor driven f) Talks excessively
42
Impulsivity- 6 or more in 2 different settings
- Blurting - cannot wait their turn - interrupts, intrudes
43
ADHD combined presentation
has both inattention and hyperactivity-impulsivity ## Footnote 6+ months
44
ADHD, predominantly inattentive
criteria met for inattention for 6 or more months
45
ADHD, predominantly hyperactive-impulsive
criteria met for hyperactive-impulsive for the past 6 months
46
ADHD ethiology
can be genetic or nongenetic decreased dopamine or norepinephrine prefrontal lobe affected
47
Why do you not use a stimulant drug (first line)
- if person does not respond to stimulant - has tic disorder-tourette - has anxiety