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13 Cards in this Set
- Front
- Back
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Real-world skills used in diagnosing mental retardation (must have deficit in at least 2 areas)
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Self care, self direction, employment, home-living, social, community, health, safety, leisure, functional academics
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Denver developmental screening test looks at what 4 areas?
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Fine motor
Gross motor Language Personal social development |
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What percentage of cerebral palsy is associated with birth trauma?
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5-10%, majority is prenatal or unknown
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How is cerebral palsy classified?
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Based on the nature of the neurological dysfunction
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Spastic CP
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-most common type
-abnormal movement, overflow of movement to other parts of the body -early manifestation will be hyPOtonicity so really question when you see this -early manifestation is delay in gross motor development -Abnormal posturing at rest of during position change |
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Athetoid CP
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-dyskinetic
-wormlike, writhing movements -drooling, dysarthria (imp. speech) -this type of CP is often associated with kernicterous (when have high bilirubin the pigment deposits in basal ganglia) |
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Diagnostic evaluation of CP
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-neuro exam and history
-motor dysfunction may not be apparent until 2-4 months of age -poor feeding persistant tongue thrust -delay in achievement of gross motor skills -**persistance of primitive reflexes** |
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What percentage of CP patients are intelectually normal?
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**70% of CP patients are intellectually within normal limits**
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What self-help skill is extra important for CP patients?
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eating
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Baclofen, a centrally acting muscle relaxant for CP
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Cannot do high oral doses of baclofen but can have surgically implanted pumps that only needs to be filled every 1-6 months. This drug slows rhythmic twisting movements, helps with spastic movement
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What drug could be used for CP as a local nerve block to reduce spasticity?
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Botox
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If you saw _________ in a baby (along with other features) you would suspect down syndrome.
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***hypotonic***
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What percentage of downs patients have cardiac involvement?
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50%
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