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18 Cards in this Set

  • Front
  • Back
what are social behaviors like in a pt with MR?
social behaviors are appropriate for a person of their developmental age
if a pt has global delays in development, they likely have?

what is the IQ cutoff for this?
MR

IQ<70

also Adaptive Behavior Skills <70
(more like taking care of yourself)
please list the level of severity for MR

Mild
Moderate
Severe
Profound
Mild: 50-55 to 70 (85%..most common, can usualli live semi-independently)

Moderate: 35-40 to 50-55

Severe: 20-25 to 35-40

Profound: below 20 to 25 (will normally have a multitude of other problems, sensory, motor, etc.)
with MR, as severity increases what happens to:

incidence?
age of diagnosis?
comorbidity?
mortality?

****
As severity increases incidence decreases
As severity increases age of diagnosis decreases
As severity increases, comorbidity increases (especially sensory and motor impairments)
As severity increases, mortality increases
what is the most common known cause of MR?
unknown!

30-40% no clear etiology
Heredity 5%
Tay-Sachs disease, tuberous sclerosis, translocation Down’s syndrome, fragile X syndrome
Early alterations of embryonic dev. – 30%
Down’s syndrome/Trisomy 21
Toxins: alcohol, infections
what is Borderline Intellectual Functioning
(IQ generally 71-84)
what is an important way to give bad news of MR to a parent
ask them at what age they think their child id operating on, often they are right and it makes it easier to bring this up and explain it later when you confirm the diagnosis
what MUST you do to diagnose a learning disability? what will this show?

**
Ability-Achievement Discrepancy Analysis

Compares IQ with Academics:
A classic LD shows academic skills SIGNIFICANTLY BELOW IQ
5th grade girl with above average intelligence as measured by IQ of 116
Mathematic skills are fine but reading and spelling are problems for her
Reading standard score = 82
Spelling standard score = 78
Reading and Writing learning disability
Concepts of “encoding” and “decoding” with the phonetic code
encoding=writing

decoding=reading
What is Rett's Disorder?

not on test
in females

deceleration of head growth

loss of fine motor skills that were previously intact
Abnormal development as opposed to global delay
Child’s behavior is not “normal” for any age
Abnormalities in
Socialization
Communication
Play
Autistic Disorder
you note a child who is only interested in cars and likes streotyped repetitive behaviors
Autistic Disorder
What is the difference btw autism and Asperger’s Disorder
Abnormalities in
Socialization
Communication
Play
for autism

in aspegers there is no problem with communication
what 3 things are required for a diagnosis of adhd?
Symptoms before age 7

Impairment in two or more settings

Clinically sig impairment ins social, academic, or occupational functioning
how ca u separate Oppositional Defiant Disorder and adhd?
if he wants to follow the rules and just keeps messing up=ADHD

trying to upset you and just likes to get in trouble= Oppositional Defiant Disorder
http://www.youtube.com/watch?v=qcqOgnQyXp4
Repetitive persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms or rules are violated.
aggressive conduct that causes or threatens harm
property loss or damage
deceitfulness or theft
serious rule violations
Conduct Disorder

hurting kids/animals
stealing
etc
just know that kids with OCD are normally very smart and have a need for control
not sure how important this is