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infancy and childhoo
disorders
| Question | Answer |
|---|---|
| What is a syndrome? | a syndrome is a cluster of signs and syndromes that occur together and are characteristic for a specific disorder |
| What is diagnostic uncertainty? | The variance in diagnosis that occurs for the clinician when he/she exercise his/her clinical judgment and interprets the presenting symptoms and other information |
| What are the sources of of diagnostic uncertainty | 1. natural variance 2. information variance 3. observation and interpretation 4. criterion Furman p. 9 |
| What are 3 common problems of diagnosis? | 1. Patients who do not quite fit the criteria 2. Patients who fit the criteria for more than 1 disorder in the same category 3. patients who have symptoms of more than 1 psychiatric disorder |
| What are the 3 general criteria that must be included in the diagnosis of most disorders? | 1. the disorder is not due to the direct effects of a substance 2. The disorder is not due to the direct effects of a general medical condition 3. The disorder causes clinical significant distress Furman p. 11 |
| True or False? Each diagnostic group contains at least one Not Otherwise Specified Diagnosis | This is a true statement Furman P. 12 |
| this is test question. | this is the answer |
| Question: True or False? Each diagnostic group contains at least one Not Otherwise Specified Diagnosis | This is a true statement Furman P. 12 |
| Question: When a mental disorder is due to a general medical condition or substance induced disorder is responsible for the patient's symptoms, it precludes the diagnosis of any other mental disorder with similar symptoms | "Not due to the direct effects of a substance (e.g. drugs of abuse or medication) or a general medical condition" |
| Question:Three phrases used in the criteria set of less pervasive disorder to describe the relationship and specify the exclusion | "has never met the criteria" |
| Question: Axis I: | :Clinical Disorders |
| Question: Axis II: | Personality Disorders |
| Question: Axis III | General Medical Conditions |
| Question: What are the 4 major disorder groups? | 1. Intellectual & cognitive impairment 2. Motor function impairment 3. Disruptive or self injurious behavior 4. Information exchange |
| Question: What is coprolalia? | The involuntary utterance of socially unacceptable or obscene words |
| Question: What are the 10 subcategories of diagnoses usually first diagnosed in childhood? | 1. Mental Retardation 2. Learning Disorders 3. Motor skills disorders 4. Communication disorders 5. Pervasive Developmental disorders 6. ADD & Disruptive Behavior Disorders 7. Feeding & Eating disorders of infancy & Early childhood 8. Tic disorde |
| Question: Which diagnoses are associated with the intellectual and cognitive impairment disorder group? | 1. All Mental Retardation 2. All Learning Disorders |
| Question: Which diagnoses are associated with motor function impairment? | 1. All Motor Skill Disorders 2. All Tic Disorders Sub categories 3. Stereotypic Movement Disorder |
| Question: What are the disorders of infancy, early childhood or adolescence associated with the disorder group for disruptive or self injurious behavior? | 1. All ADD & disruptive Behavior 2. All Feeding & Eating Disorders of infancy and & early childhood 3. All elimination disorders 4. Separation anxiety disorder 5. Reactive Attachment Disorders of Infancy & Early Childhood |
| Question: What are the disorders of infancy, early childhood or adolescence associated with the disorder group for information exchange? | 1. All Pervasive developmental disorder 2. All Communication Disorders 3. Selective Mutism |
| Question: What is mental retardation? | Mental retardation is defined as an IQ significantly below average and accompanying deficits in adaptive functioning. The average IQ is 100. |
| Question: Identify the IQ cutoffs for mental retardation? | Normal Normal 71+ 50-70 Mild mental Retardation 35-40 to 50-55 Moderate 20-25 to 35-40 Severe Below 20-25 Profound Untestable Severe, but presumption |
| Question: What are learning disorders? | Disorders characterized by inadequate development of specific academic skills (reading, writing |
| Question: What is conduct disorder? | A disorder characterized by behaviors that are socially unacceptable or potentially harmful to the individual |
| Question: ADD is a composite disorder | This is a true statement |
| Question: What is conduct disorder? | A repetitive & persistent pattern of behavior in which the basic rights of others or major age appropriate norms or rules are violated when 3 or more criteria are present |
| Question: Which criteria must be manifested for conduct disorder for 12 months and at least one for 6 months | 1. Aggression to people or animals 2. Destruction of property 3. Deceitfulness or threat 4. Serious violation of rules |
| Question: What is a feeding or eating disorder in infancy and Early childhood? | A disorder characterized by disturbances of eating which include eating substances that have no nutritional value, repeated regurgitation and failure or refusal to eat |
| Question: What is separation anxiety disorder? | This disorder is disruptive & self injurious disorder characterized by excessive or inappropriate anxiety about separation from home or from those to whom the child is attached as evidenced by 3 of 8 behaviors that occur for at least 4 weeks before age 1 |
| Question: What 6 behaviors manifest separation anxiety | 1.stress when separation home is anticipated 2.worry about losing/harm to attach. fig. 3.Worry abt harm that might happen to attach.fig 4.Refuse/reluctance 2 go 2 sch cause fear 5.Fear of home 6. Refuse 2 go to sleep without near fig 7. Nightmares |
| Question: What is reactive attachment disorder? | This disorder is either either excessively inhibited, hyper vigilant, or ambivalent and contradictory responses to most social interactions or diffuse, indiscriminate attachments to other people. |
| What is the presumed cause of reactive attachment disorder | The presumed cause is pathogenic care |
| What are the 4 conditions that are evidence of pathogenic care | 1 disregard for the child's emotional needs 2. disregard for the child's physical needs 3. repeated change of primary caregiver |
| What are pervasive developmental disorders? | A broad based impairment or loss of function that would be expected for a child's age |
| What are the 3 components of pervasive developmental disorders | 1. Impairment in social interaction 2. Impairment in communication 3. the appearance of restricted, repetitive and stereotyped patterns of behavior, interests, and activities |
| What is the prototypic syndrome for pervasive developmental disorders? | Autistic disorder |
| What is autistic disorder? | A disorder characterized by abnormal functioning in at least one of 3 areas, with onset before age 3 years: 1) social interaction 2) language as used in social communication 3) symbolic or imaginative play |
| What is Rett's Disorder? | An information exchange disorder with normal development for the first 5 months of life a deceleration of head growth 5-48 months loss of previous acquired hand movement loss of social engagement develop. poor gait or trunk movemnts seve impair lan |
| What is Asperger's Disorder? | An informat./exchange disorder with 1. Qualitative impairmnt in social interaction 2. Restricted repetitive & stereotyped patterns of behavior, interests & activities 3. but lack of clinically significant delay in language or cognitive development |
| What are the 9 types of clinical information needed to make a diagnosis for infants, children and adolescents? | 1.Times of developmental milestones 2.Capacity 2 communicate with other people 3.language impairment 4. Capacity for human relations 5. Qualty of social interaction 6. Abnormal motor move 7. Hyperactiy,inattent,poor impulsecontrol 8.AbnorBehv 9 E |
| Question: What is Oppositional Defiant Disorder? | Answer: A childhood disorder characterized by negativisitic, hostile and defiant behavior for a period of at least 6 months during which at least 4 behaviors are present |
| Question: Which 4 behaviors must be present for at least 6 months for Oppositional Defiant Disorder? | Answer: 1. Often loses temper 2. Often argues with adults 3. Often actively defies or refuses to comply with adult requests 4. Often deliberately annoys people 5. Often blames others for his/her mistakes or misbehavior 6. Is often touchy or easil. |
| What should be the first step in making a diagnosis for infant, child or adolescent?. | Determine which one or more of the 4 disorder groups best describes the persons predominant presenting symptoms. |
| What should be the 2nd step?. | Determine which individual subcategories and diagnoses can be verified or excluded. |
| Question to ask to exclude categories. | Is the child's predominant symptom an impairment of learning or intellectual functioning. |
| Question to ask to exclude categories. | Is the child's predominant symptom abnormal motor activity? |
| Question to exclude categories. | Is the child's predominant symptom socially inappropriate or self injurious behavior? |
| Question to exclude categories | Is the child's predominat symptom an impairment in the ability to communicate or exchange meaningful information with other groups |
| Patients with mental retardation have delays in development in ________ areas | many |
| Persons with learning disorders have a delay or failure of development in _______ area(s) | one or specific |
| The behaviors of conduct disorder are Generally _____ serious and socially inappropriate than those associated with Oppositional Defiant Disorder | More |
| The core symptoms of autistic disorder are impairments in social interaction, impairments in communication and ____________ | stereotyped and repetitive patterns of behavior, interests, and activities |
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jsmith2984
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