General
First thing you should when working up a pediatric patient for language disorder?
Hearing test
2 main criteria for diagnosing ASD in the early developmental period?
Persistent deficits in social communication and interaction.
Restricted, repetitive behaviors, interests or activities.
ADHD is diagnosed in what age range?
Prior to age 12.
What public law made it illegal to use the term "mental retardation"?
Rosa's law
DSMV Diagnosis for “stuttering.”
Childhood Onset Fluency Disorder
What do you screen ASD with, and when does the AAP recommend to do it?
MCHAT. 18 and 24 months
Which genetic syndrome can cause ADHD?
Fragile X
22q11 deletion (DiGeorge)
Name 2 out of the 3 criterion for diagnosing intellectual disability.
Criterion A: Deficits in general mental abilities
Criterion B: Impairment in independence and social responsibility.
Criterion C: Onset during developmental period
Age range required to diagnose Tic disorder?
<18yo
When the criteria for both ADHD and ASD are met, what do you diagnose? A) ASD
B) ADHD
C) Both
D) Look for another diagnosis.
C) Dx Both
Which co morbid disorder is most prevalent in those with ADHD?
Oppositional defiant disorder
Conceptual (books smarts) - memory, language, calculation
Social (empathy) - communication, awareness of others
Practical (IADLS) - money management, responsibilities, organization
The disorder defined by motor skills below expected age, slowness and inaccuracy of using everyday objects that interfere with ADLs has a 50% comorbid condition with what other disorder?
The disorder described is developmental coordination disorder. ADHD has a 50% co-occurrence.
A 5yo boy presents with marked deficits in social communication. However the child has never had any stereotypical repetitive movements, nor restricted patterns of behavior? Your diagnosis?
Social (Pragmatic) Communication disorder
What finding in a child's birth history, conveys a 2-3 fold risk for developing ADHD?
Low birth weight <1500g
Age range that global developmental delay is diagnosed according to the DSMV?
Under age of 5.
How many brothers does Ron Weasley have? And how many are still alive at the end of the books?
5. Fred, George, Charlie, Percy, Bill.
4. Fred... :*(
A mother comes in with her 2yo daughter stating that her daughter was walking just fine but is now unable to take even 2 steps and she is unable to grasp things as well as she did 6 months ago. She has also become more avoidant. What are the two most severe complications of the child's condition?
Seizures and dysphagia requiring feeding tube placement.
Rett's Syndrome is a common differential of ASD
What is the “inattention” diagnostic criteria? Secondly, name enough symptoms to fulfill said criteria.
6 symptoms for at least the past 6 months:
Inability to initiate close attention, difficulty sustaining attention, does not listen, does not follow instructions, difficulty organizing, avoids tasks that require mental effort, loses things, distracted, forgetful
A 7yo boy presents to your office. The mother states that the boy has been very disruptive in class and is aggressive towards his peers. Further questioning reveals that the patient can only say up to 3 word sentences, and is unable to write or sound out any letters. The patient has no other medical conditions. What is your next step?
Order standardized testing.