Questions and CORRECT Answers
DSM-5 - CORRECT ANSWER - * Categorical classification system (to account for
diagnostic heterogeneity, most diagnoses include a polythetic criteria set)
*Provides a non-axial assessment system where all psychiatric and medical diagnoses are linked
together, with the principal diagnosis listed first, and any other disorders are listed in order of
focus and treatment
Diagnostic uncertainty is indicated by using one of the following:
*other specified disorder or
**unspecified disorder
Intellectual Disability
(Intellectual Developmental Disorder) - CORRECT ANSWER - 1) Deficits in reasoning,
problem solving, abstract thinking, and other areas of adaptive functioning;
*Deficits 2 SD below mean
2) Deficits in adaptive functioning in multiple environments and in at least one cognitive domain
(conceptual, social, practical)
3) Onset of deficits during the developmental period
4) Severity (mild, moderate, severe, profound) based on adaptive functioning in conceptual,
social, and practical domains)
According to adaptive functioning
1) Mild
2) Moderat
3) Severe
4) Profound - CORRECT ANSWER - Intellectual Disability - four (4) degrees of severity:
,Early signs of Intellectual Disability - CORRECT ANSWER - 1) delays in motor
development
2) lack of age-appropriate interest in environmental stimuli
True - With proper intervention, person may meet criteria for less severity - CORRECT
ANSWER - T or F - Intellectual Disability (especially mild) is not a life-long condition
Global Developmental Delay - CORRECT ANSWER - Diagnosis reserved for individuals
under 5 when clinical severity level cannot be reliably assessed and an individual fails to meet
expected developmental milestones in several areas of intellectual functioning; also applies to
individuals unable to undergo systematic assessments of intellectual functioning, including
children who are too young to participate in standardized testing. Requires retesting after period
of time.
Unspecified Intellectual Disability - CORRECT ANSWER - Diagnosed in individuals
over 5 when assessment of the degree of intellectual disability by means of locally available
procedures is difficult or impossible because of associated sensory or physical impairments, as in
blindness or prelingual deafness; locomotor disability; or presence of severe problem behaviors
or co-occurring mental disorder. Should only be used in exceptional circumstances and requires
reassessment after a period of time.
Communication Disorders - CORRECT ANSWER - *Language Disorder (which
combines DSM-IV expressive and mixed receptive-expressive language disorders)
*Speech Sound Disorder (a new name for phonological disorder)
*Childhood-Onset Fluency Disorder (a new name for stuttering)
*Social (pragmatic) Communication Disorder, a new condition for persistent difficulties in the
social uses of verbal and nonverbal communication
(ASD is an obligate rule-out).
, 1) Tay-Sachs
2) Fragile X syndrome
3) PKU (phenylketonuria)
4) Autism
5) Down syndrome - CORRECT ANSWER - Name 5 disorders that commonly result in
Intellectual Disability
Tay-Sachs - CORRECT ANSWER - A rare inherited disorder that progressively destroys
nerve cells in brain and spinal cord. The most common form of this is disease becomes apparent
in infancy. Infants typically appear normal until 3 to 6 months, when development slows and
muscles for movement weaken. Infants lose motor skills i.e. turning over, sitting, and crawling,
and may develop an exaggerated startle reaction to loud noises.
- CORRECT ANSWER - Disruptive Mood Dysregulation D/O
Included for children up to age 18 years who exhibit persistent irritability and frequent episodes
of extreme behavioral dyscontrol.
PKU - CORRECT ANSWER - A rare recessive gene syndrome involving the inability to
metabolize amino acid found in high-protein foods. Usually results in profound Intellectual
Disability
Down Syndrome - CORRECT ANSWER - Due to presence of extra chromosome with
physical characteristics i.e. crooked 5th finger, slanted almond-shaped eyes, large protruding
tongue. Often have heart lesions, respiratory and intestinal defects, and/or cataracts; age more
rapidly than others
Stuttering - CORRECT ANSWER - Characterized by a disturbance in normal fluency and
time patterning of speech; three (3) times more common in males; 60% of cases remit
spontaneously by age 16
Interventions for stuttering - CORRECT ANSWER - 1) parents stop reprimanding, 2)
reducing psychological stress at home, 3) reduce demands, 4) help child learn to cope with
frustration.