Exam with Complete Solutions
2024
What are the core social/communication features of autism, according to the DSM-5
criteria? ✔✔Challenges for the child in:
- reciprocity of social-emotional relationships
- nonverbal communication behaviors
- developing, maintaining, understanding relationships
What are the core behavioral patterns of autism, according to the DSM-5 criteria? ✔✔-
Repetitive motor movements or speech
- Insistence on sameness
- Highly fixated interests
- Hyper or hyporeactive to sensory input
The ______ of ASD symptom onset is key, and must be present in _______
development. ASD features may not present until social demands exceed the child's
capacities, or may be masked by learned strategies. ✔✔timing of ASD symptoms
present in early development
In regard to screening tools in the primary care setting, ________ surveillance should
take place at all childcare visits (and should be used prior to considering use of formal
ASD tools). ✔✔developmental milestone
What is the 6-step process for informal developmental surveillance?
, Which step is most critical for the potential need for further ASD assessment? ✔✔1.
assess parents' concerns
2. obtain a developmental history
3. observe the child
4. identify risks/strengths/protective factors
5. maintain a record
6. share findings
parental concern and observations of child are critical (step #1)
In regard to lack of expressive language, what testing should be done first to r/o
physiologic impairment? ✔✔Hearing test (audiologist preferred, not only in-office
hearing test)
What is the biggest red flag in regard to the child with ASD features and expressive
language? ✔✔The child loses previously attained language milestones
Expressive language concerns for ASD:
- infants older than 9mos who do not (1)______
- absent (2)_______ at 12mos
- no (3)_______ at 16mos
- presence of (4)_______, and/or majority of language is mimicking phrases heard on
TV ✔✔1) coo / babble
2) gestures (pointing, waving)
3) spoken words
4) echolalia
Receptive language concerns for ASD:
- no response to name by (1)______ (age)
- limited or no social smiling, which should begin by (2)_______
- limited or absent pretend play, which should begin by (3)_______