Solutions
Amy is a 14-year-old who frequently echoes what
she just heard, saying that word or phrase over
and over.
match the clinical scenario with the appropriate tic:
Simple motor tics
Complex vocal tics: Coprolalia
Complex motor tics
Simple vocal tics
Complex vocal tics: Echolalia
Complex motor tics: Copropraxia Correct Answers
Complex vocal tics: Echolalia
Rationale: Echolalia is a complex vocal tic
characterized by repeating the last heard word or
phrase.
Ariana, a 9-year-old with ASD, has a history of
aggressive behaviors, tantrums, and motor tics.
match the scenario with the appropriate med:
guanfacine
clomipramine
aripiprazole
methylphenidate Correct Answers aripiprazole
,Rationale: Second-generation antipsychotic
medications may be used for clients with ASD who
have aggressive behaviors, tantrums, sleep
disorders, or motor tics.
ASD Diagnosis and Screening Correct Answers -
The American Academy of Pediatrics (AAP)
recommends that all children be screened for ASD
• Providers perform basic developmental
screenings at children's 18-month and 24-month
well-child visits
• demonstrate developmental differences in
behavior or functioning require additional
evaluation, typically performed by a team of ASD
specialists
➣child psychologist, speech-language pathologist,
occupational therapist, developmental pediatrician,
or neurologist
-Dx based on clinical observations, observations in
a natural setting, caregiver history, or self-reports
ASD different developmental screening tools
available Correct Answers -Screening tools:
• Ages and Stages Questionnaires (ASQ)
• Communication and Symbolic Behavior Scales
(CSBS)
• Parents' Evaluation of Developmental Status
(PEDS)
• Modified Checklist for Autism in Toddlers
(MCHAT)
, • Screening Tool for Autism in Toddlers and Young
Children (STAT)
-Diagnostic tools
• Autism Diagnosis Interview - Revised (ADI-R)
• Autism Diagnostic Observation Schedule -
Generic
• Childhood Autism Rating Scale (CARS)
• Gilliam Autism Rating Scale - Second Edition
(GARS-2)
ASD treatment Correct Answers tx should begin at
dx
-pharmacologic interventions
• no med specific to ASD
• meds may be used to treat symptoms of
irritability, aggression, repetitive behavior,
hyperactivity, problems with attention, anxiety,
depression
• serotonergic agents, antipsychotics, beta-
blockers, alpha-2 agonists, mood stabilizers,
stimulants
-nonpharmacologic
• therapies focused on different areas of
functioning
➣behavioral
➣developmental
➣educational
➣psychological
➣social-relational