Questions and CORRECT Answers
The DSM-V is diagnostic system that uses a __________&___________. - CORRECT
ANSWER - categorical approach
polythetic criteria sets
What accounts for diagnostic heterogeneity in the DSM? - CORRECT ANSWER -
Polythetic criteria set
Define polythetic - CORRECT ANSWER - A subset of information from a larger set
etiology of IDD - CORRECT ANSWER - - 5% due to heridity
- 30% due to chromosomal changes/toxins
- 15-20% due to environment
- 10% due to pregnancy problems
- 5% due to med conditions during infancy/childhood
IDD criteria - CORRECT ANSWER - Deficits in:
- intellectual functioning,
- adaptive functioning
- onset during developmental period
Symptoms of Autism Spectrum Disorder - CORRECT ANSWER - -Impaired social
communication/interactions
-restricted/repetitive behavior, interests, activities
-onset during early development (before 12mos)
etiology of ASD - CORRECT ANSWER - - unusual large head growth
,- structural abnormalities in cerebellum/amygdala
- genetic etiology
- elevated levels of dopamine/serotonin/other neurotransmitters
Prognosis for ASD - CORRECT ANSWER - Prog is usually poor
Better outcomes associated with:
- communication skills by age 5 or 6
-IQ over 70
- late onset of symptoms
ADHD criteria - CORRECT ANSWER - -onset prior to age 12
-significant impairment in at least 2 settings
-duration of symptoms 6 months or more
-at least 6 symptoms of inattention and 6 of hyperactive-impulsive
Etiology of ADHD - CORRECT ANSWER - -linked to lower than normal activity/smaller
size in the frontal lobes, caudate nucleus, globus pallidus
- high rates among bio relatives/identical twins
Prognosis of ADHD - CORRECT ANSWER - 65-85% of children continue to meet
criteria in adolescence
15% continue to meet criteria in young adulthood
60% meet partial remission criteria
2:1 for children
1:6:1 for adults
Prevalence rate for ADHD - CORRECT ANSWER - 5% in children
2.5% in adults
, ADHD treatment - CORRECT ANSWER - Methylphenidate/other central nervous
stimulants
effective in 75% of cases
parent training
teacher training
positive reinforcement
timeout
Behavioral disinhibition hypothesis (ADHD) - CORRECT ANSWER - an inability to
regulate behavior to fit situational demands
Specific Learning Disorder - CORRECT ANSWER - difficulties related to academic skills
6 month duration
onset during school age years
ADHD most common comorbid d/o (20-30%)
2:1 to 3:1 range for boys to girls
specific learning disorders etiology - CORRECT ANSWER - cerebellar vestibular
dysfunction (otitis media)
exposure to toxins
genetics
Tic Disorder - CORRECT ANSWER - Sudden, rapid, recurrent, nonrhythmic motor
movement or vocalization
Tourette's Disorder - CORRECT ANSWER - 1 vocal tic
multiple motor tics
persisted for more than 1 yr