PMHNP REVIEW- Disorders of children
and Adolescents questions with verified
solutions
List the DSM 5 Criteria for Autism Disorder - ✔✔A. persistent deficits in social communication and
social interactions across multiple contacts as manifested by the following:
1. Deficits in social-emotional reciprocity
2. deficits in non-verbal communicative behaviors
3. Deficits in developing, maintaining, and understanding relationship
B. Restricted, repetitive patterns of behavior, interest, or activities, as manifested by at least 2:
1. stereotyped or repetitive motor movements, use or objects or speech (echolalia). 2. insistence on
sameness inflexible adherence, or ritualized patterns 3. highly restricted, fixated interest 4. restricted,
fixated interest that are abnormal in intensity or focus C. Symptoms present in early dev. pd. D. Cause
significant impairment. E. Not better explained by ID or global dev delayer other prob.
What are the biological factors of Autism? - ✔✔Genetic- 50-100 fold increase in rate with 1st degree
relative
parental age, particularly older father
environmental influences, teratogens
What is the work up for ASD? - ✔✔lead screening, testing for fragile X, inborn errors of metabolism,
referral to genetic lab for FISH if ID identified, EEG for sz
What are the intervention for ASD? - ✔✔1. prevention of self-directed violence
2. resources for Autism
3. structured and intensive skills oriented training sessions
4. family counseling to assist with coping
5. Improve- social interaction, communication, sense of self
, What is Rhett syndrome and the presentation? - ✔✔relatively uncommon neurodegenerative disease,
affects male and females, but males usually not viable at birth, onset usually prior to 1st birthday
Presentation: usually between 5 and 30 months; cease to gain developmental milestones; CNS irritability
and withdrawal develop; loss os skills that already acquired; STEREOTYPIC HAND MOVEMENTS;
DELAYED HEAD GROWTH; SZ; SCOLIOSIS, HYPERONICITY, ATAXIA
What is the management of Rhett's? - ✔✔goal is perserve functional abilities, some girls may live to
middle age
1. physical, occupational, and speech therapy
2. sz management
3. suport to family
4. refer to social services
What is pervasive developmental disorder? - ✔✔diagnosis of exclusion, an atypical autism- intellectual
and language skills are preserved
What are some interventions of PDD? - ✔✔1. develop language skills- in all ASD
2. social skills development
3. interventions for challenging behaviors
4. medications to manage irritability approved by FDA are aripiprazole and risperidone
What is childhood disintegrative disorder? - ✔✔deterioration in social, motor, and language skills,
bladder and bowel control, as well as intellectual
- affects males more than females
- can have 10 years of normal development before the onset of symptoms
- affected females have more severe symptoms
and Adolescents questions with verified
solutions
List the DSM 5 Criteria for Autism Disorder - ✔✔A. persistent deficits in social communication and
social interactions across multiple contacts as manifested by the following:
1. Deficits in social-emotional reciprocity
2. deficits in non-verbal communicative behaviors
3. Deficits in developing, maintaining, and understanding relationship
B. Restricted, repetitive patterns of behavior, interest, or activities, as manifested by at least 2:
1. stereotyped or repetitive motor movements, use or objects or speech (echolalia). 2. insistence on
sameness inflexible adherence, or ritualized patterns 3. highly restricted, fixated interest 4. restricted,
fixated interest that are abnormal in intensity or focus C. Symptoms present in early dev. pd. D. Cause
significant impairment. E. Not better explained by ID or global dev delayer other prob.
What are the biological factors of Autism? - ✔✔Genetic- 50-100 fold increase in rate with 1st degree
relative
parental age, particularly older father
environmental influences, teratogens
What is the work up for ASD? - ✔✔lead screening, testing for fragile X, inborn errors of metabolism,
referral to genetic lab for FISH if ID identified, EEG for sz
What are the intervention for ASD? - ✔✔1. prevention of self-directed violence
2. resources for Autism
3. structured and intensive skills oriented training sessions
4. family counseling to assist with coping
5. Improve- social interaction, communication, sense of self
, What is Rhett syndrome and the presentation? - ✔✔relatively uncommon neurodegenerative disease,
affects male and females, but males usually not viable at birth, onset usually prior to 1st birthday
Presentation: usually between 5 and 30 months; cease to gain developmental milestones; CNS irritability
and withdrawal develop; loss os skills that already acquired; STEREOTYPIC HAND MOVEMENTS;
DELAYED HEAD GROWTH; SZ; SCOLIOSIS, HYPERONICITY, ATAXIA
What is the management of Rhett's? - ✔✔goal is perserve functional abilities, some girls may live to
middle age
1. physical, occupational, and speech therapy
2. sz management
3. suport to family
4. refer to social services
What is pervasive developmental disorder? - ✔✔diagnosis of exclusion, an atypical autism- intellectual
and language skills are preserved
What are some interventions of PDD? - ✔✔1. develop language skills- in all ASD
2. social skills development
3. interventions for challenging behaviors
4. medications to manage irritability approved by FDA are aripiprazole and risperidone
What is childhood disintegrative disorder? - ✔✔deterioration in social, motor, and language skills,
bladder and bowel control, as well as intellectual
- affects males more than females
- can have 10 years of normal development before the onset of symptoms
- affected females have more severe symptoms
