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Behavioral Block 4
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What IQ level indicates mental retardation?
below 70-75
In order to be deemed mentally retarded what 3 conditions must be met?
1- IQ below 70-75
2- significant limitations in adaptive skills below 18 yo
3-limitations in adaptive skills needed to survive
If mental retardation is not diagnosed before 18, is it mental retardation?
NO it has to be before 18
Are IQ scores universal?
no they are normalized for age groups
What are the IQ scores for different severities of Mental retardation?
Mild--- 70 -50-learn social and vocational skills 80%
Moderate 35-50- learn SOME social and vocational sk
Severe 20-35- may need 24 hr supervision prevocational
Profound- 20 and below- NEED 24 hr supervision. may learn basic self care
Pts with what MR may have insight that something is wrong?
Mild- 50-70 IQ score
Large % of MR pts suffer from what?
comorbid conditions such as depression, psychotic disorders
Most common environmental cause of MR is?
Fetal alcohol syndrome
IQ below what have an identifiable cause?
below 50
IQ's above what do not have an identifiable cause and may be multifactorial?
above 50
WHat are genetic disease that cause MR?
PKU
Down syndrome
Fragile X
THe child has to miss what in order to diagnose mental retardation?
developmental milestones
How is separation anxiety treated?
CBT
SSRI- flovaxamine
How is reactive attachment disorder treated?
providing the absent care
Psychotherapy
Stereotypic movement disorder is commonly seen in what 2 conditions?
Mental Retardation
PDD-pervasive developmental disorder
DIfferential reinforcement of other behavior is a way to treat what disorder?
Stereotypic movement disorder
what is the treatment for Stereotypical movement disorder?
behavioral therapy
typical and atypical antipsychotics
anti manics--valproic acid
SSRI-fluoxetine
What is the black box warning placed by FDA on SSRI in use for separation anxiety disorder?
that it causes suicide
What is the age of diagnosis for ADHD?
after 7 yo
What are the 3 types of ADHD?
inattentive
hyperactive
combined
In order to diagnose ADHD symptoms must be present where?
at school and at home otherwise it is not ADHD and it is most likely discriminative stimulus
ADHD is more prevalent in what gender?
Male
What is the etiology of ADHD?
unknown
What are the genetic factors supporting the genetic cause of ADHD?
twin studies
pts suffer from other mood disorders
Prenatal exposure to winter infections during the first trimester is thought to contribute to what disorder?
ADHD
Decreased frontal lobe volume and decreased utilization of glucose by the frontal lobes is seen in what disorder?
ADHD
stimulant medication for ADHD affect the levels of what 2 neurotransmitters?
dopamine and norepinephrine
Children with ADHD are at higher risk for developing what disorders?
conduct disorder, antisocial personality, alcohol abuse
How is ADHD different from Bipolar disorder?
you dont see inattentiveness in Bipolar but you do in ADHD
ADHD may be confused with what 2 disorders?
conduct disorder
bipolar disorder
How long do the symptoms for ADHD have to be present for a diagnosis?
6 symptoms for 6 months
What are the 5 medications give for ADHD?
amphetamine
dextroamphetamine
methylphenidate
modofinil
amoxetine
What medications are give for depression in ADHD?
Bupropion
Venlafexie
Vulnerability to addictions relates to what?
hypo-dopaminergic dysfunctional state in the reward system
Drugs such as cocaine, amphetamine, nicotine all release what neurotransmitter?
dopamine
Ketamine acting on NMDA receptors produces what ?
Hallucinations
Is addiction and physical dependence the same?
no
Author
pszurnicki
ID
95939
Card Set
Behavioral Block 4
Description
Behavioral Block 4
Updated
2011-08-02T20:22:51Z
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