Autism spectrum disorder (ASD) affects both social communication and
restrictive/repetitive behaviors.
Which combination of behaviors below would meet the Diagnostic and Statistical
Manual of Mental Disorder (DSM-5) criteria for ASD?
A. Deficits in social communication and interaction including social-emotional reciprocity
and nonverbal communicative behavior as well as having repetitive speech,
movements, or use of objects.
B. Deficits in social communication and interaction including social-emotional reciprocity,
nonverbal communicative behavior, as well as having repetitive speech, movements, or
use of objects and excessive adherence to routines.
C. Deficits in social communication and interaction including social-emotional reciprocity
and nonverbal communicative behavior, and developing and maintaining relationships
as well as two restricted, repetitive behavior/interests. - Answers-C
The pediatrician is seeing a 4-year old male child for the first time for a well-child check.
The pediatrician is concerned because the child is non-verbal. Because of this, the
pediatrician refers the child to be evaluated for an autism spectrum disorder (ASD). To
feel more definite that the child has ASD the pediatrician asks the child's mother more
questions.
Which of the following helps guide the pediatrician to thinking the child has ASD?
A.The child's Intelligence Quotient (IQ) is below 60.
B.The child's hearing is normal.
C.The child is fixated on cars, and enjoys spinning their wheels over and over again for
long periods of time.
D.The child had a febrile seizure at 18 months. - Answers-C
While you are seeing a 6-year old boy for his well child visit, you observe the child to
have a strong desire to speak at length about sea animals. He has a vast fund of
knowledge on the subject and engages in sharing his information as a monologue in a
monotone voice. He makes poor eye contact and does not heed your efforts to get him
to move on to another topic. When you inquire about how things are going for the child
in first grade, mother shares that he is doing very well academically, is an excellent
reader and great at math. The only problems that have come up relate to making
friends. The teacher has told the mother that the child does not have friends and spends
recess alone. The other children find his constant talk about whales annoying, and they
think that he is weird.
, According to DSM 5, which of the following statements is true?
A.This child should be evaluated for a possible diagnosis of Asperger's Di - Answers-D
The office manager at your pediatric practice inserted milestone checklists in every
examination room to help guide the surveillance process. These checklists help remind
parents and providers of particular milestones that a child should have reached by a
certain age. The Centers for Disease Control and Prevention developed these
checklists using an informal process that involved consensus opinion among expert
workgroups. You recently read an article that the American Academy of Pediatrics
recommends general developmental screening at the 9-, 18-, and 30-month well child
visits.
The checklists in your examination rooms are considered
A.Surveillance tools but not screening tests
B.Screening tests but not surveillance tools
C.Both surveillance tools and screening tests
D.Neither surveillance tools or screening tests - Answers-A
A 24-month old female who was born at-term and does not have history of
developmental or medical problems comes into your office for a well-child visit. Her
mother reports that the child is developing well in all areas other than language. Upon
examination, you notice that the child can follow simple instructions and relies on eye
contact and gestures rather than words to communicate. Her mother reports that this is
typical of the child's communication preferences at home, and that she says "mama"
and "dada" but no other words.
The most likely cause of the patient's symptoms is
A.Autism spectrum disorder
B.Developmental delay
C.Developmental disability
D.Intellectual disability - Answers-B
A 15-month old male who was born at-term and does not have history of developmental
or medical problems comes to your office for a well-child visit. His mother denies any
concerns with behavior or development and notes that he is a sweet and independent
child. Previous screening results did not indicate concerns in any area of development.
However, during this visit you noticed that the child made little eye contact, repeated
words and phrases, and flapped his hands when excited. You probe his mother but she
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