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Georgette Module 3 test Study Set| questions & Complete Solutions
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Georgette Module 3 test Study Set| questions & Complete Solutions
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Georgette Module 3 test Study Set| questions &Complete Solutions
Rett syndrome is when.... - ✔✔the development of specific deficits occur following a period
of normal functioning after birth
Rett syndrome is predominantly seen in.... - ✔✔**girls**
When is the age progression for Rett Syndrome? - ✔✔normal progression until 5 to 7
months after birth, then declines
Hallmark signs in Rett syndrome - ✔✔1. Loss of purposeful hand skills
2. Stereotypic hand movements
3. Deceleration of head growth
*HAND & HEAD*
Physical exam findings for Rett Syndrome - ✔✔*1.Loss of purposeful hand skills
2.Stereotypic hand movements
3.Deceleration of head growth*
4.Early loss of social engagement
5.Poorly coordinated gait/trunk movements
6.Impaired expressive/receptive lang. develop w/ severe psychomotor retardation
7.Seizures
8.Irregular respirations
What to do with someone who you suspect may have Rett Syndrome? - ✔✔refer to PCP this
is a medical diagnosis (NOT under your scope of practice)
,Disruptive Mood Dysregulation Disorder is what type of mood disorder & at what age is it
diagnosed? - ✔✔CHILDHOOD depressive d/o
**must be OLDER than 6yr & YOUNGER than 18yr to be diagnosed**, so ages 7-17
Hallmarks of DMDD - ✔✔Chronic dysregulated mood *"MOODY"*
Freq. Intense temper outbursts/*TANTRUM*
Severe *IRRTABILITY*
Med Treatment for DMDD - ✔✔Stimulants (ex. Ritalin)
Antidepressants
Antipsychotics
if patient is between 6-17 years old and has a "mood", what is most likely the dx? -
✔✔DMDD (can only be diagnosed between these ages)
Why stimulants like Ritalin for children with DMDD? - ✔✔helps with irritability, most have
ADHD as comorbid
***Intermittent Explosive Disorder (IED)*** is... - ✔✔repeated sudden episodes of
impulsive, aggressive, violent behavior, or angry outbursts in which patient reacts GROSSLY out
of proportion to situation
**IED** can occur in.... - ✔✔both children AND adults
In order to have MDD diagnosis, symptoms have persisted for how long? - ✔✔2 weeks
MDD Dx Mnemonic - ✔✔SIGE CAPS
S-sleep disturbance
, I-interest Reduced
G-guilt/worthlessness
E-energy loss/fatigue
C-concentration prob.
A-appetite changes
P-psychomotor changes
S-suicidal thoughts
MDD may be due to a dysregulation in.... - ✔✔biogenic amine neurotransmitters *(DNS)*
DA/NE/5HT
Cognition & memory sx of MDD in the older adult population is called __________ and often
confused with ___________ related symptoms - ✔✔pseudodementia
confused w/ demential related symptoms
Clients with DEMENTIA usually have a PREMORBID history of ______ _________ __________ -
✔✔****slowly declining cognition ******
In MDD, cognitive changes have a relatively ________ onset and are significant when compared
to premorbid functioning - ✔✔acute
When older adults are depressed, they have a higher risk of _________________ therefore, it is
important to do what..... - ✔✔concentration/memory loss--> cognitive screening
Older adults and depression, common sx - ✔✔-*concentration/memory problems*
-decreased appetite
- motor= mostly retardation
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