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SPMM Intellectual Disability – Questions With Answers
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SPMM Intellectual Disability – Questions With Answers
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SPMM Intellectual Disability – Questions With AnswersPrevalence of F20 in LD Right Ans - 3%
Level of disability in Angleman Syndrome Right Ans - Severe to Profound
Most common inherited cause of LD Right Ans - Fragile X
Gene responsible for Fragile X Right Ans - FMR-1 gene
Abnormal trinucleotide repeat at fragile site on X Chromsome? Right Ans -
CGG FraGile X
Autism most commonly associated with Right Ans - LD (75%)
Asperger's syndrome characterised by delays in Right Ans - Non-verbal
communication
Short broad hands with single palmar crease, altered dermatoglyphics and
webbed fingers. Diagnosis? Right Ans - Downs syndrome
7y boy with severe ID round face with hypertelorism (wide distance between
eyes), slanting palpebral fissures, broad flat nose and infantile cat-like cry
Right Ans - Cri-du-Chat Syndrome (partial deletion 5p region)
Prevalence of depression amongst LD Right Ans - 2-4%
What is classified as a specific learning disability Right Ans - Dyslexia
(others include dyspraxia and dyscalculia)
DSM IV coded mental retardation on which axis Right Ans - Axis 2
Type of LD more commonly associated with disruptive behaviours and
misconduct Right Ans - Mild LD
Drug for self-injurious behaviour Right Ans - Naltrexone
,A 50y Male with Down's syndrome may be developing Alzheimer's. Which test
most useful? Right Ans - Dementia Questionnaire for persons with mental
retardation
Drug licensed for control of aggressive behaviour or intentional self harm in
patients with LD Right Ans - Lithium
What is correct concerning fragile X syndrome and IQ in males Right Ans -
Length of triplet repeats inversely relates to IQ
Self-talk particularly common in children with Right Ans - Down syndrome
% of patients with LD suffer from a severe form of mental retardation
Right Ans - 4%
Prevalence of epilepsy amongst LD Right Ans - 20-25%
Autistic traits, litanic and jovial speech but poor eye contact. Likely diagnosis
Right Ans - fragile X
Sleep pattern in Rett's syndrome Right Ans - Excessive daytime sleep
Subcultural rather than biological cause for LD Right Ans - Intellectual
ability is impaired in family members
Most common predisposing factor for developing LD Right Ans - Defects in
embryogenesis
Pica is seen more commonly in which condition Right Ans - Autism
Techniques to treat stuttering Right Ans - Prolonged speech
Conditions associated with compulsive skin picking Right Ans - Prader-
Willi= Skin Picking
Risk of Down's syndrome in 43y pregnant lady Right Ans - 1 in 50 (overall
is 1 in 700)
Risk of autism in second child Right Ans - 1-10%
, Sex disorder caused by sexual chromosomal monosomy Right Ans -
Turners syndrome
Chromosomal abnormality most likely to cause mental retardation Right
Ans - Extra chromosome 21
Postnatal factor increasing risk of LD Right Ans - Head injury
Those with Downs that survive into 40-50s show pathological brain changes
similar to Right Ans - Alzheimer's dementia
Lesch-Nyhan syndrome characterised by Right Ans - Compulsive self
mutilation
Microcephaly a key feature in Right Ans - Foetal alcohol syndrome
Velocardiofacial Syndrome occurs in Right Ans - 1 in 4500 people
Microdeletion of chromosome 22 Right Ans - DiGeorge Syndrome
Most likely to be associated with hypertrichosis and severe LD Right Ans -
Cornelia de Lange syndrome
Tuberous Sclerosis inheritance Right Ans - AD
Anxiety disorder most common in which syndrome Right Ans - Fragile X
syndrome
Very fragile in fragile X
Happy disposition and paroxysmal laughter are features of Right Ans -
Angleman syndrome
Deletion of paternal 15q12 chromosome segment Right Ans - Prader-Willi
How many patients with autism are obese Right Ans - 20%
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