1. Identification of autism prior to age 3…
A. Cannot be made reliably until after the age of 3.
B. Should be avoided because of the potential negative effects of labeling a child.
C. Makes only minimal difference since there is no effective treatment.
D. Can make a significant difference if referrals and interventions are started.

2. What is the most common pediatric condition?
A. Autism
B. Down syndrome
C. Hearing loss
D. Cancer

3. Myths about children with autism include…
A. They do not make eye contact.
B. Never show affection.
C. Have no hope for improvement.
D. All of the above.

4. The prevalence of autism may be as much as…
A. 1 in 166
B. 1 in 1,000
C. 1 in 2,600
D. 1 in 10,000

5. Autism spectrum disorders include…
A. Autism
B. Asperger syndrome
C. Pervasive Developmental Disorder NOS
D. All of the above

6. The MMR vaccine…
A. Has been proven to cause autism.
B. Should not be given to children at risk for autism.
C. Should be administered regularly to children.
D. Should not be given to children with autism.

7. Recommendations from the American Academy of Pediatrics on autism include everything, EXCEPT…
A. Parents are reliable sources of information about their child’s development.
B. Immunizations should not be given to children at risk for autism.
C. All areas of development should be monitored at each well child visit.
D. Any child who has language delays should be referred for audiologic, speech, and language evaluation.

8. Developmental signs for autism could include...
A. Not smiling or expressing happiness at 6 months.
B. Not reciprocating smiles, sounds, and facial expressions at 9 months.
C. Not speaking in single words by 16 months.
D. All of the above.

9. Intensive early intervention…
A. Has not been shown to enhance development in children with autism.
B. Is a waste of time if the child is not officially diagnosed with autism.
C. Can help a child improve to the point they no longer meet criteria for autism.
D. Is only available to people that can afford it.

10. Identify the myth about social problems that children with autism might have.
A. Children with autism can have difficulty interpreting what others might think or feel.
B. Children with autism never make eye contact.
C. Children with autism may seem indifferent and prefer to be alone.
D. Children with autism may show attachment in a way difficult to “read.”

11. Language delays may not be as severe in children with…
A. Autistic disorder.
B. Rhett’s disorder.
C. Asperger syndrome.
D. Pervasive Development Disorder NOS.

12. Examples of repetitive behaviors among children with autism include…
A. Hand or arm flapping.
B. Lining up toys rather than using them for pretend play.
C. Persistent, obsessive preoccupations.
D. All of the above.

13. All of the following are examples of joint attention interactions EXCEPT…
A. Reading two books at one time
B. Reciprocal smiling
C. Showing objects
D. Pointing to obtain an object.

14. Some conditions that might be associated with autism include...
A. Seizures
B. Neurofibromatosis
C. Systemic lupus
D. All of the above

15. About their child’s development and behavior…
A. Parents are overly sensitive to small problems their children might have.
B. Parents generally give accurate and quality information.
C. Are poor historians because they do not have the proper training.
D. Are poor historians because they are too close to their children.

16. Cultural differences in children with autism…
A. Do not influence the diagnosis of autism.
B. Have shown that parents of Indian descent are more like to identify delays in socialization than delays in speech.
C. Parents of Asian descent are more likely than Caucasian parents to agree with teachers that their child’s behavior may be indicative of an underlying disorder.
D. Have shown that families in the United States will always report problems in their child’s social interactions without prompting from clinicians.

17. The areas of difficulty in autism include…
A. Social symptoms
B. Language delays
C. Repetitive behavior
D. All of the above

18. Developmental screening…
A. Should only be done yearly.
B. Should be done at each well child visit.
C. Is not necessary since most severe problems will make themselves known in time.
D. Is not needed, since more than 90% of children with developmental delays are identified before starting school.

19. Screening instruments for autism…
A. Allow the diagnosis of autism without the need of further history.
B. May not identify children with mild or high-functioning autism.
C. Are not yet available.
D. Are time-intensive and take a number of hours to complete.

20. The acronym A.L.A.R.M. stands for…
A. Autism is prevalent, Listen to parents, Act early, Refer, and Monitor
B. Autism is prevalent, Learn the signs, Assess each child, Refer, and Monitor
C. Autism can be cured, Look for symptoms, Assume nothing, React cautiously, and Monitor
D. Autism is over diagnosed, Look for panic, Attempt to clam. React cautiously, and Monitor

21. Intensive early intervention has…
A. Not been shown to enhance development in children with autism.
B. Is a waste of time if the child is not officially diagnosed with autism.
C. Can help a child improve to the point they no longer meet criteria for autism.
D. Is only available to people that can afford it.

22. The Individuals with Disabilities Education Act (IDEA) is…
A. A state based program that assures a free and appropriate public education for children with diagnosed learning deficits.
B. A program that requires individuals to pay a premium for extra services within the education system.
C. A Federally mandated program that assures a free and appropriate public education for children with diagnosed learning deficits.
D. All of the above.

23. Treatment options for autism…
A. Should include early intervention.
B. Have been modified into a single, most effect treatment package.
C. Are equally effective for most families.
D. Are equally safe for most patients.

24. Medicaid waivers…
A. Are designed to facilitate the treatment of individuals in institutional settings.
B. Are applicable to children with autism on a state-by-state basis.
C. Have been federally mandated for all individuals with autism.
D. Provide uniform coverage for individuals with autism.

25. For primary care physicians…
A. A definitive diagnosis of autism should be made before any referrals.
B. Involvement with that patient is no longer needed after referrals.
C. Referrals result in the loss of contact with the patient.
D. Families can often use follow-up and guidance during the referral process.