Video Cases Title

Continuing Medical Education - Quiz 2

1. For primary care physicians…




The correct answer is D. A definitive diagnosis is not required and referrals to early intervention should be made immediately when a delay in development is suspected. The referral process to specialists can be prolonged and complicated for families. Continued guidance from their primary care provider can be of enormous benefit to patients.

2. Medicaid waivers…




The correct answer is B. Medicaid Waivers are state-run programs that use federal and state funds to pay for health care for people with certain health conditions. The Waiver program began in 1982, when the first Katie Beckett Waivers became part of a state’s Medicaid optional benefits allowed by the Secretary of Health and Human Services.

3. Treatment options for autism…




The correct answer is A. Evidence suggests that early treatment optimizes long-term prognosis and that treatment yields diminishing returns, as children get older. Beyond early intervention, there is no single best treatment package for all children with ASD. Most individuals with ASD respond well to highly structured, specialized programs.

4. Intensive early intervention has…




The correct answer is C. Early diagnosis of autism spectrum disorders (ASD) is critical for a number of reasons, perhaps most importantly because interventions to improve the functioning of children with ASD may be more effective with younger children. Evidence suggests that early treatment optimizes long-term prognosis and that treatment yields diminishing returns, as children get older.

5. The areas of difficulty in autism include…




The correct answer is D. All children with ASD demonstrate deficits in 1) social interaction, 2) verbal and nonverbal communication, and 3) repetitive behaviors or interests. In addition, they will often have unusual responses to sensory experiences, such as certain sounds or the way objects look. Each of these symptoms runs the gamut from mild to severe. They will present in each individual child differently.

6. Cultural differences in children with autism…




The correct answer is D. While parental concerns are often highly predictive of developmental delay, clinicians cannot wait for parents to bring up concerns. Some parents do not provide any information specific to their child’s social interactions unless probed by their clinician.

7. About their child’s development and behavior…




The correct answer is B. Parents are usually the first to notice unusual behaviors in their child. While parents may not know what is afflicting their child, they know that something is wrong. The key is to listen to their concerns and explore their situation with appropriate questions.

8. Some conditions that might be associated with autism include...




The correct answer is A. One in four children with ASD develop seizures, often starting either in early childhood or adolescence. Fragile X syndrome affects about two to five percent of people with ASD. One to 4 percent of people with ASD also have tuberous sclerosis. There does not seem to be an association of neurofibromatosis or lupus with autism.

9. Examples of repetitive behaviors among children with autism include…




The correct answer is D. By six months, a child should be smiling or expressing happiness. Some children and older individuals spend a lot of time repeatedly flapping their arms or walking on their toes. Some suddenly freeze in position. They might spend hours lining up their cars and trains in a certain way, rather than using them for pretend play. Repetitive behavior sometimes takes the form of a persistent, intense preoccupation.

10. Language delays may not be as severe in children with…




The correct answer is C. As in the other autism spectrum disorders, children with Asperger’s syndrome show qualitative impairment in social interaction, restricted repetitive and stereotyped patterns of behavior, and significant impairment in important areas of functioning. However, these patients do not have a significant general delay in language.

11. Identify the myth about social problems that children with autism might have.




The correct answer is B. Children with autism can look at or through you, but eye contact has no social purpose.

12. The MMR vaccine...




The correct answer is C. There have been fears that a link existed between the use of thimerosal, a mercury-based preservative used in the measles-mumps-rubella (MMR) vaccine, and autism. Although mercury is no longer found in childhood vaccines in the United States, some parents still have concerns about vaccinations. Many well done, large-scale studies have now been done that have failed to show a link between thimerosal and autism.

13. Autism spectrum disorders include...




The correct answer is D. The autism spectrum disorders include a range of diagnoses. These disorders include Autism, Rett syndrome, Asperger’s syndrome, Childhood Disintegrative Disorder, and Pervasive Developmental Disorder Not Otherwise Specified (NOS).

14. The prevalence of autism may be as much as...




The correct answer is A. The prevalence of autism has been reported between to be as much as 1 in 166 children (6/1,000) and 1 in 500 (2/1000). A study conducted by the CDC found the rate of autism in a metropolitan city to be 3.4 per 1,000 children.

15. Myths about children with autism include...




The correct answer is D. With early intervention, children with autism do show growth and improvement. Children with autism can make eye contact, but they often lack a social purpose behind their look. They can also show affection but it may be in their own way.

 
Treatment Section Photo
Treatment Centers

Sixty-one university-based centers are in a unique position to facilitate the flow of disability-related information between community and university.

> more

Treatment Video Case Photo
Jeff, Age 35