WorksheetsCognitive and Psychosocial Impairment
Total questions: 12
Worksheet time: 6mins
3 yo at WCC with "sleep problems." Parents divorced 2 months ago; now "clingy" to mom; wants "more stories and goodnight kisses" at bedtime, taking longer to get to sleep; started to have nightmares. the BEST recommendation is for this mother to
allow her son to sleep in her bed until he has adjusted to his father’s absence
continue to keep the same bedtime routine through this adjustment period
stay with her son until he falls asleep and then go to her own bedroom
vary the bedtime and bedtime routine according to how her son is doing
7 yo has difficulty in school. Lacks effort in schoolwork. Pt says "school is boring." He is at a 5th-grade reading level, IQ testing reveals IQ 140. Parents want to know what to do. The BEST response is that their son will most likely
Be advanced in all areas of development
Benefit from grade advancement
Need educational enrichment activities
Require treatment with methylphenidate
A 12 mo F is a former 25 week preemie with multiple chronic conditions. Seen in multispecialty clinic. A student asks how the role as primary care provider within a medical home is different in a child with a complex medical history who is seen by multiple specialists compared to the role for a child who is otherwise healthy. The BEST response is that this arrangement will
Decrease communication between providers
Decrease the quality of the care provided by minimizing the role of the subspecialists
Improve the overall quality of care
Provide a set location for vaccinations and development checks only
A 16 yo F c epilepsy has been well controlled for years, but had breakthrough seizure last month at a sleepover. Pt now more withdrawn, tearful about not being able to get driver's license, refuses to go out with friends, states "no one understands me." Now with daily HAs, too, resolved with NSAIDs, has "missed school" due to them. There is NO SI. The BEST next step for this patient is
changing her antiepileptic medication
counseling to develop coping strategies
magnetic resonance imaging of the brain
urgent referral to a psychiatrist for depression
Research on autism spectrum disorders has resulted in a cure for the disease.
true
false
There is no medical test available to diagnose autism spectrum disorders.
true
false
The risk for ASD is five times higher in males than females.
true
false
What is the leading known cause of developmental delay in Western civilization today?
Down syndrome
Prenatal exposure to alcohol
prenatal exposure to illicit drugs
folic acid deficiency
prematurity?
What causes fetal alcohol syndrome (FAS)?
Alcohol in the bloodstream contracts her blood vessels and prevents her from providing the fetus adequate nutrition
Alcohol in the bloodstream crosses the placenta in the unborn fetus' system and disrupts its ability to get enough oxygen for normal growth and development
Alcohol in the bloodstream makes the mother reckless and more likely to fall or otherwise cause injury to the fetus
Alcohol in the bloodstream makes her irritable and irrational, and her bad temper affects the fetus' development
Alcohol in the bloodstream upsets her hormonal balances and prevents her from delivering the right amounts of testosterone to a male fetus or estrogen to a female fetus
True or False
Mental Illness is always apparent to others.
True
False
True or False
Children under 12 Cannot be depressed.
True
False
