Chapter 19 Single best answer questions

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. Martin is a very active ten year old boy, who has had difficulties making friends at school. His parents are worried that he stutters and suspect he is being bullied at school because of his appearance. His teachers report that Martin is struggling with lessons and are concerned that he might have a learning disability.
Their GP has suggested genetic counselling as she suspects that Martin may have a genetic disorder.
Which of the following options is LEAST likely to cause or mimic a learning disability?

Fragile X syndrome correct incorrect

Autism correct incorrect

Gilles de la Tourette syndrome correct incorrect

Epilepsy correct incorrect

Schizophrenia correct incorrect

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. Martin's parents have given their consent for further investigation of the cause of Martin's suspected learning disability.
Which of the following options is MOST likely to be helpful when investigating learning disabilities?

Full neurological assessment. correct incorrect

MRI / CT head. correct incorrect

FBC, U&E, LFT, TFT, bone profile. correct incorrect

Developmental history and functional assessment of skills. correct incorrect

Genetic testing. correct incorrect

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. The geneticists diagnose Martin with Fragile X syndrome.
In terms of prognosis, which of the following options MOST accurately reflects Martin's future?

Individuals with Fragile X lack the ability to learn or imitate and will progressively become more forgetful. correct incorrect

Most behavioural problems increase throughout the lifespan. correct incorrect

The life expectancy is similar to that of the general population. correct incorrect

The extent of support determines the degree of limitation. correct incorrect

The outlook for patients with fragile X syndrome is independent of when the condition is diagnosed. correct incorrect

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. 21 year old Jonathan Spidee comes to the GP surgery, accompanied by his mother. Jonathan has been distressed while using the toilet and bathing over the last two weeks. He has a known diagnosis of Down syndrome.
Which of the options below is the MOST appropriate way for you to communicate with Jonathan?

Address questions to Jonathan's mother, allowing Jonathan to add his point of view where helpful. correct incorrect

Address him as "Johnny" to ensure you do not intimidate him. correct incorrect

Address questions to Jonathan allowing his mother to remain as a passive observer throughout the consultation. correct incorrect

Assess Jonathan with a chaperone, asking his mother to leave for part of the assessment. correct incorrect

Assess Jonathan, with a chaperone, asking his mother to remain present throughout the assessment. correct incorrect

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. Jenny is diagnosed with a mild learning disability.
Which of the following statements is FALSE?

Mild disability is under-diagnosed. correct incorrect

Jenny will probably need to live with her family for the rest of her life. correct incorrect

Jenny's IQ level is between 50-69. correct incorrect

Jenny is at increased risk of schizophrenia, compared with the general population correct incorrect

Developmental delay is associated with mild learning disability. correct incorrect