What the heck? I hope I don't die. A cryptid is a creature that may be thought by some people to exist but is not recognized by the scientific community. What cryptid are you most like? Questions: 8 Attempts: Last updated: Feb 4, Small sized. Average sized. Above average sized. Have you ever wondered what kind of person are you? Are you an alpha — a leader, someone who dominates? Questions: 10 Attempts: Last updated: Oct 21, Yes, sometimes, she can be so ugh!
No one, regardless of age, IQ, sex, etc. Even if your Intelligence Quotient is not as high as others, you are still a valuable and normal individual. No, it is not. You should avoid using it in your daily life because it is a sensitive and offensive word. Even if you are using it jokingly, it is still wrong. There is no way to label someone with a mental disability through an online questionary.
Here are a few more things to have in mind before taking any of such tests. Only a trained psychologist or doctor can diagnose a person with a mental disorder or disability. Unfortunately, some websites do not take matters seriously and make fun of them through unsupervised tests. Labeling others is wrong no matter what your intentions are. So, make sure you take a test that does not call you names or make fun of you for whatsoever reason.
Note : The quiz on this page has no negative attitude towards the participants. The results contain no kind of labeling or insulting terms. An IQ test for kids or adults is not enough to claim someone has an intellectual disability. There are lots of factors that professionals employ to diagnose a person with a mental issue.
So, do not trust online quizzes that promise you accurate results based on your IQ. The fact that you are reading this text is the most evident reason you are not a retarded person. But you can take our test to make sure you are an intelligent individual. Our test lets you know if you should be careful about such happenings based on your responses. Our quiz helps you understand why you should avoid such labels regardless of your purpose and intention.
Retardation is not something to be worried about. It is an old-fashioned term used to describe people with intellectual problems. You should not allow anyone to call you names, especially if it is as sensitive as mental health and intelligence. According to US law, you have the right to sue a person who caused an emotional trauma by labeling you or calling you retarded.
Some chromosomal abnormalities are inherited from a parent but most occur de novo. Many previously described clinical syndromes have been found to have an associated chromosomal abnormality e. The following case report highlights the importance of early diagnosis, in planning therapy for the child and in providing family planning information to the parents. He was born to a year-old woman, gravida 2, para 2, living children 2. He was delivered at term by cesarean section with no prenatal, labor or postnatal complications.
He was slightly blue at birth and required oxygen. Mother and infant went home in two days, and no other newborn problems were noted. Birth weight was 3. The infant was breast-fed for about 12 months. Solid foods were added at 10 months, but some difficulty was noted with chewing. The boy rolled over at three to four months, sat without support at seven months and crawled at seven to eight months. He began to walk at 16 months but still did not talk.
The mother first became concerned about lack of speech when the child was 13 months old. The remainder of the medical history, the review of systems and the family history were noncontributory. At 16 months, the child's height and weight were less than the 5th percentile; head circumference was at the 25th percentile. The child was pleasant, alert, active and cooperative. No vocalization of any kind was noted during the examination. Physical findings included a slightly prominent forehead with a depressed wide nasal bridge and a flat nose.
The midface appeared depressed; the child's face closely resembled his mother's. The only other abnormal finding was a small left testis. The boy could stand for a few seconds without support and was able to take a few steps. His muscle tone was mildly low but within the reference range. The physician's impressions included the following: midface hypoplasia, small stature, rule out hearing loss, speech and language delays and global developmental delay, hypoplastic left testicle, incoordinated swallowing, rule out genetic syndrome related to hypoplastic facial features, developmental delay, small stature and familial resemblance.
In the pediatric genetics dysmorphology clinic, the above dysmorphic features were confirmed. He also had distinctive blepharophimosis, ptosis, epicanthal folds, altered palmar creases and hyperextensibility of the fingers and knees.
Ohdo blepharophimosis syndrome was diagnosed, based on a London Dysmorphology Database search. Chromosomal status was 46,XY.
At 17 months' chronologic age, his developmental quotient was 61, with most delay occurring in speech, which was at the five-month level. Motor skills were at the to month level. He was evaluated by subspecialists who addressed his various problems. Initial hearing assessment revealed moderate hearing loss.
The child was referred to an early intervention program. Subsequent follow-up at 52 months of age revealed that the boy still had difficulty with feedings and was not yet toilet trained. His cognitive skills were at approximately a month level, and genetic follow-up confirmed Ohdo blepharophimosis syndrome. The mother had subsequently given birth to a second child with the same syndrome.
The physician must have a high index of suspicion to consider the diagnosis of mental retardation in any child. Some helpful clues include delayed speech, dysmorphic features minor anomalies , hypotonia generally or of the extremities, general inability to do things for self and, not least, expressed concern by the parents.
The first and most important step in the diagnosis of mental retardation is to obtain a comprehensive patient and family history. Previous gynecologic and obstetric history may reveal infertility or fetal loss. Assessment of maternal health status during pregnancy with the involved child should include questions regarding use of tobacco, alcohol and drugs prescribed and illicit ; lifestyle or other risks for sexually transmitted diseases; weight gain or loss; signs of infection; serious illness or injury; and surgery or hospitalization.
To establish a knowledgeable baseline history of the child, the physician should obtain information regarding length of pregnancy, premature onset of labor or rupture of the membranes, duration and course of labor, type of delivery and any complications. Apgar scores at one and especially five minutes should be reviewed, and birth weight, length and head circumference measurements obtained and plotted on appropriate growth charts. The parents should be asked about any illnesses, feeding or sleeping difficulties in the newborn period and problems with sucking or swallowing, as well as the baby's general disposition.
Extremes in infant temperament are often the first clue to an atypical course in child development. The systems review of the child should be complete, with special attention to growth problems, history of seizures, lethargy and episodic vomiting. A developmental screen should be used at all well-child visits to obtain information about the timing of the child's developmental milestones, any concerns by parents or caregivers and comparison of the child's developmental rate and pattern with those of siblings.
Specific questions about the child's current developmental abilities should be asked at each visit. The Revised Denver Prescreening Developmental Questionnaire 10 is a useful screening tool that parents can readily complete to help determine the need for further evaluation with the time-honored Denver Developmental Screening Test.
Other developmental screening tests are also available. Delays in speech development are common and may become more obvious when contrasted with the speech development of a sibling. Inquiry should be made regarding concerns about hearing and vision. One cannot overemphasize the importance of addressing concerns voiced by a parent about a child's development, behavior and learning, because these expressed concerns accurately target the majority of children with developmental problems.
Information should be obtained about the family unit, parents' occupations and educational achievements, educational and developmental status of siblings, role of the patient in the family, discipline of the children and identity of the child's caregiver when the parents are not home.
Family history of fetal loss, mental retardation, severe learning problems, congenital abnormalities and unexplained childhood deaths, as well as other serious illnesses in first- and second-degree family members, should be elicited.
A complete physical examination can begin with a review of growth curves since birth, if these are available. The head circumference should continue to be plotted. The examination should be thorough, with special attention to physical findings that are compatible with any risk factors obtained from the history. The child should be examined closely for dysmorphic features or minor abnormalities, such as unusual eyebrow pattern, eyes that are widely or closely spaced, low-set ears or abnormal palmar crease patterns.
Minor abnormalities are defined as defects that have unusual morphologic features without serious medical implications or untoward cosmetic appearance. Thus, minor abnormalities may provide clues to developmental problems of possible prenatal origin. Evaluation of the head, face, eyes, ears and mouth must include general assessment of visual acuity and hearing. Examination of the chest, heart, spine, abdomen, genitalia, extremities, muscles and neurologic reflexes can reveal abnormalities that may be associated with retardation.
Table 2 highlights five common syndromes or problems associated with retardation. Hypotonia; flat facial profile; upslanting palpebral fissures; small ears; in-curving fifth fingers; single transverse palmar creases. Slow growth; congenital heart defect; thyroid dysfunction; developmental delay, especially speech. Chromosome analysis in all patients; chromosome analysis of parents if translocation is found; pediatric cardiology evaluation with echocardiogram by 6 weeks of age.
Cognitive limitations, with most in mild to moderate MR range; decreased life expectancy can be associated with congenital heart defect, especially if not recognized in early infancy. Diagnosis can be made at birth, based on history, baby's facial features medial epicanthal folds, wide nasal bridge, small upturned nose, long philtrum, narrow or wide upper lip , low birth measurements.
Good history and physical examination imperative; history of maternal drinking, pre- and postnatal growth retardation, dysmorphic facial features, CNS involvement; no laboratory tests available. Varies; growth may improve during adolescence and facial features may soften, but behaviors may cause serious problems. Many of these children are adopted; FAS and fetal alcohol effects usually developmental and behavioral problems are totally preventable. Abnormality in FMR-1 gene located on X chromosome; inherited in X-linked manner so males are more severely affected.
Macrocephaly; large ears; enlarged testicles after puberty; hyperextensible fingers. Deletion of chromosome 22; usually de novo but may be inherited in an autosomal dominant manner.
Cleft palate; congenital heart defect; speech delay; elongated face with almond-shaped eyes; wide nose with hypoplastic alae nasi; small ears; slender, hyperextensible fingers.
High-resolution chromosome analysis with chromosome painting FISH to detect chromosome 22 deletion; parents should also be tested. Normal life expectancy unless severe heart defect e. Variable; diagnosis may evolve over time, so repeated evaluations may be helpful. Nonspecific cluster of minor malformations; delayed milestones, especially language development.
Information from references 4 , 5 , 7 and Findings from the history and physical examination of the child will help determine which diagnostic tests and referrals are appropriate for further assessment.
The physician needs to explain to the parents what these findings are and the reasons for further evaluation. The laboratory and radiographic assessment of individual children should be based on clinical presentation Table 3. Suspected contiguous gene syndromes e. Pediatr Rev ; This initial sharing of information with parents is an extremely important step and will probably set the stage for the future physician-family-patient relationship.
Ample time should be scheduled to discuss the findings and to allow for questions, which will be numerous. The family should be encouraged to write a list of questions for further communication with the physician. The Individuals with Disabilities Education Act 17 provides for developmental assessment of children older than three years in every school district.
For children younger than three, similar infant-toddler assessment and early intervention resources are available, usually through local health departments, school districts or regional assessment centers. The responsible agency varies in each state. Families will usually welcome such a referral and comprehensive evaluation, especially if the mental retardation is unexplained.
Evaluations by a nutritionist and a child psychiatrist may also be appropriate for some patients. The family physician should expect complete information on the findings from this type of team evaluation.
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