Developmental delays, self-injury, fecal smearing, and severe temper tantrums in a preschool child are symptoms of

a. Down syndrome
b. Intellectual disability
c. Psychosocial deprivation
d. Separation anxiety


B
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A Down syndrome is often identified at birth by characteristic facial and head
features, such as brachycephaly (disproportionate shortness of the head); flat
profile; inner epicanthal folds; wide, flat nasal bridge; narrow, high-arched
palate; protruding tongue; and small, short ears, which may be low set. Although
intellectual impairment may be present, the symptoms listed are not the primary
ones expected in the diagnosis of Down syndrome.
B These are symptoms of intellectual disability.
C Psychosocial deprivation may be a cause of mild intellectual disability. The
symptoms listed are characteristic of severe intellectual disability.
D Symptoms of separation anxiety include protest, despair, and detachment.

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