Sensory processing differences — formative SAQs

SAQ 1 (10 marks)

A 7-year-old covers ears for school bells, refuses clothing tags and eats only dry foods. Growth is normal. Social reciprocity is preserved. [1]

1. Classify the likely sensory modulation pattern and list two differentials. (3) [1]
2. Outline your assessment priorities including medical mimics. (3) [1] [4]
3. Give four first-line management actions including school/OT. (4) [4] [6]

Model answer

Likely over-responsivity (sound, touch, oral texture). Differentials: anxiety; hearing issue; emerging neurodevelopmental condition; medical oral pain; learned avoidance. [1]

Assessment: detailed context/function history; hearing/vision as indicated; developmental screen; skin/dental/GI red flags; school report; family stress. [1] [9]

Management: environmental noise plan; clothing adaptations; graded feeding supports; school adjustments; OT referral with participation goals; avoid cure promises; review. [4] [6]

SAQ 2 (10 marks)

An autistic adolescent needs a medically indicated procedure and has severe tactile defensiveness. Caregivers ask to cancel forever. [10]

1. State the ethical clinical principle. (2) [10]
2. List five adaptations to make care safer and more tolerable. (5) [10] [6]
3. How do you counsel on sensory intervention evidence in autism? (3) [3] [4]

Model answer

Tactile defensiveness does not exclude indicated life-sustaining or necessary care; adapt rather than abandon. [10]

Adaptations: advance preparation; visual schedule; preferred sensory supports; minimised touch/noise; experienced team; topical measures; stepwise desensitisation; appropriate procedural support/sedation pathways per local practice; caregiver presence; post-procedure recovery plan. [10] [6]

Evidence: sensory symptoms are common in ASD on meta-analysis; intervention evidence is mixed — use OT for participation goals, combine with environmental supports, do not claim cure of autism core features. [3] [4]