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]}