Guest Stars Shane Kinsman as Porter Scavo Zane Huett as Parker Scavo Brent Kinsman as Preston Scavo Shawn Pyfrom as Andrew Van de Kamp Joy Lauren as Danielle Van de Kamp Kathryn Joosten as Karen McCluskey Mark Moses as Paul Young Cody Kasch as Zach Young Rachel Fox as Kayla Huntington Dougray Scott as Ian Hainsworth Josh Henderson as Austin McCann Currie Graham as Ed Ferrara Valerie Mahaffey as Alma Hodge Dixie Carter as Gloria Hodge Terry Bozeman as Dr. Lee Craig Alec Mapa as Vern Amy Aquino as Erika Gold Co Starring Pat Crawford Brown as Ida Greenberg Mitch Silpa as Jerry Chloë Grace Moretz as Sherri Maltby Julie Pop as Nurse Travis Davis as Pageant Emcee Robin Krieger as Customer Donnie Jeffcoat as Alan Marcus