CLIPP 28

Question 1

corrected age calcluation

Answer 1

40-#gestational weeks, then subtract that result from the chronologic age

Question 2

which age to use on growth charts

Answer 2

use corrected age unto 2yo (also for dvpt milestones)

Question 3

when does pedal arch develop

Answer 3

in first 8 years of life - if feet are flat, first step is to consider if there is still flexibility

Question 4

pigeon toeing is due to- and tx w -

Answer 4

internal tibial torsion - tx with ..it resolves by growth. braces do NOT correct this.

Question 5

when do most kids start walking and by what age does it look mature

Answer 5

9-17 months, by 3 years of age

Question 6

frameworks for developmental monitoring include these 5 areas

Answer 6

gross motor, fine motor, communication, problem solving, personal social

Question 7

most variable component of development

Answer 7

langauge

Question 8

milestones in spech dvpt

Answer 8

7 days - distinguish moms voice from another women
14 days - distinguish dads voice
6-7-8 months - vowel and consonants but doesn’t know how to apply them, like ‘mama’ but not knowing what this means
12 motnhs - mama dada has meaning and attached to correct person
15-gibberish, but may imbed real words (~10 words known)
18months - says nouns, special names, a few action words, does gestures and simple 2 step commands
2 years- toddler cn combine words like daddy go

Question 9

when to screen for developmental thigns

Answer 9

9,18,30 months

Question 10

MCHAT is what, and what ages

Answer 10

autusim screening, for 16-30months but routine autism screening is at 18 and 24 months

Question 11

broad defn of premature infant

Answer 11

< 37w

Question 12

4 things that can cause dvpt delay in preemie

Answer 12

BPD - poor growth due to higher cal requirements, CHF, infection and delay due to repeated hospitalization, underlying neuro dz etc
ROP - extraretinal fibrovasc prolife–>retinal detatch, blind
Hyperbilirubinemia - can lead to kernicterus and choreoathetoid CP, sensorineural hearing loss
Periventricular leukomalacia - damage to white matter around ventricles of brain due to hypoxia or ischemia or malformation

Question 13

cystic PVL correlated to

Answer 13

CP

Question 14

can gerd cause delay?

Answer 14

no but in preemies, more susceptible bc less competent LES.

Question 15

non progressive motor delay and abnl neuro exam

Answer 15

CP

Question 16

what cause regression of milestone

Answer 16

neurologic disorders as do psychosocial stressors

Question 17

toe walking can be sign of

Answer 17

increased calf tone

Question 18

Beyond the first few months of life, persistently closed hands or cortical thumbs (thumbs held in the palm within the fingers) are signs of -

Answer 18

CNS dysfunction

Question 19

delayed acquisition of developmental milestones and hypertonia and spasticity on exam?

Answer 19

CP

Question 20

spastic quadriplegia - involvemetn, etiology, ex

Answer 20

entire, gobal brain issue, varies

Question 21

splastic diplegia- involvemetn, etiology, ex

Answer 21

legs >arms, periventric white matter issue, preemie infants

Question 22

dyskinetic CP - athetoid, dystonic- involvemetn, etiology, ex

Answer 22

variable, bg cerebellum thalamus, peri natal asphyxia kernicterus

Question 23

spastic hemiplegia

- involvemetn, etiology, ex

Answer 23

arm and leg on one side, unilateral UMN abnormal,stoke

Question 24

ataxic CP- involvemetn, etiology, ex

Answer 24

entire, cerebellar abnormalities, cerebellar or pontocerebellar hypoplasia

Question 25

bilingual kids have delay in –

Answer 25

expressiive langualge

Question 26

can agars predict infant development outcome?

Answer 26

no - justa tool in predicing neonatal survival

Question 27

biggest CP risk factors

Answer 27

premaurity (then IUGR , infiction, perinatal asphyxia)

Question 28

common f/u tests in CP

Answer 28

optho, hearing, formal devpt testing, MRI

Question 29

burshfield spots

Answer 29

assoc w DS, gray or yellow spots at periph of iris

Question 30

syndromes assoc w/ intellec disabiltiy =

Answer 30

fragile x, ds, fas

Question 31

defn of intellectual disability

Answer 31

Significant degree of cognitive impairment (typically defined as peforming at least two standard deviations below the mean on an intelligence test, i.e., an intelligence quotient [IQ] < 70)
Significant degree of impaired adaptive function (ability to peform everyday tasks)
Both impairments manifesting before age 18

Question 32

Behavioral disturbances—such as hyperactivity, gaze avoidance, or autistic behavior—have been described.

Answer 32

fragile x