CLIPP 28 - CP

Question 1

Corrected age

Answer 1

Chronological Age - (40-GA)

-use CA for growth and developmental parameters until 2 years old

Question 2

Domains of development (5)

Answer 2

• gross motor
• fine motor
• communication (receptive/expressive)
• personal-social
• problem solving (self-help/cognitive/adaptive)

Question 3

Elements of pediatric history relevant to developmental delay

Answer 3

• psychosocial stressors

- tight/weak muscles, intense interest, talking/listening, level of interaction, imitation, regression, past concerns

Question 4

Developmental surveillance and screening

Answer 4

• 9, 18 and 24/30 months
• developmental history
• accurate and informed observations
• presence of risk and protective factors

Question 5

Clinical features of autism

Answer 5

• interference with healthy social interaction

- 1 in 68 children in US

Question 6

Autism screening

Answer 6

• 18 and 24 month visits

- Modified Checklist for Autism in Toddlers (M-CHAT) tool for 16-30mo

Question 7

DDX developmental delay (3)

Answer 7

• Autism: primarily social delay
• Cerebral Palsy: motor dysfunction
• Genetic/metabolic disorders: global delay

Question 8

Cerebral palsy risk factors (4), clinical features, and management recommendations

Answer 8

• heterogeneous group of non-progressive disorders, motor + postural dysfunction
• 2/1000
• perinatal asphyxia, chorioamnionitis, prematurity, IUGR

Question 9

Risk factors for developmental delay (5)

Answer 9

• bronchopulmonary dysplasia (BPD): increased metabolic demand, repeat hospitalizations, underlying neurological disease
• Retinopathy of prematurity (ROP): visual impairment
• Hyperbilirubinemia: kernicterus, choreoathetoid CP, sensorineural hearing loss
• Periventricular leukomalacia (PVL): white matter damage
• Gastroesophageal Reflux

Question 10

Muscle tone abnormalities (2)

Answer 10

• Spasticity: velocity-dependent muscle resistance

- Hypotonia: slumped posture, poor head control, cortical thumbs