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Pediatrics > Developement triggers > Flashcards

Developement triggers Flashcards

1
Q

which screening tool covers the FOUR areas of personal-social, gross motor, fine motor adaptive, and language?

A

Denver developement tool.

the ages and stages questionnare covers these four PLUS problem solving.

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2
Q

which screening tool allows the physician to SUBJECTIVELY assess and observe a childs overall behavior

A

denver development screening tool

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3
Q

at what point should a child:
* participate in vocal exchanges
* track objects in the visual field
* recognize parents

A

1-2 months!

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4
Q

At what point should a child:
* Ulnar grasp
* look towards a voice
* follow objects but believe they dont exist anymore once theyve left the visual field

A

3-5 months

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5
Q

at what point should a child:
* reach for objects and bring them to their mouth
* sit with support

A

3-5 months!

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6
Q

At what point should a child:
* grasp things with thumb opposition
* pass objects from hand to hand in midline
* Immitate “bye bye”

A

6-8 months!

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7
Q

at what point should a child:
* commando crawl
* be inhibited by the word “NO”
* start to eat/feed themselves puffs/cheerios

A

6-8 mo

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8
Q

At what point should a child:
* use thumb and index finger to pick up small items
* recognize their name
* follow 1 step commands

A

9-11 mo

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9
Q

At what point should a child:
* start having object permanence
* start comprehending words
* pull themselves into a standing position

A

9-11 months

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10
Q

At what point should a child:
* point to an object that they want
* give toys on request
* independently walk

A

1 year

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11
Q

At what point should a child:
* say mama or dada +1-2 other words
* have a perfect neat pincer grasp
* build a tower of 2 cubes

A

1 year

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12
Q

At what point should a child:
* understand 2 step commands
* recognize 3 body parts
* throw a ball

A

18 mo

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13
Q

At what point should a child:
* sit themselves in a chair and walk up stairs w help
* carry a stuffed animal/doll
* eat w a spoon or fork

A

18 mo

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14
Q

At what point should a child:
* kick a ball
* turn book pages independently
* build a tower of 6-7 cubes

A

2 years

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15
Q

At what point should a child:
* imitate behvaiors. mimicry
* point to named objects
* have a 50 word vocab and use 2+ word phrases

A

2 years old

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16
Q

At what point should a child:
* walk backwards
* Hop on one foot
* talk enough to carry conversations

A

30 months

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17
Q

at what point should a child:
* copy a crude circle with crayon in fist
* refer to self as I
* use preposition

A

30 months

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18
Q

at what point should a child:
* hold a crayon w fingers
* copy a circle
* give 1st and last name

A

3 years

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19
Q

at what point should a child:
* draw a person w/o a torso
* know days of the week
* stand on 1 leg for 10s

A

4-5 years

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20
Q

at what point should a child:
* catch a ball
* skip smoothly
* tell their age

A

5-6 years

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21
Q

at what point should a child:
* know morning/afternoon
* read several one syllable words

A

6-7 years

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22
Q

at what point should a child:
* tie their shoes
* know the current day of the week
* add/subtract 1 digit numbers

A

7-8

23
Q

how much should a child grow in length from months 8-12

A

.5-1 inch per month

24
Q

by 8 months how much should babies weigh?

A
  • boys: 14.5-17.5 lbs
  • girls 14-17 lbs
25
Q

what growth abnormality is caused by lack of calories, loss f calories, inability to use calories peripherally? describe how this would present

A

Type 1

normal head circumference. Weight dropping faster than height

26
Q

what growth abnormality is caused by endocrinopathies, heart/renal dz, skeletal dysplasias, or genetically short statures? describe how this would present

A

type 2

normal head circumference with depressed height and weight

27
Q

what growth abnormality is caused by CNS issues, chromosomal defects or utero/perinatal insults? describe how this would present

A

type 3
depressed height, weight and head circumference

28
Q

pregnancy induced HTN, placental insufficiency, and poor weight gains in the mother during pregnancy can all lead to what?

A

asymmetrical SGA

29
Q

when is the greulich-pyle scale used

A

left hand and wrist radiograph to evaluate bone age

30
Q

what type of short stature are children with abnormal growth velocity likely to have

A

pathologic

31
Q

short stature with normal or excessive weight gain is likely what etiologu

A

endocrine

32
Q

A mother brings her 4 year old daughter to the clinic. The mother tells you that her daughter was adopted at 6 weeks old and she never met the biological parents. The childs records show she was born at a normal height and weight, however started to fall behind on the growth chart throughout her first two years of life. On examination of her past medical records, you realize that since about 2 years of age, she had been in the 2nd percentile for height and weight, however has been growing almost exactly parallel to the growth curve. What is the likely diagnosis that is causing this patients growth delay

A

familial short stature!

33
Q

patients with delayed puberty and bone age that is less than chronological age with normal height velocity and final height are likely to have what diagnosis

A

constitutional short stature (Late bloomer)

34
Q

a patient has decreased growth velocity and delayed skeletal maturation. what is the likely cause?

A

growth hormone deficiency (cause typically idiopathic)

35
Q

why would we check IGF-1 & IGBFP-3

A

to check for growth hormone deficiency

36
Q

Micropenis, truncal adiposity and subnormal growth velocity are all potential manifestations of what

A

growth hormone deficiency

(micropenis = GH def + gonadotropin def)

37
Q

benign intracranial HTN and slipped capital femoral epiphysis are seen when?

A

SE of daily SC GH

38
Q

GH secretion diminished, but GH replacement doesn’t help.

A

psychosocial short stature

39
Q

treated with estrogen and GH

A

turners syndrome

40
Q

large fontanelles, thick tongue, and intellectual delays are all some characteristics of what dianosis

A

congenital hypothyroidism

41
Q

umbilical hernias, poor tone, and hoarsness are all characteristics of what

A

congenital hypothyroidism

42
Q

Dry hair, sluggishness, delayed puberty and galactorrhea are characteristics of what

A

juvenile hypothyroidism

also will see delayed closure of fontanelles

43
Q

methimazole is the first line for what dz? what is the non-first line tx?

A
  1. tx for hyperthyroidism in kiddos
  2. other tx include PTU, surgery, antityroid agents.
44
Q

when is iodine ablation used as a treatment

A

refractory graves disease

45
Q

when do we use BB and steroids as a treatment

A

temporary tx for neonatal graves disease (resolves w/i 3 months)

46
Q

activation of GnRH early, causing earlier sex steroids characterizes what diagnosis

A

precocious puberty

47
Q

McCune-Albright Syndrome and Congenital Adrenal Hyperplasia are things that can characterize what diagnosis?

A

peripheral precocious puberty

48
Q

when is leuprolide used as treatment

A

precocious puberty in boys and girls!

49
Q

which gender is more likely to have CNS abnormalities that cause precocious puberty

A

males

50
Q

premature adrenarche but no actual change in time of puberty with normal linear growth and no bone age advancement are likely what diagnosis

A

benign precocious puberty

51
Q

what do you treat with low dose estrogen and later on OCPs

A

delayed puberty in girls

52
Q

Progressive hepatic cirrhosis & E. coli sepsis are the MCC of death in this dianosis

A

galactosemia

53
Q

presents with severe mental impairement, hyperactivity, very light complexity, eczema, seizures.

A

untreated PKU

Pediatrics (41 decks)

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