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Pediatrics I - OSCE > Development > Flashcards

Development Flashcards

1
Q
A
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2
Q

Fields of Denever development screening test (DDST

A

These fields are:

 Gross motor (locomotion, motor)

 Fine motor (Adaptive, sensory-motor, manipulation or hand-eye coordination)

 Personal-social (Social)

 Language (communication)

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3
Q

Def of Gross motor

A
  • It includes posture and large body movements (performed by groups of large muscles) e.g. head control, sitting, standing, etc.
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4
Q

Def of Fine motor

A

Coordination of hands and eyes, using fingers for reaching, grasping, and manipulating, etc.

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5
Q

Def of Social (Cognitive)

A
  • Social reaction of child with his surroundings and relatives and his adaptation to the environment e.g. play, self-care, etc.
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6
Q

Def of Language “Communication”

A

The ability to communicate:

  • Verbally (intact hearing,oral musculature, speech centers)
  • Non-verbally (use of 4 gestures, facial expressions and body language, sign language)
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7
Q

Assessment of development in premature infants

A
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8
Q

Primitive reflexes

A

◈ These are normal reflex behaviors that appear early in life (maybe in utero)

◈ They are lost as development progresses e.g., grasp reflex should be lost to allow voluntary reaching and grasping

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9
Q

Gross Motor

  • 3 Months
A

◈ Head support when held erect
◈ Raise chest when prone
◈ Support weight on forearm

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10
Q

Gross Motor

  • 6 Months
A

◈ Sit supported (by his arm)
◈ Sit alone ⇢ 7 months

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11
Q

Gross Motor

  • 9 Months
A

◈ Creeps or crawls

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12
Q

Gross Motor

  • 12 months
A

◈ Walks supported (with one handheld)

◈ Walks alone ⇢ 13–15 months

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13
Q

Gross Motor

  • 18 Months
A

◈ Walks upstairs with 1 handheld

◈ Seats himself in small chair

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14
Q

Gross Motor

  • 24 Month
A

◈ Runs well

◈ Walks up & down stairs alone (one step at a time)

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15
Q

Gross Motor

  • 30 Month
A

◈ Walks upstairs alone (alternating feet)

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16
Q

Gross Motor

  • 36 Months
A

◈ Rides & pedals tricycle
◈ Climbs upstairs well
◈ Jumps on spot

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17
Q

Gross Motor

  • 60 Month
A

◈ Hops on one foot
◈ Walks heal to toe along a line

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18
Q

Fine motor

  • 3 Month
A

◈ Open hands spontaneously
◈ Following objects

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19
Q

Fine motor

  • 6 Month
A

◈ Palmer grasp (Transfer objects from hand to hand)

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20
Q

Fine motor

  • 9 Month
A

◈ Pincer grasp (use thumb & finger)

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21
Q

Fine motor

  • 12 months
A

◈ Release an object on command
◈ Drink from a cup

22
Q

Fine motor

  • 18 month
A

◈ Feeds from a spoon

23
Q

Fine motor

  • 24 Months
A

◈ Builds a tower of 6 blocks

24
Q

Fine motor

  • 30 Months
A

◈ Builds a tower of 8 blocks

25
Q

Fine motor

  • 36 Months
A

◈ Builds a tower of 8 blocks

26
Q

Fine motor

  • 60 Months
A

◈ Draw a man (6 parts) with a
pencil

27
Q

Social

  • 3 Months
A

Social smile

28
Q

Social

  • 6 Months
A

Shows likes & dislikes

29
Q

Social

  • 9 Months
A

◈ Play Peek-a-boo (hide face ⇢ sudden uncover)

30
Q

Social

  • 12 months
A

◈ Come when called
◈ Play with small ball

31
Q

Social

  • 18 Months
A

◈ Mimics actions of others

32
Q

Social

  • 24 Months
A

◈ Plays with others

33
Q

Social

  • 30 Months
A

◈ Eat with knife & fork
◈ Go to toilet alone

34
Q

Social

  • 36 Months
A

◈ Eat with knife & fork
◈ Go to toilet alone

35
Q

Social

  • 60 Months
A

◈ Choose own friends
◈ Dramatic group play

36
Q

Language

  • 3 Months
A

◈ Coos (sounds like pigeons)
◈ Says “aah, ngah”
◈ Laughs aloud

37
Q

Language

  • 6 Months
A

◈ Babbles

38
Q

Language

  • 9 Months
A

◈ Repetitive sounds “mama, dada”

◈ Imitates sounds

39
Q

Language

  • 12 Months
A

◈ 1 – 2 meaningful words

40
Q

Language

  • 18 Months
A

At least 6 words

41
Q

Language

  • 24 Months
A

◈ Sentences of 2 – 3 words

42
Q

Language

  • 30 Months
A

◈ Uses prepositions

◈ Sentences of 4 words

◈ Recognizes 4 colors

◈ Give full name, age & sex

43
Q

Language

  • 36 Months
A

◈ Uses prepositions

◈ Sentences of 4 words

◈ Recognizes 4 colors

◈ Give full name, age & sex

44
Q

Language

  • 60 Months
A

◈ Fluent speech
◈ Ask about mean of word & things

45
Q

Abnormal patterns of development

A
  • Developmental Delay
  • Developmental Regression
46
Q

Developmental delay

A
47
Q

Developmental regression

A

◈ The child starts to lose the previously acquired new learnt skills.

◈ This usually indicates degenerative brain disease

48
Q

Causes of delayed motor development (sitting / walking)

A
49
Q

Causes of delayed speech

A
50
Q

Causes of delayed smiling (beyond 6 weeks of life)

A

Pediatrics I - OSCE (20 decks)

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