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Pediatrics > development 2 > Flashcards

development 2 Flashcards

1
Q

breast development stage is called? Occurs at what age?

A

thelarche, 8-9

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2
Q

sexual hair growth stage is called? Occurs at what age?

A

pubarche, 9-10

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3
Q

What age is menarche?

A

12-13

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4
Q

Prepubescent boys are in Tanner Stage ____

A

1

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5
Q

What is the first thing to develop in Tanner stage 2? (male)

A

testicular volume

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6
Q

What develops in Tanner stage 3? (male)

A

scrotum enlarges, penis LENGTH

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7
Q

What develops in Tanner stage 4? (male)

A

testicular volume, penis WIDTH

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8
Q

Tanner 5 for males?

A

Adult genitalia

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9
Q

Tanner 1 for breast development:

A

Areola in flat contour with chest (no development)

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10
Q

Tanner 2 for breast development

A

breast bud of glandular tissue

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11
Q

Tanner 3 for breast development

A

breast bud extends beyond areola, but areola is still in contour with chest

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12
Q

Tanner 4 for breast development

A

elevation of areola and papilla

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13
Q

Tanner 5 for breast development

A

adult sized breast, areola returns to flat contour with projecting central papilla

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14
Q

tanner 1 pubic hair

A

none

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15
Q

tanner 2 pubic hair

A

small area of downy hair

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16
Q

tanner 3 pubic hair

A

becomes coarse/curly

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17
Q

tanner 4 pubic hair

A

adult texture, extends across pubis

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18
Q

tanner 5 pubic hair

A

extends to medial surface of thighs

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19
Q

_________ is formalized developmental testing performed as specific ages

A

screening

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20
Q

________is an informal assessment of child’s development

A

surveillance

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21
Q

5 components of developmental surveillance

A

1) parental concerns
2) developmental hx
3) observations
4) risk/protective factors
5) Accurate records

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22
Q

_________is a complex process aimed at identifying specific developmental disorders that are affecting a child

A

evaluation

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23
Q

This is a 2 minute, 10 question screening test that can be administered on kids from ages 0-8

A

PEDS–parental eval of developmental status

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24
Q

This is a 5 minute, 15 item test administered to kids from ages 0-4

A

ASQ–ages and stages questionnaire

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25
Q

This is a 20 minute test performed by provider to look at motor, adaptive, social behaviors. For 0-6 years of age

A

Denver Developmental test

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26
Q

This is a 13 item test that looks at neuro development in children from 3-24 months

A

Bayley Infant Neurodevelopmental Screener

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27
Q

64 item drawing test for kids from 3-10 years.

A

Draw-a-person test (seriously, 64 items?)

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28
Q

35 Q’s for parents about problem behaviors in kids from 6-16 years ole

A

Pediatric symptom checklist

29
Q

Average age to identify kids with hearing loss (prior to testing)

A

30 months

30
Q

What are some risk factors for hearing loss?

A

1) developmental delay
2) CNS infection
3) ototox meds
4) neurodegenerative disorders

31
Q

Communication disorders include what types of language?

A

expressive and receptive

32
Q

There are 3 classifications of speech/language disorders

A

1) input problem (ex: hearing)
2) processing problem (ex: MR)
3) output problem (ex: stutter)

33
Q

Genetic disorders strongly a/w language problems.

A

Fragile X, Down syndrome

34
Q

Red flags for language delay are basically when kids aren’t meeting their milestones. What’s a red flag at 5 years?

A

Incorrect syntax

35
Q

red flag at 2 years?

A

No 2 word phrases

36
Q

red flag at 18 months?

A

< 3 words

37
Q

red flag at 4 years?

A

no prepositions

38
Q

red flag at 6 months?

A

no babbling

39
Q

red flag at 2.5?

A

No personal pronouns

40
Q

red flag at 9 mo?

A

No “da”/”ba”

41
Q

red flag at 11 mo?

A

No “dada”

42
Q

red flag at 3.5 yrs?

A

Half intelligible speech

43
Q

Define a global developmental delay is a significant delay in 2 of what 4 domains?

A

1) fine/gross motor
2) speech/language
3) cognition
4) social/personal

44
Q

GDD can be a diagnosis in children under the age of _______. Any older and the diagnosis is changed to _______

A

<5 years. Over 5 = mental retardation

45
Q

Rather than just looking at IQ, the intellectual disability diagnosis, favored in the DSMV, prefers to make evaluations based on __________

A

adaptive function

46
Q

Mild intellectual disability will have an IQ of____ and will require ______support?

A

55-69, intermittent

47
Q

Moderate ID has IQ of:____ and will require ______support?

A

40-54, limited

48
Q

Severe ID has IQ of:____ and will require ______support?

A

25-39, extensive

49
Q

Profound ID has IQ of:____ and will require ______support?

A

<24, pervasive

50
Q

Most common cause of ID

A

Down’s

51
Q

Most common INHERITED cause of ID?

A

Fragile X

52
Q

Most common medical cause of ID?

A

fetal alcohol syndrome

53
Q

How do most kids with ID present?

A

SPEECH DELAY, then hyperactive, then behavior problems

54
Q

What are the 3 core features of autism spectrum disorder (ASD)?

A

1) abnormal social interactions
2) atypical communication
3) restricted activities

55
Q

what does PDD mean?

A

pervasive developmental disorder

56
Q

This is a disease affecting mostly females. They have small heads….and therefore underdeveloped brains. In the spectrum of ASD’s

A

Rett syndrome

57
Q

What were the 3 core features of ASD consolidated into?

A

1) social/communication

2) behavioral

58
Q

ASD is often comorbid with what?

A

ADHD

59
Q

What is the cause of ASD’s?

A

unknown, evidence suggests genetics,

1) maybe triggered by exposure to environmental modifiers
2) anatomical variant (frontal lobe, amygdala, cerebellum)

60
Q

At what age do ASD kids start to exhibit behaviors that are different from non-ASD kids?

A

12-18 months

61
Q

Screening for ASD should be done formally at what ages?

A

19 and 30 months

62
Q

Male kid has a seemingly normal intelligence, but is very hyper. You notice he seems to be biting his hands repeatedly and won’t make eye contact. PE significant for large ears, long face, large testicles, and bendy fingers. What do you suspect?

A

Fragile X (ranges from normal intelligence to severe disability)

63
Q

Growth retardation, facial dysmorphology, and CNS abnormalities are common findings in what?

A

FAS–fetal alcohol syndrome

64
Q

What kinds of facial features might you expect in FAS?

A

1) epicanthal folds
2) upturned nose with flat bridge
3) smooth philtrum
4) thin upper lip
5) RR ears

65
Q

Most common neuro-behavior disorder in kids

A

ADHD

66
Q

Which of the following is not characteristic of ADHD:

1) hand flapping
2) impulsivity
3) inattention
4) hyperactivity

A

hand flapping (fragile x)

67
Q

Which of the 3 major characteristics of ADHD persists as patients age?

A

Inattention

68
Q

which NT’s are largely responsible for attention and concentration?

A

NE and dopa

Pediatrics (9 decks)

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