development

Question 1

when should solid foods be introduced?

Answer 1

around 6 months

not before 4 months - increases obesity risk

Question 2

low fat milk should not be given before

Answer 2

2 years

Question 3

when can full fat milk be given as a drink?

Answer 3

12 months

Question 4

should first foods be gluten free?

Answer 4

yes

Question 5

avoid nuts and seeds until

Answer 5

5 years

Question 6

physical activity between 5 - 18
??? a day of moderate vigorous intensity
??? days/week vigorous intensity

Answer 6

> 60 mins a day

> 3 days a week

Question 7

red flags for development

• not reaching for objects by ?
• unable to sit unsupported by?
• unable to walk by ? (Check what?)
• no speech by ?

Answer 7

not reaching for objects by 6 m
unable to sit unsupported by 12 m
unable to walk by 18 m - check CK
no speech by 18 m

Question 8

autism triad

Answer 8

impaired communication
impaired social interaction
restricted flexibility of thought / imagination

Question 9

tetralogy of fallot

Answer 9

pulmonary stenosis
overriding aorta
ventricular septal defect
right ventricular hypertrophy

Question 10

commonest congenital heart defect in Downs syndrome

Answer 10

AV septal defect

Question 11

Downs syndrome

under or over active thyroid common?

Answer 11

underactive v common

Question 12

Duchenne 
affects boys or girls?
what is very high?
appearance of back?
weakness of .. ?
is their hypertrophy of the calves?
... manoeuvre?

Answer 12

boys 
CK high
arched back 
weakness of proximal pelvic girdle
PSEUDO hypertrophy 
Gowers manœuvre

Question 13

most common type of cerebral palsy

Answer 13

spastic

Question 14

most severe type of cerebral palsy

Answer 14

quadriplegic

Question 15

is cerebral palsy progressive?

Answer 15

no

Question 16

serious complication of jaundice

Answer 16

kernicterus - bilirubin induced brain dysfunction

Question 17

brushfield spots

Answer 17

downs syndrome

Question 18

patent ductus arteriosus

Answer 18

harsh systolic murmur heard best at LLSE

Question 19

symmetrical rash on buttocks, extensor surfaces, ankles
red swollen tender knees
vomiting and diarrhoea

Answer 19

hence schonlein purpura

Question 20

disadvantage of breast milk

Answer 20

^ jaundice

Question 21

appropriately available and predictable caregiver

Answer 21

secure attachment

Question 22

caregivers who may have been absent, distant or disinterested

Answer 22

insecure/avoidant attachment

Question 23

infant cry’s when caregiver leaves the room but doesn’t seem that pleased when caregiver returns

Answer 23

insecure/avoidant attachment

Question 24

cry when caregiver leaves the room but resist being consoled when they return and seem angry

Answer 24

insecure/ambivalent attachment

Question 25

reflects an unpredictable experience of caregiving

caregiver may have been reassuring at times but frightening at others

Answer 25

insecure/ambivalent attachment

Question 26

initially dont want to leave their caregiver to leave the room

Answer 26

insecure/ambivalent attachment