development

Question 1

When does birthweight double?

Answer 1

5 months

Question 2

What is the average height of a newborn?

Answer 2

50 cm

Question 3

When does birth length double? When does it triple?

Answer 3

Age 4

Age 13

Question 4

What happens to birth length by age 1?

Answer 4

Goes up by 50%

Question 5

What is the average head circumference of a full term newborn?

Answer 5

35 cm

Question 6

What is the normal growth of head circumference for the first 12 months ?

Answer 6

1 cm per month until 6 months old

1/2 cm per month until 12 months old

Question 7

What is macrocephaly?

Answer 7

Head at 98th% - considered normal

Question 8

What is hydrocephaly?

Answer 8

Large head since birth with signs of neurological problem

Question 9

What is the definition of microcephaly?

Answer 9

> 3 standard deviations below the mean

Question 10

What are 4 major organic causes of failure to thrive?

Answer 10

Chronic renal failure
Metabolic disorder
Inadequate absorption
Inadequate utilization

Question 11

What is the appropriate growth per year in children over age 1?

Answer 11

5cm/year

Question 12

What are the 3 most common causes of intellectual disability?

Answer 12

Fetal alcohol syndrome
Fragile x syndrome
Down syndrome

Question 13

What are the IQ scores in patients with severe intellectual disability?

Answer 13

<34

Question 14

What are the IQ scores for mild and moderate intellectual disability?

Answer 14

Mild 50-69

Moderate 35-49

Question 15

What is the condition in which a child has normal development until age 1 and then regresses?

Answer 15

Rett syndrome

Question 16

Up until what age is it normal for a child to have difficulty pronouncing certain consonants?

Answer 16

Age 6

Question 17

What should you do for an 18 month old with language delay?

Answer 17

Hearing test then referral to speech

Question 18

Up until what age is letter reversal normal?

Answer 18

Age 7

Question 19

When should a child know how to read simple words?

Answer 19

End of first grade

Question 20

What two types of medications can alter school performance ?

Answer 20

Anticonvulsants

Antihistamines

Question 21

What should you consider in a patient with normal IQ but below normal scores on achievement testing?

Answer 21

Specific learning disability

Question 22

What should be the first consideration in a patient with poor school performance?

Answer 22

Medical conditions or emotional issues

Question 23

An infant is cooing and lifts head and shoulders off bed…how old is he?

Answer 23

2 months

Question 24

When should head lag disappear?

Answer 24

5 months

Question 25

When does Moro reflex disappear?

Answer 25

3-6 months

Question 26

A child can roll from prone to supine and laughs, how old is he?

Answer 26

4 months

Question 27

A child turns directly to a voice and rolls both directions, how old is he?

Answer 27

6 months

Question 28

A child responds to his name and plays peek a boo, how old is he?

Answer 28

9 months

Question 29

A child can say mama specifically and points for requests a what age?

Answer 29

Age 1

Question 30

At what age should a child be able to point to a body part and scribble?

Answer 30

15 months

Question 31

at what age can a child point to show interest?

Answer 31

18 months

Question 32

How many words should an 18 Month old know?

Answer 32

10-20

Question 33

What age can a child throw a ball?

Answer 33

18 months

Question 34

At what age does a patient have 50% intelligible speech?

Answer 34

2 years

Question 35

How many blocks can a 2 year old stack?

Answer 35

6

Question 36

At what age can a child copy a circle?

Answer 36

Age 3

Question 37

At what age should speech be 100% understandable ?

Answer 37

4 y/I

Question 38

What developmental level would you expect a 30 week old premie to be at 8 weeks of age?

Answer 38

Full term baby ( not a 2 month old )

Question 39

How many cubes should a child be able the stack at 18 months, 24 months and 36 months?

Answer 39

2-3 cubes 4-6 cubes 8 cubes

Question 40

If a child is unable to walk independently, by what age should you intervene?

Answer 40

18 months

Question 41

If a child can not speak a single word, at what age should you intervene?

Answer 41

2 years old

Question 42

If a child does not turn to sound, at what age should you intervene?

Answer 42

6 months

Question 43

At what age do you need to intervene if a child is not sitting ?

Answer 43

9 months

Question 44

At what age should a child be able to speak in 3 word sentences?

Answer 44

36 months

Question 45

When should stuttering require a workup?

Answer 45

Only if facial tics and, if child older then age 4 or if persists >2 months

Question 46

During what ages is head banging normal?

Answer 46

8 months to 4 years

Question 47

What should be done if a preschool aged child is masterbating?

Answer 47

Nothing. This is considered normal unless the child is imitating sexual activity

Question 48

What is the definition of a phobia ?

Answer 48

Excessive anxiety that interferes with daily function >6 months

Question 49

What 7 things should be ruled out in a patient who presents with signs of ADHD?

Answer 49

``` Visual/hearing deficit Iron deficiency/anemia Lead toxicity Hyperthyroidism CNS infection/head trauma Meds: anti epileptics/antihistamine Fragile X or fetal alcohol syndrome ```

Question 50

What type of neuro imaging should be done in the workup for ADHD?

Answer 50

None - unless neurological concerns

Question 51

When are drug holidays necessary in children on stimulants ?

Answer 51

Never

Question 52

How can you distinguish a tic vs choreiform movements?

Answer 52

Tics are repetitive and improve with purposeful movements | Choreiform movements do not follow a pattern and increase during purposeful movements

Question 53

How much of birthweight does a newborn lose and when is it regained?

Answer 53

Average loss of 10% and should regain by 3rd week