Development

Question 1

You are seeing a 2 year old child. He has only 3 words, makes no eye contact and spends all of his time playing with his toy trucks. His hearing is normal.
A. What is the likely diagnosis?
B. Name 2 underlying neurological disorders that are
associated with this diagnosis?

Answer 1

What is the likely diagnosis? ASD
Name 2 underlying neurological disorders that are associated with this diagnosis?
Genetic Syndromes:
Tuberous Sclerosis Complex, Rett Syndrome, NF, Angelman, T21

Question 2

An infant can sit with a round back using his hands for support, can roll from prone to supine, stands with support, has a palmar grasp, laughs, and babbles. What is his most likely age?

a) 3 months
b) 6 months
c) 8 months
d) 12 months

Answer 2

b) 6 months

Question 3

15 year old boy:

What are five recommendations you make to him and mother regarding his sleep?

Answer 3

— Reasonable and consistent bedtime
— Sleep in only one hour later on weekends
— Eliminate caffeinated beverages after 12 noon — Have breakfast each morning
— No late night or evening exercise
— No television in room

Question 4

22 month old child. Mother rocks him to bed. Was breast fed since birth until 8 months. Wakes up frequently at night and needs to be in parents’ bed to fall asleep.
What is the diagnosis?
a) Sleep/Wake Transition Disorder
b) Sleep Association Disorder
c) Night Terrors
d) Nocturnal Awakenings of Typical Development

Answer 4

b) Sleep Association Disorder

Question 5

10 year old boy is having “learning difficulties”. He has difficulties with pronunciations. He cannot read, but seems to understand better when his parents read to him. Other than having some problems with “stress” at school, his behaviour is normal.
What is your diagnosis?
1. Autism Spectrum Disorder
2. Specific Language Disorder
3. Dyslexia
4. Speech Apraxia

Answer 5

2. Specific Language Disorder

because we don’t use the term dyslexia anymore I guess

Question 6

ou are seeing a 3.5 year old who repeats words (mommy, mommy, mommy) and beginning of words (m,m,m,mommy), with periods of pausing and not speaking, facial grimacing and blinking.
What should you do?
a) Reassure normal development and reassess in 6
months
b) Refer for audiology testing
c) Refer to speech pathologist for treatment
d) Start clonidine

Answer 6

c) Refer to speech pathologist for treatment

Question 7

What is a late onset side effect of stimulants?

1. Decreased appetite
2. Difficulty sleeping
3. Tics
4. Depression

Answer 7

4. Depression

Question 8

A three year old comes to your office with concerns. He is impulsive and destructive in your office and hugs you repeatedly on his first visit. He only says 8 words and does not form 2 word sentences. His mother states that he has a voracious appetite. Weight 90%ile, Height 75%ile (or he’s failing to thrive ~ HINT: it doesn’t really matter!)
What is his diagnosis?
a) Psychosocial Deprivation
b) Autism Spectrum Disorder
c) Diencephalic Syndrome
d) Obsessive Defiant Disorder

Answer 8

a) Psychosocial Deprivation