Development Physiology Flashcards

1
Q

define neonate

A

0-4 wk old

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2
Q

define infant

A

<1 y.o.

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3
Q

define adolescent

A

10-19yr

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4
Q

what are the 3 stages of growth

A

infant, child, pubertal

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5
Q

basis of infant growth

A

nutrient led

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6
Q

basis of child growth

A

growth hormone led

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7
Q

basis of pubertal growth

A

sex steroid led

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8
Q

what is atnr

A

asymmetric tonic neck reflex

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9
Q

what age should ATNR be gone by

A

6 months? but other lecture said 3?

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10
Q

define developmental delay

A

failure to attain appropriate milestones for chronological age

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11
Q

broad categories of developmental detal

A

global or specific

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12
Q

what is a speech delay

A

at least 6 months behind checkpoint

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13
Q

causes of paediatric acquired profound hearing loss

A

mumps, rubella

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14
Q

name 3 autosomal recessive conditions associated with congenital profound hearing loss

A

usher syndrome
pendred syndrome
alport syndrome

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15
Q

when and where does the childhood development screen happen

A

age 6-8wk at gp

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16
Q

what test should you do in a child that can’t walk by 18mth

A

creatinine kinase

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17
Q

not being able to sit unsupported by what age is a red flag

A

12mth

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18
Q

not reaching for objects by what age is a red flag

A

6mth

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19
Q

what is standard deviation

A

measure of variability

20
Q

what is the middle line on a bell curve

A

mean/median/50th centile

21
Q

what is a z-score

A

number of SD from the mean

22
Q

if a 100 people are measured how many will be within 1 standard deviation of the mean

A

68

23
Q

if 100 people are measured how many will be within 2 standard deviations of the mean

A

95

24
Q

what is the purpose of mid-parental centile

A

can plot expected adult height centile

25
Q

how to calculate expected adult height centile from mid-parental centile

A

plot mum and dad’s height on parent height comparator
join points to get middle
plot middle on main chart and read of height at 18yr

26
Q

how to find 2 standard deviations when plotting expected adult height centile from mid parentile height centile

A

plot 8.5 cm above and below

27
Q

what is the purpose of adult height predictor

A

estimated adult height from child’s current height

28
Q

define short stature

A

shorter than the 2nd centile

29
Q

what gender is more commonly affected by constitutional delay of puberty and growth

A

boys

30
Q

what age does constitutional delay of growth and puberty present

A

normal size baby with small within 1st 3 years of life, drop height centiles in puberty

31
Q

management of constitutional delayed of puberty and grwoth

A

nothing, they catch up later

32
Q

when is a misscarriage

A

1-24wk gestation

33
Q

when is a stillbirth

A

24-42wk gestation

34
Q

when is perinatal mortality

A

24 wk gestation - 1 wk old

35
Q

when is neonate mortality

A

0-4wk old

36
Q

when is post natal mortality

A

4-52 wk old

37
Q

what is <5 mortality rate

A

probability of a child dying under 5yrs old

38
Q

what is infant mortality rate

A

probability of a child dying under 1 year old

39
Q

what is precious puberty in a boy

A

secondary sexual characteristics <9 yr

40
Q

what is precious puberty in a girl

A

breasts <8yr old

41
Q

what is delayed puberty in a boy

A

small testes age 14

42
Q

what is delayed puberty in a girl

A

no breasts age 13 or no period age 16

43
Q

what is thelarche

A

1st sign of puberty

44
Q

what is thelarche in girls

A

breasts

45
Q

what is adrenarche

A

body hair and odor

46
Q

when does menarche occur

A

1 - 2 years after thelarche