Developmental

Question 1

Exam approach

Answer 1

1 IHUGVIDEP
- growth! - acknowledge you when come in? - aids
Look at abdo and back if get chance
2. Vision and hearing
- tell examiner to ring bell when remove toy
3. Fine motor
- blocks, drawing, play
4. Social/ personal/ language
- one or two step commands
5. Gross motor
- walk, run, hop, jump
- floppy baby 180
6. Primitive reflexes if doing 180

Question 2

Summary at end of Dev exam

Answer 2

1. Name, age, Growth and dysmorphisms
2. Vision + hearing
3. Isolated delay or GDD (2+ domains)
4. Give a range for each domain
5. Suggest cause

Could write max skill on growth chart

Question 3

DDx isolated language delay
Invx

Answer 3

Hearing impairment
Oromotor problems - expressive

Formal audiology
SP
ENT

Question 4

GDD DDx

Answer 4

Static:
Chromosomal disorders
Syndromes
Antenatal toxins
Interuterine infection *microceph
CP *microceph

DEE
Rett (girl)

Question 5

Developmental invx

Answer 5

Neonatal and family hx
MRI B
UMS
TORCH serology
Karyotype - fragile X, kleinfelter (47xxy), turner (45XO)
Microarray
Nutritional work up
TSH

Ophthal, audio, ENT, SP

Parental ques:
Parental evaluation of developmental status (PEDS: birth to 7y 11mo)
Ages and stages (birth to 5)

Formal assessment:
Bayley scales of infant dev (<2y)
ADOS

Question 6

Pulls to sit with no head lag

Answer 6

3 mo

Question 7

Sit without support

Answer 7

6 mo

Question 8

Rolls back to stomach

Answer 8

6-7 months

Question 9

Walks alone

Answer 9

12-18 mo

Question 10

Runs

Answer 10

16 mo

Question 11

Jumps

Answer 11

2 yo

Question 12

Throws ball overhand

Answer 12

4 yo

Question 13

Hop 1 foot

Answer 13

4 yo

Question 14

Walks on tip toes

Answer 14

3 yo

Question 15

Social: smiles

Answer 15

2 mo

Question 16

Social: visually tracking

Answer 16

3 mo

Question 17

Social: mouths objects

Answer 17

9 mo

Question 18

Social: stranger fear

Answer 18

9 mo

Question 19

Social: removes socks

Answer 19

12 mo

Question 20

Social: object permanence

Answer 20

12 months

Question 21

Social: Parallel play

Answer 21

12 mo

Question 22

Language: squeals, coos

Answer 22

3 mo

Question 23

Language: early babble

Answer 23

6 mo

Question 24

Language: established babble (nananananana)

Answer 24

9 mo

Question 25

Language: Mum/ dad

Answer 25

12 mo
Ask - who’s that?

Question 26

Language: several single words

Answer 26

18 mo

Question 27

Language: 2 word combo

Answer 27

2 years

Question 28

Language: short phrases and sentences

Answer 28

3 yrs

Question 29

FM: hands closed

Answer 29

2 mo

Question 30

FM: batting at objects

Answer 30

3 mo

Question 31

FM: grasps objects

Answer 31

4 mo

Question 32

FM: transfer object hand to hand

Answer 32

6 mo

Question 33

FM: early pincer grasp

Answer 33

9 mo

Question 34

FM: mature pincer grasp

Answer 34

12 mo

Question 35

FM: marks paper

Answer 35

12 mo

Question 36

Answer 36

Fisted grasp
1-2 years

Question 37

Answer 37

Palmar grasp
2-3 yo

Question 38

Answer 38

Digital pronate/ tennis raquette
2-3 y

Question 39

Answer 39

Four or five finger pencil grasp
3-4 yo

Question 40

Answer 40

Tripod pencil grasp
4-6 y

Question 41

Answer 41

Question 42

FM: 2 bricks

Answer 42

15 mo

Question 43

FM: 3 bricks

Answer 43

18 mo

Question 44

Tower of 6 bricks

Answer 44

2 yo

Question 45

Train of 2 bricks

Answer 45

2 years
Choo choo! You do!

Question 46

Bridge (3 blocks)

Answer 46

3 years