developmental delay

Question 1

3 patterns of abnormal development

Answer 1

delay (global/specific)
deviation (autism)
regression (Rett’s or metabolic disorders)

Question 2

red flags for developmental delay

Answer 2

movement asymmetry
not reaching for objects by 6m
cant sit unsupported by 12m
cant walk by 18m
no  speech by 18m
concerns /hearing
loss of skills

Question 3

hearing in Down’s is less than normal because

Answer 3

eustacian tubes are squeezed shut

Question 4

Gower’s manoeuvre =

sign of which condition

Answer 4

hands used to push up to standing from sitting = weak pelvic muscles
DMD

Question 5

causes of specific motor delay =

Answer 5

DMD
cerebral palsy
dyspraxia

Question 6

causes of specific sensory deficits in development =

Answer 6

oculocutaneous albinism (photophobia and rapid involuntary eye movements)
Treacher-Collins

Question 7

Treacher Collins causes ___ hearing loss because of ___

Answer 7

conductive hearing loss

middle ear bone problems

Question 8

Autistic triad =

Answer 8

communication
social interaction
flexibility of thought/imagination

Question 9

chunks of video speech
echoes others 
odd intone
expressive >receptive language
= signs of

Answer 9

autism

Question 10

cerebral visual impairment is usually associated with __ + ___

Answer 10

hydroencephalus

cerebral palsy

Question 11

Head features ofFragile X syndrome

Answer 11

microcephaly

long face

Question 12

Investigation specific for if Fragile X suspected

Answer 12

FRAX

Question 13

Ix for developmental delays

Answer 13

FRAX
CK
PKU neonatal
TFT
oligoarray CGH
chromosomes

Question 14

investigations for developmental delay if indicated from initial tests

Answer 14

MRI brain
EEG
metabolic studies
genetics

Question 15

window during gestation that cerebral palsy can occur at

Answer 15

24-32 wks