Normal Child

Question 1

What do you expect at 6 weeks?

Answer 1

Fix and follows with eyes
Smiling
Head lag

Question 2

What do you expect in new borns?

Answer 2

Moving arms and legs

Poor vision

Question 3

What do you expect in 4month olds?

Answer 3

Rolling

Head lag is diminished

Question 4

What do you expect in 6 months olds?

Answer 4

Sitting

Babbling - non-specific

Question 5

What do you expect in 8-9 months olds?

Answer 5

Crawling
Pulling to stand
Babbling - specific
Stranger anxiety

Question 6

What do you expect in 12 months old?

Answer 6

Pincer grip
Cruising
First words

Question 7

What do you expect in 24 month olds?

Answer 7

50 words
Walking and running
Stairs
Parallel play

Question 8

When do you expect walking by?

Answer 8

18 months

Question 9

What does regression refer to? What causes them?

Answer 9

Loss of a developmental skill

Neurological
Metabolic causes

Question 10

What do you expect in 18months old?

Answer 10

Scribbling

Walking

Question 11

DDx for a non-walking child? How would you investigate?

Answer 11

Duchenne’s muscular dystrophy
Cerebral palsy
Thyroid deficiency

FBE, UEC, TSH/T4/3, B12/Folate, microarray/chromosomal analysis (if dysmorphic), urine metabolic screen, MRI brain

Question 12

What is the most common cause of ID?

Answer 12

Fragile X

Question 13

What do you expect in a three year old?

Answer 13

Ride a tricycle
Brush teeth
Draw a cycle