Paeds development drill

Question 1

Name the 4 domains

Answer 1

Gross motor
Vision and fine motor
Speech, language and hearing
Social, emotional and behavioural

Question 2

Name the 6 primitive reflexes

Answer 2

1. Sucking and rooting
2. Moro
3. Stepping reflex
4. ATNR - asymm. tonic neck reflex
5. Palmar grasp
6. Barbinski (upward flexion due to incompletely myelination of nerves at birth)

Question 3

Name the 4 postural reflexes and roughly which months do they present

Answer 3

1. Labyrinthine (head) righting at 4-6 months
2. Postural support: lgs take weight and may push up when held upright
3. Lateral propping - arm extend to side when child falling from sitting
4. Parachute at 7-9 months - hands out when suspended face don to protect against fall when starting to walk in the future

Question 4

Head control median age + limit age

Answer 4

Median: 4-6 weeks
Limit: 10 weeks

Question 5

Sits without support (median age + limit age)

Answer 5

Median: 6 months
Limit: 9 months

NB: 12 months is the limit age for standing independently and median age for walking

Question 6

Running (median age)

Answer 6

18 months

No limit age

Question 7

Walking (median age + limit age)

Answer 7

Median: 12 months
Limit: 18 months

Question 8

Limit age for a child not standing

Answer 8

12 months

Question 9

Fix and follow with eyes (median + limit)

Answer 9

Median = 6 weeks 
Limit = 3/12

Question 10

Transfer from hand to hand (median + limit)

Answer 10

Median = 7 months 
Limit = 9 months (also limit age for sitting without support)

Question 11

Pincer grip (median + limit)

Answer 11

median = 10 months (10 for 10 fingers) 
Limit = 12 months (also limit age for standing independent)

Question 12

Limit age for polysyllabic babble

Answer 12

7 months

Question 13

Limit age for saying 6 words with meaning

Answer 13

18 months

Question 14

Limit age for joining 2 words

Answer 14

2 years old

Question 15

Smiles responsively (median + limit)

Answer 15

Median = 6 weeks 
Limit = 8 weeks

Question 16

A child waves byebye at?

Answer 16

10-12 months

Question 17

Limit age for feeding self with spoon

Answer 17

18 months

also limit age of walking

Question 18

Play patterns in a child

Answer 18

1-2 years: play by self, imitate parents, symbolic play

2-3 years: parallel play, play beside each other

3-4 years: interactive play, plays together and takes turns

Question 19

name the most appropriate hearing tests for the corresponding age

newborn 
8 month 
1 year 
1-4 years old 
>4 years old

Answer 19

Newborn = evoked otoacoustic emission, auditory brainstem response

8 month = distraction testing

1 year = visual reinforcement audiometry (may be used up to 3 years)

1-4 years = performance and speech discrimination testing

> 4 years = audiometry

Question 20

name the most appropriate hearing tests for the corresponding age

newborn 
8 month 
1 year 
1-4 years old 
>4 years old

Answer 20

Newborn = evoked otoacoustic emission, auditory brainstem response

8 month = distraction testing

1 year = visual reinforcement audiometry (may be used up to 3 years)

1-4 years = performance and speech discrimination testing

> 4 years = audiometry

Question 21

Referral principles

• no smile by
• cannot sit by
• cannot walk by

Answer 21

smile by 10 weeks
sit by 12 months
walk by 18 months

Question 22

Describe development of 6 weeks

Answer 22

Head control
Fix and follow
Sills to sounds
Smiles

Question 23

Describe a 6 month

Answer 23

Sits without support
Hand to hand transfer
Turn to sound, babble
Laughs and squeals

Question 24

Describe a 12 month

Answer 24

Standing, cruising
Mature pincer, point
First word, respond to name
Waves, drinks from cup, plays peekaboo

Question 25

Describe a 18 month

Answer 25

Walking + running
Building tower (3), hand preference
6-12 words, follow instructions
Spoon feeding, symbolic play

Question 26

Describe a 24 month

Answer 26

Clims stars (2 feet/step), kicks ball
builds tower (7), circles
2 word sentence
Toilet training, removes clothes

Question 27

Describe a 3 year old

Answer 27

Stands on on leg,
Draws circle, imitates bridge
Speaks in sentences
Parrallel play, interacting play, shares