Physical Development

Question 1

Neonate:

Answer 1

0-28 days

Question 2

Infant:

Answer 2

2-12/24 months

Question 3

Toddler:

Answer 3

2-3 years

Question 4

Preschool:

Answer 4

3-5 years

Question 5

Early adolescent:

Answer 5

10-14 years

Question 6

Late adolescent:

Answer 6

15-18 years

Question 7

How do you assess physical development?

Answer 7

• Height
• Weight, head and thorax circumference
• Upper extremities circumference
• Bone age
• Sexual maturation

Question 8

Growth charts with percentiles and keeping track over time:

Answer 8

● 50th percentile is average

● Using the growth chart you can determine ideal weight for height percentile

Question 9

BMI is also used to determine physical development.

Answer 9

Normal: 20-25

Question 10

Birth average:

head circumference

Answer 10

33-35cm

Question 11

Head circumference >

Answer 11

> chest circumference until 6 months of age

Question 12

Head reaches 90% of adult size

Answer 12

Head reaches 90% of adult size by 3rd year of life

Question 13

Closure of ant fontanel:

Answer 13

1,5 years

Question 14

Closure of post fontanel:

Answer 14

1,5 months

Question 15

Closure of the sutures:

Answer 15

6 months

Question 16

Bone age:

Answer 16

Diseases that can affect the level of hormones can de-synchronise chronological age and bone age (GH deficiency, hypothyroidism, precocious anaemia, adrenal gland disorders, genetic syndromes like turners)
- Determined from left hand and wrist x-ray

Question 17

First tooth:

Answer 17

6-8 months

Question 18

Deciduous teeth:

Answer 18

20 teeth

Question 19

Permanent teeth:

Answer 19

32 teeth all appear by 21 years old

Question 20

Puberty in boys:

Answer 20

9-14 years

Question 21

Puberty in girls:

Answer 21

8-13 years

Question 22

How is puberty determined?

Answer 22

Determined using tanner scale