Development

Question 1

head control

Answer 1

3-4 months

Question 2

rolling both ways

Answer 2

6 months

Question 3

hands to midline

Answer 3

4 months

Question 4

palmar grasp

Answer 4

6-8 months

Question 5

pincer grasp

Answer 5

9-12 months

Question 6

use spoon, copy line

Answer 6

2 years

Question 7

dresses self (no buttons)

Answer 7

4-5 years

Question 8

visual attention

Answer 8

2-4 months

Question 9

2 word combos

Answer 9

2 years

Question 10

3 word combos

Answer 10

3 years

Question 11

2 word combos, 1/2 intelligible

Answer 11

2 years

Question 12

3 word combos, 3/4 intelligible

Answer 12

3 years

Question 13

phrased speech, 100% intelligible

Answer 13

4 years

Question 14

stranger anxiety

Answer 14

5-6 months

Question 15

separation anxiety

Answer 15

9-15 months

Question 16

monsters

Answer 16

3-5 years

Question 17

death

Answer 17

7-10 year olds

Question 18

best friend

Answer 18

4-6 years

Question 19

imaginative play

Answer 19

2-3 years

Question 20

reciprocal play

Answer 20

3-5 yrs

Question 21

parallel play

Answer 21

< 3 years

Question 22

red flags - when to refer

Answer 22

regression, when parent is concerned

Question 23

Incidence of CP

Answer 23

2/1000

Question 24

Partum/intrapartum risk factors for HIE causing CP

Answer 24

maternal thyroid disease, fever during labour, treatment of infertility

Question 25

most common cause of spastic cerebral palsy

Answer 25

periventricular leukomalacia

Question 26

how to manage sleep disorders

Answer 26

• parents education
• bedtime routine
• consistent bedtime
• remove bad bedtime associations
• teach child to fall asleep on own

Question 27

how to manage sleep disorders

Answer 27

• parents education
• bedtime routine
• consistent bedtime
• remove bad bedtime associations
• teach child to fall asleep on own
• extinction (let them cry)

Question 28

characteristics of night terrors

Answer 28

• 1-3 hrs after falling asleep
• deep slow wave, non-REM
• child does not wake, does not recall episode
• fam hx is common

Question 29

work up for intellectual disability

Answer 29

chromosomal microarray, fragile x, MECP2 (retts), thyroid (if normal NBS), lead/ferritin, metabolic testing, neuroimaging, vision/hearing testing

Question 30

adhd symptoms must be present by age…

Answer 30

12

Question 31

how many symptoms of inattention or hyperactivity do you need to be diagnosed with ADHD?

Answer 31

6/9

Question 32

late side effect of stimulant medications

Answer 32

depression

Question 33

risk of citalopram

Answer 33

long QT

Question 34

SSRI with risk of long QT

Answer 34

citalopram

Question 35

SSRI with most evidence

Answer 35

fluoxetine

Question 36

benefits of long-acting ADHD meds

Answer 36

• better adherence
• reduced stigma (not taking pill at school)
• less misuse