BRS-Behavioral Flashcards

(73 cards)

1
Q

Four domains of development

A

Motor
Language
Psychosocial
Problem Solving

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2
Q

Developmental quotient equation + normal value

A

developmental age/ chronological age x 100

normal = 85+

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3
Q

Infants with CNS injury have stronger _____ but delayed _____

A

primitive reflexes; postural reactions

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4
Q

Birth:
gross motor
fine motor
language

abilities

A

turns head
fists hands
attenuates to voice

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5
Q

When is moro reflex present? hand grasp? rooting?

A

all start at birth
moro: to 4 months
hand grasp: to 1-3 months
rooting: to 6 months

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6
Q

When is atonic neck reflex present?

A

2-4 weeks –> 6 months

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7
Q

3-4
4-5
6-7
fine motor milestones

A

3-4: hands to midline
4-5: reaches
6-7 transfers object

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8
Q

9, 12 month fine motor milestones

A

immature, mature pincer

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9
Q

mature vs immature pincer

A

thumb and finger vs finger TIP

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10
Q

When should hand dominance be present?

A

18 months

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11
Q

Which developmental domain is most commonly delayed and is also the best predictor of intelligence

A

language

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12
Q

Optimal language acquisition occurs during

A

first two years of life

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13
Q

3,6,9 month speech abilities

A

3- cooing (vowels)
6- babbling (vowels + consonants)
9- jargoning

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14
Q

12,18 month words

A

12: 1-3
18: 20-50 + 2 word phrases

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15
Q

2,3 year language milestones

A

2 word –> 3 word sentences

half understood –> 75% understood

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16
Q

What are the three speech development phases

A

prespeech: 0-10
naming 10-18
word combination 18-24

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17
Q

When is the sensorimotor period of cognitive development?

A

birth to two

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18
Q

When does functional play begin?

A

1 year

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19
Q

When does imaginative play begin?

A

24-30 months

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20
Q

When are concrete and abstract thinking present?

A

concrete- elementary

abstract- adolescent

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21
Q

When is magical thinking seen?

A

preschool, toddler years

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22
Q

Cause of language + problem solving delay

A

retardation

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23
Q

Cause of language delay

A

hearing vs communication disorder

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24
Q

Cause of isolated problem solving delay

A

fine motor vs visual impairment

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25
Discrepencies between what two domains put child at risk of learning disorder?
language and problem solving
26
When does sense of "self" appear
15 months
27
When does parallel play occur? when does sharing emerge?
2- parallel | 3- sharing
28
Maternal risk factors for CP (2)
multiple gestation | PTL
29
Prenatal risk factors for CP (3)
IUGR malformations infection
30
Perinatal risk factors for CP (3)
prolonged/ traumatic delivery low Apgars early or late delivery
31
Four postnatal risk factors for CP
hypoxia/ischemia IVH trauma kernicterus
32
CP involving lower extremities
spastic diplegia
33
CP involving unilateral extremities
spastic hemiplegia
34
CP involving all four limbs
spastic quadriplegia
35
CP causing athetoid movements + cause
Extrapyramidal (nonspastic) CP | kernicterus vs hypoxia/ischemia
36
"scissoring" is seen in which CP type?
spastic diplegia
37
Mental retardation must be manifested before ____
18
38
mild, mod, severe, profound IQ
mild: below 70 moderate: below 55 severe: below 40 profound: below 25
39
Acquired insults that may cause MR (3)
infection head trauma near drowning
40
Prototypical Pervasive developmental disorder
Autism
41
PDD must effect ___________
multiple areas of development
42
Autism is common in what age and sex?
boys below three
43
ADHD is more common in what sex? | What is a risk factor?
male; family history (30-50% have first degree relative)
44
ADHD must onset before age _____ in _____ settings
7; multiple settings
45
Three key symptoms of ADHD
- hyperactivity - inattention - impulsivity
46
Stimulants increase levels of __________ in ADHD treatment.
NE, DOPA
47
DOC for ADHD in patients with tics
clonidine
48
Effect of stimulants on stature
decrease growth velocity but not ultimate stature
49
Transient tics occur in ______% of kids treated with stimulants
9%
50
80% of deafness is genetic and has what inheritance pattern?
AR
51
Three labs to order in case of deafness
- genetic eval - creatinine level - viral serologies
52
Primary cause of blindness worldwide
trachoma infection
53
Feeling someones face to form an image of them is called?
haptic perception
54
Colic definition
more than 3 hours of crying at least 3 days a week
55
When does colic usually resolve?
3-4 months
56
Enuresis classification
nocturnal vs diurnal | primary vs secondary
57
% of kids wetting the bed at 4,5,6
4: 30% 5: 15% 6: 10%
58
Gene assc with nocturnal enuresis
chromosome 13, paternal
59
Three etiologic factors/organic causes of enuresis
- UTI - DM - Child Abuse
60
How long must alarm be used to treat bed wetting?
3-5 months
61
Two drugs for encopresis
DDAVP | TCAS (imipramine)
62
Risk assc with use of imipramine
cardiac dysrhythmia
63
When do most infants begin sleeping through the night?
after 3 months
64
Trained night waking occurs when?
4-8 months, kid requires parental intervention
65
Nightmares occur during ____ sleep. | Night terrors occur during _____ sleep.
Nightmares: REM (recall) | Night Terrors: N4 (no recall)
66
Major cause of eating troubles in toddlers
power struggles
67
Temper tantrum age groups
1-3 years
68
What kids are more likely to have tantrums
poor fine motor skills/ language delay
69
When does breath holding occur?
6-18 months
70
Cyanotic spells: provoked or unprovoked? Pallid spells?
cyanotic: provoked pallid: unexpected
71
What has been shown to help some patients with apneic spells?
iron
72
Range of normal bowel control? | bladder?
16-48 months bowel | 18-69 bladder
73
Pre-reqs for potty training
- understand words - prefer dry - recognize bladder fullness