development

Question 1

what drives insufficient growth in infancy

Answer 1

nutrition or insulin (eg GDM)

Question 2

what drives growth in childhood

Answer 2

GH + thyroxine

Question 3

what drives growth in puberty

Answer 3

GH + sex steroids

Question 4

developmental milestones 6 weeks

Answer 4

o Head control in vertical (GM)
o Follows torch with eyes (FMV)
o Social smile (SBP)

Question 5

developmental milestones 3 months

Answer 5

o Head control (GM)
o Hands in midline(FMV)
o Vocalises + turns to sound!! (HL)
o Pleasure on friendly handling (SBP)

Question 6

developmental milestones 6 months

Answer 6

o Sitting balance(GM)
o Grasps toys !!! and transfers hand to hand (FMV)
o Babbles double syllables!! (HL)
o Plays with feet/ strangers (SBP)

Question 7

what gross motor skill should be present by 7-8 months

Answer 7

sit unaided (refer at 12 months)

Question 8

deveopmental milestones 9 months

Answer 8

o Crawling !!! stands holding furniture (GM)
o Pincer grasp !!! points !! picks up small objects (FMV)
o Imitates sounds, mama, dada!!! (HL)
o Plays peek-a-boo (SBP)

Question 9

when should a child be walking by

Answer 9

13-15 months

Question 10

developmental milestones 12 months

Answer 10

o Standing/ walking using furniture (GM)
o Bangs toys together, throws toys (FMV)
o Knows name (HL)
o Drinks from cup/ waves!! (SBP)

Question 11

developmental milestones 1.5 years

Answer 11

o Runs (GM)
o Tower of 3-4 bricks (FMV)
o 5-20 words, knows body parts (HL)
o Feeds with spoon (SBP)

Question 12

developmental milestones 2 yrs

Answer 12

o Stairs - 2 feet (GM)
o Tower of 6-7 blocks (FMV)
o Simple instructions/ 50+ words (HL)
o Symbolic play/ puts on some clothes, good with spoon + cup!!! (SBP)

Question 13

developmental milestones 3 yrs

Answer 13

o Stairs – alternate feet (GM)
o Tower of 9 bricks/ copies circles (FMV)
o Complex instruction/ asks questions (HL)
o Pretend play/ toilet trained (SBP)

Question 14

developmental milestones 4 yrs

Answer 14

o Hops (GM)
o Draws simple man (FMV)
o Can tell stories, count to 20 (HL)
o Understands taking turns/ fully dresses (SBP)

Question 15

referral points in development

Answer 15

does not smile by 10 weeks // does not sit unaided by 12 weeks // cannot walk by 18 months

Question 16

what developmental delay can indicate cerebral palsy

Answer 16

hand preference before 12 months

Question 17

what developmental delay can indicate ducheenes

Answer 17

gross motor delay

Question 18

first sign puberty males

Answer 18

testes at 12 years

Question 19

what indicate onset puberty males

Answer 19

> 4ml testicular volume

Question 20

growth spurt boys

Answer 20

14

Question 21

first sign puberty girls

Answer 21

breast budding 11.5 years

Question 22

menarche girls

Answer 22

13

Question 23

growth spurt girls

Answer 23

12

Question 24

normal changes in puberty

Answer 24

gynaecomastia, asymmetrical breast growth, diffuse thyroid enlargement