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Pediatrics I - OSCE > Development > Flashcards

Development Flashcards

1
Q
A
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2
Q

Fields of Denever development screening test (DDST

A

These fields are:

 Gross motor (locomotion, motor)

 Fine motor (Adaptive, sensory-motor, manipulation or hand-eye coordination)

 Personal-social (Social)

 Language (communication)

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3
Q

Def of Gross motor

A
  • It includes posture and large body movements (performed by groups of large muscles) e.g. head control, sitting, standing, etc.
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4
Q

Def of Fine motor

A

Coordination of hands and eyes, using fingers for reaching, grasping, and manipulating, etc.

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5
Q

Def of Social (Cognitive)

A
  • Social reaction of child with his surroundings and relatives and his adaptation to the environment e.g. play, self-care, etc.
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6
Q

Def of Language “Communication”

A

The ability to communicate:

  • Verbally (intact hearing,oral musculature, speech centers)
  • Non-verbally (use of 4 gestures, facial expressions and body language, sign language)
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7
Q

Assessment of development in premature infants

A
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8
Q

Primitive reflexes

A

◈ These are normal reflex behaviors that appear early in life (maybe in utero)

◈ They are lost as development progresses e.g., grasp reflex should be lost to allow voluntary reaching and grasping

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9
Q

Gross Motor

  • 3 Months
A

◈ Head support when held erect
◈ Raise chest when prone
◈ Support weight on forearm

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10
Q

Gross Motor

  • 6 Months
A

◈ Sit supported (by his arm)
◈ Sit alone ⇢ 7 months

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11
Q

Gross Motor

  • 9 Months
A

◈ Creeps or crawls

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12
Q

Gross Motor

  • 12 months
A

◈ Walks supported (with one handheld)

◈ Walks alone ⇢ 13–15 months

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13
Q

Gross Motor

  • 18 Months
A

◈ Walks upstairs with 1 handheld

◈ Seats himself in small chair

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14
Q

Gross Motor

  • 24 Month
A

◈ Runs well

◈ Walks up & down stairs alone (one step at a time)

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15
Q

Gross Motor

  • 30 Month
A

◈ Walks upstairs alone (alternating feet)

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16
Q

Gross Motor

  • 36 Months
A

◈ Rides & pedals tricycle
◈ Climbs upstairs well
◈ Jumps on spot

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17
Q

Gross Motor

  • 60 Month
A

◈ Hops on one foot
◈ Walks heal to toe along a line

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18
Q

Fine motor

  • 3 Month
A

◈ Open hands spontaneously
◈ Following objects

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19
Q

Fine motor

  • 6 Month
A

◈ Palmer grasp (Transfer objects from hand to hand)

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20
Q

Fine motor

  • 9 Month
A

◈ Pincer grasp (use thumb & finger)

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21
Q

Fine motor

  • 12 months
A

◈ Release an object on command
◈ Drink from a cup

22
Q

Fine motor

  • 18 month
A

◈ Feeds from a spoon

23
Q

Fine motor

  • 24 Months
A

◈ Builds a tower of 6 blocks

24
Q

Fine motor

  • 30 Months
A

◈ Builds a tower of 8 blocks

25
Fine motor - 36 Months
◈ Builds a tower of 8 blocks
26
Fine motor - 60 Months
◈ Draw a man (6 parts) with a pencil
27
Social - 3 Months
Social smile
28
Social - 6 Months
Shows likes & dislikes
29
Social - 9 Months
◈ Play Peek-a-boo (hide face ⇢ sudden uncover)
30
Social - 12 months
◈ Come when called ◈ Play with small ball
31
Social - 18 Months
◈ Mimics actions of others
32
Social - 24 Months
◈ Plays with others
33
Social - 30 Months
◈ Eat with knife & fork ◈ Go to toilet alone
34
Social - 36 Months
◈ Eat with knife & fork ◈ Go to toilet alone
35
Social - 60 Months
◈ Choose own friends ◈ Dramatic group play
36
Language - 3 Months
◈ Coos (sounds like pigeons) ◈ Says “aah, ngah” ◈ Laughs aloud
37
Language - 6 Months
◈ Babbles
38
Language - 9 Months
◈ Repetitive sounds “mama, dada” ◈ Imitates sounds
39
Language - 12 Months
◈ 1 – 2 meaningful words
40
Language - 18 Months
At least 6 words
41
Language - 24 Months
◈ Sentences of 2 – 3 words
42
Language - 30 Months
◈ Uses prepositions ◈ Sentences of 4 words ◈ Recognizes 4 colors ◈ Give full name, age & sex
43
Language - 36 Months
◈ Uses prepositions ◈ Sentences of 4 words ◈ Recognizes 4 colors ◈ Give full name, age & sex
44
Language - 60 Months
◈ Fluent speech ◈ Ask about mean of word & things
45
Abnormal patterns of development
- Developmental Delay - Developmental Regression
46
Developmental delay
47
Developmental regression
◈ The child starts to lose the previously acquired new learnt skills. ◈ This usually indicates degenerative brain disease
48
Causes of delayed motor development (sitting / walking)
49
Causes of delayed speech
50
Causes of delayed smiling (beyond 6 weeks of life)

Pediatrics I - OSCE (20 decks)

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