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US Pediatric Boards Edited > development > Flashcards

Flashcards in development Deck (53):
1

When does birthweight double?

5 months

2

What is the average height of a newborn?

50 cm

3

When does birth length double? When does it triple?

Age 4
Age 13

4

What happens to birth length by age 1?

Goes up by 50%

5

What is the average head circumference of a full term newborn?

35 cm

6

What is the normal growth of head circumference for the first 12 months ?

1 cm per month until 6 months old
1/2 cm per month until 12 months old

7

What is macrocephaly?

Head at 98th% - considered normal

8

What is hydrocephaly?

Large head since birth with signs of neurological problem

9

What is the definition of microcephaly?

>3 standard deviations below the mean

10

What are 4 major organic causes of failure to thrive?

Chronic renal failure
Metabolic disorder
Inadequate absorption
Inadequate utilization

11

What is the appropriate growth per year in children over age 1?

5cm/year

12

What are the 3 most common causes of intellectual disability?

Fetal alcohol syndrome
Fragile x syndrome
Down syndrome

13

What are the IQ scores in patients with severe intellectual disability?

<34

14

What are the IQ scores for mild and moderate intellectual disability?

Mild 50-69
Moderate 35-49

15

What is the condition in which a child has normal development until age 1 and then regresses?

Rett syndrome

16

Up until what age is it normal for a child to have difficulty pronouncing certain consonants?

Age 6

17

What should you do for an 18 month old with language delay?

Hearing test then referral to speech

18

Up until what age is letter reversal normal?

Age 7

19

When should a child know how to read simple words?

End of first grade

20

What two types of medications can alter school performance ?

Anticonvulsants
Antihistamines

21

What should you consider in a patient with normal IQ but below normal scores on achievement testing?

Specific learning disability

22

What should be the first consideration in a patient with poor school performance?

Medical conditions or emotional issues

23

An infant is cooing and lifts head and shoulders off bed...how old is he?

2 months

24

When should head lag disappear?

5 months

25

When does Moro reflex disappear?

3-6 months

26

A child can roll from prone to supine and laughs, how old is he?

4 months

27

A child turns directly to a voice and rolls both directions, how old is he?

6 months

28

A child responds to his name and plays peek a boo, how old is he?

9 months

29

A child can say mama specifically and points for requests a what age?

Age 1

30

At what age should a child be able to point to a body part and scribble?

15 months

31

at what age can a child point to show interest?

18 months

32

How many words should an 18 Month old know?

10-20

33

What age can a child throw a ball?

18 months

34

At what age does a patient have 50% intelligible speech?

2 years

35

How many blocks can a 2 year old stack?

6

36

At what age can a child copy a circle?

Age 3

37

At what age should speech be 100% understandable ?

4 y/I

38

What developmental level would you expect a 30 week old premie to be at 8 weeks of age?

Full term baby ( not a 2 month old )

39

How many cubes should a child be able the stack at 18 months, 24 months and 36 months?

2-3 cubes
4-6 cubes
8 cubes

40

If a child is unable to walk independently, by what age should you intervene?

18 months

41

If a child can not speak a single word, at what age should you intervene?

2 years old

42

If a child does not turn to sound, at what age should you intervene?

6 months

43

At what age do you need to intervene if a child is not sitting ?

9 months

44

At what age should a child be able to speak in 3 word sentences?

36 months

45

When should stuttering require a workup?

Only if facial tics and, if child older then age 4 or if persists >2 months

46

During what ages is head banging normal?

8 months to 4 years

47

What should be done if a preschool aged child is masterbating?

Nothing. This is considered normal unless the child is imitating sexual activity

48

What is the definition of a phobia ?

Excessive anxiety that interferes with daily function >6 months

49

What 7 things should be ruled out in a patient who presents with signs of ADHD?

Visual/hearing deficit
Iron deficiency/anemia
Lead toxicity
Hyperthyroidism
CNS infection/head trauma
Meds: anti epileptics/antihistamine
Fragile X or fetal alcohol syndrome

50

What type of neuro imaging should be done in the workup for ADHD?

None - unless neurological concerns

51

When are drug holidays necessary in children on stimulants ?

Never

52

How can you distinguish a tic vs choreiform movements?

Tics are repetitive and improve with purposeful movements
Choreiform movements do not follow a pattern and increase during purposeful movements

53

How much of birthweight does a newborn lose and when is it regained?

Average loss of 10% and should regain by 3rd week