Developmental milestones Flashcards

1
Q

2 months: Gross motor

A

lifts head/chest in prone position

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2
Q

2 months: fine motor

A
  • hands unfisted 50% of time

- tracks past midline

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3
Q

2 months: Language

A
  • alerts to voice/sound

- Coos

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4
Q

2 months: social/cognitive

A
  • Social smile

- Recognizes parents

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5
Q

4 months: Gross motor

A
  • sits with trunk support

- begins rolling

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6
Q

4 months: Fine motor

A
  • hands mostly open

- reaches midline

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7
Q

4 months; language

A
  • laughs

- turns to voice

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8
Q

4 months: social/cognitive

A

enjoys looking around

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9
Q

6 months: gross motor

A

sits momentarily propped on hands (unsupported by 7 months)

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10
Q

6 months: fine motor

A
  • transfers objects hand to hand

- raking grasp

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11
Q

6 months: language

A
  • responds to name

- babbles

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12
Q

6 months: social/cognitive

A

stranger anxiety

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13
Q

9 months: gross motor

A

pulls to stand

- cruises

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14
Q

9 months: fine motor

A

3 finger pincer grasp

holds bottle or cup

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15
Q

9 months: language

A

says dada and mama

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16
Q

9 months: social/cognitive

A

waves bye

- plays pat-a-cake

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17
Q

12 months: gross motor

A
  • stands well
  • walks first steps independently
  • throws ball
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18
Q

12 months: fine motor

A

2 finger pincer grasp

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19
Q

12 months: language

A

says first words other than mama and dada

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20
Q

12 months: social/cognitive

A
  • separation of anxiety
  • follows 1-step command
  • imitates others
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21
Q

12 months: weight and height

A

weight should triple and height should increase by 50%

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22
Q

18 months: gross motor

A
  • runs

- kicks a ball

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23
Q

18 months: fine motor

A
  • builds tower of 2-4 cubes

- removes clothing

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24
Q

18 months: language

A
  • 10-25 word vocab

- identifies >1 body part

25
18 months: social/cognitive
- understands "mine" | - begins pretend play
26
2 years: gross motor
walks up and down stairs with both feet on each step | - jumps
27
2 years: fine motor
- builds 6 cube tower | - copies a line
28
2 years: language
- 50+ word vocab | - 2 word phrases
29
2 years: social/cognitive
- follows 2-step command - parallel play - begins toilet training
30
3 years: gross motor
- walks up and down stairs w alternating feet | - rides tricycle
31
3 years: fine motor
copies a circle | - uses utensils
32
3 years: language
- 3-word sentences | - speech 75% intelligible
33
3 years: social/cognitive
- knows age/gender | - imaginative play
34
4 years: gross motor
balances and hops on 1 foot
35
4 years: fine motor
-copies a square
36
4 years: language
- identifies colors | - speech 100% intelligible
37
4 years: social/cognitive
cooperative play
38
what is the gold standard treatment of slipped capital femoral epiphysis?
immediate surgical screw fixation
39
most common cause of communicating hydrocephalus
subarachnoid hemorrhage
40
CT findings of dandy walker anomaly?
cystic expansion of the 4th ventricle
41
Ct findings of Arnold- chiari malformation?
protrusion of the structures of the posterior fossa through the foramen magnum
42
what is Wiskott-Aldrich syndrome?
``` WAITER-X: Wiskott-Aldrich Immunodeficiency Thrombocytopenia Eczema Recurrent bacterial infections X linked ```
43
Hirschsprung disease versus meconium ileus: Associated disorder
H: Down syndrome M: Cystic fibrosis
44
Hirschsprung disease versus meconium ileus: typical level of obstruction
H: Rectosigmoid M: ileum
45
what is a positive squirt sign?
production of an expulsion of gas and stool from temporary relief from obstruction in Hirschsprung
46
breakdown of hemoglobin in sickle cell disease versus sickle cell trait: HbA, HbS, HbF
Trait: 50-60% HbA, 35-45% HbS, <2% HbF Disease: 0% HbA, 85-95% HbS, 5-15% HbF
47
most common complication of sickle cell TRAIT?
hematuria- sickling in the renal medulla
48
when should you do a chloride sweat test in neonates with suspected CF?
?2 weeks or weight >2kg
49
what is waterhouse-friderichsen syndrome?
sudden vasomotor collapse and skin rash due to adrenal hemorrhage seen in infants with meningococcemia
50
what chromosomal deletion is seen in cri-du-chat syndrome?
5p
51
symptoms and pathophysiology of Lesch-Nyhan syndrome?
- X-linked recessive disorder - self mutilation in the presence of dystonia - deficiency of hypoxanthine-guanine phosphoribosyl transferase
52
how do you treat moderate to severe dehydration in a child?
intravenous bolus of isotonic fluid
53
what is a long-term complication of a pt w vesicoureteral reflux?
renal scarring (major cause of ESRD in children)
54
what is the most common complication of hemolytic uremic syndrome?
renal damage via E coli toxin entering the systemic circulation and inures the endothelial cells in the kidney
55
adolescent male with nasal obstruction, visible nasal mass, and frequent nosebleeds
juvenile angiofibrome until proven otherwise
56
angiography shows a string of beads pattern to the renal artery
fibromuscular dysplasia
57
what does the physical exam reveal in fibromuscular dysplasia?
a hum or bruit in the costovertebral angle due to well developed collaterals Right renal artery > left
58
what is the most common histologic type of both supratentorial and infratentorial brain tumor in children?
Astrocytomas