September Board Review 2012. Growth and development. Test Question. What Board Review Topic should we do next? Allergy & Immunology Adolescent Medicine and Gynecology. Normal Growth. Growth. Affected by: Prenatal factors: Maternal nutrition and uterine size Genetic growth potential
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September Board Review 2012
Growth and development
What Board Review Topic should we do next?
At what age to most healthy, term infants typically triple their birth weight?
TH = target height
What is the most likely diagnosis?
Which of the following is commonly associated with hydrocephalus?
Failure to thrive
You are seeing an 18 month old child for the first time. She is developing well, and the parents have no concerns. Her growth chart reveals a weight at the 3%, height at the 25%, and HC between the 25-50%. What is the MOST likely cause of this patient’s poor weight gain?
A mom brings in her 2yo boy with Down syndrome. She is concerned that he is not gaining weight well. The nurse plotted him on a typical male growth chart at 5% for weight. He is a picky eater and often spits up after feeds. There is no history of cardiac or intestinal malformation, but he does have a history of frequent otitis media. Of the following, what is the most important next step?
At what age should this reflex disappear?
Protective Extension: emerges at 6 - 9mos
Moro reflex: Birth – 6 mos
Positive support: Birth - 4-6 months
Gross Motor Milestones
A mother brings her child for a health supervision visit. He is able to pull to stand, take a few independent steps, and use his thumb and 2nd digit to grasp a piece of cereal. These milestones are MOST typical for a child who age is:
Of the following scenarios, which is the LEAST concerning?
You observe a child who is holding two blocks and bangs them together. Then she picks up a cheerio using an immature pincer grasp and feeds it to herself. These milestones are MOST consistent with a child who is:
Raking Scissor Immature Inferior Fine
You observe a child as he walks into the exam room. He is holding a small ball. When you ask him to let you see the ball, he gives it to you. He stoops to the floor to pick up a crayon and recovers to a standing position. He uses the crayon to scribble on a piece of paper you gave him. When he sees a few blocks on the floor, he picks up two and stacks one on top of the other. These milestones are MOST typical for a child whose age is:
You are examining a young boy during a health supervision visit. His mother reports that he says “mama,” “dada,” “bye,” “ball,” and “dog.” Following the exam, he sits on the floor in front of his mom while playing with a toy car. When he sees a jack-in-the-box on a shelf, he points to it. After his mom says (no gestures) “Bring me the Jack-in-the-box,” he brings it to her.
These developmental milestones suggest that the child is CLOSEST to
I can count to 10, draw a person with 8-10 body parts, know 4-10 of my colors, and recognize my numbers and letters (even if they are out of order). How old am I???
You have had multiple well child checks in clinic today, and all the developmental milestones are getting confusing!! You feel confident that at least you know the red flags to worry about! Which of the following DOES NOT concern you?
How old are kids when they develop separation anxiety and stranger anxiety?
All of the following are social/emotional red flags EXCEPT…