Development and Behaviour Prometric Style Questions – 50 Cases with Answers

What this deck covers

Development and Behaviour — Prometric Style Questions, Set 1 in 50 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for board, MRCPCH and Prometric examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 50 cases, in order

1. Creeping up the stairs
2. The first steps alone
3. Stairs with one hand held
4. Following a face right across
5. Passing a cube hand to hand
6. Sits well but will not take weight
7. Pedals a tricycle
8. Hopping on one foot
9. A baby with a favourite hand
10. Four colours and long sentences
11. Blocking on the first syllable
12. Ten words and no phrases
13. No name response, no pointing
14. Aggression that behaviour work has not touched
15. Climbing up his own legs
16. The baby who never gestures
17. Delay in every domain
18. How fast a newborn gains
19. How fast the head grows
20. Growth in the second quarter
21. Doubling the starting weight
22. Predicting how tall he will be
23. No teeth in a well toddler
24. The soft spot that is still open
25. When thin becomes a diagnosis
26. When to start the potty
27. Wet most nights at seven
28. The thumb that will not stay out
29. Thumb sucking that has moved the teeth
30. Stiffening episodes on the floor
31. Money missing from the purse
32. Grinding through the night
33. Blue and limp after a tantrum
34. Screaming on the supermarket floor
35. Cannot be parted from her mother
36. Screaming at everyone but mother
37. Pain that vanishes at the weekend
38. Sick every weekday morning
39. Months of pain and normal tests
40. Ready for the classroom?
41. Fidgety everywhere he goes
42. When the stimulant does not suit
43. Angry and argumentative at seven
44. Fires, truancy and no remorse
45. Blinking, shrugging and barking
46. Blinking that stops in a game
47. Voices and disordered speech
48. Low mood that therapy has not lifted
49. Bingeing with a normal build
50. Starting to feed a starved teenager

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: About 12 months, 4 weeks, 2 years, 3 years, Start risperidone, An expected pattern in a quiet child, 0.5 cm, The average of the parents’ heights plus 6.5 cm, Below 60 percent of the expected weight for age, Praise and reward the times she is not sucking, Ignore it entirely, since it is normal at this age, Give him the sweets quickly to shorten the episode, Keep him at home until the pain settles completely, Whether he can count to twenty accurately.

Clinical pearls from this deck

• Never date a child on one skill. Read across the domains and take the age where all of them agree.
• Walking alone is late only after 18 months. Before that, a child who is not walking but is normal in every other domain needs watching, not investigating.
• The single most useful language marker in the second year is the two-word phrase. No phrase by two years is a referral, whatever the single-word count.
• No social smile by ten weeks is the earliest developmental red flag you will ever be handed. Check vision and hearing before reassuring anyone.
• Watch how a child picks up a raisin, not what he does with it. The grasp dates him more precisely than any gross motor skill.
• Score every domain separately before you call a child delayed. One domain behind and the rest normal is a different problem from all four behind.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all Development and Behaviour case decks · pediatric reference values.