Development and Behaviour – Exam Review Set 3

What this deck covers

Development and Behaviour – Exam Review Set 3 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 paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 50 cases, in order

1. Playing beside, not with
2. A newborn who failed the screen
3. One orange, one white
4. Advice from a relative
5. Ready for the nursery
6. Copying shapes on a page
7. Friendly with everybody
8. Screaming early in the night
9. Snoring and struggling at school
10. Rocked every single time
11. Walking with a blank face
12. How many hours at this age
13. Behind his classmates in one subject
14. A boy called clumsy for years
15. What the number means
16. Counting from the wrong birthday
17. A normal array, a family history
18. Medically well, not yet safe
19. Insisting that she is fine
20. Getting an honest history
21. A boy who stopped enjoying things
22. Knowing better and doing it anyway
23. Hands that forgot their skill
24. Language that faded away
25. Going backwards at two
26. Words lost after an illness
27. Pleased about a preference
28. What has to be present
29. Choosing among four offers
30. Blaming everything on the label
31. A questionnaire is not a verdict
32. Running out of the hall
33. Asking for tablets at five
34. Falling centiles on treatment
35. Two faints on the football pitch
36. Blinking more since the tablets
37. Difficult at home, fine at school
38. Giving in at the checkout
39. Wet again since the baby
40. Leaving and coming back
41. A mother who feels nothing
42. Sent upstairs for an hour
43. Three hours of video a day
44. Building words at home
45. Pains with no cause found
46. A boy facing exclusion
47. What he understands, not what he says
48. What to do while it is happening
49. The test that changes no management
50. Normal weight, abnormal blood

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Normal parallel play for his age, Use only one language until school age, Between six and nine months of age, A sleep-onset association he cannot recreate alone, Global intellectual disability, Correct for prematurity throughout childhood, Outpatient psychological therapy starting next week, All of them have an underlying conduct disorder, A normal variation in the pace of development, Motor coordination and receptive language ability, The questionnaire cannot be used before three years, Stop the drug permanently and offer no alternative, An avoidant pattern of attachment, Screen time has no effect at this age.

Clinical pearls from this deck

• Playing beside other children is the job of a three-year-old. Ask whether he is interested in them, not whether he is playing with them.
• A failed screen is a question, not an answer. What matters is how fast the question gets settled, because language will not wait.
• Check both reflexes together, not one at a time. Asymmetry is what catches this, and the parents will not have seen it.
• Count both languages together before you call it delay. A truly delayed bilingual child is behind in both, not just in the one you speak.
• Off comes before on. A toddler who strips in the supermarket is developing normally, however inconvenient it looks.
• Learn the shapes and the towers as one list. Circle at three, cross at four, and the bricks that go with each, and half these questions answer themselves.

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.