Development and Behaviour – Set 1

What this deck covers

Development and Behaviour – 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 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. Breastfed girl’s early weight gain
2. A baby whose lengthening has slowed
3. No teeth after the first birthday
4. When stick figures take shape
5. Short boy with two short parents
6. Head growth in the first weeks
7. Father asks what a chart line means
8. Height check without a chart
9. Night grinding before school tests
10. Form filled in at home
11. Steady low centile, normal velocity
12. Building blocks at two and a half
13. First landmark for birth weight
14. Lengthening in the earliest weeks
15. What the baby set consists of
16. Kit item for testing vision
17. Parental target for a daughter
18. Head size at the first birthday
19. Weight as a share of the median
20. School-age girl’s last 12 months
21. Snoring child who grinds her teeth
22. Mental age from a drawn figure
23. Small boy growing at a normal rate
24. Head chart pattern that worries
25. Predicting weight on two birthdays
26. Usual length at two early ages
27. When the baby teeth start to go
28. Arabic and English in one household
29. Span around a parental target
30. Head growth in the second quarter
31. Picky eater on a steady chart line
32. A first box of crayons
33. Worn teeth and an aching jaw
34. Parents ask what follows walking
35. Will the early pace of gain last?
36. Length gain towards the first birthday
37. Soothing sore gums in an infant
38. The blocks in the assessment kit
39. Hand X-ray for a small girl
40. Bedside estimate with no chart
41. Measuring a long-standing food deficit
42. Sleepy grinder with a proven cause
43. From circles to the alphabet
44. Weight after the second birthday
45. Unknown birth date at a relief clinic
46. Timetable for the milk teeth
47. Kit item for finger-thumb grip
48. Where underweight begins on the chart
49. Mother asks about the first period
50. How the nurse’s screen differs

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: About 15 g a day, Three-part person at 2 years; six-part person at 5, 25% of girls her age weigh less than she does, Ages and Stages Questionnaire, About 3 months, A red woollen pom-pom dangled on a string, Severe (grade III) undernutrition, About 5¼ years, About 9 kg, then about 12 kg, His dominant home language, and any hearing concern, Start a daily high-energy supplement drink, Paracetamol for the high fevers that teething causes, About 20 kg, About 15-16 years, once growth has ended.

Clinical pearls from this deck

• First 3 months: about 20-30 g a day.
• 3 cm, then 2 cm, then 1-1.5 cm a month.
• First tooth about 6 months; delayed if none by 13.
• Three parts at 4, six parts at 5.
• Boy: add 13 cm; girl: subtract 13 cm; then halve.
• Head: 2, then 1, then 0.5 cm a month.

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.