Development and Behaviour – Set 4

What this deck covers

Development and Behaviour – Set 4 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. Rocking boy who looks away
2. Toddler behind in every area
3. Restless at home and in class
4. Where to start when marks fall
5. Early warning signs in a toddler
6. Severity band for a girl of nine
7. Hyperactive at four, first step
8. Boy who cannot sound out words
9. Fluent girl with no friends
10. First-tier genome-wide test
11. Chance of recurrence in a new baby
12. Daydreaming with fluttering eyelids
13. Blurred board and headaches
14. Girl who stopped talking
15. Preventable causes of disability
16. Checks before the first prescription
17. How frequent is this disorder?
18. Defining a late regression
19. Bloods for a boy never screened
20. First support after a new diagnosis
21. The DSM-5-TR onset rule
22. Tearful months after a bereavement
23. Rigid routines and a drug request
24. What sets the DSM-5-TR severity level
25. Still impaired a year after diagnosis
26. Core deficit behind slow reading
27. No words at 22 months, hearing normal
28. First assessment for a slow toddler
29. Twin figures for shared risk
30. Attentive now, schoolwork still poor
31. Messaging until 1 am
32. What set the older label apart
33. Where an 8-year-old should be taught
34. Two stimulants not tolerated
35. Tinted glasses offered privately
36. Daily self-injury despite a programme
37. Affected uncle, long face, big ears
38. Does losing speech fit the picture?
39. Basic checks before the label
40. Marks still low after six months
41. After a positive screening checklist
42. Traditional IQ bands
43. Falling weight on treatment
44. Trouble with sheet music
45. Brain-wave test after skills are lost
46. Parents ask about adult life
47. The two core DSM-5-TR domains
48. An old antidepressant for ADHD?
49. National examinations ahead
50. Friendless but fluent at eight

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Social (pragmatic) communication disorder, Formal IQ testing by an educational psychologist, A diet free of sugar and additives, Chromosomal microarray, CT of the head for the headaches, An EEG to exclude an underlying epilepsy, Thyroid function and creatine kinase, Reassure that grief always settles within a year, Add methylphenidate and continue the support, Formal hearing and vision testing, Sleep hygiene, phone out of the bedroom, Atomoxetine, Karyotype for Klinefelter syndrome, Psychoeducational assessment.

Clinical pearls from this deck

• Social deficits plus repetitive behaviour = autism spectrum disorder.
• Under 5, two or more delayed domains = global developmental delay, not yet intellectual disability.
• ADHD needs evidence from two settings: parent and teacher scales.
• The history before the test, every time.
• No pointing, no pretending, no response to name: think autism.
• Severity is set by adaptive functioning; traditional IQ bands: mild 50-70, moderate 35-50, severe 20-35.

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.