Development and Behaviour – Set 2

What this deck covers

Development and Behaviour – Set 2 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. Routine review of a young baby’s eyes
2. Baby who gets about by rolling
3. Toys thrown from the high chair
4. Pull to sit at a routine baby check
5. Park skills at a two-year check
6. How tall a tower should be
7. What a baby’s grasp does next
8. Clumsy, says the nursery teacher
9. Teacher says her drawing is behind
10. Infant no longer watching faces
11. Baby of uncertain age on her tummy
12. On her feet by the first birthday
13. Half-year check of a girl’s grasp
14. A mother’s worry about her new baby
15. New walker facing a staircase
16. Stages of a toddler’s crayon hold
17. Baby absorbed by her own fingers
18. Standing like a stork at school entry
19. Raisin test at nine months
20. Worrying sign on the 180-degree flip
21. Still cruising, not yet stepping out
22. Harder shapes for a keen young artist
23. Grandmother doubts a toddler’s steps
24. Playground skill before school entry
25. A baby who favours one side early
26. What a baby’s eyes should manage
27. Arms flung out on a startle
28. Father asks about the clinic steps
29. Table-top play at fifteen months
30. Foster baby with an unknown birthday
31. Father asks about ball games
32. From wrist movement to finger control
33. Parts of the infant flip examination
34. Boy said to fall more than his peers
35. Cube models at a nursery check
36. Evening crying in a thriving baby
37. School nurse and a girl of five
38. From raking to a neater pick-up
39. Nursery-entry check at three
40. Scoring a child’s picture of a person
41. Social stage in the first half year
42. Ride-on toys and the next stage
43. Fair trial of a toddler’s pencil hold
44. Pre-school check of a girl’s balance
45. Shape cards at a preschool check
46. Either hand for the crayon
47. Watching a preschooler at play
48. Scissors and a printed sheet
49. Nursery check with a large ball
50. First of the pre-writing skills

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Following a dangling toy through 180 degrees, About 28 weeks, Picking up a small crumb between thumb and finger, Routine orthoptic referral within 3 months, Palmar grasp, Triangle at about 4 years; diamond at about 6, Reassure her that he will be right-handed, 2 years; 3 years; 6 years, 12 months; 3½-4 years; 4-5 years, Unable to gallop, Gallops at 2 years; skips at 5; hops in a row at 5, 3 years 3 months, A crayon placed in his hand in a tripod grip, Bounces the ball and catches it.

Clinical pearls from this deck

• Midline at 6 weeks, 180 degrees at 3 months.
• Crawling is optional; sitting by 9 and walking by 18 months are not.
• Casting: from 9 months, gone by 18.
• Smile at 6-8 weeks; no head lag by 16 weeks.
• 2 kicks, 3 pedals, 4 hops, 5 skips.
• 2 at 15 months, 3 at 18 months, 6 at 2 years, 9 at 3 years.

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.