Development and Behaviour – Set 3

What this deck covers

Development and Behaviour – 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. Stiff runner who feeds a doll
2. When outsiders follow every word
3. Why talking and play go together
4. Eighteen months of stuck sounds
5. Tricycle, circle and a doll
6. Earliest vowel sounds
7. Beside the others at toddler group
8. Echoing the last words heard
9. The nine-month review
10. First-birthday talk and gestures
11. Rattle swaps hands, cannot sit
12. Toy under a cloth
13. Ten words at two years
14. Two feet to a stair, three words
15. Grandmother cannot follow him
16. Watching play in clinic
17. Four weeks of easy repeats
18. Ball thrower with two cubes
19. When babies look for a speaker
20. Speech target at one year
21. Car noises, then teddy’s dinner
22. Seems not to obey
23. Following instructions by age
24. Stabilisers, a cross and stories
25. Clinging when visitors come
26. Arabic at home, English at nursery
27. School entry, skill by skill
28. Toddler chatter and what follows
29. Self-care skills by age
30. Talking at home with a stammerer
31. Opens doors and searches a bag
32. How early sounds build up
33. One-year check, skill by skill
34. Teddy gets a spoonful
35. Slow to speak: background risk
36. Requests without a pointing hand
37. Says tar for car at five
38. Baby meets a mirror
39. Looking back to 18 months
40. Skills at a year and a half
41. Language a year from now
42. Wobbly sitter who rakes raisins
43. After peekaboo and pat-a-cake
44. Stammer: watch or send on
45. Answering to her own name
46. The missing surname
47. Make-believe and its next stages
48. Easy repeats or something more
49. Diary of early vocabulary
50. Circle and cross, no square

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: The 18-month level, Reassure and review in 6 months, Delayed, as she should have about 10 words, Autism spectrum disorder, About 6 weeks, Autism screening with the M-CHAT-R/F, The 12-month level, About 9 months, Referral for tongue-tie division, Bangs 2 cubes together, babbles and waves bye-bye, Playing alongside other toddlers, By about 3 years; there is no concern yet.

Clinical pearls from this deck

• Runs stiffly, stairs with a hand held, feeds a doll, points to body parts: 18 months.
• Strangers understand: half at 2, three-quarters at 3, nearly all at 4.
• Words and pretend play are both symbols: a delay in one flags the other.
• Stammer over 6 months, late onset, struggle or distress: refer to speech and language therapy.
• Tricycle, circle, full name, age and sex: 3 years.
• Coo by 2-3 months, babble by 6, “mama” and “dada” by 9, words with meaning by 12.

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.