Development and Behaviour – Set 5

What this deck covers

Development and Behaviour – Set 5 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. Floor-kicking when told no
2. Screams when the babysitter comes
3. Rocks and grunts in the car seat
4. Coins found in her school bag
5. Screaming an hour after bedtime
6. Nursery reports five incidents
7. Is she set for the classroom?
8. Sticker chart has not worked
9. Argues with parents and teachers
10. Woken in the early hours, crying
11. Pinches his two-month-old sister
12. Mother is going back to work
13. Biscuit refused, screaming starts
14. Referred as possible seizures
15. Toy car from a friend’s house
16. Where these episodes come from
17. A bite to show how it feels
18. Lipstick and her mother’s shoes
19. Thumb in the mouth at three
20. How long before it is a disorder
21. Bad dreams about a fire
22. Slaps the baby during feeds
23. When clinging stops being normal
24. Toys thrown at his parents
25. What to do about thigh squeezing
26. Still taking things a year on
27. Weekly screaming, now on the stairs
28. Asking when Grandad will come home
29. Key worker’s warm words
30. What the thumb does to the teeth
31. Shouting and smacking have failed
32. Slow to fall asleep, tired at school
33. Hides his face from visitors
34. Pregnant, with a 3-year-old at home
35. What would not fit a benign habit
36. Two small fires and shop thefts
37. Same hour, almost every night
38. Sweets on some shopping trips
39. Always on the move at three
40. Consequence for hitting the baby
41. Thumb at night, teeth no longer meet
42. Locked out of the house at night
43. Toddler who will not settle
44. Frayed blanket goes everywhere
45. Slips her hand near traffic
46. Chewed fingertips before tests
47. Restless as well as rule-breaking
48. Wanders the house while asleep
49. Will not leave her mother’s side
50. Broken arm after a superhero leap

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Oppositional defiant disorder, Referral to child psychiatry, She has already reached her fifth birthday, Nightmares, from REM sleep, Refer her to a behavioural specialist, Deep non-REM sleep in the first third of the night, Bitter nail varnish from the age of 2 years, Smack her each time she hits him, Tell her firmly that it is naughty each time, About 12-14 years, Methylphenidate, Move him to a new bedroom just before the birth, Discussing each episode with her every morning, A smack so that he learns how it feels.

Clinical pearls from this deck

• Tantrums peak when wants outrun words: 18 months to 3 years.
• A 9-month-old who protests when mother leaves and eyes strangers warily is developing normally.
• Aware, flushed, stops when distracted, cross when interrupted: self-gratification, not seizures.
• Return it, talk about it, move on.
• The parents remember the night terror; the child does not.
• Bite, brief time out, back to play, praise the gentle moments.

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.