When you tried to get his attention by offering him a car he became very

When you tried to get his attention by offering him a

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When you tried to get his attention by offering him a car, he became very excited and he quickly put his hands onto his mother’s to get that toy for him. When he got the car, To-To turned it
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around and started spinning the wheels repeatedly. He lined up all the cars in the room and became very upset when you tried to disturb him. Unfortunately, To-To was not interested in performing all the assessment items. He did not initiate any social interaction unless he wanted something from you. No index pointing was noted throughout the session. DEVELOPMENTAL ASSESSMENT Gross motor and fine motor Normal Language comprehension Could not obey simple commands Could not identify body parts Language expression Did not speak any words Social Could not wave bye bye Could use a spoon fairly well Could take off shoes and socks but not put them back on Could unbutton and undress himself but not button Vision It was difficult to test his vision. However, he liked to screw up this eyes and looked at objects in a strange way. He also liked to stare into space. He liked to watch his flickering fingers all the time. Hearing Normal What is the most likely diagnosis of this child? A Cerebral palsy B Autistic spectrum disorder C Global developmental delay D Floppy infant E Language delay Suggested - autistic spectrum disorder (similar case background in the presentation case) Which of the following is a correct definition of failure to thrive?
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A A weight-to height ratio below the third percentile in the neonatal period B Downward crossing of the centile line over six months during the neonatal and early childhood period C D E Suggested: B Note (not suggested answer): “A” does not include “early childhood period” Which of the following parenting behaviour is the LEAST helpful in promoting child development? A Allow the child to lead in interactions B Give rewards to good behaviour C D There should not be any ?penalties. E [Question on in utero programming] Which of the following is the most likely consequence/ association with excessive gestational weight gain?AIncreased risk of children being overweight in childhoodBCIncreased risk of developing major depressionDIncreased risk of congenital growth defectsESuggested: A - childhood obesity (Paediatrics session)How to differentiate congenital and late onset Horner’s syndrome? A.MiosisB.PtosisC. AnhydrosisD.Iris heterochromiaE.Hypersensitivity to 0.1% pilocarpine Suggested: D End
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M18 Block C End-of-Rotation Test 2016 - Rotation 2 Total: 50 questions Time limit: 75 minutes Recalled questions: 50/50
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