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Flashcards in milestones Deck (36)
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1

At what age would you be worried if
1. Lack of smiles or other joyful expressions

2. Lack of reciprocal (back-and-forth sharing of) vocalizations, smiles, or other facial expressions

6 mo


9 m

2

At what age would you be worried if:
1. Failure to respond to name when called
2. Absence of babbling
3. Lack of reciprocal gestures (showing, reaching, waving, pointing

12 mo

3

At what age would you be worried if:
1.Lack of proto-declarative pointing or other showing gestures
2. Lack of single words

15 mon

4

At what age would you be worried if:
1. limited social imitative play
2. Lack of spoken language/gesture combinations

18 mo

5

At what age would you be worried if:
Lack of two-word meaningful phrases (without imitating
or repeating)
limited pretend play

24 mo

6

when do babies get head control

3 mo
worry by 5 mo

7

when do babies master trunk control

9 mo

8

when do babies transfer objects

4 mo
worry by 7 mo

9

when does the palmar grasp occur

6-8 month

10

when does a pincer grasp occur

7-11 month

11

when can they use a spoon

2 yr

12

when can they do zippers and buttons

4-5 yrs

13

at 1 years, what should they be saying?

mama, dada + 1 word

14

what should they be saying at 2 yrs

2 word combo, 50 words and 50% intelligible

15

what should they be saying at 3 yrs

3 word combo, 200 words and 75 % intelligible

16

what should they be saying at 4 yrs

full sentences and 100% clear

17

stranger anxiety

5-6 mo

18

separation anxiety

9-15 mo bc lack obj permanence

19

when do they get a best friend?

4-6 yrs

20

when does imaginitive play start?

2-3 yrs eg box=telehone

21

when does reciprocal play occur

3-5 yrs

22

what should a 18 month old do?

50 words
strts word combo
single step commands
knows boy parts

23

when should you refer:
- if not responding to name
- if no words
- if not pulling to stand
- if less than 20 words

- if not responding to name - 9 mo
- if no words - 12
- if not pulling to stand - 12
- if less than 20 words - 18
if any regression
if any social communication concerns

24

what are the 3 criteria regarding communication and interaction that need to be present to Dx ASD

1. problems reciprocating social or emotional interactions
2. severe problems maintaining relationships
3. non verbal communication issues

25

what 2/4 criteria regarding restrictive behaviour that need to be present to Dx ASD

1. stereotype or repetitive speech/mov/obj use
2. excessive adherence to routine
3. very restricted interest
4. hyper or hypo reactivity to sensory input

26

what else is needed for Dx of ASD?

A) communication criteria (recoprocity/relationships/nonverbal)
B) restrictive behaviour: 2/4
C)Symptoms present in early developmental period
D) Significant impairment in social, occupational
E) Not better explained by intellectual disability (intellectual developmental disorder) or global developmental delay.

27

what syndromes can present like ASD and must be ruled out

TS
fragile X
Sz
Rett
NF
T21
Angelman

28

what is the genetic issue with Rett syndrome

X linked recessive
gene: MECP 2
disease is lethal in male

29

what are clinical features of Rett syndrome

dev regression at 1 yr
writhing hand mov
loss of purposeful hand movement
ASD features
Sz
acquired microcephaly
peculiar sighing respirations with intermittent periods of apnea
cardiac arrythmia

30

what are causes of toe walking?

idiopathic
tight heel cord
congenital contracture of achilles tendon
autism
diplegic CP
tethered cord
DMD/Becker's