Title: Usmle Step 1 MCQ’s # 43
Subject: Behavioral Science
Q NO 43: A 3-year-old girl is brought to the physician for a well child examination. She was born at term after an uncomplicated pregnancy. Physical examination shows no abnormalities. She rides a tricycle. can build a tower of 8 blocks, and speaks in sentences. Which of the following is an accurate assessment of this patient’s development?
A. Normal gross motor, normal fine motor, and normal language development
B. Normal gross motor, delayed fine motor, and normal language development
C. Normal gross motor, normal fine motor, and delayed language development
D. Delayed gross motor, delayed fine motor, and normal language development
E. Delayed gross motor, normal fine motor, and normal language development
Explanation:
The correct answer is A. This patient has normal developmental milestones. A 3-year-old child should be able to ride a tricycle, balance one ach foot for 1 second build a tower of 8 blocks imitate a vertical line and speak with almost understandable sentences. This patient is not delayed in any area making choices B, C, D, and E incorrect.
Common developmental milestones are:
Newborn- regard faces, suckle Moro, and grasp reflexes
6 months- babbles sits alone passes a cube
12 months- says 1-2 words begins to walk waves bye-bye
24 months- combines words can build a tower of4-6 cubes kicks a ball
3 years- combines words to form almost understandable sentences rides a tricycle builds a tower of 8 cubes
Source: http://www.usmleworldwide.com/blog/?p=1085
Subject: Behavioral Science
Q NO 43: A 3-year-old girl is brought to the physician for a well child examination. She was born at term after an uncomplicated pregnancy. Physical examination shows no abnormalities. She rides a tricycle. can build a tower of 8 blocks, and speaks in sentences. Which of the following is an accurate assessment of this patient’s development?
A. Normal gross motor, normal fine motor, and normal language development
B. Normal gross motor, delayed fine motor, and normal language development
C. Normal gross motor, normal fine motor, and delayed language development
D. Delayed gross motor, delayed fine motor, and normal language development
E. Delayed gross motor, normal fine motor, and normal language development
Explanation:
The correct answer is A. This patient has normal developmental milestones. A 3-year-old child should be able to ride a tricycle, balance one ach foot for 1 second build a tower of 8 blocks imitate a vertical line and speak with almost understandable sentences. This patient is not delayed in any area making choices B, C, D, and E incorrect.
Common developmental milestones are:
Newborn- regard faces, suckle Moro, and grasp reflexes
6 months- babbles sits alone passes a cube
12 months- says 1-2 words begins to walk waves bye-bye
24 months- combines words can build a tower of4-6 cubes kicks a ball
3 years- combines words to form almost understandable sentences rides a tricycle builds a tower of 8 cubes
Source: http://www.usmleworldwide.com/blog/?p=1085
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