School of Medicine, KU

1. INTERNAL ASSESSMENT (ASHOJ 2079)
GROWTH AND DEVELOPMENT
Date: 17/10/2022
Total Marks: 50
A. MCQ (Marks: 25 X 1 = 25)
1. In PICA disorder, the most appropriate statement is
a. It is only related to eating clay and earth.
b. Usually in children below 2 years.
c. Not present with other eating disorders.
d. It need a period of more than a month to be stated.
2. A mother to a well 2 year old with thumb sucking behavior, she is worried that the
behavior may continue or may cause dental problem. Of the following, the BEST
response is to
a. Ressurance to mother.
b. Leave the behavior as the complications usually started after 5 years.
c. Ignore thumb sucking and encouraging a substituted behavior.
d. Use of bitter ointments will resolve the problem early.
3. The ratio of upper body segment to lower body segment changes from 1.7 at birth to 1.0
by what age?
a. 2 years
b. 4 years
c. 7 years
d. 10 years
4. At what age would a child with no teeth be considered to have delayed eruption?
a. 9 months
b. 13 months
c. 15 months
d. 18 months
5. Which of the following is NOT true about M-CHAT?
a. It is a screening tool for autism in toddlers
b. It may detect language impairment and learning disabilities
c. The AAP recommends screening at age 18 months and 24-30 months
d. It should not be used as the sole developmental screen at a well visit

2. 6. The parents of a 3 year old girl report that "she ran before she walked," "she is never
hungry at the same time," and "she goes from toy to toy." This child is best described as:
a. Autistic
b. Having a specific temperament
c. Having attention-deficit/hyperactivity disorder
d. Having developmental pervasive disorder
7. Daily television viewing should be limited in middle childhood to:
a. 2 hours or less, with no TV in bedroom
b. 3 hours, with no TV in bedroom
c. 2 hours or less, TV in room okay
d. No TV watching acceptable
8. All of the following statements regarding a child's temperament are true except:
a. Temperament is absolute and stable throughout the life span.
b. Biology influences temperament
c. It is a pattern of the child's responses
d. It is relatively resistant to parents' attempts to modify
9. Growth between 3 and 4 mo of age is best characterized as:
a. Accelerating to a rate of 45 g/day
b. Slowing to a rate of 10 g/day
c. Slowing to a rate of 20 g/day
d. Accelerating to a rate of 20 g/day
10. The probable age of a child who skips, names four colors, and dresses and undresses is:
a. 15 mo
b. 24 mo
c. 30 mo
d. 18 mo
e. 60 mo
11. Between 2 and 5 yr of age, language increases; as a rule, the number of words in a
sentence is:
a. Based on knowledge of numbers
b. Equal to the age of the child in years
c. Independent of the environment
d. Independent of the number of questions asked the child by adults
12. Enuresis is defined as:
a. Wetting 2 times per week for 3 consecutive mo .

3. b. Wetting 2 times per week for any 3 mo in a year
c. Not being dry at 4 yr of age.
d. Wetting at 5 yr of age on two occasions
13. The most common specific learning disorder of childhood is:
a. Attention-deficit/hyperactivity disorder (ADHD)
b. Reading disorder (dyslexia)
c. Arithmetical skills disorders
d. Mixed disorder of Scholastic Skills
14. Of the following, the most common presenting behavior in girls with attention
deficit/hyperactivity disorder is:
a. Inattentive
b. Hyperactive
c. Impulsive
d. Combined
15. The most consistent statement of structural MRI brain finding of autistic spectrum
disorders is:
a. Diffuse brain atrophy
b. Increase in brain size
c. White matter degenerative changes
d. Gray matter degenerative changes
16. Building a tower of 6 cubes by a 22-month-old child requires:
a. Visual, gross, and fine motor coordination
b. Able to link actions to solve problems
c. Visual motor coordination
d. Ability to use objects in combination
17. The father of a 13-year-old boy asks if his son’s adult height can be predicted. The peak
velocity of growth during adolescence averages which of the following?
a. 3 – 4 cm/year
b. 5 – 6 cm/year
c. 7 – 8 cm/year
d. 9 – 10 cm/year
18. As part of a routine 18-month check-up, a medical student in the outpatient clinic
administers the Denver Developmental Screening Test to the child. She reports that the

4. child appeared to function at about a 15 – 18 month level, but he was noncompliant and
difficult to test. Which of the following best explains the testing results for this child?
a. Delayed and psychologically disturbed
b. Advanced and was stressed by the test
c. Normal but psychologically disturbed
d. Normal and noncompliance is common at this age
19. Which of the following best describes the correct sequence for eruption of permanent
teeth?
a. central incisors, first premolars, canines, second molars
b. first molars, central incisors, canines, first premolars
c. central incisors, lateral incisors, canines, first molars
d. first molars, lateral incisors, canines, first premolars
20. Normal visual acuity typically occurs at which of the following ages?
a. 6 months
b. 1 year
c. 4 – 5 years
d. 7 – 9 years
21. A 1-week-old infant male presents to his primary care provider’s office for his first visit.
His mother is concerned because he sleeps a lot. Which of the following is the average
amount of sleep per day experienced by infants in the first month of life?
a. 12 hours
b. 14 hours
c. 16 hours
d. 18 hours
22. A mother brings her 6-month-old son in for a checkup. She is concerned that when she is
playing with him and puts a toy behind her back, he does not try to find it. Object
permanence, is a major milestone that occurs closest to which of the following ages?
a. 9 – 12 months
b. 15 months
c. 18 months
d. 24 months
23. A medical student is rotating with a local pediatrician who uses the Parents’ Evaluations
of Developmental Status (PEDS) questionnaire. Which of the following characteristics
best describes this screening test?

5. a. Less than 50% sensitivity, but high specificity for diagnosing emotional disorders in
children
b. Utilizes a 100 – question format
c. Used to evaluate development of children 10 – 14 years
d. Screens for development in children less than 8 years
24. Behavioral states in the newborn period include
a. Quiet and active sleep
b. Drowsy and alert states
c. Fussy and crying states
d. All of the above.
25. A normal infant may cry for up to 3hr/day during the developmental peak time of this
behavior. This peak is typically at age:
a. 2 wk.
b. 4 wk
c. 6 mo
d. 6 wk
B. SAQ (Marks: 5 X 5 = 25)
1. Define growth and development. Mention factors affecting growth and development.
2. Bone age estimation.
3. Developmental origin of adult-onset diseases.
4. Autism spectrum disorder.
5. Approach to a child with development delay.