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1. Jeddah Military
gen peds review course
2021
Neurology-Developmental MCQs
Ali H. Alwadei, MD, FRCPC, CSCN
Consultant, pediatric neurologist and epileptologist
Chairman, pediatric neurology department, NNI, KFMC
Clinical Assistant Professor and consultant, College of Medicine, KKUH, KSU

2. Around what weight is considered normal for
a 1-year old?
A 10kg
B 5kg
C Double their birthweight
D 15kg
E Treble their birthweight

3. Around what weight is considered normal for a 1-
year old?
A 10kg
B 5kg
C Double their birthweight
D 15kg
E Treble their birthweight
Average infant doubles weight by 5 months old, should be ~10kg by 1
year old.

4. At what age should a child be referred to a
pediatrician if they have not begun to walk?
A 12 months
B 9 months
C 18 months
D 15 months

5. At what age should a child be referred to a
pediatrician if they have not begun to walk?
A 12 months
B 9 months
C 18 months
D 15 months
An infant usually begins to cruise furniture around 10-12 months and
can walk alone by 15 months. If walking has not occurred by 18 months
the toddler should see a paediatrician.

6. Which of the following is an example of "Double-
syllable babble" displayed by an infant around 9-
12 months?
A Ma-da
B Ba-ba
C Ma-ba
D Ba-da
E Ba-ma

7. Which of the following is an example of "Double-
syllable babble" displayed by an infant around 9-
12 months?
A Ma-da
B Ba-ba
C Ma-ba
D Ba-da
E Ba-ma
• Double syllable babble usually involves repetition of the same
syllable.

8. At what age should a child develop a mature
pincer grip?
A 2 years
B 12-18 months
C 3-6 months
D 9-12 months
E 6-9 months

9. At what age should a child develop a mature
pincer grip?
A 2 years
B 12-18 months
C 3-6 months
D 9-12 months
E 6-9 months
• Practically every textbook has a slightly different table of these things,
but it is important to have an idea of the basics!

10. What is the cut-off for an acceptable weight
loss in the first 7 days of life?
A 20%
B 15%
C 10%
D 5%
E 7%

11. What is the cut-off for an acceptable weight
loss in the first 7 days of life?
A 20%
B 15%
C 10%
D 5%
E 7%
• >10% loss requires further follow-up/referral.

12. At what age should a child learn to hop on
one leg?
A 6 years
B 2 years
C 5 years
D 3 years
E 4 years

13. At what age should a child learn to hop on
one leg?
A 6 years
B 2 years
C 5 years
D 3 years
E 4 years

15. Around what age should a child be able to
build a tower of three building blocks?
A 9 months
B 21 months
C 18 months
D 12 months
E 15 months

16. Around what age should a child be able to
build a tower of three building blocks?
A 9 months
B 21 months
C 18 months
D 12 months
E 15 months
The average age for building a 3 block tower is 18 months. This
increases to around 6 cubes by 2 years, and 9 cubes by 3 years.

17. What is the definition of 'delayed puberty'?
A Lack of onset of development of secondary sexual characteristics by age 12
in girls and 13 in boys.
B Lack of onset of development of secondary sexual characteristics by age 14
in girls and 15 in boys.
C Lack of onset of development of secondary sexual characteristics by age 14
in girls and 13 in boys.
D Lack of onset of development of secondary sexual characteristics by age 13
in girls and 14 in boys.
E Lack of onset of development of secondary sexual characteristics by age 14
in either sex

18. What is the definition of 'delayed puberty'?
A Lack of onset of development of secondary sexual characteristics by age 12
in girls and 13 in boys.
B Lack of onset of development of secondary sexual characteristics by age 14
in girls and 15 in boys.
C Lack of onset of development of secondary sexual characteristics by age 14
in girls and 13 in boys.
D Lack of onset of development of secondary sexual characteristics by age
13 in girls and 14 in boys.
E Lack of onset of development of secondary sexual characteristics by age 14
in either sex

19. How many hours per day does the average
newborn sleep?
A 18 hours
B 16 hours
C 8 hours
D 6 hours
E 12 hours

20. How many hours per day does the average
newborn sleep?
A 18 hours
B 16 hours
C 8 hours
D 6 hours
E 12 hours

21. Which of the following is usually the first sign
of puberty in girls?
A Growth of some pubic hair
B Breast budding
C Growth spurt
D Growth of axillary hair
E Menarche

22. Which of the following is usually the first sign
of puberty in girls?
A Growth of some pubic hair
B Breast budding
C Growth spurt
D Growth of axillary hair
E Menarche
Breast budding is the first pubertal sign in females, testicular
enlargement is the parallel sign in males.

23. Which of the following should be avoided
when weaning a child of 7 months?
A Honey
B Wheat
C Formula milk
D Meat-containing products
E Breastmilk

24. Which of the following should be avoided
when weaning a child of 7 months?
A Honey
B Wheat
C Formula milk
D Meat-containing products
E Breastmilk
Honey should be avoided before 12 months due to risk of infant
botulism. Wheat is considered safe to try in weaning after 6 months.

25. In normal fine motor development, which of
the following should occur first?
A Copying a triangle
B Tripod pencil grip
C Copying a circle
D Copying a cross
E Drawing a square

26. In normal fine motor development, which of
the following should occur first?
A Copying a triangle
B Tripod pencil grip
C Copying a circle
D Copying a cross
E Drawing a square
Children tend to be able to copy a shape 6 months before they can draw it. The usual
developmental order of drawing shapes is: line, circle, cross, square, triangle. Tripod pencil grip is a
more mature grip, occurring between 4 and 6 years of age.