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* nbme 3
 #527780  
  gunny - 08/25/10 01:06
 
  A 13-month-old girl is brought for a well-child examination. There is no history of prenatal or perinatal problems. Her diet consists of breast milk, juice, legumes, cooked vegetables, and fruit. She has had three ear infections treated successfully with amoxicillin and two episodes of diarrhea since birth. She will pull to a stand and stand alone for 1 minute but has not begun to walk. She is able to pick up raisins with her thumb and forefinger but is unable to feed herself with a spoon. Which of the following is the most appropriate
assessment of fine and gross motor development?

`` Fine Motor Gross Motor
Development Development
O A) Normal normal
O B) Normal delayed
O C) Delayed normal
O D) Delayed delayed

A or B?
 
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* Re:nbme 3
#2175420
  cytoplasm - 08/25/10 01:36
 
  I did this test yesterday. I chose B. By 12 months a child starts walking at least a few steps. Correct me if i am wrong.  
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* Re:nbme 3
#2175430
  forever07 - 08/25/10 01:52
 
  I think B too.  
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* Re:nbme 3
#2175574
  gunny - 08/25/10 10:39
 
  yup i too marked B.BUT IN KEY IT WAS A.so confused.can u plz check this once.

http://www.usmleforum.com/files/forum/2009/2/461849.php
 
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* Re:nbme 3
#2175637
  gunny - 08/25/10 11:52
 
  ,,,,,  
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* Re:nbme 3
#2175674
  forever07 - 08/25/10 12:22
 
  feed herself with a spoon...18mo...so, ans A?  
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* Re:nbme 3
#2175681
  gunny - 08/25/10 12:24
 
  ok,yes A.acually i was confused with B bcos i thought child should walk by 12 months.but we can wait up to 15m for them to walk.Thank u forever.  
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* Re:nbme 3
#2175685
  forever07 - 08/25/10 12:27
 
  Development is so annoying... i wish to have a 5yr old kid, so no need to study by heart. can learn from kid. haha, regrat now.  
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* Re:nbme 3
#2175692
  gunny - 08/25/10 12:33
 
  ur so funny:-)  
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* Re:nbme 3
#2175715
  hebkram - 08/25/10 13:09
 
  Actually, I have 3 kids, but what we study in the books is far from the norm variation in real life. VERY CONFUSING !!!  
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* Re:nbme 3
#2175725
  drpersist - 08/25/10 13:17
 
  thanks for clearing this gunny  
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