Usmle Step 1 Fa Behavioral Sciences-Development

Front 1

APGAR scale (description, components, and scoring)

Back 1

A 10 pt scale evaluated at 1 m and 5 m.
(1) Apperance (0=blue, 1=trunk pink, 2=all pink)
(2) Pulse (0=none, 2=<100/m, 3=>100/m)
(3) Grimace (0=none, 2=grimace, 3=grimace +cough)
(4) Activity (0=limp, 1=some, 2=active)
(5) Respiration (0=none, 1=irregular, 2=regular)

Front 2

low birth weight

Back 2

<25000g at birth.
Associated with greater incidence of physical/emotional problems. Caused by prematurity or intrauterine growth retardation.

Front 3

Motor milestones for the following age groups:
(1) Birth-3m
(2) 3m
(3) 4-5m
(4) 7-9m
(5) 12-14m
(6) 15m
(7)18-24m
(8) 24-48m
(9) 24-36m
(10) 30-36m
(11) 3y
(12) 4y
(13) 6-11y

Back 3

(1) Birth-3m: Rooting reflex
(2) 3m: Holds head up, Moro reflex disappears
(3) 4-5m: Rolls front to back, sits when propped
(4) 7-9m: Sits alone, crawls
(5) 12-14m: Upgoing Babinski disappears
(6) 15m: walks
(7)12-24m: Climbs stairs, stacks 3 blocks
(8) 24-48m: "
(9) 24-36m"
(10) 30-36m: Stacks 9 blocks (number of blocks stacked=age in yrs x 3)
(11) 3y: rides tricycle, copies line or circle
(12) 4y: Simples drawings (stick figure), hopes on 1 foot, copies a cross
(13) 6-11y: Rides bicycle; copies a triangle (age 6)

Front 4

Cognitive/social milestones for the following age groups:
(1) Birth-3m
(2) 3m
(3) 4-5m
(4) 7-9m
(5) 12-14m
(6) 15m
(7)18-24m
(8) 24-48m
(9) 24-36m
(10) 30-36m
(11) 3y
(12) 4y
(13) 6-11y
(14) 11y (girls)/13y (boys)

Back 4

(1) Birth-3m: Orients to voice
(2) 3m: social smile
(3) 4-5m: recognizes people
(4) 7-9m: stranger anxiety
(5) 12-14m: n/a
(6) 15m: few words, separation anxiety
(7)12-24m: Object permanence; 200 words and 2 word sentences at 2
(8) 24-48m: parallel play
(9) 24-36m: core gender identity
(10) 30-36m: toilet training
(11) 3y: 900 words and complete sentences.
(12) 4y: cooperative play, imaginary friends, grooms self, brushes teeth, buttons and zips
(13) 6-11y: reads; understands death. Development of conscious (superego), same sex friends, identification w/same sex parent
(14) 11y (girls)/13y (boys): abstract reasoning (formal operations), formation of personality

Front 5

Tanner Stages of Development

Back 5

(1) Childhood
(2) Pubic hair begins to develop (adrenarche), increase size of testes, breast tissue elevation
(3) Increased pubic hair, darkens, becomes curly, increased penis size/length
(4) Increase penis width, darker scrotal skin, development of glans, raised areolae
(5) Adult; areolae no longer raised

Front 6

Changes in elderly
1-sexual
2-sleep
3-common medical conditions
4-psychiatric disorders
5-suicide rate
6-vision, hearing, immune response, bladder control
7-renal, pulmonary, GI fct
8-muscle mass, fat mass

Back 6

Changes in elderly
1-sexual:
Men=slower erection/ejac, longer refractory period
Women=vaginal shortening, thinning, and dryness
2-sleep: Decr REM, slow wave sleep. Incr latency, awakenings
3-common medical conditions: arthritis, HTN, HD, osteoperosis
4-psychiatric disorders: lower prevalence among healthy elderly than at other life stages (excluding comorbidities)
5-suicide rate (increased-males 65-74 have highest rates in US)
6-vision, hearing, immune response, bladder control (all decreased)
7-renal, pulmonary, GI (all decreased)
8-muscle mass (decr), fat mass (incr)

Front 7

Kubler Ross grief stages

Back 7

Denial, anger, bargaining, frieving (depression), acceptance
Do not have to occur in this order and greater than 1 can occur at once.