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Q1: Milestones (3 min)
"What are the key gross motor milestones and their ages?"
- Head control: 3 months
- Sits unsupported: 6 months
- Crawls: 9 months
- Pulls to stand: 9 months
- Walks: 12-15 months (not after 18 months — red flag)
- Runs: 18 months
- Stairs: 2 years (alternating feet 3 years)
- Hops: 4 years; Skips: 5 years
Q2: Language Milestones (2 min)
"What are the key language milestones?"
- Coos: 2 months
- Babbles: 6 months
- First words: 12 months (mama/dada specific)
- 2-word phrases: 18-24 months
- 3-word sentences: 3 years
- Red flags: no babble by 9 mo, no words by 16 mo, no 2-word phrases by 24 mo
Q3: Regression (3 min)
"What does developmental regression indicate?"
- LOSS of any skill = RED FLAG (never normal)
- Causes: autism regression, Rett syndrome (girls, MECP2), Landau-Kleffner (acquired epileptic aphasia)
- Urgent referral for comprehensive evaluation: EEG, genetics, MRI, metabolic
- Regression differentiates neurodegenerative conditions from static encephalopathy
Q4: Screening (2 min)
"What developmental screening tools are used?"
- ASQ-3 (Ages and Stages Questionnaire): parent-report, general development
- M-CHAT: autism-specific, at 18 and 24 months
- Denver II: clinician-administered, general
- Bayley Scales: formal assessment (not screening)