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How To Assess Development in The MRCPCH Clinical Exam
How To Assess Development in The MRCPCH Clinical Exam
CLINICAL EXAM
GROSS MOTOR DEVELOPMENTAL ASSESSMENT
A) Ask him to walk: (8 things)
- Forward walking: 1 year
- Backward Walking: 1 1/2 year
- Side Walking: 3 years
- Forward Tandem Walking: 4 years
- Backward Tandem Walking: 5 years
- Tip toe standing: 2 years
- Tip toe walking: 3 years
- Tip toe running: 4 years
- Stands on one foot for 1 sec: 3 years
- Stands on one foot for 5 sec: 4 years
- Jumps (in place): 2 years
- Runs stiffly: 2 years
- Runs smoothly (fast): 3 years
- Hops: 4 years
- Skips: 5 years
B) Give him a Ball: (4 things)
- Kicks a ball (standing): 2 years
- Kicks a ball (running): 4 years
- Throws a ball: 2 years
- Catches a ball:
Front out stretched arm: 3 years
Up out stretched arm: 4 years
Near to the body (front of the chest): 5 years
- Bounces and catches a ball: 5 years
C) Ask him to climb stairs:
- Climbs stairs with assistance: 1 1/2 year
- Climbs stairs in a child manner: 2 years
- Down stairs in a child manner: 2 1/2 years
- Climbs stairs in a adult manner and down stairs in a child manner: 3 years
- Climb and down stairs in adult manner: 4 years
D)Ask him to ride a tricycle:
- Rides Tricycle: 3 years
3 YEARS
A) Cubes: (3 things):
- Builds a tower of 9 cubes (age in years 3)
- Builds a Bridge of 3 cubes.
- Train
B) Paper and Crayon: (3 things):
- Copies a circle
- Writes T, V and H letters (3 letters at 3 years).
- Draws 3 parts in draw a man test:
C) Scissor:
- Can cut the paper
D) Large threads and beads:
- Can lace large threads in large beads
E) Simple Form Board:
- Fits 3 shapes: circle, square and triangle (3 shapes at 3 years).
4 YEARS
A) Cubes:
- Builds a tower of 12 cubes (age in years 3)
- Builds a stair of 6 bricks
B) Paper and Crayon:
- Copies a square
- Writes X and O letters.
- Draws 4 parts in draw a man test:
5 YEARS
A) Cubes:
- Builds a tower of 15 cubes (age in years 3)
- Builds a stair of 10 bricks
B) Paper and Crayon:
- Copies a triangle
- Writes C, U, Y, L and A letters (5 letters at 5 years).
- Draws a man test:
L
Vertical line:
1 1/2 years
Horizontal line:
2 years
Circle:
3 years
Cross:
4 years
S
Square:
4 1/2 years
Triangle: Diamond:
5 years
6 years
D) Dressing ( by examination):
- Takes off shoes and socks: 1 1/2 years
- Helps in dressing: 2 years
- Able to undress: 3 years
- Dress with supervision: 4 years
- Completely dress without supervision: 5 years
5 YEARS
- Counts 1-10 by 2 hands (by examination).
- Says his birthday (by examination).
REFERENCES
1 - Dr. Abla Alalfy lecture
2 - MRCPCH Clinical: Short Cases, History taking and communication
skills.
3 - The MRCPCH clinical exam made simple.
4 - Short Cases for the MRCPCH
5 - Illustrated textbook of pediatrics