By Robert B. Dunn
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Additional resources for USMLE step 1. Lecture notes. Physiology
R""'" f4i" Age Motor Manipulative Crayon Social ~ 30mo Up stairs (alternating feet), stand on one foot 9 cube tower, adds chimney to train Imitates verticall horizontal strokes, not cross, imitates circular stroke with closure Refers to self as "I;' knows name, helps put things away, pretends in play 36mo Down stairs, (alternating), broad jump (both feet), rides tricycle 10 cube tower, imitates 3 cube bridge Imitates cross, copies circle, tries to draw person Knows age and sex, counts 3 objects, understands taking turns 48mo Hops on one foot, throws ball overhand, climbs well Copies 3 cube bridge Copies cross, square, draws figure with head, 2-4 parts Counts 4 objects, tells a story, group play, goes to toilet alone ~ , re..
Description Appears Disappears Extend head ~ extension, flexion of arms, legs Birth 4-6mo Brain stem vestibular nuclei J Finger in palm ~ hand, elbow, shoulder flexion Birth 4-6mo Brain stem vestibular nuclei Cheek stimulus ~ turns mouth to that side Birth 4-6mo Brain stem trigeminal system Trunk incurvation Withdrawal from stroking along ventral surface Birth 6-9mo Spinal cord Placing Steps up when dorsum of foot stimulated Birth 4-6mo Cerebral cortex Tonic neck Fencing posture when supine Birth 4-6mo Brain stem vestibular nuclei Parachute Simulate fall arms 6-8mo Never Brain stem vestibular Grasp IRooting I _ .....
Table 6-3. Summary of Immunizations with Immune Deficiencies i Immunodeficiency Contraindications Consider Administering X-linked agammaglobulinemia OPV, vaccinia and live bacterial Measles, varicella Severe combined All live vaccines - ! Complement deficiencies None - I Phagocytic function Live bacterial vaccines - HNIAIDS OPV, vaccinia, BCG Malignancy, transplantation, immunosuppressive or radiation Live bacterial and viral, based on immune status ; ,1; \ MMR, varicella if not severely immunocompromised - Definition of abbreviations: BCG, Bacille Calmette-Guerin; MMR, mumps, measles and rubella; OPV, oral polio vaccine.