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Pediatrics · Development: developmental quotient
Sample itemAn 18-month-old child has a developmental age of 9 months in all domains on formal testing. What is the developmental quotient and what does it indicate?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. 50, indicating global developmental delay
Developmental quotient is developmental age divided by chronological age, multiplied by 100, so 9 divided by 18 gives 50. Delay in two or more domains is global developmental delay, and a DQ below 70 is considered significant. The child needs full evaluation for the cause.
Option by option
A. 50, indicating global developmental delay (correct)
Correct. DQ is 50 with delay across domains, so global delay.
B. 200, advanced development
A DQ of 200 would need a developmental age of 36 months.
C. 90, within normal limits
A DQ of 90 would need a developmental age of 16 months.
D. 75, borderline delay in one domain
The delay here is in all domains and the DQ is lower than 75.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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