Paediatrics
AKT High-Yield Breakdown
Paediatrics in the AKT rewards systematic thinking across developmental milestones, the UK immunisation schedule, safeguarding recognition, fever assessment using the NICE traffic light system, common childhood infections (especially distinguishing croup from epiglottitis), and neurodevelopmental conditions. Questions are often scenario-based, asking whether a clinical finding is normal or requires referral.
What You'll Learn
Master developmental milestones and red flags, the UK childhood immunisation schedule, safeguarding indicators and mandatory duties, the NICE NG143 fever traffic light system, croup versus epiglottitis, bronchiolitis, febrile convulsions, neonatal jaundice, ADHD and ASD recognition, and paediatric emergency management.
Practise Paediatrics MCQs
From developmental milestones and safeguarding to croup versus epiglottitis, neonatal jaundice, and the fever traffic light system — tackle focused MCQs across the full Paediatrics curriculum.
Developmental Milestones & Red Flags
Developmental milestone questions typically present an age and ask whether a described skill is expected, delayed, or absent. Learn the approximate ages at which 90% of children achieve each skill — not the earliest age.
Gross Motor
- 6 weeks: some head control in supported sitting; lifts head briefly in prone
- 3 months: holds head in midline; raises head and chest in prone
- 6 months: sits with support; rolls from front to back
- 9 months: sits unsupported; pulls to standing; crawls or bottom-shuffles
- 12 months: cruises along furniture; may stand alone briefly
- 18 months: walks independently without support; climbs stairs with hand held (2 feet per step)
- 2 years: runs; walks up and down stairs with hand held (2 feet per step)
- 3 years: pedals a tricycle; walks up stairs with alternating feet
- 4 years: hops on one foot; walks down stairs with alternating feet
- 5 years: skips; balances on one foot for more than 5 seconds
Fine Motor & Vision
- 6 weeks: fixes and follows a face through 45 degrees; fixes on a light or rattle
- 3 months: hands open at rest; follows through 180 degrees
- 6 months: palmar grasp; transfers objects between hands; rakes for objects
- 9 months: inferior pincer grasp (finger and thumb approach)
- 12 months: mature pincer grasp (tip of index finger to tip of thumb)
- 18 months: builds tower of 3–4 bricks; scribbles with crayon; casts objects
- 2 years: builds tower of 6–7 bricks; copies a vertical line; circular scribble
- 3 years: tower of 9 bricks; copies a circle; holds pencil in adult grip; draws a person with a head
- 4 years: copies a cross; draws a person with 4 body parts
- 5 years: copies a triangle; draws a person with 6 body parts; colours within lines
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