CMSA Cert Dev Paed(SA) Practice Questions - CMSA Sub-specialty Certificate In Developmental Paediatrics Cert Dev Paed(SA) Exam

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At what age does the asymmetric tonic neck reflex (ATNR, or 'fencer's posture') normally disappear, and what is the clinical significance if it persists beyond 6 months of age?

Disappears at 18 months; persistence is associated with early walking Disappears at 12 months; persistence indicates isolated peripheral nerve injury Disappears at 4-6 months; persistence prevents rolling and signifies upper motor neuron dysfunction / cerebral palsy Disappears at 2 months; persistence indicates normal variation

Correct Answer:

Disappears at 4-6 months; persistence prevents rolling and signifies upper motor neuron dysfunction / cerebral palsy

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