Peds Exam 2
Pediatric Sensory Integration Quiz
Test your knowledge on pediatric sensory integration, development, and assessment through this comprehensive quiz designed for healthcare and education professionals. With 35 multiple-choice questions, you will delve into important concepts related to sensory processing and various developmental issues in children.
Key topics covered include:
- Sensory Integration Principles
- Developmental Delays
- Evaluation Strategies
- Pediatric Conditions
Sensory Integration...
Is the neurophysiological process of receiving and responding to input received from the environment
Is the process of taking in sensory stimuli
Is the body's ability to organize and use sensory input received from the environment through the CNS
Stops when we reach mature age
Which system is responsible for recognizing if we are hungry or thirsty?
Gustatory
Proprioceptive
Olfactory
Interoception
All of the following would fall under the sensory motor system except...
Postural adjustment
Reflex maturity
Motor planning
The awareness of each side of the body
Which of the following statements is true?
Sensory information provides foundation for memory and behavior
Sensory integration is a developmental process
Sensory integration promotes sensory processing
You are seeing a child in physical therapy who avoids swings, hates going down slides, and avoids running. This child is most likely...
Over-responsive to vestibular input
Under-responsive to vestibular input
Seeking vestibular input
Over-responsive to proprioceptive input
A child that has a threshold higher than normal would be considered
Sensory Over-Responsive
Sensory-Under Responsive
Sensory Seeking
Sensory Craving
All of the following might be considered risk factors for DDH except...
Breech Birth
A 12lb baby
Being male
Being swaddled with hips in extension
You are examining a patient and notice that their femur was short on their R LE. This is known as...
A R Galeazzi's sign
A L Galeazzi's sign
A L Ortalani's Sign
A R Ortalani's Sign
A baby who has a L Torticollis will be limited in...
R Lateral Flexion, L Rotation
R Lateral Flexion, R Rotation
L Lateral Flexion, R Rotation
L Lateral Flexion, L Rotation
You are examining an infant who holds her head tilted to the L side and has her head turned to the R. Upon a PROM assessment, you note that there is reduced flexibility of the neck. You determine that she most likely has
Postural CMT
Muscular CMT
SCM Mass CMT
There is no concern of CMT at this time
A baby who is diagnosed with torticollis that has not yet caused a developmental delay would most likely qualify for...
EI services to prevent the developmental delay that could be caused by the torticollis
School-based services
Outpatient services covered by medical insrance
What is the best position for a 4 month old baby who has torticollis?
Supine
Prone
Crawling
Sitting
When would we consider cranial remolding for a child with plagiocephaly?
1 month of age
4 months of age
7 months of age
We would never consider cranial remolding because it is not covered by insurance
True or false: Norm-referenced outcome measures help determine a child's eligibility for services
True
False
The timed floor to stand, timed up and down stairs, and pediatric balance scale are all examples of what time of test?
Norm-referenced outcome measures
Criterion-referenced outcome measures
Intra-patient outcome measures
Gait speed outcome measures
When a raw score is converted to a consistent/standardized scale, it is known as...
A raw score
A standard score
A percentile rank
A scaled score
You have a child that displays as follows: Gross Motor: 4th percentile, Fine Motor: 45th percentile, Language: 3rd percentile, cognitive: 80th percentile, and adaptive: 35th percentile. Does this child qualify for services?
Yes
No
You have a 5 year old boy that scored -1.3 from the SD in his gross motor skills and a +1.5 deviation from the mean in his cognitive skills. Does he qualify for pre-school services?
Yes
No
You are treating a 4 year old girl who you determine qualifies for preschool services. Her parents want to know what the purpose of these services is. Check off all of the applicable responses.
Prevent developmental delay
Develop age appropriate skills
Prevent inability to participate in future educational programs
Increase intelligence of the child
Prader-willi syndrome, CP, and fragile x syndrome all result in
Hypertonia
Hypotonia
No tone changes
Rigidity
You notice that when completing a pull to sit on a 1 month infant, a head lag is present. What would you might deduce at this time?
This infant is most likely hypertonic for his age
This infant is most likely hypotonic and should be referred to PT services
This infant is developing normally and there is no current reason for concern
This infant should be referred to a neurosurgeon
A posterior pelvic tilt, c-shaped spine, and ring sitting can all be associated with
Spastic sitting posture
Rigid Sitting posture
Hypotonic sitting posture
Normal sitting posture
Which of the following is true with regards to hypertonia?
It can occur with out without spasticity
It is resistance to movement dependent on velocity
It decreases the risk of contractures secondary to an increased range of motion
It is always severe
Abnormal and variable muscle tone is known more broadly as
Hypertonia
Hypotonia
Spasticity
Dystonia
When checking AROM/PROM on a 10 month old child, you notice that actively they lack 40 degrees of elbow extension, but you can get them to full extension passively. What would be your next step as a PT?
Stretch, Stretch, Stretch
Refer to an orthopedic surgeon, as the ROM is most likely a orthopedic problem (contracture)
Refer to a neurologist, as spasticity seems to be the cause of the issue
Nothing. Once they turn 1 year old, ROM should normalize.
Which of the following is NOT an indication for a rhizotomy?
Spastic diplegia or quadriplegia
15 months old
Some independent ambulation
Good cognition
ADD/ADHD, depression, anxiety, and pain catastrophization are all
Nervous system changes effects of pain experiences
Cognitive effects of pain experiences
Behavioral effects of pain exeperiences
Altered sensory perception of pain experiences.
Which of the following physiological response is paired correctly to pain?
Dec RR
Dec HR
Inc BP
Inc O2 Sat
This type of pain measure is the gold standard for children 6 years of age
Physiological responses to pain
Self-report measures
Behavioral responses to pain
Observational responses to pain
Behavioral measures are...
Used when children are able to self-report
A direct measure of pain
More reliable with acute/procedural pain
More reliable with chronic pain
This pain scale is valid in children 0-7 years of age
EVENDOL
FLACC
CRIES
NIPS ;)
Which scale is most appropriate for use as a post operative pain assessment in a hospital?
NIPS ;)
CRIES
EVENDOL
FLACC
This measure may be used reliably in children as young as 3 years old following an orthopedic surgery when their condition indicates yearly strength measures.
MMT
Handheld Dynamometry
Functional Strength Test
Isokinetic Dynamometry
Henry is an infant with L torticollis and no known neurological disorder. He does not demonstrate head righting when tilted to the left in vertical suspension. The PT deduces a weakness of the R lateral flexors of the C spine. What type of testing did the PT most likely use to determine said weakness?
MMT
Handheld Dynamometry
Functional Strength Testing
Isokinetic Dynamometry
Victoria is a 15 year old girl with CP who has completed a 2-week inpatient stay following a single-event multiple-level surgery. You suspect that she has acquired minor strength deficits while in acute care. Which method of strength testing would you use to compare her strength from Day 1 to Day 14?
MMT
Handheld Dynamometry
Functional Strength Testing
Isokinetic Dynamometry
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