Peds Final Exam
Pediatric Rehabilitation Final Exam
Test your knowledge on pediatric rehabilitation with our comprehensive quiz! This quiz covers various conditions, treatments, and assessments related to pediatrics, ensuring you have a well-rounded understanding of the subject.
Prepare yourself for:
- 30 thought-provoking questions
- A range of topics including Cerebral Palsy, Spina Bifida, and Muscular Dystrophy
- Opportunities for growth in your professional knowledge
Which of the following is FALSE about CP?
It is a disorder of movement and posture
It is a progressive disease that is seen in childhood
It results in abnormal muscle tone
There is no known cause for CP
Which diagnostic tool would you NOT use before 5 months of corrected age for a child with CP?
MRI
General Movement Assessment
Hammersmith Infant Neurological Exam
Developmental Assessment of Young Children
Lack of fidgety movements around this age = suspicion of CP
3 months
6 months
12 months
24 months
Which CP type is matched correctly to its region of damage?
Spastic - Cerebellum
Ataxic - Cortex
Dyskinetic - Cortex
Dyskinetic - Basal Ganglia
You are told that you are evaluating a 10 year old diagnosed with spastic CP resulting in hemiplegia. She has not been evaluated in 4 years. In her chart, you see that her GMFCS Level when she was 12 months old was rated as a II, but when revaluated at 24 months, she was rated a III. Most likely, what is her CURRENT GMFCS level?
I
II
III
IV
V
A child who is able to walk up and down stair independently with the use of a railing would be classified as a ..
GMFCS Level I
GMFCS Level II
GMFCS Level III
GMFCS Level IV
All of the following have been shown to aid in contracture prevention for children with CP except:
Orthotics
Serial Casting
Botox
Manual Passive Stretching
What movements at the hip increase the risk for subluxation/dislocation in children with CP?
Hip Flexion, Adduction, Internal Rotation
Hip extension, Adduction, Internal Rotation
Hip Flexion, Abduction, External Rotation
Hip Extension, ABduction, Internal Rotation
True or False: Bracing is the gold standard treatment for neuromuscular scoliosis
True
False
All green light (effective) motor interventions include:
Task specific Interventions
Active, self initiated movements
Low Intensity Exercises
Address the goals of the child
This type of spina bifida (SB) is described as: Meninges and sac of CSF protrude through defect in vertebra; spinal cord remains intact and within spinal canal; no paralysis occurs
SB occulta
SB with meningocele
SB with myelomeningocele
SB with myeloschisis
This condition results in breathing changes, difficulty swallowing, and UE weakness
Hydrocephalus
Chiari II Malformation
Shunt Malfunction
Tethered Cord Syndrome
A kid who walks only in therapeutic settings would be known as a...
Household ambulator
Community Ambulator
Nonfunctional ambulator
Nonambulatory
You would expect a child with SB at L1-L2 to have motor function in all of the following except:
Hip Flexors
Hip Abductors
Abdominals
Quadratus Lumborum
You are seeing a 2 year old diagnosed with SB at the thoracic level. Which would be the most effective therapy intervention?
Gait training with posterior walker so that the child can ambulate short distances at school
Self-propelling in a modified wheelchair or bumbo seat to practice wheelchair use for the future
SLS to strengthen the hip abductors
Standing on foam to increase use of ankle strategies
You are treating a 14 year old boy with a primary dx of SB at the level of L3. He is functional and wants to be as independent as possible as a teenager. Which assistive device would be BEST for his diagnosis AND goals?
Wheelchair
Posterior Walker
Gait Trainer
Forearm Crutches
Which LE contractures are seen among almost all levels of SB?
Hip flexion and abduction
Hip and knee flexion
Knee flexion and Ankle PF
Hip abduction and Ankle PF
You have been seeing a child dxed with SB routinely for about 3 months. He comes in one Thursday and seems more clumsy than usual, keeps closing his eyes, and you are having a hard time understanding what he is saying. What is your plan of action?
Immediately refer to PCP or neurosurgeon
Refer to PCP or neurosurgeon when convenient
Ask the child's caregiver when the child last had a meal
Allow the child to rest for 10 minutes and monitor changes
Based on the description and your answer to the question above, you suspect the child is experiencing...
Hydrocephalus
Shunt Malfunction
Tethered Cord Syndrome
Side effects of medication
You are treating a child with Down Syndrome who had just started to sit independently at 8 months old. What are you educating the families about?
You tell the family that their child is right on track with his normal developing peers
You warn the family that their child is behind but should catch up to his peers by 24 months
You inform the family that although the milestone is late, they should expect that all milestones will come later for their child, but that he will still live a functional life
You inform the family that their child may never walk because of this delay
You are planning a fun therapeutic session for a 5 year old with Down Syndrome. Which of the following activities should you avoid?
Stomping on tubes of paint to see how far the child can squirt it onto the paper
Repeated sit-to-stands while playing beanbag toss
Quadruped reaching activities
Somersaults on a padded mat
Which of the following is true in regards to Muscular Dystrophy?
Weakness is worse proximally > distally and asymmetrical
Weakness is worse proximally > distally and symmetrical
Weakness is worse distally > proximally and asymmetrical
Weakness is worse distally > proximally and symmetrical
What statement is true in regards to muscular dystrophy?
There are no lab tests that will confirm this diagnosis
It is Y linked
Symptoms typically appear after age 5
It is a progressive disorder
When providing therapy services for a child in the late ambulatory phase of MD, we want to do all of the following except...
Engage in sub-maximal, low-to-no impact activities
Engage is light eccentric exercises
Avoid resistive muscle strengthening
Avoid fatigue
You have been asked to evaluate a child who is known for acting out in class, tends to appear clumsy, and has trouble following directions when shown how to complete a task. Upon completion of your initial evaluation, the child has normal strength and ROM measurements. What is most likely their dx?
Developmental Coordination Disorder
Cerebral Palsy
Spinda Bifida - Sacral Level
Autism
You are talking to a mother who has a child that was recently diagnosed with DCD. She tells you that he enjoys being active, but is embarrassed when playing with other kids and so he often stays inside and watches tv. What might you recommend?
Tell the mother that sometimes children just aren't athletic and watching the TV is fine
Inform the mother that she should force her child to interact with other children anyway for the sake of his social health
Inform the mother that she may want to sign him up for an individual sport that contains a lot of repetition and balance to allow him to be active and improve his skills
Recommend outpatient PT 5x a week for a year
You are a new PT on your first day at a pediatric center. You are told that your first child of the day is coming to therapy for poor coordination and has a diagnosis of autism. Which of the following is the BEST approach to therapy?
Bring in a lot of toys so that the child is less likely to throw a tantrum
Keep your directions direct and straightfoward
Do not reinforce good performance as the child should already know how to do the task
Change up the session next week so the child never knows what to expect
Fasciculations of the tongue and figures are signs of which pediatric disorder?
Spina Bifida
DMD
DCD
Spinal Muscular Atrophy
You are evaluating a child with poor head and trunk control who is at high risk for hip and knee flexion contractures. Which stander would be most appropriate for this kiddo?
Supine
Prone
Sit to Stand
NA
Which child would benefit most from a gait trainer?
A child over 1 year old with good head, trunk, and LE control who has trouble ambulating long distances without fatigue
A child with challenges with trunk control but overall good head control
A child with poor head and trunk control who needs to ambulate to get adequate WBing through their extremities
A child with SB at the sacral level
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