Peds Final Exam

A medical-themed illustration featuring children with various pediatric conditions, physiotherapy sessions in action, and healthcare professionals engaged in assessment and rehabilitation, bright and educational atmosphere

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

30 Questions8 MinutesCreated by HealingHeart521

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

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?

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

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

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

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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