Myelodysplasia Summary Quiz

Myelodysplasia can occur when the caudal end of the neural tube of the primitive cord fails to close before:

28th week of gestation

29th week of gestation

30th day of gestation

31st day of gestation

You are treating a 3 year old child with an L4 myelomeningocele. Which muscles would be strong and lengthened due to the muscle innervation present? (strong option is listed first, lengthened option is listed second)

quadriceps, hip flexors

tibialis anterior, hip aductors

tibialis anterior, gastrocnemius

quadriceps, inverters

You are working at an outpatient pediatric clinic where you receive a script for evaluation and treatment of a child who presents with increased tone below L5, partial motor and sensory loss below L5 and normal ROM, tone and strength above L5. As you are completing your exam you notice that the child has change in speech, personality change, decreased or static grip strength and increased spasticity. What is this a sign of?

stroke

seizure

shunt dysfunction

anemia

True or False: Due to the inability for patients with myelomeningocele to contract the affected muscles, these patients are more prone to the development of osteoporosis

True

False

All of the following are requirements that a child needs to have in order to wear an orthotic device for standing and ambulation EXCEPT:

muscle strength of hip and knee flexors

plantigrade foot position

no presence of knee contracture

no presence of hip contracture

An 12 year old with L3 myelomeningocele is receiving physical therapy in school. Which of the following is an appropriate long term goal for this patient:

In 1 year the patient will be able to ambulate with KAFOs throughout 50 feet to the teachers desk independently in order to turn in their assignment

In 1 year the patient will be able to ambulate with KAFOs between the changes of classes with KAFOs in order to make it to class on time

In 1 year the patient will be able to direct caregivers on where to go in regards to propelling their wheelchair in order to establish effective communication between patient and caregiver so that the patient is on time with their school schedule

In 1 year the patient will be able to propel a manual wheelchair independently throughout the day in order to keep up with the pace of their class changes and friends

Check all the boxes that identify the type of myelodysplasia starting from left to right correctly: 1 (far left), 2 (middle), 3 (far right)