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A high-risk infant is any infant/newborn w/ high probability of developing sensory, motor, cognitive, language or social deficit (including behavioral problems) sometime in childhood.
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Normal [blank_start]5.5-8.5[blank_end] lbs
LBW [blank_start]3.3-5.5[blank_end] lbs
VLBW [blank_start]2.2-3.3[blank_end] lbs
ELBW [blank_start]<2.2[blank_end] lbs
Antworten
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5.5-8.5
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>9.5
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3.3-5.5
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4.4-6.6
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2.2-3.3
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2.2-4.4
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<2.2
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1.1-2.2
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6.6-9.5
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Post-Term [blank_start]>42[blank_end] weeks
Full-Term [blank_start]37-42[blank_end] weeks
Pre-Term [blank_start]<37[blank_end] weeks
Extremely Pre-Term [blank_start]<28[blank_end] weeks
Antworten
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>42
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>52
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37-42
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<37
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<28
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42-52
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35-42
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30-37
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<30
Frage 4
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When positioning a pre-term infant, which of the following is the most correct?
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Encourage flexion throughout body and adduction of extremities
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Encourage flexion throughout body
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Encourage adduction of extremities
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Encourage extension throughout body and abduction of extremities
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Encourage extension throughout body
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Encourage abduction of extremities
Frage 5
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Why is proper positioning of the pre-term neonate important?
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Helps w/ self-regulation
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Minimizes positional deformities
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Helps minimize motor stress signs
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Helps the neonate escape physiologic flexion
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Keeps the infant from rolling off the table
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Reduces intensity of lanugo
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What do you need to do for a neonate with an Apgar score of 10?
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What do you need to do for a neonate with an Apgar score of 1?
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What condition would you suspect if a neonate had the following symptoms?
Bluish tint to lips/gums/nail beds, increased respiration rates, increased effort of breathing (grunts, flaring of nostrils, retraction of abdomen and soft tissue between ribs)
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Hyaline membrane disease
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Meconium aspiration
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IVH-intraventricular hemorrhage
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Necrotizing enterocolitis (NEC)
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Periventricular leukomalacia
Frage 9
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[blank_start]Hyaline membrane disease[blank_end] :: Inadequate Surfactant
[blank_start]Meconium aspiration[blank_end] :: Bowel movement, Anoxic Event
[blank_start]IVH-intraventricular hemorrhage[blank_end] :: Mini-Stroke
[blank_start]Necrotizing enterocolitis (NEC)[blank_end] :: Intestines Start to Die
[blank_start]Periventricular leukomalacia[blank_end] :: Increased pressure in Ventricles
Antworten
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Hyaline membrane disease
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Meconium aspiration
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IVH-intraventricular hemorrhage
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Necrotizing enterocolitis (NEC)
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Periventricular leukomalacia
Frage 10
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IVH – Intraventricular Hemorrhage
Grade [blank_start]1[blank_end] :: Not Bad
Grade [blank_start]4[blank_end] :: Worst
Frage 11
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Which is the correct list of pre-term infant characteristics?
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Delayed primitive reflexes, Global hypotonia, Low Birth Weight, Sensory overstimulation
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Delayed primitive reflexes, Global hypertonia, Low Birth Weight, Sensory overstimulation
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Delayed primitive reflexes, Global hypertonia, Low Birth Weight
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Delayed primitive reflexes, Global hypotonia, Low Birth Weight
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Global hypotonia, Low Birth Weight, Sensory overstimulation
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Global hypertonia, Low Birth Weight, Sensory overstimulation
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Delayed primitive reflexes, Low Birth Weight, Sensory overstimulation
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Delayed primitive reflexes, Low Birth Weight, Lanugo
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Low Birth Weight, Sensory overstimulation, Lanugo
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Low Birth Weight
Frage 12
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The single most important warning sign of child abuse is ___.
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multiple injuries incurred at one time or at frequent intervals
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a low SES of the family
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the father's education level
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a multi-generational familial history of child abuse
Frage 13
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Parenting Styles:
[blank_start]Authoritative[blank_end] :: Children are constantly told what they cannot do (but not what they can do). Often grow-up to rebel against authority figures
[blank_start]Permissive[blank_end] :: Children never hear any rules. If someone tries to implement a rule, the child becomes upset and throws a temper tantrum.
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Which combination is likely to result in a child that tends to be submissive, dependent, neat. Knows consequences of breaking rules. Knows parents love them so tries to follow rules. “Nice kids to have around”. Tends to be compliant in therapy.
Antworten
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Box 1: High level of restriction Plus Warmth
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Box 2: High level of restriction + Hostility
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Box 3: Balance of limits/permission + Warmth
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Box 4: Balance of limits/permission + Hostility
Frage 15
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Which combination is likely to result in a child that is socially withdrawn, fear-ridden, shy, quarrelsome, self-aggressive emotionally. Some are very compliant to avoid trouble. Others may be quarrelsome around other adults because their rules don't govern their behavior.
Antworten
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Box 1: High level of restriction + Warmth
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Box 2: High level of restriction + Hostility
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Box 3: Balance of limits/permission + Warmth
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Box 4: Balance of limits/permission + Hostility
Frage 16
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Which combination is likely to result in a child that is socially outgoing, active, creative, independent. Knows what they are capable of but also aware of own limits. Tends to be leaders. Secure in own abilities.
Antworten
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Box 1: High level of restriction + Warmth
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Box 2: High level of restriction + Hostility
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Box 3: Balance of limits/permission + Warmth
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Box 4: Balance of limits/permission + Hostility
Frage 17
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Which combination is likely to result in a child that is aggressive, non-compliant, delinquent in behaviors. Not used to having any limits on behavior, no restrictions. Anything goes. Will push to edge of tolerance.
Antworten
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Box 1: High level of restriction + Warmth
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Box 2: High level of restriction + Hostility
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Box 3: Balance of limits/permission + Warmth
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Box 4: Balance of limits/permission + Hostility
Frage 18
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Which type of CP is described with the following notes:
Wide movements
Therapy Goal: Provide midline control
Put motorized WC controller close to patient’s midline
Lots of reflexes kick-in
Antworten
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Athetoid
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Ataxic
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Spastic Diplegia
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Spastic Hemiplegia
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Spastic Quadraplegia
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Which type of CP is described with the following notes:
i. Little movements
ii. Patients might fall through the cracks
iii. Hypotonic
iv. Wide base of support
v. Little tremor/wobble
Antworten
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Athetoid
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Ataxic
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Spastic Diplegia
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Spastic Hemiplegia
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Spastic Quadraplegia
Frage 20
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Which type of CP is described with the following notes:
i. Causes (PVH)
ii. Legs are more involved, but slight UE involvement may occur
iii. PT involved at a young age
iv. Probably OT, too, to address one of the hands
v. Lots of pre-term babies
Antworten
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Athetoid
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Ataxic
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Spastic Diplegia
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Spastic Hemiplegia
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Spastic Quadraplegia
Frage 21
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Which type of CP is described with the following notes:
Pediatric patients need an MRI early for quick diagnosis
Pre-term babies may appear to have this, but don’t really
Caused by Brain tumors or Metabolic issues
Antworten
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Athetoid
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Ataxic
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Spastic Diplegia
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Spastic Hemiplegia
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Spastic Quadraplegia
Frage 22
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Which type of CP is described with the following notes:
High-tone throughout extremities
Extension
Use one side more than the other
Antworten
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Athetoid
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Ataxic
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Spastic Diplegia
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Spastic Hemiplegia
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Spastic Quadraplegia
Frage 23
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Which type of CP is characterized as
Increased mm tone that's velocity dependent (lesion in motor cortex or corticospinal pathway)
Antworten
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Spastic
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Athetoid
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Ataxic
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Flaccid
Frage 24
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Which type of CP is characterized as extreme fluctuations of mm tone from low to high. (damage to BG)
Antworten
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Spastic
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Athetoid
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Ataxic
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Flaccid
Frage 25
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Which type of CP is characterized as
dec mm tone w/ mild flux towards norm tone. (damage to cerebellum)
Antworten
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Spastic
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Athetoid
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Ataxic
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Flaccid
Frage 26
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Which type of CP is characterized as
severely dec tone. (diffuse injury in brain)
Antworten
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Spastic
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Athetoid
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Ataxic
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Flaccid
Frage 27
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Lesion in Motor Cortex or Corticospinal Pathway :: [blank_start]Spastic[blank_end] CP
Damage to Basal Ganglia :: [blank_start]Athetoid[blank_end] CP
Damage to Cerebellum :: [blank_start]Ataxic[blank_end] CP
Diffuse Brain Injury :: [blank_start]Flaccid[blank_end] CP
Antworten
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Spastic
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Athetoid
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Ataxic
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Flaccid
Frage 28
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Which of the following describe Erb's Palsy?
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Lesion at C5-C6
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Waiter's Tip Position
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Lesion at C7-T1
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Claw Hand
Frage 29
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Which of the following describe Klumpke's Palsy?
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Lesion at C5-C6
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Waiter's Tip
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Lesion at C7-T1
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Claw Hand
Frage 30
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Select the symptoms of Clubfoot
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Which of the following most accurately describes the proper treatment for Clubfoot?
Frage 32
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Which joints are involved in clubfoot?
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talocalcaneal
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talonavicular
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calcaneocuboid
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tarsometatarsal
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tibiotalar
Frage 33
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[blank_start]Barlow's[blank_end] Test :: Determines if a hip is dislocatable
[blank_start]Ortolani’s[blank_end] Test :: Manually reduces a dislocated hip
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Barlow's
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Ortolani’s
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Wolrab's
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Leilani's
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Totoro's
Frage 34
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Congenital Muscular Torticollis causes a >[blank_start]15%[blank_end] difference between sides when measuring [blank_start]neck rotation[blank_end] and [blank_start]lateral neck flexion[blank_end].
Antworten
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15%
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10%
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5%
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25%
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20%
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neck lateral flexion
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neck flexion
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neck extension
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neck rotation
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neck flexion
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neck extension
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For a sex-linked genetic disorder, where the female is a carrier and the father is normal, what is the probability that a child will have the disorder (i.e. be affected)?
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For a sex-linked genetic disorder, where the female is a carrier and the father is normal, what is the probability that a child will be a carrier?
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For a sex-linked genetic disorder, where the female is a carrier and the father is normal, what is the probability that a child will be normal (i.e. not affected or carrier).
Frage 38
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Which of the following are the TORCH-S infections?
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Toxoplasmosis
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Influenza
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Varicella
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Rubella
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Cytomegalovirus
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Herpes
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Syphillis
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HIV
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Pertussis
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Ricketts
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Which of the following describe Ultrasound?
Antworten
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Can screen for Down Syndrome
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Can confirm diagnosis of Spina Bifida
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Standard procedure in all pregnancies
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Performed at 9-11 wks gestation
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Only used if there is an abnormal alpha-fetoprotein level
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Performed at 14-18 wks gestation, results take an additional 2-3 wks
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May cause spontaneous abortion
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May test mom by mistake and provide false negative
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Can be used for karyotyping and enzyme analysis to look for chromosomal or genetic disorders
Frage 40
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Which of the following describe Chorionic Villi Sampling?
Antworten
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Performed at 9-11 wks gestation
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May cause spontaneous abortion
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May test mom by mistake and provide false negative
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Can screen for Down Syndrome
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Can confirm diagnosis of Spina Bifida
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Standard procedure in all pregnancies
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Performed at 14-18 wks gestation, results take an additional 2-3 wks
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Only used if there is an abnormal alpha-fetoprotein level
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Can be used for karyotyping and enzyme analysis to look for chromosomal or genetic disorders
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Which of the following describe Amniocentesis?
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May cause spontaneous abortion
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Performed at 14-18 wks gestation, results take an additional 2-3 wks
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Only used if there is an abnormal alpha-fetoprotein level
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Performed at 9-11 wks gestation
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May test mom by mistake and provide false negative
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Standard procedure in all pregnancies
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Can confirm diagnosis of Spina Bifida
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Can screen for Down Syndrome
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Can be used for karyotyping and enzyme analysis to look for chromosomal or genetic disorders