Question 1
Question
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.
Question 2
Question
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
Answer
-
5.5-8.5
-
>9.5
-
3.3-5.5
-
4.4-6.6
-
2.2-3.3
-
2.2-4.4
-
<2.2
-
1.1-2.2
-
6.6-9.5
Question 3
Question
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
Answer
-
>42
-
>52
-
37-42
-
<37
-
<28
-
42-52
-
35-42
-
30-37
-
<30
Question 4
Question
When positioning a pre-term infant, which of the following is the most correct?
Answer
-
Encourage flexion throughout body and adduction of extremities
-
Encourage flexion throughout body
-
Encourage adduction of extremities
-
Encourage extension throughout body and abduction of extremities
-
Encourage extension throughout body
-
Encourage abduction of extremities
Question 5
Question
Why is proper positioning of the pre-term neonate important?
Answer
-
Helps w/ self-regulation
-
Minimizes positional deformities
-
Helps minimize motor stress signs
-
Helps the neonate escape physiologic flexion
-
Keeps the infant from rolling off the table
-
Reduces intensity of lanugo
Question 6
Question
What do you need to do for a neonate with an Apgar score of 10?
Question 7
Question
What do you need to do for a neonate with an Apgar score of 1?
Question 8
Question
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)
Answer
-
Hyaline membrane disease
-
Meconium aspiration
-
IVH-intraventricular hemorrhage
-
Necrotizing enterocolitis (NEC)
-
Periventricular leukomalacia
Question 9
Question
[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
Answer
-
Hyaline membrane disease
-
Meconium aspiration
-
IVH-intraventricular hemorrhage
-
Necrotizing enterocolitis (NEC)
-
Periventricular leukomalacia
Question 10
Question
IVH – Intraventricular Hemorrhage
Grade [blank_start]1[blank_end] :: Not Bad
Grade [blank_start]4[blank_end] :: Worst
Question 11
Question
Which is the correct list of pre-term infant characteristics?
Answer
-
Delayed primitive reflexes, Global hypotonia, Low Birth Weight, Sensory overstimulation
-
Delayed primitive reflexes, Global hypertonia, Low Birth Weight, Sensory overstimulation
-
Delayed primitive reflexes, Global hypertonia, Low Birth Weight
-
Delayed primitive reflexes, Global hypotonia, Low Birth Weight
-
Global hypotonia, Low Birth Weight, Sensory overstimulation
-
Global hypertonia, Low Birth Weight, Sensory overstimulation
-
Delayed primitive reflexes, Low Birth Weight, Sensory overstimulation
-
Delayed primitive reflexes, Low Birth Weight, Lanugo
-
Low Birth Weight, Sensory overstimulation, Lanugo
-
Low Birth Weight
Question 12
Question
The single most important warning sign of child abuse is ___.
Answer
-
multiple injuries incurred at one time or at frequent intervals
-
a low SES of the family
-
the father's education level
-
a multi-generational familial history of child abuse
Question 13
Question
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.
Question 14
Question
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.
Answer
-
Box 1: High level of restriction Plus Warmth
-
Box 2: High level of restriction + Hostility
-
Box 3: Balance of limits/permission + Warmth
-
Box 4: Balance of limits/permission + Hostility
Question 15
Question
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.
Answer
-
Box 1: High level of restriction + Warmth
-
Box 2: High level of restriction + Hostility
-
Box 3: Balance of limits/permission + Warmth
-
Box 4: Balance of limits/permission + Hostility
Question 16
Question
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.
Answer
-
Box 1: High level of restriction + Warmth
-
Box 2: High level of restriction + Hostility
-
Box 3: Balance of limits/permission + Warmth
-
Box 4: Balance of limits/permission + Hostility
Question 17
Question
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.
Answer
-
Box 1: High level of restriction + Warmth
-
Box 2: High level of restriction + Hostility
-
Box 3: Balance of limits/permission + Warmth
-
Box 4: Balance of limits/permission + Hostility
Question 18
Question
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
Answer
-
Athetoid
-
Ataxic
-
Spastic Diplegia
-
Spastic Hemiplegia
-
Spastic Quadraplegia
Question 19
Question
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
Answer
-
Athetoid
-
Ataxic
-
Spastic Diplegia
-
Spastic Hemiplegia
-
Spastic Quadraplegia
Question 20
Question
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
Answer
-
Athetoid
-
Ataxic
-
Spastic Diplegia
-
Spastic Hemiplegia
-
Spastic Quadraplegia
Question 21
Question
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
Answer
-
Athetoid
-
Ataxic
-
Spastic Diplegia
-
Spastic Hemiplegia
-
Spastic Quadraplegia
Question 22
Question
Which type of CP is described with the following notes:
High-tone throughout extremities
Extension
Use one side more than the other
Answer
-
Athetoid
-
Ataxic
-
Spastic Diplegia
-
Spastic Hemiplegia
-
Spastic Quadraplegia
Question 23
Question
Which type of CP is characterized as
Increased mm tone that's velocity dependent (lesion in motor cortex or corticospinal pathway)
Answer
-
Spastic
-
Athetoid
-
Ataxic
-
Flaccid
Question 24
Question
Which type of CP is characterized as extreme fluctuations of mm tone from low to high. (damage to BG)
Answer
-
Spastic
-
Athetoid
-
Ataxic
-
Flaccid
Question 25
Question
Which type of CP is characterized as
dec mm tone w/ mild flux towards norm tone. (damage to cerebellum)
Answer
-
Spastic
-
Athetoid
-
Ataxic
-
Flaccid
Question 26
Question
Which type of CP is characterized as
severely dec tone. (diffuse injury in brain)
Answer
-
Spastic
-
Athetoid
-
Ataxic
-
Flaccid
Question 27
Question
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
Answer
-
Spastic
-
Athetoid
-
Ataxic
-
Flaccid
Question 28
Question
Which of the following describe Erb's Palsy?
Answer
-
Lesion at C5-C6
-
Waiter's Tip Position
-
Lesion at C7-T1
-
Claw Hand
Question 29
Question
Which of the following describe Klumpke's Palsy?
Answer
-
Lesion at C5-C6
-
Waiter's Tip
-
Lesion at C7-T1
-
Claw Hand
Question 30
Question
Select the symptoms of Clubfoot
Question 31
Question
Which of the following most accurately describes the proper treatment for Clubfoot?
Question 32
Question
Which joints are involved in clubfoot?
Answer
-
talocalcaneal
-
talonavicular
-
calcaneocuboid
-
tarsometatarsal
-
tibiotalar
Question 33
Question
[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
Answer
-
Barlow's
-
Ortolani’s
-
Wolrab's
-
Leilani's
-
Totoro's
Question 34
Question
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].
Answer
-
15%
-
10%
-
5%
-
25%
-
20%
-
neck lateral flexion
-
neck flexion
-
neck extension
-
neck rotation
-
neck flexion
-
neck extension
Question 35
Question
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)?
Question 36
Question
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?
Question 37
Question
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).
Question 38
Question
Which of the following are the TORCH-S infections?
Answer
-
Toxoplasmosis
-
Influenza
-
Varicella
-
Rubella
-
Cytomegalovirus
-
Herpes
-
Syphillis
-
HIV
-
Pertussis
-
Ricketts
Question 39
Question
Which of the following describe Ultrasound?
Answer
-
Can screen for Down Syndrome
-
Can confirm diagnosis of Spina Bifida
-
Standard procedure in all pregnancies
-
Performed at 9-11 wks gestation
-
Only used if there is an abnormal alpha-fetoprotein level
-
Performed at 14-18 wks gestation, results take an additional 2-3 wks
-
May cause spontaneous abortion
-
May test mom by mistake and provide false negative
-
Can be used for karyotyping and enzyme analysis to look for chromosomal or genetic disorders
Question 40
Question
Which of the following describe Chorionic Villi Sampling?
Answer
-
Performed at 9-11 wks gestation
-
May cause spontaneous abortion
-
May test mom by mistake and provide false negative
-
Can screen for Down Syndrome
-
Can confirm diagnosis of Spina Bifida
-
Standard procedure in all pregnancies
-
Performed at 14-18 wks gestation, results take an additional 2-3 wks
-
Only used if there is an abnormal alpha-fetoprotein level
-
Can be used for karyotyping and enzyme analysis to look for chromosomal or genetic disorders
Question 41
Question
Which of the following describe Amniocentesis?
Answer
-
May cause spontaneous abortion
-
Performed at 14-18 wks gestation, results take an additional 2-3 wks
-
Only used if there is an abnormal alpha-fetoprotein level
-
Performed at 9-11 wks gestation
-
May test mom by mistake and provide false negative
-
Standard procedure in all pregnancies
-
Can confirm diagnosis of Spina Bifida
-
Can screen for Down Syndrome
-
Can be used for karyotyping and enzyme analysis to look for chromosomal or genetic disorders