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PEDS Unit 1 Exam
PEDS Unit 1 Exam
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1
At what score on the HINE assessment would CP be highly predicted?
Above 70
Above 60
Above 57
Below 40
2
See the image
Risk of cerebral palsy due ti prenatal complications
Hypertonia due to injury to the basal ganglia
Feeding difficulties related to muscular dystrophy
Sensory integration issues
3
This child’s GMFCS level is likely to be:
L2
L1
L4
L3`
4
A Craig’s test showing more than 10 degrees of tibial torsion suggests?
In-toeing
Knee Valgus
Out-toeing
Hip dysplasia
5
Which of the following would be an important intervention goal for this infant?
Reducing spasticity in the lower limbs
Increasing the force production in the extremities
Enhancing sensory integration
Improving postural control and trunk stability
6
Case 11
c
d
b
A
7
Which type of hemorrhage is associated with PVL?
IVH
Subdural hemorrhage
Subarachnoid hemorrhage
Epidural hemorrhage
8
What does the Staheli test assess in children with CP?
Tibial torsion
Femoral anti version
Hamstrings flexibility
Hip Flexor contracture
9
Which of the following tests measures spasticity in the Rectus Femoris?
Silfverskiold Test
Staheli test
Craig’s Test
Duncan Ely Test
10
CASE 12: If the infant’s TIMP-2 results show poor postural control, what would be an appropriate intervention?
sensory integration techniques
Gross motor skill training
strength training
Postural control exercises
11
Which trimester is most associated with brain pathology leading to CP?
First Trimester
Second trimester
Postnatal
Third Trimester
12
Spasticity is defined as a velocity-dependent increase in which reflex?
Babinski reflex
Withdrawal Reflex
Tonic stretch reflex
Golgi tendon reflex
13
What does the TIMP-2 assess in infants?
Cognitive development
Postural and selective motor control
Fine motor skills
Gross motor skills
14
Case 5: Given this child’s presentation, what would be the most appropriate motor control intervention strategy?
A
B
C
D
15
Which standardize test has high predictive validity for CP when used at 3 months of age?
HINE
TUG
GMFM
PEDI
16
Case 12
D
A
B
C
17
Which prenatal condition is a risk factor for CP?
Meconium aspiration
Placental Abruption
Olygohydramnios
All of the above
18
Which level of GMFCS is associated with independent ambulation?
L4
L3
L2
L1
19
Which is a key feature of central hypotonia?
Increased muscle tone in the trunk
Disordered alpha-gamma coactivation
Hyperreflexia
Unilateral Weakness
20
Case 13
B
D
A
C
21
Case 8
A
B
D
C
22
Same Case, what standardized assessment would be most appropriate for screening motor control issues in this infant?
GMFM
HINE
GMA
TIMP-2
23
If the child demonstrates scissoring of the LE during gait, which orthopedic test could assess for hip contractures?
Craig's test
Duncan Ely Test
Staheli test
Silfverskiold Test
24
What age group is the GMFM test appropriate for?
12 months to 8 years
Birth to 1yr
10 to 21 years
5 months to 16 years
25
A lesion in which part of the brain is associated with spastic diplegia?
Corticospinal Tract
Cerebellum
Brainstem
Basal ganglia
26
What complication is characterized by the infant inhaling fecal matter during birth?
Meconium aspiration
Placental Abruption
Breech presentation
TORCH Infection
27
What is considered an excellent APGAR score for a newborn?
4-6
11-14
7-10
0-3
28
CASE 4
D
C
A
B
29
What is a typical feature of spastic quadriplegia
Ataxia
Involvement of all four limbs
Hemiparesis
Unilateral Spasticity
30
case 6: If an MRI is performed, which of the following would most likely be observed in the brain?
focal infarct in the middle cerebral artery
isolated cerebellar damage
Widespread cortical atrophy
PVL
31
case 6:
A
B
C
D
32
What is a key component of an infant/toddler history
Occupational Skills
Birth History
Puberty
School Perfomace
33
What is the most common type of cerebral palsy?
Spastic Hemiplegia
Athetoid
Spastic diplegia
Ataxic
34
Case 5
B
A
D
C
35
Case 3: School-Aged Child with CP
PEDI
PDMS-2
AIMS
GMFM
36
Case 7
B
D
C
A
37
Which pediatric balance test is used for children between 5-15 years old?
Pediatric Balance Scale
TUDS
AIMS
TUG
38
A 9-year-old child with CP shows signs of tibial torsion. Which special test would you use to assess this?
Craig's Test
Staheli test
Duncan Ely test
90/90 Hamstring test
39
case 11 What standardized TOOL could help measure the adolescent's ability to navigate school settings independently?
GMA
TUG
PEDI
GMFM
40
Which test is considered the gold standard for diagnosing CP in infants?
HINE
GMA
PDMS-S
AIMS
41
At what age should fidgety movements typically be observed in infants?
2-4 weeks
6-8 months
20-24 weeks
9-10 weeks
42
What is the primary concern in children with CP according to movement systems diagnosis?
Sensory deficits
Hyperreflexia
DYSARTHRIA
Force production deficit
43
The results of the Craig’s test show more than 15 degrees of tibial torsion. What is the next step?
Prescribe a stretching program for the hamstrings
Recommend PT to imrpove flexibility
initiate balance training program
Refer for ortho surgery
44
Case 10
C
B
A
D
45
What intervention would be most appropriate for improving this child’s functional mobility?
Strengthening the upper limbs
Task-specific training for fine motor skills
Gait training with a focus on balance
Postural control exercises in sitting
46
Which of the following tracts is primarily responsible for posture and balance?
Tectospinal
Rubrospinal
Vestibulospinal
Corticospinal
47
Read the case
B
D
C
A
48
Given the child's infant history of IVH, what area of the brain is most likely affected?
White matter near the ventricles
Corticospinal tract
Basal ganglia
Cerebellum
49
Which of the following tests assesses motor competence in children up to 6 years old?
AIMS
HINE
TIMP-2
PDMS- 2
50
What is the most effective intervention strategy to manage spasticity-related contractures in this child?
Strength training to increase muscle force
Sensory integration techniques
Treadmill training to promote ambulation
Stretching and passive range of motion exercises
