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Management of the Pediatric Patient Final Exam Part 1 Flashcards | StudBud
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Management of the Pediatric Patient Final Exam Part 1
Management of the Pediatric Patient Final Exam Part 1
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1
When facilitating the symmetrical tonic neck reflex (STNR) and the head is flexed:
The legs will extend
The arms with extend
The legs will flex
The arms will flex
2
Children can typically sit independently STARTING at 9 months
True
False
3
Genu valgus is not typical in 3-4 year old children
False
True
4
Pediatric PT involves working with children and their families in natural settings like the home and school
True
False
5
Which of the following standardized tests should be selected for an 8 y/o with cerebral palsy in the school setting?
Gross Motor Functional Measure (GMFM)
Peabody Developmental Motor Scale-2 (PDMS-2)
School Functional Assessment (SFA)
Alberta Infant Motor Scale (AIMS)
6
Bones are most susceptible to deformities in the first year of life
True
False
7
Criterion referenced tests measure progress over time
True
False
8
No two children with myelomeningocele will present the same
True
False
9
Which of the following precedes fine (distal) control?
Open hand
Gross control
Ulnar grasp
Volitional grasp
10
Qualifications for Part C may vary from state to state, whereas Part B are federal and will not vary state to state
True
False
11
Primitive reflexes should integrate by 6 months of age, 1 year at the latest
False
True
12
The postural or righting reflexes can be brough on if:
A moderate COM disturbance is imposed
A slight COM disturbance is imposed; well within BOS
An extreme COM distrubance is imposed
Near the edge of the BOS
13
The AIMS, PDMS, TIMP, and Bayley are the most commonly used standardized tests for infants
False
True
14
Norm-referenced tests only give the practitioner a raw score
False
True
15
Which of the following describes IDEA Part B?
The documentation consists of IFSP
IDEA Part B is federally mandated
Age varies from birth to age 3
The intervention should be family-centered
16
Which of the following is not a mode of delivery in the educational setting?
Integrated
Collaborative
Indirect
Consultative
17
Stages of development happen linearly
True
False
18
At what age would the babinski reflex be inappropriate?
1 year
3 years
2 years
6 months
19
The #1 PT goal for adolescent with myelomeningocele is to maintain achieved level of activity
True
False
20
Primitive reflexes originate in the ______; as reflexes integrate this is the job of the _____
Lower portion of the CNS; upper portion of CNS
Lower portion of CNS; posterior horn
Upper portion of CNS; anterior horn
Upper portion of CNS; lower portion of CNS
21
Qualifications for early intervention, school-based and clinic based PT are all based on medical necessity
True
False
22
The main goal for physical therpay in the school environment is to assist the student in meeting educational goals
False
True
23
The Dynamical Systems Theory of motor development takes into consideration the brain function the body & the environment
False
True
24
Which of the following would you least expect for a newborn baby?
Starts to brings hands together
Lifting of the head in prone position
Able to keep head in midline in supine
Poor head control
25
The rooting reflex should dissapear by age:
2 months
3 months
1 year
6 months
26
Which of the following is not a cause of spina bifida and/or myelomeningiocele?
Genetics like chromosomal abnormalities
Inadequate amounts of folic acid
Traumatic labor and delivery
Excessive maternal alcohol or anticonvulsant intake
27
At 6 months, what major milestone should a child be completing?
Able to move in and out of sitting
Creeping
Sitting with good head control
Prone on elbows
28
At what age can you expect gait patterns to be fully mature?
Age 5
Age 3
Age 10
Age 7
29
It is not necessary to examine strength, ROM, or other functional skills in pediatric PT assessment
True
False
30
Grasping evolves from ulnar grasp to radial grasp
True
False
31
Intellectual disabilities are NOT typically coupled with neurological, musculoskeletal, and other impairments
False
True
32
The SFA measures participation and activity performacne but does not evaluate how much support a child needs at school
True
False
33
When is the standing/stepping reflex expected to integrate/dissapear?
6-7 months
2-4 months
5-6 months
1-2 months
34
This picture of the ____ reflex shows extension from arm & leg on the face side; flexion of arm & leg on occipital side
Asymmetrical tonic neck reflex (ATNR)
Galant reflex
Rooting reflex
Palmar grasp
35
The first stage of walking includes a wide base of support, adducted scapula, and center of mass in the lumbar spine
False
True
36
Which of the following describes the reflex pictured below?
Spinal galant reflex facilitates hip movement away from stimuli
Spinal galant reflex facilitates hip movement toward the stimuli
Plantar grasp reflex whcih plays a role in developing vestibular system
Moro reflex, causing an involuntary protective motor response
37
If the palmar grasp does not integrate by about 4-7 months, the child will likely have difficulty with:
Gross motor movements of the hand
Running/jumping
Grasping/gripping objects
Standing/walking
38
Spina bifida is the commonly used name for myelomingocele
False
True
39
Part C of IDEA involves developmentally based, family centered intervention for ages 0-3 y/o in natural environment
True
False
40
IEP goals are discipline based goals to help the student meet their educational needs
True
False
41
Development, caregiver perspective, and the ICF model are some of the guiding principles of pediatric PT
False
True
42
With of the following would you expect when testing the tonic labrynthine reflex (TLR) with the head flexed?
Legs only flexed
Arms only flexed
Arms and legs flexed and abducted
Arms and legs flexed and adducted
43
Which standardized test is described as an observational scale used from birth-18 months that identifies motor delays?
PEDI
BOT-III
AIMS
Bayley III
44
An INFANT in physical therapy examination on a child with myelomenigocele focuses on exploration and mobility
True
False
45
The PT examination on a toddler or preschooler with myelomingocele will include:
Light touch & position areas
Functional strength testing
ROM measurements
completion of standardized test
46
Most of the rapid brain growth happens AFTER the first year of life
False
True
47
You'd expect to see genu varus from 2.5-7 years and genu valgum from birth-18 months
True
False
48
Which of the follwing is true regarding the moro reflex?
Mainly concerened with the flexion and adduction of the UEs
This response can be elicited in premature babies
Three-part response: arms extend, baby brings arms back in, crying
Reponse is due to the distance of the drop
49
Which model is described as team members interacting for evaluation and developing intervention plan with co-treatment?
Interdisciplinary
Multidisciplinary
Transdisciplinary
Individual treatment
50
The ____ sign appears in 93% of spina bifida; small cerebellar hemipsheres curl anteriorly d/t downward displacement
Apple
Banana
Pear
Lemon
51
Which of the following would you least expect in a new walker?
Flat foot initial contact
Wide BOS, hips abd, ER
Hip and knee extension
Lumbar lordosis