Which of the following is NOT an appropriate intervention for DMD during the early school age years?

romainan deadlifts for hamstring strength

A child comes in with hip pain + a limp & u find limited abduction and IR. What do you suspect?

slipped capital femoral epiphyses

What is APGAR testing?

cardiopulmonary function at birth

What is the second most common fracture in children 5-10years old?

supracondylar fracture of the humerus

What musculature is important to strengthen with rotator cuff impingement syndrome?

scapular musculature, external rotators, abdominals, shoulder abductors

What conditions is an abnormal vojta response linked to?

athetoid cerebral palsy, spastic cerebral palsy

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Pediatrics Exam 1

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Questions 92

Answers

1
Majority of infantile idiopathic scoliosis cases resolve spontaneously
False
True
2
which of the following is NOT a risk factor for Congenital Muscular Torticollis?
small mother birthing twins
sleeping in prone
car seat positioning
large breech boys
3
The goal of orthotics for scoliosis is to correct the curve
False
True
4
With left CMT, the right ear is more likely displaced anteriorly from DP
False
True
5
What is the the most common form of scoliosis?
infantile idiopathic
adolescent idiopathic
congenital scoliosis
juvenile idiopathic
6
Which of the following is NOT an appropriate intervention for DMD during the early school age years?
swimming
standing and walking 2-3hrs/day
abdominal isometrics
romainan deadlifts for hamstring strength
7
DMD is progressive with death occurring in the late teens to early twenties
False
True
8
a kid with DMD has developed Trendelenburg gait, clumsiness, & learning disorders. What age does this normally occur?
11 to 13 years old
5 years old
8 to 10 years old
6 to 8 years old
9
which of the following is NOT a possible etiology of Clubfoot?
boney malformations
restriction in utero
genetics
fetal alcohol syndrome
10
Which of the following is NOT true of non-structural scoliosis?
no rotation with lateral bend toward apex
it's progressive
they need to be monitored
not visible with Adam's forward bend test
can be caused by LLD
fully correctable
11
You can decrease ACL reinjury rate by 50% if you rehabilitate and wait how many months post reconstruction?
9 months
12 months
6 months
10 months
12
What type of Clubfoot brace has the least amount of noncompliance?
Dennis-Browne Bar
Dougs Bar
Dobbs Bar
Ponsetti AFO
13
A child comes in with hip pain + a limp & u find limited abduction and IR. What do you suspect?
leg length discrepancy
severs disease
slipped capital femoral epiphyses
osteochondritis dissecans
14
It is normal to have a small amount of strabismus at birth
True
False
15
A child with osteogenesis imperfecta is short due to femoral head fx at 2mo and has bowed legs. What type is it?
OI Tardis Gravis
OI Tarda Levis
OI congenital
16
JIA may lead to scoliosis due to leg length discrepancies
False
True
17
AFOs are a good treatment option to help gait for DMD patients during the early school ages
False
True
18
What is APGAR testing?
cardiopulmonary function at birth
integumentary integrity at birth
GI function at birth
musculoskeletal integrity at birth
19
What type of JIA has the best prognosis?
poly
rheumatoid
Oligo
systemic
20
When do DMD symptoms typically present?
8-10 years
at birth
1-2 years
3-5 years
21
What is the normal distance for convergence to occur?
6 inches
3 inches
22
Congenital and infantile scoliosis are synonymous
False
True
23
What is the most common type of juvenile idiopathic arthritis?
polyarthritis
oligoarthritis
systemic arthritis
psoriatic arthritis
24
What is the second most common fracture in children 5-10years old?
supracondylar fracture of the humerus
proximal growth plate of the humerus
FOOSH
pinky finger
25
Which type of CMT is the LEAST severe?
muscular CMT
CMT caused by the child missing the SCM on one side
SCM mass CMT
Postural CMT
26
How much tibial torsion is normal at birth?
4-6 deg external
5-10 deg external
4-6 deg internal
5-10 deg internal
27
children who don't have fidgety movements are very likely to have neurological abnormalities
False
True
28
Which of the following tests can you do for DDH starting at 3 months of age?
Barlow sign
X-rays
Galeazzi
Ortolani sign
29
When can children with AKA's advance to having a prosthetic knee?
adulthood
toddler
preschool
adolescence
30
adults are more likely to get fractures than children
False
True
31
Which of the following standardized tests divides CP into 5 levels?
WeeFIM
GMFCS
BOT-2
PEDI
32
Which of the following is NOT a good treatment/modification for infants with OI?
aquatics
diapering modifications
loose clothing
baby walkers
33
A 4 year old patient needs motor, language, and social screening. Which of the following tests is appropriate?
general movement segment
test infant motor performance
alberta infant motor scale
Denver II: Standardized screen
34
Which of the following is NOT true of Impetigo?
can return to school after 72hrs of antibiotics
it's a viral infection
typically around the nose and mouth
scratching the rash can cause it to spread
35
which of the following is NOT a risk factor for ACL injuries?
being male
excessive pronation navicular drop
strength
landing posture
recurvatum
type of notch
36
What Risser level(s) warrant more aggressive treatment?
4-5
1-2
3-4
2-3
37
How much milk can babies 8-12 months have a day?
2-5 cups
3-4 cups
as much as they want
4-6 cups
38
Which of the following is NOT true of Polyarthritis?
it is symmetrical
patients have a low-grade fever
inflammation in the joints is warm
affects the hips, small joints, C-spine, and TMJ
iridocyclitis is prevalent in 19% of patients
it affects 4 or less joints
39
Which of the following is NOT a way to test the vestibular system for neonates?
oculocephalic reflex
post rotary nystagmus test
40
When is it normal for an infant's elbow to brought across midline?
12 months
6 months
9 months
8 months
41
AVN of the femoral head in children ages 3-12 is also known as...
Legg-Calve Perthes Disease
Kohler Syndrome
slipped capital femoral epiphyses
septic arthritis
42
How much should you rest with OCD?
2-4 weeks
2-4 months
6-12 months
3-6 months
43
Which phase in Ponseti casting involves casting, mobilization, and possible surgery?
corrected phase
maintenance phase
44
How much lateral cervical flexion is normal for babies?
70*
45*
30*
60*
45
What pathology is an abnormal suspension linked to?
Legg-Calvé-Perthes
hip dysplasia
scoliosis
spastic cerebral palsy
46
Which of the following is NOT a common condition in infants?
metatarsus adductus
developmental dysplasia of the hip
clubfoot
metatarsus varus
47
What musculature is important to strengthen with rotator cuff impingement syndrome?
scapular musculature
external rotators
abdominals
shoulder adductors
Internal rotators
shoulder abductors
48
What kind of abnormal GMA is this?
poor repertoire writing
cramped synchronized writhing
abnormal fidgety
chaotic writhing
49
Sarcoma of the bone is the most common reason for acquired amputations for children
True
False
50
What conditions is an abnormal vojta response linked to?
athetoid cerebral palsy
spastic cerebral palsy
DR
ataxic cerebral palsy
51
When is the vestibular system at peak sensitivity?
6-12 months
2 and 1/2 years
puberty
birth - 6 months
52
Where might this child experience flattening of his skull due to CMT?
R frontal
R occiput
L occiput
L frontal
53
which of the following is NOT true of little league elbow?
may turn into OCD
limited extension and supination
lateral elbow pain
may have catching or locking
54
Which of the following are NOT standardized tests for CMT?
TIMP
SIMP
AIMS
55
What is the most common cause of LBP in adolescents?
functional instability
spondylolysis/spondylolysthesis
ZAJ dysfunction
osteoarthritis
56
At what ages can you do the TIMP?
birth - adults
34 PMA - 4 months
35 PMA - 6 months
birth - 5 years
57
What is NOT part of the "big 5" items in standardized testing?
cardiovascular endurance
adaptive skills
motor/physical skill
cognition
social-emotional and behavioral functioning
communication
58
which of the following is NOT appropriate treatment for a lumbar spinal injury in adolescents?
stretch hamstrings
continue sports while attending PT
avoid lumbar extension
abdominal strengthening
59
U ask a parent about nutrition, & they say their 13 mo eats cereal, fruit, and has formula for dinner. What's wrong?
they should be eating steak and potatoes by now. COME ON
they should stop formula feeding by 12 months
they should stop eating cereal by 7 months
they shouldn't eat cereal until 15 months
60
What direction is the torticollis?
left
right
61
Which of the following is NOT true of arthrogryposis multiplex congenita
it is a clinical diagnosis by exclusion
children have a lower IQ
it's non-progressive
characterized by contractures in 2+ joints, muscle weakness, and fibrosis
62
Which standardized test is done by video or observations?
TIMP
AIMS
Denver II
GMA
63
A child has cross country practice in the next 2 hrs which consists of a 3 mile run. How much h2o should they drink now?
13-16 oz
10 oz
3-9 oz
1500-2000 mL
64
When do patients with Becker muscular dystrophy typically stop walking
18yo
27yo
12yo
42 yo
65
Children that get rods placed in their legs for OI treatment should WB immediately after surgery
False
True
66
If you find an adult patient has a rearfoot varus of 16 degrees, how much should you post?
10-12 degrees
2-3 degrees
5-6 degrees
15-16 degrees
67
What kind of curve is this?
Lumbar
4-C
Thoracolumbar
3-C
68
What skin condition allows return to school after antifungal treatments for 72 hrs?
conjunctivitis
impetigo
chicken pox
ringworm
69
What kind of congenital limb deficiency is the most common?
transverse
longitudinal
70
When should a child be able to communicate with two word combinations?
12 months
36 months
if they're cool, at birth
24 months
71
What is the typical pattern for myopathic scoliosis
3 curve, with the longest curve being in the cervical spine
long sweeping left thoracic/thoracolumbar curve
long sweeping right thoracic/thoracolumbar curve
3 curve, with the longest curve being a right curve in the thoracic spine
72
Hip dysplasia is more common than Clubfoot
True
False
73
When should you start care for CMT to ensure 100% chance of full resolution?
6 months or more
4 months or less
3 months or less
6 months or less
74
Which type of Spinal muscular atrophy has the latest onset?
Chronic Werdnig-Hoffman (type II)
Kugelberg-Welander (type III)
Acute Werdnig-Hoffman (type I)
they all onset within the first year of life
75
How common is it for Torticollis and Plagiocephaly coexist?
80%
50%
60%
90%
76
calcaneovalgus corrects itself without treatment
False
True
77
"autosomal dominant, non-deforming, slight decrease in stature" describes what type of OI on the sillence system?
type 1
type 2
type 4
type 3
78
A 12 degree Cobb angle is considered scoliosis
True
False
79
How would you name this curve?
Right thoracic curve
left thoracic curve
80
How should you adjust a Pelvic Harness to correct DDH? (2 correct)
20-35 * adduction
45-60* hip flexion
45-60* abduction
90-120* hip flexion
81
What is the rate of reoccurrence of Clubfoot?
1-5%
10-50%
25-75%
5-15%
82
Which of the following curve angles are too large to have corrective surgery?
40*
25*
60*
30*
83
When do the ASIS and AIIS close?
15yo
69yo
25yo
18yo
84
Which of the following movements have the highest predictive value for CP?
transient cramped synchrony
normal GM
consistent poor repertoire
consistent cramaped synchrony
85
Quick! when is the writhing period?
16 weeks - 22 weeks
36 PMA - 8weeks
86
What is the normal amount of genu valgum for adults?
2-5 degrees
7-8 degrees
20-30 degrees
10-15 degrees
87
Which special test is also known as the "sign of entry"
barlow
scarf sign
galeazzi
ortolani
88
trauma to the eye is the most common trauma to children below the age of 15
False
True
89
"speed of limb falling under gravity" describes what velocity in the modified tardieu scale?
V1
V4
V3
V2
90
A pt. is found to have 24 degrees of thoracic kyphosis and 50 degrees of lumbar lordosis. What is abnormal?
thoracic kyphosis is decreased
lumbar lordosis is decreased
lumbar lordosis is increased
thoracic kyphosis is increased
91
When testing vision on a 3 yo, u find not fully developed vertical saccades or horizontal pursuits. What is behind?
vertical saccades
both develop later
horizontal pursuits
92
Babies have 130-145 degrees of anteversion at birth
True
False

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