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Pediatrics Final Review Flashcards | StudBud
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Pediatrics Final Review
Pediatrics Final Review
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1
A child requires the help from another person in order to start a task, but can continue independently once started
Inhibition
Initiation
Emotional control
Shift
2
Acceptable reimbursement method when providing contractual services in the school system
Private health insurance
School OT services are not reimbursable for contractors
Medicaid
Medicare
3
Child with CP demonstrates fluctuations from high to low tone and jerky movements
Spastic
Dystonia
Choreathetosis
Atheosis
4
Working with a child who has difficulty understanding the OTA's instructions..the best approach for the OTA would be
Repeat the instructions slowly and as many times as needed
Change the activity- It's not appropriate b/c they can't follow directions
Use visual sequence cards to indicate the different steps
Do not give verbal instructions. Give instructions in writing
5
Which activity would be work with a client who has shoulder co-contraction and poor endurance?
Spinning in a net
Walking like a penguin
Swinging on a swing
Wheelbarrow walking
6
Disorder of sensory processing resulting in maladaptive responses and difficulty successfully engaging in ADL.
Sensory Integration Disorder
Developmental Disorder
Postural-Ocular Dysfunction
Developmental Dyspraxia
7
Child demonstrates slow, involuntary, convoluted, writhing movements
Dystonia
Choreathetosis
Spastic
Atheosis
8
Name this grasp
Inferior pincer
Radial Palmer
Radial digital
Pincer
9
A mental and/or physical disability that arises before adulthood and lasts through one's life.
Postural-Ocular Dysfunction
Developmental Dyspraxia
Developmental Disorder
Sensory Integration Disorder
10
Name this grasp
Radial Palmer
Pincer
Inferior pincer
Radial digital
11
According to Kielhofner, what is the MOST effective way to target childhood depression
Performance - encourage child to not be alone
Habits - engage the child to start new habits
Environment - change the environment so the child won't get depressed
Volition - engage child in positive activities that will sustatin over time
12
A child starts to stress by being irritable and emotional about anticipating or being away from home or loved ones
Obsessive compulsive disorder
Generalized anxiety disorder
Seperation anxiety
Normal reactions
13
Client complains about accessibility into therapy building.. the COTA should
Involve the group members in a stress management group.
Incorporate advocacy skill training into the group format.
Bring a lawsuit against the facility for ADA violations.
Consult with the OTR to assess the facility for ADA compliance
14
Stage of oral-motor pattern that OTA should work on if child can't semi-circular jaw movements, tongue lateralization
Munching
Mature rotary chew
Vertical lateral chewing
Sucking
15
Tx technique to facilitate lip closure, swallowing, and positioning, to foster the development of feeding skills
Thumb on cheek, index finger above the lip, middle finger under the chin
Hand on the left side of the mouth to assist with lip closure.
Thumb on cheek, 2nd on upper lip, 3rd on lower lip, 4th under chin
Verbal cues to close mouth
16
If you were to build up a handle to use during a cooking activity for a client who has CP
Occupation
Adapting the activity
Activity analysis
Grading the activity
17
Abnormal primitive reflex not integrated by 6 months is _____, which may be inhibited by ______
ATNR, maintaining head in midline position
Protective extension, position in fetal position
Equilibrium, rolling in flexion
Righting reactions, prone extension
18
Name this grasp
Raking
Radial Palmer
Palmer
Radial digital
19
The most mature pencil grip is
Radial digital grasp
Dynamic tripod
Static tripod
Palmer grasp
20
Learning disbility in reading
Dyscalculia
Dyslexia
Dyspraxia
Dygraphia
21
Learning disbility in arithmetical skills
Dyscalculia
Dyslexia
Dygraphia
Dyspraxia
22
Visual perceptual skill that allows you to make a basket
Tracking
Figure ground
Depth perception
Stereognosis
23
Neurologic disorder of motor coordination manifested by difficulty thinking/planning out & executing planned movements
Postural-Ocular Dysfunction
Developmental Dyspraxia
Sensory Integration Disorder
Developmental Disorder
24
W-sitting position is used
is when a child is using compensatory techniques for mobility
is when a child is using compensatory techniques for stability
with normally developing children
is when a child is using compensatory techniques for flexability
25
Services under the federal law IDEA-R, schools have to provide OT for kids to benefit from the educational program.
due process services
related services
no child left behind services
least restrictive environment (LRE)
26
Regarding social participation in adolecents which is not important to them?
Parents
Sense of belonging
Friends
Acceptance
27
When working with a client who gets fatigued easily when working against gravity - BEST positioning would be
Supine stander
Long sitting on the floor
Prone on bolster
Seated at a table
28
Client cannot receive in-person pediatric OT services. So the OTA uses _____ telehealth services
synchronous
mhealth
teleconsultation
asynchronous
29
The FOR that would be focused on goals that are to improve fine motor skills.
sensory integration
neurodevelopmental
biomechanical
motor control
30
If you have a client that suffers from major depressive disorder, which activity would be most beneficial to recommend?
Reading a book
Watching TV alone
Playing Solitaire
Playing a game with another client
31
Regarding social participation in adolecents which is not important to them?
False
True
32
A universal cuff is used for
Forearm stabilization
Allows grasping
33
Professional that helps safety regarding walkers, canes, and mobility devices during daily occupations
Rehabilitation technician
Physical therapist
Occupational therapist
Speech therapist
34
Learning disbility in arithmetical skills
Dygraphia
Dyscalculia
Dyspraxia
Dyslexia
35
Name this grasp
Palmer
Radial digital
Raking
Radial Palmer
36
Mental health disorder in which the child or adolescent with attention difficulty, ddistractibility, and impulsivity
Conduct disorder
Attention deficit disorder
Oppositional defiant disorder
Major depressive disorder
37
A parent does not like their child doing finger paints... What is your BEST response to the parent?
Continue the activity because it will help meet the child's goal
Prive the activity as a home program
Modify the activity and collaborate with the parent
Immediately stop the activity and never bring ti up again
38
Regarding social participation in adolecents- they avoid cliques and enjoy solitary activities.
False
True
39
Best evidence to inform pediatric practice in an early intervention center
A qualitative study
Randomized control study
AOTA’s Practice Guidelines for Early Childhood
A cohort study
40
Visual perceptual skill that allows you to distinguish objects through touch
Stereognosis
Tracking
Depth perception
Figure ground
41
Using open-ended with a client who has ADHD would be a good idea.
False
True
42
Which activity is MOST suitable for a 3 y/o boy or girl client
Cooking
A 20-piece puzzle
Blowing bubbles
Playing with dolls
43
Client is in need of a re-evaluation for new goals. What part of the re-evaluation can be completed by an OTA?
Interpretation of findings
The Intervention Plan
Specific assessments
A chart review of progress
44
Technique of having the OTA perform the begining task in sequential order and the child finishes the last steps
Grading the activity
Forward Chaining
Backward Chaining
Adapting the activity
45
Difficulty with motor planning.
Constructional Praxis
Dyspraxia
Cognition
Sensory Integration
46
The mental process of the construction, use of knowledge, perception, memory, plus the use of symbolism and language
Constructional Praxis
Dyspraxia
Sensory Integration
Cognition
47
Which does th PDMS-2 not include
Reflexes
Sensory
Object Manipulation
Grasping
48
Child demonstrates muscle to contract involuntary causing repetitive or twisting movements
Spastic
Dystonia
Atheosis
Choreathetosis
49
All are signs or symptoms of autonomic dysreflexia EXCEPT
Sweating
High blood pressure
Low blood pressure
Chills
50
Which of the following would be a remeiation strategy that would help a child with motor planning deficits ride a bike
Supply the child with a stationary bike with no pedals
Let them try and figure it out for themselves
Use a strategy of simple directions, practice, and repetition
Talk to them and remind them how to ride a bike
51
Frame of reference that focuses on changing your thinking process can improve your function is
Behavioral
Skill acquisition
Sensory integration
Cognitive behavioral
52
When assessing a childs sitting posture look at the
Head, trunk, hands
Trunk, knees, feet
Head, hands, knees
Trunk, head, feet
53
The school system could potentially supply funding for a 10 year-old child for assistive technology.
True
False
54
If you were to add liquid to a batter for the client who has poor muscle endurance can mix easier... this would be
Grading the activity
Occupation
Activity analysis
Adapting the activity
55
Child's OT program should include
Problems identified in the OT evaluation only
Child and parents priorities
Child, parents, and therapist priorities
Child's priorities
56
Name this grasp
Radial digital
Radial Palmer
Palmer
Raking
57
A child continues to pick fights, set fires to public bathrooms, shoplifts gnomes, breaks rules, and skips school.
Oppositional defiant disorder
Attention deficit disorder
Conduct disorder
Major depressive disorder
58
A child is unable to overcome the urge to walk into a room and turn on and off the light 5 times
Generalized anxiety disorder
Obsessive compulsive disorder
Normal reactions
Seperation anxiety
59
The most immature grasp is
Palmer grasp
Dynamic tripod
Pincer grasp
Radial digital grasp
60
After achievement of inferior scissor grasp to pick up small objects. The NEXT developmental fine motor skill would be
Finger to palm translation
Radial Digital grasp
Superior pincer grasp
Dynamic tripod grasp
61
Visual perceptual skill that allows you to distinguish images into figure, or object, and ground, or background
Stereognosis
Tracking
Figure ground
Depth perception
62
Intervention strategy that would not be suitable for a child with conduct disorder
Assist the child in channeling energy into appropriate activities
Have the child create the rules of the activities
Clearly define acceptable behaviors
Reinforce appropriate behaviors
63
Frame of reference that focuses on the interaction of sensory systems
Behavioral
Skill acquisition
Sensory integration
Cognitive behavioral
64
Regarding social participation in adolecents- value parents and authority figures more than peers.
False
True
65
A rehab tech wants to be proactive in a PPEC and transfers a pediatric client from their room to the OT gym.. you
Inform them that they are unable to transfer a patient
Go directly to the tech’s supervisor reporting the incident
Let them help
Tell the tech that it is illegal, and report it
66
Technique of having the child perform the begining task in sequential order and the OTA finishes the last steps
Backward Chaining
Adapting the activity
Grading the activity
Forward Chaining
67
The next step for a child to increase postural reactions from sitting independently would be...
Sitting on a scooter while being pulled
Sitting on a ball maintaining balance
Sitting on floor and reaching for an object
Sitting with therapist providing pelvic support
68
Child demonstrates movements where the muscles remain contracted (tightened) and resist being stretched
Atheosis
Choreathetosis
Spastic
Dystonia