Peds exam 3

Question 1

What age should children be sharing social smiles or warm joyful expressions directed at people with eye contact?

Accepted Answer

6 mos

Question 2

5y/o Audrey has tough time on moving pedal pull and easily gets nauseous. She has a fear of falling+avoids mvmt. Likely?

Accepted Answer

vestibular over-registration

Question 3

Pt with DCD comes to PT eval and parents ask about dosage of exercise and PT. What do you advise?

Accepted Answer

2-5x/week distributed bten PT and recreation

Question 4

Pt is diagnosed with SMA--> is 6 months old. into 2-year life expectancy. Which most likely not able to do @ this stage?

Accepted Answer

sit w/o support

Question 5

we treat proprioceptive over-registered children with linear and rotary movement

Accepted Answer

False

Question 6

5th grade child is having trouble spacing letters and words, he often falls, and can't imitate well. What's likely?

Accepted Answer

DCD

Question 7

which of these are signs that you will see in children with ASD at any age?

Accepted Answer

remains nonverbal or has delayed language development, intense rxns to sounds, smells, tastes, textures, lights, or colors, gets upset by minor changes in routine or surroundings, struggles with understanding other's feelings

Question 8

depression and anxiety accompany poor motor skills and executive function in DCD kids as they become adults

Accepted Answer

True

Question 9

which of these allows pt to spend time upright with neutral alignment

Accepted Answer

standers

Question 10

how does the foot look when a child has club foot?

Accepted Answer

foot adducted, hindfoot varus, ankle equinus

Question 11

Kid with DCD wants to play football, what do you recommend?

Accepted Answer

look over the rules for football

Question 12

what treatments for Harmony are best to decrease sensory behavioral manifestations for proprioceptive under-registration

Accepted Answer

crashing onto a mat, mat sandwich, tug of war

Question 13

which of these is a common compensation in the early stage of DMD?

Accepted Answer

increased lordosis

Question 14

Which of these is not associated with DCD?

Accepted Answer

ASD

Question 15

what kind of outcome measures are appropriate for children with DCD?

Accepted Answer

participation based outcome measures

Question 16

which of these is not included on the LMN

Accepted Answer

difference between UMN and LMN

Question 17

For children with DMD, night splints are okay to use

Accepted Answer

True

Question 18

which of these are appropriate interventions for type 2 SMA?

Accepted Answer

bracing, positioning, motorized w/c. developmental skills

Question 19

what treatments would you use on Reese for his vestibular under-registration to fill his "big cup"

Accepted Answer

dancing, go down slides, balance interventions, combination of physical and cognitive tasks

Question 20

what would be a good intervention for Audrey's vestibular over-registration?

Accepted Answer

address small changes in gravity, gently swing her

Question 21

12 yo boy presents to clinic with anterior knee pain at tib tubercle; pain w running, jumping, kneeling.Diff dx to limp?

Accepted Answer

osgood-schlatters

Question 22

you always want to rule out a neurological condition when suspect idiopathic toe walking

Accepted Answer

True

Question 23

Pt with idiopathic toe walking comes into clinic, which of these would be appropriate focuses in treatment?

Accepted Answer

PROM/AROM, functional activities- gait training, HEP, serial casting

Question 24

which of these are pros to continuing walking with a child who has DMD?

Accepted Answer

delays/minimizes osteoporosis, easier wt control

Question 25

rough play, trouble throwing, trouble steering bikes/pedaling, trouble sitting still; All signs at what age of DCD?

Accepted Answer

preschool

Question 26

3 yo pt is experiencing swelling in her knee accompanied by localized bone tenderness, with fever+chills. Diff dx limp?

Accepted Answer

osteomyelitis

Question 27

As PTs, we advise pts do not compensate for weakness in children with DMD

Accepted Answer

False

Question 28

which of these would be an activity limitation of child with DMD

Accepted Answer

ADLs, walking, getting up from the floor, breathing

Question 29

H$ is 7 and constantly bumping into others. She plays rough w Victor and toe walks. Often find her head banging to PTV.

Accepted Answer

proprioceptive under-registration

Question 30

Absence of dystrophin leading to progressive ms. weakness noted with gower's sign, scap winging,calf hypertrphy = what?

Accepted Answer

DMD

Question 31

3y/o CP pt w BL UE weakness + wants to explore environ't + participate in nature walks. What kind of mobility is needed?

Accepted Answer

power mobility

Question 32

which of these is not a common feature or presentation of DCD as a pre-teen or teen?

Accepted Answer

trouble asking for help

Question 33

which condition affects the anterior horn of spinal motor neuron that leads to cell apoptosis and leaves ms. weakness?

Accepted Answer

SMA

Question 34

what interventions might you do to fill Shane's big cup?

Accepted Answer

stick him at a sensory table, have him play with bubbles, tickle him

Question 35

which type of SMA are pts typically diagnosed from 1-10 y/o. These pts typically stand and walk and have full life exp.

Accepted Answer

type 3

Question 36

which of these are common secondary impairments that can be prevented/modifiable in DMD?

Accepted Answer

contractures, scoliosis, obesity

Question 37

what does the CPG on DCD note is best to use when examining motor performance?

Accepted Answer

Use ICF model, Refer pt if suspect DCD

Question 38

Child with DCD is experiencing difficulty with target tasks in the clinic. What intervention would be best?

Accepted Answer

throwing a ball in a basket- varying target distance after several success

Question 39

Reese has difficulty remaining seated, often climbs obj, but can't get down. He's attracted to spinning objs.+self-stims

Accepted Answer

vestibular under-registration

Question 40

If a child does not start babbling, use gestures to communicate, or respond their name by what age, they likely have ASD

Accepted Answer

12 mos

Question 41

Child with ASD in clinic, you use weighted vests, fidget toys, brushing, and graded exposure. What technique using?

Accepted Answer

sensory integration

Question 42

Child comes into clinic and avoids eye contact and prefers to play in a corner with legos. Often says "oh yeah". Likely?

Accepted Answer

ASD

Question 43

Breaking down activities into smaller parts in a predictable environment has been seen to work well for those with DCD

Accepted Answer

True

Question 44

which of these is not a strategy used to improve success when working with child with ASD?

Accepted Answer

light therapy

Question 45

DCD is more common in girls compared to boys

Accepted Answer

False

Question 46

what are good interventions for serenya who is tactile over-registered

Accepted Answer

swaddling, sensory brushing

Question 47

3 y/o Serenya hates being touched. She is a picky eater who hates cotton touching her skin. She avoids physical contact

Accepted Answer

tactile over-registration

Question 48

7 yo pt is experiencing bilateral pain in her shins, calves, thigh, and popliteal fossa. Diff dx for limping?

Accepted Answer

growing pains

Question 49

small child has developmental dysplasia of the hip, which of these is not a treatment option?

Accepted Answer

ponseti method

Question 50

4 y/o Shane was constantly touching others, putting obj in mouth, and had a messy/dirty room. He would be a tactile...

Accepted Answer

under-registration

Question 51

before discharging DCD pt after 9 week bout; who should you consult and what should be provided at d/c?

Accepted Answer

provide activity recommendations and guidelines on when to return to PT, consult with PCP, parents, specialists

Question 52

knowledge of performance may work better than knowledge of results for children with DCD

Accepted Answer

True

Question 53

why might you ask parents of children with DMD whether their urine is dark following exercise in the clinic?

Accepted Answer

determine if pushed them too hard for myoglobinuria (muscle breakdown sign)

Question 54

over-registration indicates that a small amount of sensory input cause a response- may be noxious if overdone

Accepted Answer

True

Peds exam 3

Questions 54

Peds exam 3

Questions 54