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Pediatrics - Exam 2 Flashcards | StudBud
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Pediatrics - Exam 2
Pediatrics - Exam 2
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abnormal adolescence & torticollis lectures
Flashcards
78 cards
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Practice quiz
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Questions
78
Answers
1
when does torticollis manifest
both
post-birth
none of the above
in-utero
2
students are bullied more at school than online
True
False
3
mood swings/intense emotions are common and normal for adolescents
False
True
4
which is a risk factor for plagiocephaly?
decreased tummy time
normal gestational age and early hospital discharge
female
second born
5
which is
not
a treatment intervention for torticollis?
active asymmetrical movements
environmental adaptations
parent/caregiver education
neck and trunk AROM/PROM
6
which of these are all symptoms of depression (not an all inclusive list)
restless, pleasure in their activities, bored at school
unexpected change in weight, excessive guilt, inability to concentrate
fatigue, good mood, eating well
recurrent thoughts of life, better sleep, slightly irritable
7
if you have 1-2 childhood ACEs you have less risk of poor mental health and suicidal behavior than score of 0
True
False
8
calipers are used for measuring
head mobility
infant weight
head shape
neck length
9
does an adolescent desire to come to your clinic and see you for physical therapy?
Yes, they desperately need your help!
Uh, no. They would rather be doing literally anything else.
10
risk taking is at its highest in early adulthood
True
False
11
what is the stop, drop, and roll strategy for?
the adolescent and parent are both agreeing with you
you are on fire
an intervention worked and now your patient wants to discharge
the adolescent is arguing against what you are saying
12
a teenager hits a mailbox with their car, which is the typical reaction they have around something like this?
they will call the police to report a hit and run
they own up and take responsibility
they believe many things are not their fault, including causing an accident
they will cry and throw the mailbox
13
your patient is having trouble coping with their injury. What is the most appropriate response?
ignore the situation and hope it goes away
address the problem and listen carefully, then normalize feelings of loss
ask about their fears but don't address them
only talk to the family
14
infant holds head tilted and/or turned
AND
has tightness of SCM/reduced neck ROM
muscular CMT
SCM mass present
postural CMT
15
20% of new _____ diagnoses and >50% of new _____ diagnoses are in people 15-24
HIV, STD
HIV, OCD
ADHD, STD
anxiety, depression
16
postural deformity characterized by neck side bending or rotation preference in infants
brachycephaly
torticollis
brachial plexus injury
plagiocephaly
17
after puberty, twice as many ________ meet criteria for depression than ________
males, females
females, males
18
correcting torticollis is easier if the infant is under 3 months
True
False
19
the capacity to inhibit (withhold actions) __________ across adolescence
increases
decreases
20
which is more likely to happen?
charley's friends are trying beer, so he tries a sip
sally's friends are smoking cigarettes, so she calls her mom to pick her up
mark's friends are cheating on the test tomorrow, but he is studying hard
21
if an adolescent appears depressed how do you adjust yourself?
be calmer and quieter, but not slow
suggest medications for their mood
become more enthusiastic to encourage them
call the parent in and leave them alone to talk in a room
22
what lobes are immature through early adulthood?
cerebral cortex and frontal lobe
occipital lob and cerebral cortex
temporal lobe and frontal lobe
frontal lobe and parietal lobe
23
how
not
to establish rapport with adolescent patients
be slow to give advice unless asked
talk about your strengths and interests, not the patient's
offer reassurance and educate them
chat about their friends, activities, and school
24
which is not a category of torticollis?
postural CMT
functional CMT
muscular CMT
SCM Mass present
25
synaptic pruning is the process of eliminating white matter in adolescence
True
False
26
you ask an adolescent's permission before starting an activity and they tell you "no". What is your next move?
call the parent into the gym and get them to convince the patient
tell them if they do not do it they will not get better
do it anyway
pick a different, mutually accepted task
27
finish the statement: 80% of adolescents...
have mixed feelings about their development process
blame their parents for how they developed
are left with trauma from their development process
cope well with the development process
28
what measurement is not taken for cephalic (head) ratio?
medial/lateral
width/length
circumference
anterior/posterior
29
which will not lead to torticollis?
tumor
hypoxic brain injury
spasms of head, neck, and back
healthy optic nerves
30
which is not something to ask if you have concern of suicide?
goals
means
plan
ideation
31
90-95% of individuals with eating disorders are female
False
True
32
why are teens so angry?
puberty
they just hate everything
because they are actually fearful or sad
they know they have to get a job and pay bills soon
33
which is developmentally normal in terms of adolescent-parent relationships?
physical conflict weekly
intermittent conflicts about authority/autonomy
no conflict whatsoever
silent treatment daily
34
who is more likely to seek sensation (thrills)?
17 year old boy
5 year old girl
21 year old man
40 year old woman
35
what muscle causes torticollis?
SCM
deep neck flexors
trapezius
scalenes
36
how do adolescents see us as PTs?
authority
their enemy
their guide
their friend
37
who is typically happier?
18 year old girl
13 year old girl
38
normal value for PROM cervical rotation in an infant
60 degrees
70 degrees
80 degrees
90 degrees
39
how do boys externalize their problems?
appropriate and socially acceptable behavior
property destruction, fighting, drug use
being good students
talking it out with their parents
40
most commonly abused drug by teens
cannabis
prescription drugs
inhalants
alcohol
41
which is
not
a red flag for substance abuse/mental disorders in teens?
difficulty functioning for more than a few days
consistent high levels of no stress
history of abuse or neglect
suicidality
42
your patient has right SCM torticollis, what do you observe in their posture?
right cervical lateral flexion, left cervical rotation
left cervical lateral flexion, right cervical rotation
43
adolescents tend to choose friends that have opposite personality, values, and activity interests
True
False
44
what will your subjective eval for an infant with torticollis
not
include?
observing feeding during the appointment
tolerance to tummy time
infant's rotational/sidebend preference
birth history
45
craniosyostosis is when a baby's sutures in their skull close too late
False
True
46
define: an adolescent's close friends engage in atypical behavior, so over time the adolescent is more likely to do so
defiant training
abnormal adherence
deviancy training
risky business
47
you are treating an infant that you suspect may develop torticollis. How do they present?
their head is round and they turn to both sides to see their environment
they have facial symmetry
they have limited ROM and will only breast feed laying on their left side
48
you want to be in a position where the adolescent is arguing for change, not you. You must stay neutral/honor no change
False
True
49
30% of high school students...
don't know what sexual intercourse is
have had sexual intercourse
have not had sexual intercourse
50
recurrent, intrusive thoughts or ritualized behaviors
obsessive-compulsive disorder
generalized anxiety disorder
panic disorder
social phobia
51
how may an adolescent begin a question about a sensitive topic with their provider?
"I was thinking about trying..."
"I have a friend who..."
"My mom wants me to..."
"What should I do about..."
52
the prefrontal cortex regulates thoughts, feelings, and actions
False
True
53
which child does
not
display protective factors?
mark fights with everyone in his family
suzie has high self-esteem
ben has a very high IQ and good grades
abbie goes to the gym and saw a therapist for her anxiety struggles
54
torticollis is the most common diagnosis in infants
False
True
55
giving an adolescent _________ will reduce constraint and build rapport with them
rules
autonomy
guidance
unsolicited advice
56
what is the most significant public health issue in adolescents?
sexually transmitted diseases
substance abuse
homelessness
general mental illness
57
a swimmer just tore her rotator cuff a month before the conference meet. She's in your clinic, what is her likely state?
difficulty sleeping but overall well
distress over a school test but not worried about swimming
cooperating with her HEP and ready for therapy
quiet, having headaches and upset stomachs, fighting with mom
58
which is the most common psychiatric disorder experienced by adolescents?
depression
anxiety
ADHD
mood disorder
59
in plagiocephaly, where is the bulge in the skull?
same side as the flat spot
opposite the flat spot
60
which is a caliper measurement that would only require repositioning to fix?
3.5-6.25
8.75+
6.25-8.75
<3.5
61
each person has the same adolescent development
True
False
62
the U.S. teen birth rate has been increasing for 30 years
True
False
63
internalizing problems which disturbes how the person feels is more common in boys
False
True
64
which is an adolescent more likely to be concerned about?
exam in a week
the football game next month
prom in a year
college in 2 years
65
how to adapt the environment to help treat torticollis
keep same feeding side
stimulation to preferred side
consistent direction that baby is laid in crib
limit container use
66
by ___ months baby should be able move their head to track objects through midline
3
9
12
6
67
head is abnormally elongated
brachycephaly
dolichocephaly
plagiocephaly
68
define plagiocephaly
skull sutures close too early
flat spot on baby's skull is not closing
flat head syndrome coinciding with torticollis
69
which brain system controls experience of emotions?
autonomic nervous system
brainstem
cerebrum
limbic system
70
your patient has PROM within 5 degrees of unaffected side and no visible head tilt with symmetrical AROM. Discharge?
No, not quite ready.
Yes, they are doing great!
71
it is helpful to meet with the adolescent and parent together to obtain patient history
True
False
72
which is
not
a quality of treating adolescents?
personal rebelliousness
relaxed style
honesty
laugh at them
73
_______ matter increases through early adulthood, while _______ matter increases in early puberty, then decreases
gray, white
white, gray
74
the brain has attained 90% of its adult size by age...
10
5
25
17
75
helmet recommendation is for severe plagiocephaly
True
False
76
what are ACES?
having a secure and loving home and childhood
all of the good things parents did for their child
a card in poker
experience in childhood abuse, neglect, parent abuse, mental illness, etc.
77
when should you recommend an infant get reassessed after discharging from PT for torticollis?
1 week after discharge
1-2 months after discharge
1 year after discharge
3-12 months after discharge
78
the window to make change for a baby's head closes at 12 months
True
False
