Science Quiz / Pediatric Pathologies I

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Can you name the aspects of the different pediatric pathologies?

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HintAnswer
What term describes motor/tonal abnormalities in both legs?
What type of torticollis involves a clinically palpated mass?
What term describes motor/tonal abnormalities on the right or left side?
What group of children with OBPI have poor or no hand function, severe loss of sweat/sensation, & small atrophic extremity?
In DDH, displacement of the femoral head can occur anytime from in utero to what age?
Sub-classification of dyskinesia where the child has fluctuating musle tone throughout the body, including the face (lesion in basal ganglia)
When can an x-ray be used to detect DDH (child's age)?
What is the DSM-IV classification for IQ of 70-125/75-130?
What is a term for an umbrella-type diagnosis encompassing a variety of children (age 3-9 years) with differences in development (often language, but also social/motor skills)?
True or false: the morphology of the cortex, thalamus, cerebellum, limbic system &/or sensory areas can be altered in people with Trisomy 21/DS?
What test involves flexing & abducting the hip, then gradually adducting with pressure in a posterior direction (will dislocate a reduced, but unstable hip)?
Sub-classification of CP severity: no useful or purposeful motor ability & no access to community/society
What is a term used to describe damage to a nerve where the neural sheath is still intact?
Sub-classification of dyskinesia: child has increased muscle tone throughout the range, little voluntary movement, & high risk of contractures (lesion in brainstem)
How do you describe a hip where the femoral head is in the acetabulum, but may be dislocated via adduction & extension of the hip?
What is a term for a lack of oxygen reaching tissues of the body?
What term describes motor/tonal abnormalities in all 4 limbs?
What is the IVH classification grade for IVH with dilation & bleeding into periventricular tissue (unilateral)
True or false: people with ID have an impaired ability to handle advanced cognitive processes, simultaneous demands & organization of information
Cognitive tests focus on sensorimotor dvpt & information processing in the assessments of whom?
What diagnostic test (imaging) outlines cartilage & can detect early DDH?
What term is used to describe abnormally stiff muscle that requires more force for length change (even if no spasticity is present)?
Cognitive tests require spoken & motor responses or use non-language/min motor tests in the assessment of whom?
What is the most common endocrine problem in DS/Trisomy 21?
What age range is it appropriate to treat DDH by reducing the hips & placing in abduction/flexion so that ligaments can tighten?
True or false: in general, the more severe the ID, the more severe the motor delays?
After 2 weeks, what are clunks treated with for the first 3 months (the infant may kick a dislocated hip into the socket)?
True or false: Most people with DS/Trisomy 21 do not have hearing loss?
True or false: people with ID have no difficulty generalizing skills?
What originates before 18 years & is characterized by significant limitations in intellectual functioning & adaptive behavior skills?
Category of brachial plexus injury where C5, C6, & sometimes C7 are damaged. The most common type of brachial plexus injury.
What is persistent cervical flexion to 1 side with rotation of the head to the opposite side?
What is the IVH classification grade for IVH with acute ventricular dilation?
How do you describe a hip where the femoral head can be partially displaced out of the acetabulum?
What is the average length of PT treatment (in months) for children with torticollis?
True or false: hypotonia and ID/MR are hallmarks of Trisomy 21/DS?
HintAnswer
Before what age (months) must the insult have occurred to be considered CP?
How is the forearm maintained in Erb's palsy?
How do you describe a hip where the femoral head is completely out of the acetabulum & may or may not be reducible?
Before what age (years) must the movement problems manifest to be considered CP?
What age range is a Pavlik harness appropriate for?
Mvmt abnormality sub-classification: inability to coordinate voluntary muscular mvmts (cerebellum lesion)
What is the DSM-IV classification for IQ of below 20/25, where the person need total care in all areas?
How is the wrist maintained in Erb's palsy?
Sub-classification of CP severity: disability restricts performance of activities to fulfill normal life roles
True or false: PT/pediatrician should be able to accurately diagnose CP in all but the mildest cases by 6 months of age?
What is the IVH classification grade for an isolated germinal matrix hemorrhage?
What type of torticollis involves the postural head tilt & clinical features, but no tightness or fibrous mass of SCM?
Mvmt abnormality sub-classification: impairment of voluntary mvmts resulting in fragmented or jerky motions.
What is a term for severe chronic disability that is mental & or physical impairment, beginning before 22 years old, that is likely to continue throughout life & requires services?
What term describes motor/tonal abnormalities in 1 limb?
What treatment for torticollis provides an ongoing semi-noxious stimulus to correct aligment?
Type of neuropathic lesion involving bleeding below the lining of the ventricles
Sub-classification of CP severity: functional limitations in whole body functions, such as walking, sitting, changing postures, hand use & speech
The observed tonal abnormalities assessed on exam & diagnosed movement disorders present (i.e. spasticity, ataxia, dystonia or athetosis)
True or false: people with Trisomy 21/DS are at risk to develop Alzheimer's 20 years earlier & 2-5x more often?
What term is used to desribe a flattening of the head (sometimes with decreased hair growth), resulting from too little prone time & too much time supine or reclined upright?
Group of developmental disorders of movement & posture, causing activity limitation, that are due to non-progressive disturbances that happened in developing fetal/infant brain.
What is the normal ROM (in degrees) in infants for cervical rotation?
What is the IVH classification grade for IVH with normal sized ventricles?
Sub-classification of CP severity: functional limitations only in most advanced gross motor skills used in daily life at child's age level
Obstetric injuries (injured cervical roots, fx of clavicle or humerus, or subluxed shoulder) sustained during diffcult vaginal delivery involving traction on shoulder &/or head?
Mvmt abnormality sub-classification: low muscle tone, little/no resistance to stretch, & decreased ability to hold body against gravity.
After what age could a forceful reduction of the hip result in the stretching of vasculature to epiphysis & avascular necrosis of femoral head?
What ROM measurement is more reliable for torticollis?
Mvmt abnormality sub-classification: velocity dependent increased resistance to passive stretch (cortex/motor pathway lesion)
How is the shoulder maintained in Erb's palsy (flexion or extension, IR or ER, and abduction or adduction)?
If Pavlik harness failed & a reduction was performed, what must the child stay in for 8-12 weeks?
How are the fingers maintained in Erb's palsy?
Mvmt abnormality sub-classification: demonstation of several different patterns at the same time or changing patterns of muscle tone as the child grows.
What group of children with OBPI have mod winging, less than 90 degrees shoulder abd, elbow flex contracture, weak wrist/finger ext, & some loss of sweat/sensation?
What classification system is used for children over age 3 with OBPI?
HintAnswer
Category of brachial plexus injury where C5-T1 are damaged
What CP classification system is based on where the motor & tonal abnormalities are?
How is the elbow maintained in Erb's palsy?
What is a term used to describe damage to a nerve where there is blockage of nerve conduction?
True or false: in Trisomy 21 the weight/size of the brain is normal?
If Pavlik harness fails, what treatment will be used for 2 weeks, followed by a reduction?
What group of children with OBPI have min scap winging, normal sweat/sensation/hand function, & shoulder abd to 90 degrees?
How soon, in months, can development of the hip cease?
What is the DSM-IV classification for IQ of 35-50/40-55, require support for life skills, perform sheltered work, & live in sheltered env?
What two word descriptor is used to describe the postion of the upper extremity in Erb's palsy?
Persistent what are associated with decreased likelihood of walking in children with CP?
What is the DSM-IV classification for IQ of 20-35/25-40, where person conforms to daily routine in protected env?
What is a term for conceptual/social/practical abilities considered to be central to successful life functioning?
Non-motor neurodevelopmental or sensory problems & how the interact in those with CP (seizures, hearing/vision impairments, attentional/behavioral/communicative/cognitive deficits)
What cardiopulmonary pathology are people with Trisomy 21/DS at risk for developing (75% of adults)?
What is a deficient supply of blood to a body part that is due to obstruction of the inflow of arterial blood?
What is a lack of oxygen or excess of CO2 in the body that is usually caused by interruption of breathing (& results in LOC)?
The medical classification of ID is based on the severity of intellectual functioning (IQ) and comes from what book?
What is the most common cause of ID/MR?
Bleed into subependymal germinal matrix 2 days-1 wk after birth (characteristic of infants less than 28 weeks or 1500g BW)
What is the age range in months where there is the greatest deficiency in musculoskeletal growth for children with DS/Trisomy 21?
Instability at what joint can lead to acquired quadriplegia in people with DS/Trisomy 21?
Type of neuropathic lesion that occurs due to multifactoral reasons (teratogens, radiation, or inefection by viruses such as rubella/herpes)
+ test: hip is dislocated in a position of flexion & adduction. Flexion, abduction & slight traction will reduce the hip (palpable clunk). Negative test: hip is no longer reducible
What type of torticollis involves the clinical thickening & shortening of the SCM (no palpable mass)?
What is a term for a deficiency of oxygen reaching tissues of the body?
Type of neuropathic lesion that occurs secondary to anoxia or hypoxia
True or false: congenital heart defects that are not corrected by age 3 are not associated with greater delays in motor dvpt for children with Trisomy 21?
Category of brachial plexus injury where C7, C8 &/or T1 are injured
A developmental, progressive deformation of the hip where the proximal femur, acetabulum, & capsule are defective
True or false: after the first few days of life the ligaments will tighten & lock the femoral head either in or out of the acetabulum.
What do you call a shortening of the limb in hip/knee flexion (from a supine position)?
What is a term for a person's effectiveness in coping with environmental demands?
What is a term used to describe rupture to a nerve?
True or false: people with ID are capable of learning the same number of things?
What is the DSM-IV classification for IQ of 50-70/55-75 with function of 3rd-6th grade & self supporting?

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