Science Quiz / Pediatric Pathologies I

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Can you name the aspects of the different pediatric pathologies?

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

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