Science Quiz / Pediatric Pathologies I

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QUIZ: Can you name the aspects of the different pediatric pathologies?

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

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