REVIEW QUIZ IN PEDIATRIC REHABILITATION D.

Take head circumference

measurements to compare at
1. When held in supported standing, a 14
subsequent visits
month y/o child with spastic diplegia is up
6. When evaluating wheelchair positioning of
on tiptoes with the tiptoes curled. This
a child with cerebral palsy, the physical
position is characteristic of a
therapist should FIRST examine the position
A. Proprioceptive placing reaction
of the child’s
B. Moro Reflex
A. pelvis.
C. Plantar Grasp reflex
B. lower extremities
D. Traction response
C. head.
2. Which of the following methods is most
D. spine.
appropriate for handling a 1 y/o child with
7. A 14 month-old child with brachial nerve
CP who exhibits strong extensor tone in the
palsy has motor and sensory loss in the right
trunk and extremities?
upper extremity in the areas innervated by
A. Carrying the child in a sitting position
C5 and C6. Which of the following activities
B. Carrying the child over one’s shoulder
is MOST difficult for the child to accomplish
C. Keeping contact with the back of the
with the affected upper extremity?
child’s head
A. Pushing a wagon
D. Picking up the child up under the extremities
B. Carrying a teddy bear in the crook
3. An 8 y/o JRA is developing bilateral knee
of the arm
flexion contractures. Which of the following
C. Holding a raisin in the palm of the
interventions is LEAST appropriate?
hand
A. Exercises to increase joint mobility
D. Grasping a cup
B. US to the hamstring insertions to increase
8. A child who has cerebral palsy has been
tissue extensibility
receiving physical therapy 1 time/week for
C. Progressive weight-bearing by walking in a
the past month. During the fourth visit, the
therapeutic pool to increase endurance
physical therapist instructs the parents in a
D. Exercise to increase quadriceps strength
daily exercise program for the child,
4. For a child with Duchenne muscular
including stretching techniques. The BEST
dystrophy, the MOST appropriate physical
method to ensure correct implementation
therapy goal is:
and carry-over of the program is for the
A. prevention of contractures and
therapist to:
determination of the best method of
A. Reassess the patient’s range of
mobility
motion 1 month after instructing the
B. preservation of strength and muscle
parents.
tone.
B. review the parents’ written notes on
C. inhibition of abnormal muscle tone
the child’s progress.
and facilitation of normal movement
C. demonstrate exercises for the
and postural reactions
parents and ask them to return for a
D. Facilitation of normal movement
program check in 1 week.
and improvement of strength.
D. ask the parents to demonstrate the
5. The parents of a 1 month-old child with
exercises and to return for a program
myelomeningocele report that the child has
check in 1 week.
been increasingly irritable and has changed
9. A 6 year-old child with spastic diplegia is
sleeping patterns over the past 3 days. The
walking in the parallel bars. The child walks
child has also been vomiting. Which of the
with increased trunk and hip flexion. What is
following actions is MOST appropriate for the
the MOST appropriate assistive device for
therapist to take?
this patient?
A. Refer for immediate medical follow-
A. Standard walker
up.
B. Forearm crutches
B. Instruct the parents to monitor head
C. Posterior rolling walker
circumference daily
D. Bilateral quad canes
C. Advise the parents to watch the
child for worsening symptoms.
10. The parent of a 4 year-old child who has C. Between the 24th and 37th week
myelomeningocele is interested in obtaining D. Between the 20th and 37th week
orthoses for the child’s gait training. The 15. A pediatric patient is referred to the clinic
child has an L1 neurological level lesion. for the physical therapy. You have no
Which of the following orthoses is the MOST experience in pediatrics or reasonable
appropriate selection for the physical understanding of how to treat and progress
therapist to discuss with the parent? this particular cerebral palsy child. Which of
A. Hip-knee-ankle-foot with locked hips the following would be appropriate for you
B. Reciprocating-gait to perform ethically and legally with this
C. Knee-ankle-foot with a pelvic band patient?
D. Ankle-foot A. A. Since you are not qualified to
11. A physical therapist is examining a 9 month- treat pediatrics, do not accept this
old child who was born at 28 weeks patient
gestational age. Which of the following B. Accept the patient, but do not
activities should this child be able to promise overoptimistic results
perform? C. Accept the patient. perform a
A. Walking independently thorough examination and attempt
B. Standing independently treatment to the best of your ability
C. Creeping on hands and knees D. Refer the patient to a facility that
D. Rolling supine to prone specializes in pediatric physical
12. A child is referred to PT from evaluation and therapy
treatment of acute-onset knee pain. He 16. A physical therapist is working in an
does not recall any injury and says he has elementary school system with a child who
not even participated in physical education demonstrates moderate to severe extensor
class at school for the last week due to spasticity and limited head control. The
restrictions from recent removal of his MOST appropriate positioning device would
wisdom teeth. On evaluation, he has be a:
localized erythema, tenderness just above A. wheelchair with adductor pommel.
the patella, and localized edema. He has B. wheelchair with a back wedge and
also been running a low-grade fever. What head supports.
primary pathology may be causing his knee C. supine stander with abduction
pain? wedge.
A. Patellofemoral pain D. prone stander with abduction
B. Osteomyelitis wedge.
C. Osteoathritis 17. The best predictor of ambulation in young
D. Osgood-schlatter syndrome children with cerebral palsy is
13. You are working with a cerebral palsy child. A. Absence of primitive reflexes at 3
You notice that the child has great difficulty months
reaching for an object with one hand. The B. Absence of tonic neck reflexes
child prefers to reach for an object with C. Independent sitting by 24 months of
both hands. What age would be considered age
normal for a child to be able to reach for an D. Independent standing by 1 year of
object with one hand? age
A. 3 months 18. A 13 y/o girl has fractured the (L) patella
B. 6 months during a volleyball game. The physician
C. 1 year determines the superior pole is the location
D. 9 months of the fracture. Which of the following
14. 54. An 18-year-old female having her first should be avoided in early rehabilitation?
child went into premature labor and A. Full knee extension
delivered a baby girl. Between which weeks B. 45 degrees of knee flexion
of pregnancy is labor defined as C. 90 degrees of knee flexion
premature? D. 15 degrees of knee flexion
A. Between the 30th and 37th week 19. In children with osteogenesis imperfecta,
B. Between the 28th and 37th week. fractures heal
 A. Within in the normal healing time C. Postural reactions and motor
B. More quickly than normal milestones are developed slower in
C. More slowly than normal patient who have Down’s Syndrome,
D. Only with assistance of medication but with the same association with
20. The joint most frequently involved in a normal infants
pauciarticular JRA is the D. Postural reactions and motor
A. Cervical spine milestones are not developed with
B. Lumbar spine the same association with patients
C. Knee who have Down’s Syndrome as with
D. Wrist normal infants
21. The most common onset type of JRA is 25. The spastic type of CP usually from
A. Systemic involvement of the
B. Juvenile ankylosing spondylitis A. Corpus callosum
C. Polyarticular B. Basal ganglia
D. Pauciarticular C. Motor cortex
22. During the examination of an infant, the D. Cerebellum
therapist observes that with passive flexion 26. Which of the following statements is true
of the head the infant actively flexes the regarding myelodysplasia?
arms and actively extends the legs. Which A. Myelodysplasia is defined as
of the following reflexes is being observed? defective development limited to
A. Protective extension the anterior horn cells of the spinal
B. Optical righting cord
C. Symmetrical tonic neck B. Embryologically, myelodysplastic
D. Labyrinthine head righting lesion can be related to either
23. A patient asks the therapist whether she abnormal nervous system
should be concerned that her 4 month old neurulation or canalization
infant cannot roll from his back to his C. Myelodysplasia is often associated
stomach. The most appropriate response to with genetic abnormalities; however
the parent is: there is no association with
A. “This is probably nothing to be teratogens
concerned about because, although D. Myelodysplasia refers to defects in
It varies, infant can usually perform the lower spinal cord only.
this task by 10 months of age” 27. Which of the following statements is true
B. “This is probably nothing to be regarding progressive neurologic
concerned about because, dysfunction
although it varies, infants can usually A. Progressive neurologic dysfunction is
perform this task by 5 months of age common during periods of rapid
C. Your infant probably needs further growth bout does not occur once
examination by a specialist, skeletal maturity is reached
although it varies, infants can usually B. Deterioration of the gait patterns is
perform this task at 2 months of age one of the last symptoms to be
D. Your infant probably needs further detected
examination by a specialist C. Symptoms include loss of sensation
because, although it varies, infants and or strength, pain along a
can usually perform this task at birth dermatome or incision, spasticity,
24. Which of the following statements is true in onset or worsens and changes in
comparing infant’s with Down Syndrome to bowel or bladder sphincter control
infants with no known abnormalities? D. Development of scoliosis will always
A. Motor milestones are reached at the rapid
same time with both groups 28. Fine synergistic control of neck flexors and
B. Postural reactions are developed in extensors in the upright position typically
the same time frame with both appears in the
groups A. 2nd month
B. 3rd month
 C. 4th month B. Constricting the degrees of
D. 5th month freedoms used when performing the
29. In typically developing children, successful skill
head turning in prone position with an erect C. Perfecting postural control and
head is characterized by transitions between postures
A. Hip extension, medial rotation, and D. Developing a single way of
abduction performing the skill
B. Cervical spine extension and 34. What is the strongest predictor of skill in
rotation with weight-bearing on walking for children with typical
upper abdomen development
C. Shoulder flexion and abduction with A. Age
weight bearing on elbows B. Duration of time since walking
D. Caudal weight shift with load began
bearing on lateral thighs and lower C. Weight
abdomen D. Extent of walking practice
30. Development in children with CP is 35. It is typical of a 3 y/o child to
characterized by A. Manage buttoning wheel
A. Failure to develop reciprocal B. Alternate feet when a
patterns of muscle activation C. Be unafraid of falling
B. The appearance of fidgety D. Shows no dysmetria during black
movements as defined by Prechtl stacking
and colleagues at about 9 weeks of 36. After completing a development
age assessment on 7 months old. Which of the
C. The appearance of chorea at about following reflexes would not be integrated
6 months of age A. Galant reflex
D. Failure to develop binocularity of B. Moro Reflex
vision C. Landau reflex
31. Circling arm movements, finger spreading D. STNR
and a poor of repertoire of general 37. A physical therapist working in an early
movements are characteristic of intervention program is providing
A. Down’s syndrome intervention to an intent diagnosed with
B. Muscular dystrophy Erb's palsy This condition most often involves
C. Spastic cerebral palsy what nerve roots?
D. Dyskinetic cerebral palsy A. C2-C3
32. The movement of repertoire of the human B. C3-C4
newborn includes C. C5-C6
A. Projection of arm toward stationary D. C8-T1
objects, kicking and mouth to hand 38. A patient with an Erb’s palsy will have
behaviors paralysis of all the following muscles except
B. Projection of arm toward stationary the
objects, reaching with grasping and a. Flexor carpi ulnaris
neonatal stepping behaviors b. Rhomboids
C. Projection of the arm toward moving c. Brachialis
objects, reaching and grasping and d. Teres minor
light-avoidance behaviors 39. An 8-year-old female was admitted to the
D. Projection of the arm toward moving hospital with hepatomegaly; low grade
objects, mouth to hand and kicking from; and swollen and stiff ankle, knee, hip,
behaviors elbow, and wrist joints. What is the most
33. Once a new motor skill is obtained further likely diagnosis?
development entails a. Systemic onset juvenile rheumatoid arthritis
A. Performance with more use of (IRA
sensory feedback b. Polyarticular JRA
c. Pauciarticular JRA
d. Oligoarticular JRA
40. Children who utilize training programs will D. "'This is probably nothing to be
not improve concerned about because,
A. Strength although it vanes, most infants can
B. Anaerobic conditioning sit unsupported at 5 months at age."
C. Balance 45. Using tests of neurologic status and motor
D. The ratio of "fast twitch. muscle fibers motor action, an experienced physical
to slow twitch muscle fibers therapist or pediatrician should be able to
41. Which of the following is false for the child accurately diagnose cerebral palsy in all
vans the adult? but the mildest cases by
a. Children have less tolerance for exercise in A. 3 months of age
the heat B. 6 months of age
b. Children have similar nutritional C. I year of age
requirements. D. 2 years of age
c. Children need more hydration in all 46. You are performing an examination on a 2-
situations. month-old infant diagnosed with Klumpke’s
d. Children should follow the same weight- palsy, The classic physical findings of a
training routines. Klumpke’s Palsy
42. A physical therapy examination of an infant A. Lack of forearm supination, elbow
with osteogenesis imperfecta should include extension, and wrist flexion
all of the following except B. Lack of forearm supination, elbow
A. Pain flexion, end wrist extension
B. Passive ROM C. Lack of shoulder external rotation,
C. Caregiver's handling elbow flexion, and wrist extension
D. Active functional movement D. Lack of elbow extension, forearm
43. A child loses balance and falls doom pronation, and wrist flexion
whenever she tries to catch a ball thrown in 47. An infant is able to transition from
her direction, otherwise the child can sit, quadruped to sitting, demons.te protective
stand, and walk well. The physical therapist extension reactions in all directions except
would determine that the child has problem backwards, and pivots on belly in a prone
with position. This infant is demonstrating gross
A. Development of higher-level motor skills at what chronologic age?
balance skills A. 3 to 4 months
B. Protective reactions B. 5 to 6 months
C. Anticipatory postural control C. 7 to 8 months
D. Labyrinthine head righting D. 11 to 12 months
44. A mother comes to a therapist concerned 48. A two-month-old infant is diagnosed with
that her 4-month-old infant cannot it up left congenital muscular torticollis, which has
alone yet. Which of the following responses resulted in plagiocephaly. This would result in
is the most appropriate for the therapist? A. Flattening of the left frontal and left
A. "Your infant probably needs further occipital regions
examination by a specialist B. Flattening of the right frontal and left
because, although it varies, infants occipital regions
can usually sit unsupported at 2 C. Flattening of the right frontal and
months of age,' right occipital regions
B. "Your infant probably needs further D. Flattening of the left frontal and right
examination by a specialist occipital regions
because, although it varies, infants 49. A therapist is examining a 3-year-old child,
can usually sit unsupported at 3 who is positioned as follows: supine, hips
months of age." flexed to 90 degrees, hips fully adducted,
C. "This is probably nothing to be and lames Bated The therapist passively
concerned about because, abducts and raises the thigh, applying an
although it varies, most infants can sit anterior shear force to the hip joint. A click
unsupported at 8 months of age." at 30 degrees of abduction is noted by the
therapist. What orthopedic test is the
 therapist performing, and what is its C. Extending the head and neck in
significance? prone, and controlling the pelvis
A. Ortolani's test, hip dislocation while using the upper extremities in
B. Appley’s compression/distraction supine
test, cartilage damage D. Crawling and creeping
C. McMurray test, cartilage damage 55. A physical therapist completees a
D. Piston test, hip dislocation developmental assessment and identifies
50. The therapist is examining a patient with a that the infant is unable to roll from supine to
diagnosis of cerebral palsy. The therapist side. Which of the following reflexes could
notes that all of the extremities and the trunk interfere with the action of rolling?
are involved. Further assessment also reveals A. Asymmetric tonic neck reflex
that the lower extremities are more involved B. Moro Reflex
than the upper extremities and that the right C. Landau reflex
aide is mom involved than the left. This D. Symmetric tonic neck reflex
patient most likely has which classification of 56. Proper supportive positioning of an infant
cerebral palsy? with osteogenesis imperfecta is important
A. Spastic hemiplegia for all of the following reasons except
B. Spastic triplegia A. Keeping extremities immobilized to
C. Spastic quadriplegia prevent fractures
D. Spastic diplegia B. Protection from fracturing
51. An infant with Erb's palsy presents with the C. Minimizing joint malalignment and
involved upper extremity in which of the deformities
following positions? D. . Promotion of muscle strengthening
A. Hand supinated and wrist extended 57. A therapist is ordered to fabricate a splint for
B. Hand supinated and wrist flexed a 2-month-old infant with congenital hip
C. Hand pronated and wrist extended dislocation. In what position should the hip
D. Hand pronated and wrist flexed be placed while in the splint?
52. When reviewing a patient's chart, the A. Flexion and adduction
therapist determines that the patient has a B. Extension and adduction
condition in which the cauda equina is in a C. Extension and abduction
fluid-filled sac protruding from the hack. D. Flexion and abduction
What form of spina bifida does the patient 58. A 6-month-old infant with acetabular
most likely have? dysplasia of the right hip diagnosed by
A. Meningocele radiograph, with a history of a dislocatable
B. Meningomyelocele hip at birth, would usually be treated with
C. Spina bifida occulta A. Arthrogram and closed reduction
D. Lipoma B. Spica cast
53. A therapist is scheduled to treat a patient C. Pavlik harness
with cerebral palsy who has been classified D. Open reduction
as a spastic quadriplegic. What type of 59. You an performing an examination on a 2-
orthopedic deformity should the therapist yen-old patient diagnosed with leukemia
expect to see in the patient's feet? who has been hospitalized for I month and is
A. Talipes equinovalgus currently undergoing chemotherapy. Upon
B. Talipes equinovarus observation, you notice that the patient has
C. Hindfoot valgus difficulty with transitioning from low to high
D. Abnormally large calcaneus kneel. You would suspect which primary
54. What is necessary for an infant to have muscle is weak?
mastered before sitting independently on A. Biceps Femoris
propped upper extremities can be B. Gastrocnemius
achieved? C. Gluteus maximus
A. Rolling prone to supine and supine to D. Iliopsoas
prone 60. A PT is working with a child who has cerebral
B. Translation of grasped objects from palsy. The child has limited range emotion
hand to hand (ROM) in bilateral upper extremities and is
 unable to reach out for objects. The PT hydrocephalus tells the PT that her daughter
provides intervention that focuses on vomited several times, was irritable, and is
allowing the child to participate in play now lethargic. The therapist's BEST course of
activities. The best position to place the action is to:
child in is A. Call for emergency transportation
A. Side-lying and notify the pediatrician
B. Prone immediately.
C. Supine B. Give the child a cold bath to try to
D. Sitting rouse her
61. A child diagnosed with cerebral palsy has C. Place the child in a side-lying
severe spasticity in the bilateral upper position and monitor vital signs.
extremities. The occupational therapy D. Have the mother give the child
referral states “fabricate splints to prevent clear liquids because she vomited.
hand deformities." The theoretical approach 66. An I8-month-old child with Down syndrome
for splinting should emphasize placement of and moderate developmental delay is
the bands in the being treated at an Early Intervention
A. Intrinsic minus position Program. Daily training activities that should
B. Anti-claw position be considered include:
C. Resting hand position A. Stimulation to postural extensors in
D. Reflex inhibiting position sitting using rhythmic stabilization.
62. A therapist is treating a patient with a spinal B. Locomotor training using body
cord injury. The therapist is discharging the weight support and a motorized
patient after completion of all physical treadmill.
therapy goals. One of the completed long- C. Holding and weight shifting in sitting
term goals involved the ability to dress and and standing using tactile and
bathe independently with assistive devices. verbal cueing.
This would be a most challenging but D. Rolling activities, initiating
obtainable goal for which of the following? movement with stretch and tracking
A. C5 quadriplegia resistance.
B. C7 quadriplegia 67. A therapist is examining a child with a history
C. T1 paraplegia of primary lymphedema of the right lower
D. C4 quadriplegia extremity that was diagnosed at birth.
63. A physical therapist is examining a 5-nay-old Thickening of skin folds of the toes is evident.
infant with cerebral palsy. The infant has an The therapist documents these findings as:
abnormal amount of extensor tone. Which A. Positive stemmer sign
of the following is incorrect positioning B. Pitting edema
advice for the family and nursing staff? C. Dermal backflow
A. Keep the infant in a supine position. D. Secondary Edema
B. Keep the infant in a prone position. 68. A G-year-old boy has a diagnosis of
C. Keep the infant in a right side-lying Duchenne's muscular dystrophy, with more
position. than a third of lower extremity muscles
D. Keep the infant in left side-lying graded less than 3/5. The child is still
position. ambulatory with assistive devices for short
64. Which of the following is the moo important distances. The MOST appropriate activity to
goal in treating pediatric patients with include in his POC would be:
postural reaction deficits? A. Progressive resistance strength
A. Age-appropriate responses training at 80% maximum vital
B. Automatic responses capacity.
C. Conscious responses B. 30 minutes of circuit training using
D. Lower extremity control before resistance training and conditioning
upper extremity control exercises.
65. During a home visit, the mother of an IS- C. Recreational physical activities such
month-old child with developmental delay as swimming.
and an atrioventricular shunt for D. Wheelchair sports.
69. A physical therapy plan of care for a child B. Prone stander.
with spastic cerebral palsy who is 3 years old C. Tone-reducing AFOs.
chronologically and cognitively, but at a 6- D. Posture-control walker (posterior
month-old gross developmental level would walker)
include: 73. A physical therapy functional goal for a 5-
A. Reaching for a black and white year-old child with a high lumbar lesion
object while in the supine position. (myelomeningocele, L2 level) and minimal
B. Reaching for a multicolored object cognitive involvement would be:
while in an unsupported standing A. Community ambulation with
position. HKAFOs and Lofstrand crutches.
C. Reaching for a multicolored object B. Household ambulation with a
while in an unsupp0l1ed, guarded reciprocating gait Orthosis (RCO)
sitting position. and Lofstrand crutches.
D. Visually tracking a black and white C. Community ambulation with an RCO
object held 9 inches from his/her and Lofstrand crutches.
face D. Household ambulation with KAFOs
70. A 2-week-old infant born at 27 weeks' and rollator walker.
gestation with hyaline membrane disease is 74. A PT is treating a 2-year-old child with Down
referred for a physical therapy consult. syndrome who frequently uses a W sitting
Nursing reports that the child "desaturates to position. The main reason to discourage W
84% with handling" and has minimal sitting in this child is that it may cause:
secretions at present. The PT should: A. Abnormally low tone because of
A. Provide suggestions to nursing for reflex activity.
positioning for optimal motor B. Femoral antetorsion and medial
development. knee stress.
B. Perform manual techniques for C. Developmental delay of normal
secretion clearance, 2-4 hours daily, sitting.
to maintain airway patency. D. Hip subluxation and lateral knee
C. Put the PT consult on hold, because stress
the child is too ill to tolerate exercise. 75. A child with spastic cerebral palsy is having
D. Delegate to a physical therapy difficulty releasing food from the hand to
assistant (PTA) a maintenance the mouth. Once the child has brought the
program of manual techniques for food to the mouth, it would be helpful for
secretion clearance the caregiver to: Choices:
71. The therapist is treating a I-year-old child A. Slowly stroke the finger flexors in a
with Down syndrome at home, and notices distal-to-proximal direction.
decreasing strength in the extremities, with B. Apply a quick stretch to the finger
neck pain and limited neck motion. Upper flexors.
extremity deep tendon reflexes (DTRs) are C. Slowly stroke the finger extensors in a
3+. The therapist suspects: proximal-to-distal direction.
A. Upper motor neuron signs consistent D. Passively extend the fingers.
with Down syndrome 76. A young child with newly diagnosed cystic
B. Atlanto-axial subluxation with spinal fibrosis is being seen by a PT in the home.
cord impingement. Which intervention should be considered for
C. Lower motor neuron signs consistent this patient?
with Down syndrome. A. Teach the parents secretion removal
D. Atlanto-axial subluxation with techniques to all segments of all
lemniscal impingement. lobes of both lungs once or twice a
72. A 4-year-old child with moderate spastic day.
diplegia is referred to physical therapy for B. Teach the child active cycle of
an adaptive equipment evaluation. Which breathing technique (ACBT) to be
device/apparatus would be done once or twice a day to clear
CONTRAINDICATED? retained secretions.
A. Bilateral KAFOs.
 C. Teach the child use of the acapella prematurity at birth. The child is now 8
device in postural drainage positions months old and is just learning to sit. The BEST
to be performed once or twice a choice for training activity is:
day. A. Standing tilting reactions.
D. Teach the child autogenic drainage B. Sideward protective extension in
for secretion removal to be sitting.
performed once or twice daily C. Prone tilting reactions.
77. A 2 month-old child with bilateral hip D. Supine tilting reactions.
dislocations is being discharged from an 81. A mother brings her 8-week-old infant to be
acute pediatric facility. The PT has examined at early intervention because she
developed a home exercise program and noticed that the infant was taking steps in
now needs to instruct the parents. The MOST supported standing at 2 weeks, but is not
important item for the therapist to assess able to do it now. The therapist should:
before instructing the parents is: Choices: Choices:
A. The financial reimbursement plan. 2. A. Recommend that a full
B. Their degree of anxiety and developmental examination be
attention. performed by the early intervention
C. Their level of formal education. team.
D. The home environment. B. Explain that this is normal and that
78. A 9-year-old boy with Duchenne's muscular the stepping was a newborn reflex
dystrophy is referred for home care. The PT that has gone away.
should BEGIN the examination by: C. Recommend that the mother bring
A. Performing a complete motor the infant to a pediatric neurologist.
examination. D. Explain this was due to a stepping
B. Performing a functional examination reflex that will re-emerge around 10
using the weeFIM. months.
C. Asking the child and his parents to 82. A therapist is examining a 24-month-old
describe the boy's most serious child and observes that the child can sit
functional limitations independently, creep in quadruped, pull-to-
D. Asking the parents to outline the stand, and cruise sideways, but not walk
boy's past rehabilitation successes. without support. The therapist concludes
79. The therapist is on a home visit, scheduled at that this child is exhibiting:
lunchtime, visiting an I8-month-old child with A. Normal cephalocaudal motor
moderate developmental delay. The development.
therapist notices that the child and mother B. Delay in achieving developmental
are experiencing difficulties with feeding. milestones.
The child is slumped down in the highchair C. Normal gross motor development.
and is unsuccessfully attempting to use a D. Slow maturation that is within normal
raking grasp to lift cereal pieces to the limits
mouth. Both the child and the mother are 83. An appropriate fine motor behavior that
frustrated. The FIRST intervention should be should be established by 9 months of age is
to: the ability to:
A. Work on desensitizing the gag reflex. A. Pick up a raisin with a fine pincer
B. Recommend that the mother return grasp.
to breastfeeding for a few more B. Build a tower of four blocks.
months. C. Hold a cup by the handle while
C. Recommend that the mother feed drinking.
the child baby food instead of D. Transfer objects from one hand to
cereal for a few more months. another.
D. Reposition the child in a proper 84. An infant is independent in sitting, including
sitting position using postural all protective extension reactions and can
supports. pull-to-stand through kneeling, cruise
80. The therapist is treating a child with mild sideways, and stand alone. The infant still
developmental delay secondary to 7 weeks
 demonstrates plantar grasp in standing. This
infant's chronological age is approximately:
A. 5 months
B. 6 months.
C. 8- 9 months.
D. 10-15 months
85. An infant who was 39 weeks' gestational
age at birth and is now 3 weeks'
chronological age demonstrates colic. In
this case, the BEST intervention the PT could
teach the mother is
A. Stroking and tapping.
B. Fast vestibular stimulation.
C. Neutral warmth.
D. Visual stimulation with a colored
object.
86. Which is NOT considered a normal finding
during an examination of a newborn infant?
A. Symmetry in ROM.
B. Response decrement to repetitive
stimuli.
C. Continuous tremulousness.
D. Dramatic skin color changes with
change of state
87. An infant demonstrates that the
asymmetrical tonic neck reflex (ATNR) is NOT
obligatory when he/she can turn the head:
A. To both sides and open the hand
B. To one side and look at the
extended arm on that side
C. To one side and bring the opposite
hand to mouth.
D. And bring the hand to mouth on the
same side.