Pediatrics Exam 3 (7, 9, 10, 11, 13) Questions And Answers.
Which of the following best defines a cerebellum and brainstem displacement
through the foramen magnum? (study luke Q)
a. hydrocephalus
b. Chiari II malformation
c. Tethered cord syndrome
d. none of the above
b. Chiari II malformation
this is a 2º condition with spina bifida myelomeningocele
Which of the following is a special precaution for children with spina bifida
(myelomeningocele)? (study luke Q)
a. latex allergy
b. light sensitivity
c. botox allergy
d. peanut allergy
a. latex allergy
myelomeningocele = failure of neural tube closure in the thoracolumbar region, with a
sac containing the meninges/spinal cord outside the body
Which of the following rancho pediatric levels represents no response to stimuli?
(study luke Q)
a. Level I
b. Level 0
c. Level III - V
d. Level II
c. Level III - V
Which of the following is the most appropriate intervention for a child in rancho
pediatric level II? (study luke Q)
a. PROM
b. positioning
c. trip to the park or playground
d. serial casting
c. trip to the park or playground
What is the typical recovery period for children post-concussion? (study luke Q)
a. 2-4 months
b. 2-4 days
c. 1-2 weeks
d. 2-4 weeks
d. 2-4 weeks
What is the objective of the "noncontact training drills" for return to play after a
pediatric concussion?
a. recovery
b. increase HR
,c. add movement
d. exercise, coordination, cognitive load
d. restore confidence, assessment of fxnl skills by coaching staff
d. exercise, coordination, cognitive load
progression to more complex training drills (ex: passing drills in football and ice
hockey)... may start progressive resistance training
rehab stages: no activity, light aerobic, sport specific, non-contact, full contact, return to
play
Postconcussion syndrome is diagnosed if symptoms last more than: (study luke
Q)
a. 2 weeks
b. 4 months
c. 4 weeks
d. 3 weeks
c. 4 weeks
What are the 2 most common causes of TBI in pediatrics?
a. trauma and anoxia
b. stroke and trauma
c. assault and anoxia
d. none of the above
a. trauma and anoxia
anoxia = absence of oxygen; most common w/ near drownings
True or False: one of the biggest differences in TBI in children vs adults is that
children have a higher water content in their brain making them even more prone
to acceleration/deceleration injury
True
Which of the following is NOT a typical walking characteristic at one year old?
(study luke Q)
a. wide base of support
b. high guard arm position
c. reciprocal arm swing
d. exaggerated hip rotation
c. reciprocal arm swing
heel strike begins to emerge at: (study luke Q)
a. 1 year old
b. 18 months
c. 24 months
d. 22 months
b. 18 months
most of gait maturity is achieved by: (study luke Q)
a. 1 to 2 years
b. 3.5 to 4 years
, c. 2.5 to 3 years
d. 4.5 to 6 years
b.3.5to4 years
Which of the following is NOT a determinant of mature walking? (study luke Q)
a. ratio of pelvic span to inter-ankle distance
b. duration of single limb support increases
c. presence of heel strike at initial contact
d. dynamic joint ankle measurements are adult like
c. presence of heel strike at initial contact
Which of the following is NOT one of the major indicators of mature gait? (study
luke Q)
a. step width
b. step length
c. single leg stance time
d. pelvic span to ankle spread ratio
a. step width
Four heart defects must be present for a diagnosis of Tetralogy of Fallot. Which
defect below is not part of a Tetralogy of Fallot? (study luke Q)
a. arterial septal defect
b. overriding aorta
c. right ventricle hypertrophy
d. ventricular septal defect
a. arterial septal defect
Which of the following findings require immediate medical attention in a child
with a cardiopulmonary condition? (study luke Q)
a. tachycardia
b. bradycardia
c. shortness of breath
d. rales
b. bradycardia
Which of the following most accurately defines the youth physical activity
guidelines? (study luke Q)
a. 30 minutes of moderate to vigorous intensity aerobic exercise every day with
vigorous intensity 1 day/week
b. 60 minutes of moderate to vigorous intensity aerobic exercise every day with
vigorous intensity 1 day/week
c. 20 minutes of moderate to vigorous intensity aerobic exercise every day with
vigorous intensity 3 day/week
d. 60 minutes of moderate to vigorous intensity aerobic exercise every day with
vigorous intensity 3 day/week
d. 60 minutes of moderate to vigorous intensity aerobic exercise every day with
vigorous intensity 3 day/week
Which of the following best defines a cerebellum and brainstem displacement
through the foramen magnum? (study luke Q)
a. hydrocephalus
b. Chiari II malformation
c. Tethered cord syndrome
d. none of the above
b. Chiari II malformation
this is a 2º condition with spina bifida myelomeningocele
Which of the following is a special precaution for children with spina bifida
(myelomeningocele)? (study luke Q)
a. latex allergy
b. light sensitivity
c. botox allergy
d. peanut allergy
a. latex allergy
myelomeningocele = failure of neural tube closure in the thoracolumbar region, with a
sac containing the meninges/spinal cord outside the body
Which of the following rancho pediatric levels represents no response to stimuli?
(study luke Q)
a. Level I
b. Level 0
c. Level III - V
d. Level II
c. Level III - V
Which of the following is the most appropriate intervention for a child in rancho
pediatric level II? (study luke Q)
a. PROM
b. positioning
c. trip to the park or playground
d. serial casting
c. trip to the park or playground
What is the typical recovery period for children post-concussion? (study luke Q)
a. 2-4 months
b. 2-4 days
c. 1-2 weeks
d. 2-4 weeks
d. 2-4 weeks
What is the objective of the "noncontact training drills" for return to play after a
pediatric concussion?
a. recovery
b. increase HR
,c. add movement
d. exercise, coordination, cognitive load
d. restore confidence, assessment of fxnl skills by coaching staff
d. exercise, coordination, cognitive load
progression to more complex training drills (ex: passing drills in football and ice
hockey)... may start progressive resistance training
rehab stages: no activity, light aerobic, sport specific, non-contact, full contact, return to
play
Postconcussion syndrome is diagnosed if symptoms last more than: (study luke
Q)
a. 2 weeks
b. 4 months
c. 4 weeks
d. 3 weeks
c. 4 weeks
What are the 2 most common causes of TBI in pediatrics?
a. trauma and anoxia
b. stroke and trauma
c. assault and anoxia
d. none of the above
a. trauma and anoxia
anoxia = absence of oxygen; most common w/ near drownings
True or False: one of the biggest differences in TBI in children vs adults is that
children have a higher water content in their brain making them even more prone
to acceleration/deceleration injury
True
Which of the following is NOT a typical walking characteristic at one year old?
(study luke Q)
a. wide base of support
b. high guard arm position
c. reciprocal arm swing
d. exaggerated hip rotation
c. reciprocal arm swing
heel strike begins to emerge at: (study luke Q)
a. 1 year old
b. 18 months
c. 24 months
d. 22 months
b. 18 months
most of gait maturity is achieved by: (study luke Q)
a. 1 to 2 years
b. 3.5 to 4 years
, c. 2.5 to 3 years
d. 4.5 to 6 years
b.3.5to4 years
Which of the following is NOT a determinant of mature walking? (study luke Q)
a. ratio of pelvic span to inter-ankle distance
b. duration of single limb support increases
c. presence of heel strike at initial contact
d. dynamic joint ankle measurements are adult like
c. presence of heel strike at initial contact
Which of the following is NOT one of the major indicators of mature gait? (study
luke Q)
a. step width
b. step length
c. single leg stance time
d. pelvic span to ankle spread ratio
a. step width
Four heart defects must be present for a diagnosis of Tetralogy of Fallot. Which
defect below is not part of a Tetralogy of Fallot? (study luke Q)
a. arterial septal defect
b. overriding aorta
c. right ventricle hypertrophy
d. ventricular septal defect
a. arterial septal defect
Which of the following findings require immediate medical attention in a child
with a cardiopulmonary condition? (study luke Q)
a. tachycardia
b. bradycardia
c. shortness of breath
d. rales
b. bradycardia
Which of the following most accurately defines the youth physical activity
guidelines? (study luke Q)
a. 30 minutes of moderate to vigorous intensity aerobic exercise every day with
vigorous intensity 1 day/week
b. 60 minutes of moderate to vigorous intensity aerobic exercise every day with
vigorous intensity 1 day/week
c. 20 minutes of moderate to vigorous intensity aerobic exercise every day with
vigorous intensity 3 day/week
d. 60 minutes of moderate to vigorous intensity aerobic exercise every day with
vigorous intensity 3 day/week
d. 60 minutes of moderate to vigorous intensity aerobic exercise every day with
vigorous intensity 3 day/week
