Question 1 point
The physical exam of an established 7-month-old client - diagnosed with spastic cerebral
palsy – will mostly likely be positive for which signs?
Increased deep tendon reflexes and sustained clonus
Dystonic posturing and sustained clonus
Abnormal involuntary movements and increased deep tendon reflexes
Nystagmus and absent reflexes
Question 2 point
A 4-year-old client, who is new to the clinic, presents for a sick visit. However, upon exam the
provider discovers that the client has flaccid paralysis over the lower extremities, absent deep
tendon reflexes, lack of response to touch and pain, and has a saclike cyst on the lower back.
What is the most probable diagnosis?
Viral gastroenteritis
Myelomeningocele
Meningitis
, Shunt infection
Question 3 point
A 7-month old female client presents to the clinic to establish care. During the visit, the
parents report that their daughter was developing as expected during the first 5 months of life
but they fear that her development has plateaued. Over the last two months she has become
withdrawn and has lost skills previously performed like partial hand skills and acquired
spoken language. The provider notes on exam excessive bruxism, periods of apnea followed
by hyperpnea, hand wringing, and spastic para¬paresis. What is the most likely diagnosis?
Rett Syndrome
Autism Spectrum Disorder
Cerebral Palsy
Brain Damage
Question 4 point
An apparently healthy 7-year-old client, presents to the clinic complaining of left-sided facial
paralysis that occurred suddenly. The client denies any sensory loss but reports difficulty
closing the left eyelid. The provider suspects the client has Bell’s Palsy. Which cranial nerve
is most likely affected in this condition?
IV