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Pediatric Rehab 1

Total questions: 30

Worksheet time: 30mins

Name
Class
Date
1.

Which of the following is associated with congenital limb deficiences?

a)

Craniofacial anomalies

b)

Maternal thalidomide use

c)

Maternal diabetes

d)

All of the above

2.

When is the appropriate time for the first prosthetic fitting for a child with unilateral transradial deficiency?

a)

When the child first achieves sitting balance (6-7 months)

b)

When the child first begins to walk (~12 months)

c)

When the child starts preschool (~3 years)

d)

When the child starts Kindergarten (~5 years)

3.

What is the most common congenital lower extremity deficiency?

a)

Fibular longitudinal deficiency

b)

Transtibial deficiency

c)

Proximal femoral focal deficiency

d)

Transfemoral deficiency

4.

What is the most common prosthetic foot prescribed for a child with lower limb amputation?

a)

Solid ankle cushion heel (SACH)

b)

Energy-storing foot

c)

Dynamic response foot

d)

Multi-axis foot

5.

Terminal overgrowth of bone at the transected end of a long bone occurs most frequently at which site?

a)

Humerus

b)

Fibula

c)

Tibia

d)

Femur

6.

The greatest changes in bone mass occurs in which of the following

a)

Girls age 12 to 15 years

b)

Girls age 9 to 12 years

c)

Boys age 19 to 21 years

d)

Boys age 17 to 19 years

7.

Which of the following is an abnormal reflex in a 10 month old?

a)

When neck and arms straighten the legs will bend

b)

With turn of head there is ipsilateral extension and contralateral flexion of extremities

c)

Lateral extension of upper extremity when leaning to side while sitting

d)

Posterior extension of extremities when leaning backward while sitting

8.

What is the most common connective tissue disease in children?

a)

Juvenile Idiopathic Arthritis

b)

Systemic Lupus erythematosus

c)

Reactive Arthritis

d)

Scleroderma

9.

What type of juvenile idiopathic arthritis is iridocyclitis most likely to occur in?

a)

Polyarticular

b)

Oligoarticular

c)

Systemic

d)

Enthesitis-related

10.

In which juvenile idiopathic arthritis would you expect the child to have arthritis and sacroiliitis?

a)

Polyarticular

b)

Oligoarticular

c)

Systemic

d)

Enthesitis-related

11.

Which of these findings are not associated with systemic lupus erythematasus?

a)

Nonerosive arthritis

b)

Encephalopathy

c)

Melena

d)

Pericarditis

12.

Which of the features listed below are not features of Juvenile Dermatomyositis?

a)

Histologic presence of vasculitis

b)

Onset of calcinosis

c)

Radiographic evidence of erosive arthritis

d)

Lack of association with childhood malignancy

13.

Which of the following syndromes is consistent with a patient with tall stature, small testicles, gynecomastia, infertility, and learning and behavior problems?

a)

45, X

b)

Trisomy 21

c)

47, XXY

d)

Fibrillin 1 mutation

14.

Which of the following is true regarding a 1 year old who walks with excessive knee and hip flexion, stacks two cubes, uses single words, removes socks

a)

Gross motor delay

b)

Fine motor Delay

c)

Speech and language delay

d)

Personal/social delay

e)

Normal development

15.

A 10 month old who is doing which of the following is exhibiting a milestone delay?

a)

Only grasping objects with crude palmar grasp

b)

Stands momentarily and is able to cruise

c)

Plays peek-a-boo

d)

Imitates speech sounds but unable to use single words besides mama and dada

16.

Newborn baby comes in with her head tilted laterally toward her left shoulder with her chin rotated toward the right. Parents have not been able to get her to rotate toward the left since birth. What is the most common cause?

a)

Fibrosis of SCM

b)

A cervical hemivertebra

c)

Atlantoaxial rotary subluxation

17.

5yo boy brought to doctor due to refusal to use left arm. He has dexterity of his fingers but refuses to move his wrist and elbow. A few days ago, he had pain in his left arm when his mom pulled him up by his arm to ascend a curb. XR is normal. What is the diagnosis?

a)

Medial Epicondylar Apophysitis

b)

Lateral Epicondylar Apophysitis

c)

Subluxation of Radial Head

d)

Subluxation of Ulnar Head

18.

14yo boy, presents with bilateral knee pain during basketball season. Exam reveals tenderness over bilateral tibial tubercles and distal patella tendon. The tibial tubercles are prominent as well. US reveals cartilage and soft tissue swelling and distal patellar thickening. What is the tx?

a)

Ice, heat, NSAIDs, and continue basketball

b)

Avoidance of knee extension, activity restriction for 2 weeks

c)

Avoidance of deep knee bending, activity restriction for 4 to 8 weeks.

d)

Diathermy

19.

When differentiating Acute Transient/Toxic Synovitis of the hip, Legg-Calve-Perthes Disease, and Slipped Capital Femoral Epiphysis, which is the most diagnostic?

a)

Physical exam

b)

Age and Gender

c)

Imaging and labs

d)

Symptoms

20.

While spondylolisthesis due to degeneration is most common in adults, isthmic and dysplastic are most common in children. Which spinal level is the most common?

a)

L5-S1

b)

L4-L5

c)

T12-L1

d)

T8-T9

21.

This is the second most common type of malignant bone tumor in children.

a)

Osteosarcoma

b)

Ewing Sarcoma

c)

Giant Cell TUmor

d)

Eosinophilic Granuloma

22.

Klumpke's Palsy is

a)

Due to sudden traction on the neck resulting in a lower trunk lesion

b)

Due to sudden traction on the neck resulting in an upper trunk lesion

c)

Due to upward pull on the shoulder resulting in a lower trunk lesion

d)

Due to upward pull on the shoulder resulting in an upper trunk lesion

23.

What is the GCS of a child who opens eyes to pain, moans to pain, and flexes to pain?

a)

4

b)

5

c)

6

d)

7

24.

This is the leading cause of childhood disability

a)

Cerebral Palsy

b)

Non-Accidental Trauma

c)

Trauma

d)

Brain Tumors

25.

The majority of CP cases occur in the

a)

Prenatal period

b)

Perinatal period

c)

Postnatal period

26.

Which of the following is considered a Minor Criteria for Diagnosis of Rheumatic Fever

a)

Fever

b)

Chorea

c)

Carditis

d)

Erythema marginatum

27.

What organism is the most common cause of septic arthritis in children more than 2 years old

a)

Staphylococcus aureus

b)

Haemophilius influenzae

c)

Staphylococcus epidermidis

d)

Pseudomonas

28.

A 7 year old presents to the ED after sustaining burns from a gasoline fire to his face and right arm. What is the estimated burn percentage of the patient?

a)

72%

b)

33%

c)

54%

d)

22%

29.

While Tyler was getting ready for the next backyard barbecue, he suffers a burn to his left arm which exposes the subcutaneous fat. What level of burn has Tyler sustained?

a)

Superficial burn

b)

Partial Thickness Burn

c)

Full Thickness Burn

d)

Second Degree Burn

30.

Burns sustained by the Dorsal Hand require what type of splinting?

a)

MCP flexion 70-90 degrees, IP extension, radial abduction of thumb

b)

MCP/IP full extension, fingers abducted, palmar abduction of thumb

c)

MCP/IP full flexion, fingers adducted, palmar adduction of thumb

d)

Ankle and toes plantar flexion