QUIZ 1 PDF

Please choose the best answer. 8) What syndrome has the following features: epicanthal folds and slanted palpebral fissures, small, SANTIANO...

Please choose the best answer. 8) What syndrome has the following features: epicanthal folds and slanted palpebral fissures, small, SANTIANO hypoplastic ears and Simian crease? 1) A 6-month old child was brought to the clinic for A. Turner syndrome assessment. Which of the following is normally B. Marfan syndrome expected for his age? C. Down syndrome A. Height should have tripled D. Edward syndrome B. Weight should have doubled. C. Head circumference increases to 50 cm. 9) At what age does the infant develop depth D. He is able to walk hand held. perception? A. 8 weeks 2) Which antibacterial is associated with hearing B. 3 months impairment? C. 1 month A. Ethambutol D. 5 weeks B. Aminoglycosides C. Cephalosporins 10) The following are true in examining infant and young D. Penicillin children, EXCEPT: A. A very young child is typically comfortable on 3) At what age does extension of the upper limbs the mother's lap during examination. outside the base of support in standing emerge? B. The actual hands-on examination is the first A. 2 months stage. B. 12 months C. A pre-school child should be given choices in C. 6 months the examination. D. 9 months D. The examiner should build rapport by playing with the child. 4) Which clinical condition should you suspect if a child presents with weakness of hip girdle and wide-based 11) Which test can be utilized to measure disability in gait? patients with cerebral palsy? A. Cerebral palsy A. Stanford-Binet scale B. Cerebellar ataxia B. Rey-Osterrieth Complex Figure Test C. Stroke C. Gross Motor Function Measure D. Neuromuscular Disease D. Wechsler scale 5) At what age does physiologic bowleg correct itself? 12) Which of the following is TRUE regarding primitive A. 4-6 years reflexes? B. 1-2 years A. If you turn the head of the infant to one side, C. 2-3 years the arm and leg extend on the face side and D. 6-8 years flex on the occipital side. B. If you stroke the skin along the side of the 6) What is the most likely condition involved if there is spine with the child in prone, posturing of upper limb, circumduction of the hip and C. the trunk flexes opposite to the side that is inversion of the foot? stroked. A. Cerebellar ataxia D. Moro reflex resolves by 2-6 months. B. Neuromuscular disease E. When you touch the palm of the infant, the C. Stroke fingers will extend. D. Myopathy 13) Deficiency of this is related to neural tube defects. 7) Which of the following condition should be suspected A. Calcium if there is presence of a sacral dimple and/or a hairy B. Iron tuft over the lumbar or sacral spine? C. Folate A. Spina bifida occulta D. Vitamin D B. Anencephaly C. Craniorachischisis 14) At what age is the standard neuromuscular D. Hydrocephalus examination generally applicable? A. 1-2 years B. 2-3 years C. 3-4 years D. 4-5 years 15) In spina bifida and other disabilities that require full 21) Which of the following is false in neonatal pattern of time wheelchair use, what measurement is CP? recommended instead of height? A. Milestones may be delayed in premature A. Leg length children until the age of 2 B. Arm span B. Neonates are hypotonic at first then develop C. Extremity girth spasticity later on. D. None of the above C. After a severe brain injury, neonates tend to be hypertonic and develop flaccidity over 16) Which of the following cases will make you suspect a time. possible cerebral palsy? D. It can be difficult to elicit muscle stretch A. A 5-year old boy who is very restless, reflexes. running around the room, pulling down curtains and cries loudly. He was born at 32 22) Which of the following helps to reduce spasticity by weeks of gestation (AOG). presynaptically blocking release of acetylcholine into B. A 4-year old girl who has episodes of blank the neuromuscular junction? stares in school. MRI was normal but EEG A. Alcohol showed 3-Hertz spike-and-wave discharges. B. Botulinum Prenatal and birth history were C. Baclofen unremarkable. D. Clonidine C. 9-year old boy born at 33 weeks AOG with difficulty using both legs to walk. MRI 23) The following are positive prognostic factors in CP, showed periventricular leukomalacia. EXCEPT: D. A 7-year old boy who was observed to have A. Independence in mobility difficulty in reading and calculations. B. Living in a small community According to the mother, he had very low C. Completion of primary school weight when he was born. D. Good hand skills 17) Which of the following drugs may be injected to select 24) Which neurologic manifestation most likely point to an muscle groups to manage spasticity in cerebral injury to unilateral basal ganglia? palsy? A. Numbness A. Baclofen B. Choreoathetosis B. Diazepam C. Hearing impairment C. Levodopa D. Spastic quadriplegia D. Botulinum 25) Metabolic or genetic testing should be considered in a 18) What is the most common variety of hypoxic-ischemic child with normal MRI if: neuropathology in cerebral palsy? A. There is family history of childhood A. Selective neuronal necrosis neurologic disorder associated with CP B. Status marmoratus B. There is no etiology determined by medical C. Parasagittal cerebral injury evaluation D. Periventricular leukomalacia C. Both A & B D. A only 19) Which hyperkinetic movement is described as having involuntary writhing movements particularly in the 26) Upon examination, a patient with CP shows abnormal distal extremities? posturing, twisting and repetitive movements which A. Myoclonus are worsened by movement. Which of the following B. Chorea motor sign is present? C. Athetosis A. Spasticity D. Tremors B. Chorea C. Athetosis 20) Which of the following is not a risk factor in D. Dystonia developing cerebral palsy? A. Birth hypoxia 27) If a child is transported using a manual Wheelchair, B. Maternal age >40 years the GMFCS Level is: C. Prenatal stroke A. II D. High birth weight B. III C. IV D. V  28) What type of gait is described as having excessive hip 36) Difficulty in learning by imitation in autism spectrum and knee flexion and ankle dorsiflexion? disorder may be attributed to: A. Stiff knee A. Sensorineural hearing loss in autism B. Scissoring B. Impairment of mirror neuron systems C. Crouch C. Atrophy of temporal lobe D. Hemiplegic D. Persistent frontal lobe activation 29) Which of the following neuromotor therapy 37) Environmental risk factor for autism spectrum disorder approaches uses facilitation of active movement as (ASD): well as positioning and handling to normalize sensory A. maternal age of 41 at birth of child input? B. maternal hypercholesterolemia A. Bobaths C. inter-pregnancy interval of 3 years B. Rood D. paternal age of 43 at birth of child C. Ayres D. Vojta 38) Most common screening instrument in a child suspected to have ASD: 30) What test could be useful if the child has visual A. CSBS impairment? B. M-CHAT A. CSF lactate and pyruvate C. ADOS B. MR spectroscopy D. ADI-R C. Evoked potentials D. Blood pH Shade A if the item is an established risk factor for Autism Spectrum Disorder, Shade B if not LEDESMA 39) Paternal age 45 years at birth of child B 31) Two main domains associated with Autism Spectrum 40) Maternal age 42 years at birth of child A Disorder: A. Cognitive function and psychosocial domains 41) Birth at 31 weeks of gestation A B. Social communication and developmental 42) Caesarian section B delay C. Unusual sensorimotor behaviors and social 43) Sibling with autism A communication 44) Polio vaccination B D. Mobility impairment and repetitive behaviors Shade A if the item is part of the diagnostic criterion of autistic 32) Predictor of adult outcome in autism spectrum spectrum disorder, Shade B if not disorder: 45) Lining up toys A A. Type of fixation 46) IQ less than 80 points B B. Gender C. Presence of tics 47) Strong preoccupation with unusual objects A D. Friendship with peers 48) Hypotonia B 33) The following statement is true regarding autism: 49) Seizure B A. Cannot be accompanied by psychiatric 50) Allergy B conditions B. It is heritable True or False: Shade A for true, B for false C. ASD is a focal impairment in a brain region 51) Steady growth is seen in infancy and rapid growth D. Paternal age at age 38 is a factor during middle childhood. B 52) Adult height can be estimated by 3x the length at 2 34) Treatment of agitation in autism: years. B A. Atomoxetine 53) Girls attain maximal growth velocity 3 years after B. Methylphenidate menarche. B C. Valproic acid 54) Poor head control at 6 months should alert for D. Risperidone hypotonia. A 55) In symmetric tonic neck reflex, when you extend the 35) This is usually seen in autism spectrum disorders: neck, both upper extremities would flex and both A. hypertonicity and adductor tightness lower extremities would extend. B B. strong pre-occupation with unusual things C. no verbal output with inability to follow commands D. difficulty in walking and in reading Match the milestone with the expected age of attainment: A. 4 months B. 7 months C. 10 months D. 14 months E. 18 months 56) Inhibits behavior to no C 57) Head held when pulled to sit A 58) Stands momentarily C 59) Rolls to prone A 60) Removes garments D 61) Points to body parts E 62) Scribbles D 63) Hands mostly open A 64) Differentiates between familiar person and stranger B 65) Object permanence C Match the crisis with the stage: A. initiative vs guilt B. industry vs inferiority C. autonomy vs doubt D. identity vs confusion E. trust vs mistrust 66) 1st year E 67) 2nd year C 68) 3rd-5th A 69) 6th year B 70) Adolescence D