Pediatrics Test #2

Front 1

Which position is the head in when it is affected by Torticollis?

Back 1

Tilted toward and rotated away from affected SCM muscle.

Front 2

Name 3 possible etiologies of Torticollis

Back 2

Ischemia, Birth Trauma, Intrauterine Malposition

Front 3

What are the Test for Torticollis?

Back 3

Ultrasound, > 15 degree difference between sides during neck lateral flexion

Front 4

What are common restrictions seen in infants with torticollis?

Back 4

Asymmetric head movement, neglect of ipsilateral hand, decreased visual awareness, delayed propping and rolling over, difficulty using UEs

Front 5

What are some common restrictions seen in toddlers/elementary age with torticollis?

Back 5

Asymmetric weight bearing, unable to rotate head, difficulty in sustaining midline head posture, difficulty using UEs

Front 6

What is a good functional test for infants with torticollis?

Back 6

Test of Infant Motor Performance

Front 7

What practice pattern would be used for torticollis?

Back 7

4B: Impaired Posture

Front 8

What would be the icd9 code for Torticollis?

Back 8

723.5 Torticollis

Front 9

What is the prognosis for torticollis?

Back 9

Complete recovery

Front 10

What are 3 possible orthoses for torticollis?

Back 10

Cranial, soft neck collar, tubular orthosis

Front 11

What s the definition of scoliosis?

Back 11

Lateral curvature of the spine greater than 10 degrees.

Front 12

What are three of the potential causes of scoliosis?

Back 12

Idiopathic, Neuromuscular, Congenital

Front 13

What is the standard test to diagnose scoliosis?

Back 13

Radiographic Cobb Angle

Front 14

What percent of infantile scoliosis curves spontaneously resolve?

Back 14

80-90%

Front 15

Surgery can correct curvature in what percent of scoliosis cases?

Back 15

50%

Front 16

Scoliosis curves over what degrees are hard to manage orthotically?

Back 16

40 degrees

Front 17

Is neurological impairment often seen with untreated idiopathic scoliosis?

Back 17

Rarely

Front 18

Lumbar radiculopathy may occur in scoliosis but is usually confined to which side?

Back 18

Concave side

Front 19

Pulmonary function is often reduced in scoliosis with a cobb angle greater than what?

Back 19

50 degrees

Front 20

What cardiopulmonary pathology can be caused by cobb angle curves greater than 100 degrees?

Back 20

Vital capacity below 70-80% of normal

Front 21

Are physical activities and/or sports usually contraindicated in soliosis?

Back 21

No

Front 22

What conservative treatment may reduce the progression of Adolescent Idiopathic Scoliosis?

Back 22

Exercise

Front 23

What physical test can be used to assess for scoliosis?

Back 23

Adams Forward Bend Test

Front 24

What practice pattern would be used to treat scoliosis?

Back 24

4B: Impaired Posture

Front 25

What 4 icd9 categories could scoliosis be put under?

Back 25

737 - Curvature of Spine
737.1 - Kyphosis
737.2 - Lordosis
737.3 - Kyphoscoliosis and scoliosis

Front 26

Which orthotic can halt the progression of a scoliosis curve in 70% of the cases?

Back 26

Milwaukee Brace

Front 27

What is a complex pathophysiologic process affecting the brain, induced by traumatic biomechanical forces. Usually results from a compressive, tensile or shearing force imposed on the brain?

Back 27

Concussion

Front 28

How many concussions occur each year?

Back 28

300,000

Front 29

What are signs of a concussion?

Back 29

Headache, cognitive changes, emotional lability, irritability, slowed reaction times, loss of consciousness, amnesia

Front 30

What percent of concussions in adults will resolve within 7-10 days?

Back 30

80-90%

Front 31

What is one physical test that can be given to a potential concussion victim?

Back 31

Rhomberg Balance Test

Front 32

What are 3 serious medical conditions that can possibly be seen with a concussion?

Back 32

Intracranial Hemorrhage, Epidural Hematoma, Subdural Hematoma

Front 33

1

Back 33

2

Front 34

What is defined as a non-progressive, congenital disorder characterized by multiple joint contractures, which is typically symmetrical and involves all four extremities?

Back 34

Arthrogryposis

Front 35

What is the incident rate of Arthrogryposis?

Back 35

1 in 3,000 births

Front 36

Can Arthrogryposis be tested for prenatally?

Back 36

No

Front 37

What is the gold standard test for Arthrogryposis?

Back 37

There is none

Front 38

Are cognitive abnormalities usually involved with arthrogryposis?

Back 38

No

Front 39

What 3 common characteristics seen with arthrogryposis?

Back 39

Clubfeet, Flexed and ulnarly deviated wrists, Internally rotated shoulders

Front 40

What are 2 appropriate special tests for children with arthrogryposis?

Back 40

The School Function Assessment (SFA)
The Activity Scale for Kids (ASK)

Front 41

What an abnormal formation of the hip joint in which the femoral head is not held firmly in place in the socket?

Back 41

Developmental Dysplasia of the Hip

Front 42

What two systems are used to classify Hip Dysplasia?

Back 42

Graf Index (10 categories based on alpha and beta angles)

Crowe classification used to denote amount of dislocation

Front 43

Is there a gold standard test for hip dysplasia?

Back 43

No

Front 44

What are two tests that might be used to help diagnose hip dysplasia?\

Back 44

Ortolani and Barlow Tests

Front 45

What orthosis is most commonly used on infants with hip dysplasia?

Back 45

Pavlik Harness

Front 46

What is defined as a persistent joint inflammation leading to cartilage damage, synovial changes, ligament, tendon and fibrin development leading to pannus formation that may destroy cartilage and erode bone?

Back 46

Idiopathic Arthritis

Front 47

What are the 3 major classifications of Juvenile Idiopathic Arthritis?

Back 47

Oligoarticular: Low-grade inflammation in 4 or less joints, usually knees, ankles and elbows; assymetrical; more common in females than males.

Polyarticular: Subdivided into 2 groups (RF positive and RF negative). Affects 5 or more joints, usually fingers and hands but ocassionally hips, knees and ankles. Symmetrical, more common in females than males.

Systemic: Characterized by spiking fever once or twice a day, which often occurs with a rash on the trunk and limbs; affects males and females equally

Front 48

What are some of the tests and measurements used for Idiopathic Arthritis?

Back 48

Articular Severity Score (ASS) Global Range of Motion Score (GROMS), Pediatric Escola Paulista de Medicina ROM Scale (pEPM-ROM)

Front 49

What is the Practice Pattern used for Idiopathic Arthritis?

Back 49

4E: Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Localized Inflammation

Front 50

What are some possible causes of idiopathic toe walking?

Back 50

Tactile processing, proprioceptive processing, vestibular processing, motor control deficits.

Front 51

Is there a genetic aspect to idiopathic toe walking?

Back 51

Yes

Front 52

What are some tests you can perform for Idiopathic toe walking?

Back 52

Peabody, Hop Test, One foot balance test

Front 53

What is the icd9 for idiopathic toe walking?

Back 53

719.7 Difficulty Walking

Front 54

s

Back 54

1