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1.

Misalignment of the visual axes

A. Hypermetropia

B. Strabismus

C. Myopia

D. Retinoblastoma

E. Amblyopia

2. Characterized by sustained muscle contractions, repetitive twisting


movements, and abnormal posturing of the trunk, neck, face, or arms and
legs

A. Hypertonia

B. Dystonia

C. Atonia

D. Athetosis

E. Chorea

3. What percentage of children with cerebral palsy also have visual


impairment?

A. 30%

B. 10%

C. 60%

D. 40%

E. 20%
4. There is fluctuating tone, leading tot frequent involuntary

movement (generally of all four limbs) especially evident with movement


or stress.

A. Ataxic hypotonic cerebral palsy

B. Dyskinetic cerebral palsy

C. Dystaxic cerebral palsy

D. Spastic cerebral palsy

E. Atonic cerebral palsy

5. Repetitive involuntary, slow, sinuous, writhing movements, which are


especially severe in the hands. There are also elements of postural
disturbance.

A. Chorea

B. Atonia

C. Dystonia

D. Athetosis

E. Hypertonia

6. Irregular, sudden and brief non repetitive movements

A. Dystonia

B. Atonia

C. Chorea
D. Hypertonia

E. Athetosis

7. Pulls to standing - limit age?

A. 13 months

B. 6 months

C. 9 months

D. 3 months

E. 18 months

8. Characterised by three features; micrognathia, glossoptosis and cleft


palate

A. Freidreich’s syndrome

B. Noonan’s syndrome

C. Pierre-Robin sequence

D. Asperger’s syndrome

E. ADD

9. Severe visual impairment affects 1 in _______ live births in the UK

A. 3000

B. 500

C. 2000

D. 1000

E. 5000
10. Hand dominance is acquired around

A. 8-10 months

B. 3-4 years

C. 6-8 months

D. 12-14 months

E. 1-2 years

11. What percentage of children with cerebral palsy also have learning
difficulties?

A. 20%

B. 30%

C. 10%

D. 60%

E. 40%

12. An acquired deficit in the comprehension or production of language


whether spoken or written.

A. Dysarthria

B. Dysphasia

C. Dyspraxia

D. Aphasia

E. Dysfluency

13. The most common refractive error in young children and should be
corrected early to avoid irreversible damage to vision
A. Myopia

B. Amblyopia

C. Strabismus

D. Retinal dystrophy

E. Hypermetropia

14. Also known as short sightedness

A. Strabismus

B. Myopia

C. Retinal dystrophy

D. Amblyopia

E. Hypermetropia

15. A norm-based practical tool including two scales - Comprehension


and Expressive. Contain 62 items focusing on the structural aspects of
language and how they contribute to its acquisition and use, and examine
disorders that can occur in either area.

A. Raymond Developmental Language Scales

B. Raynauld Developmental Language Scales

C. Rainman Developmental Language Scales

D. Reynell Developmental Language Scales

E. Ronald Developmental Language Scales

16. General features of this type of cerebral palsy are brisk tendon reflexes
and extensor plantar responses.
A. Spastic cerebral palsy

B. Ataxic hypotonic cerebral palsy

C. Dyskinetic cerebral palsy

D. Atonic cerebral palsy

E. Dystaxic cerebral palsy

17. What percentage of cases of cerebral palsy are thought to be due to


hypoxic-ischaemic injury at birth?

A. 30%

B. 40%

C. 10%

D. 20%

E. 60%

18. A mild learning difficulty is associated with an IQ of

A. 70-90

B. < 20

C. 50-70

D. 20-50

E. 90-110

19. The prevalence of autistic spectrum disorders is _________ live births

A. 10-12/1000

B. 3-6/1000
C. 1-2/1000

D. 6-10/1000

E. 2-4/10000

20. This form of cerebral palsy is often associated with seizures,


microcephaly and moderate or severe intellectual impairment

A. Diplegia

B. Quadriplegia

C. Hemiplegia

D. Biplegia

E. Triplegia

21. Children with Down’s syndrome, cleft palate and atopy are
particularly prone to

A. Hearing loss form middle ear disease

B. Meningitis

C. Sensorineural hearing loss.

D. B & C

E. All of these

22. Independent standing or walking - limit age?

A. 9 months

B. 18 months
C. 13 months

D. 3 months

E. 6 months

23. Loss or abnormality of physiological function or anatomical structure

A. Impairment

B. Delay

C. Handicap

D. Disorder

E. Disability

24. Less than ___ of children with autism are able to function
independently as adults

A. 50%

B. 25%

C. 10%

D. 20%

E. 15%

25. Sits without support, arms free to reach and grasp - limit age?

A. 13 months

B. 18 months

C. 3 months

D. 6 months
E. 9 months

26. Slow acquisition of all skills or of one particular field or area of skill,
particularly in relation to developmental problems in the 0-5 year age
group

A. Impairment

B. Delay

C. Disorder

D. Disability

E. Handicap

27. What percentage of children with cerebral palsy also have epilepsy?

A. 10%

B. 40%

C. 20%

D. 30%

E. 60%

28. Which of the following are possible post natal causes of cerebral
palsy?

A. Meningitis

B. Symptomatic hypoglycaemia

C. Head trauma

D. All of these

E. Encephalitis
29. What percentage of children with cerebral palsy also have squints?

A. 40%

B. 30%

C. 20%

D. 60%

E. 10%

30. Treatment involves correction of any refractive error with glasses,


together with patching of the good eye for specific periods of the day

A. Myopia

B. Amblyopia

C. Retinal dystrophy

D. Hypermetropia

E. Strabismus

31. About ____% of severe visual impairment is genetic

A. 20

B. 90

C. 40

D. 5

E. 50

32. A disadvantage from a disability which limits or prevents fulfilment


of a normal role

A. Delay
B. Handicap

C. Impairment

D. Disorder

E. Disability

33. Cerebral palsy affects around ______ live births

A. 2 per 100

B. 2 per 3000

C. 2 per 500

D. 2 per 1000

E. 2 per 5000

34. Said to be the 2nd most common heritable cause of mental retardation.
Caused by a dominant X-linked gene with a penetrance of only 50% in
females. The gene which is most commonly responsible is FMR-1

A. Downs syndrome

B. Reiter’s syndrome

C. Fragile X syndrome

D. Turners syndrome

E. Noonan’s syndrome

35. Pushes up on arms, holds head up - limit age?

A. 18 months

B. 13 months

C. 3 months
D. 9 months

E. 6 months

36. Measures the air pressure within the middle ear and the compliance of
the tympanic membrane

A. Otoacoustic emission

B. Auditory response cradle test

C. Impedance audiometry

D. Speech discrimination test

E. Auditory brainstem evoked potential

37. The legs are affected to a much greater degree than the arms, so that
hand function may appear to be relatively normal.

A. Quadriplegia

B. Biplegia

C. Triplegia

D. Diplegia

E. Hemiplegia

38. A disorder of movement and posture which appears before age three
and is due to non-progressive damage to the brain

A. Dyspraxia

B. Cerebral palsy

C. Epilepsy

D. Congenital myopathy
E. Spina bifida

39. A potentially permanent loss of visual acuity in an eye that has not yet
received a clear image.

A. Amblyopia

B. Hypermetropia

C. Strabismus

D. Retinal dystrophy

E. Myopia

40. A severe learning difficulty is associated with an IQ of

A. 50-70

B. < 20

C. 70-90

D. 90-110

E. 20-50

41. Maldevelopment of a skill

A. Delay

B. Disability

C. Handicap

D. Disorder

E. Impairment

42. Sits with head support, holds head up, rounded back - limit age?
A. 9 months

B. 18 months

C. 6 months

D. 13 months

E. 3 months

43. A moderate learning difficulty is associated with an IQ of

A. 20-50

B. 50-70

C. < 20

D. 90-110

E. 70-90

44. Difficulty in performing a series of complex actions

A. Dysfluency

B. Dysphasia

C. Aphasia

D. Dysarthria

E. Dyspraxia

45. Any type of speech which is marked with repetitions, prolongation,


and hesitations; an interruption in the flow of speech sounds

A. Dysphasia
B. Aphasia

C. Dysarthria

D. Dyspraxia

E. Dysfluency

46. Sometimes known as a lazy eye

A. Myopia

B. Strabismus

C. Retinal dystrophy

D. Hypermetropia

E. Amblyopia

47. A rare type of strabismus due to paralysis of motor nerves

A. Paplexic

B. Paralytic

C. Commisural

D. Ambylopia

E. Concomitant

48. Affected children often present at 4-12 months of age with fisting of
the affected hand, a flexed arm, a pronated forearm, asymmetric reaching
or hand function.

A. Triplegia

B. Quadriplegia

C. Diplegia
D. Hemiplegia

E. Biplegia

49. In the cover test, when a squint is present and the fixing eye is covered,
the squinting eye..

A. Displays nystagmus

B. Moves inwards

C. Does not move

D. Moves outwards

E. Moves to take up fixation

50. What percentage of cases of cerebral palsy are thought to be post natal
in origin?

A. 20%

B. 60%

C. 30%

D. 10%

E. 40%

51. What percentage of children with cerebral palsy also have hearing
impairment?

A. 60%

B. 10%

C. 30%

D. 40%
E. 20%

52. Signs are relatively symmetrical. There is early trunk and limb
hypotonia, poor balance and delayed motor movement. Intention tremor
and incordinate movements may be evident later.

A. Spastic cerebral palsy

B. Atonic cerebral palsy

C. Ataxic hypotonic cerebral palsy

D. Dyskinetic cerebral palsy

E. Dystaxic cerebral palsy

53. Any restriction or lack of ability due to an impairment

A. Delay

B. Disorder

C. Handicap

D. Impairment

E. Disability

54. What percentage of cases of cerebral palsy are spastic?

A. 10

B. 40

C. 70

D. 90

E. 20

55. Also known as long sightedness


A. Amblyopia

B. Strabismus

C. Myopia

D. Hypermetropia

E. Retinal dystrophy

56. A complete loss of language comprehension or production

A. Dysfluency

B. Aphasia

C. Dyspraxia

D. Dysphasia

E. Dysarthria

57. A disorder of motor planning and/or execution with no significant


findings on standard neurological examination

A. Dyspraxia

B. Dyscalculia

C. Dysgraphia

D. Dyskinesia

E. Dyslexia

58. The most common cause of motor impairment in children

A. Epilepsy

B. Dyspraxia
C. Spina bifida

D. Congenital myopathy

E. Cerebral palsy

59. Affected children often present with floppiness, poor trunk control
and delayed motor development in infancy, with abnormal movements
sometimes not appearing before the age of 1.

A. Spastic cerebral palsy

B. Ataxic hypotonic cerebral palsy

C. Dyskinetic cerebral palsy

D. Dystaxic cerebral palsy

E. Atonic cerebral palsy

60. A profound learning difficulty is associated with an IQ of

A. 20-50

B. 90-110

C. 70-90

D. < 20

E. 50-70

61. Refers to a child with the social impairments of an autistic spectrum


disorder but at the milder end, and near normal speech development.

A. Pierre-Robin sequence

B. Asperger’s syndrome

C. Noonan’s syndrome
D. Freidreich’s syndrome

E. ADD

62. A difficulty in articulation - there is no disorder of the content of


speech. The most common cause is alcohol intoxication

A. Dysphasia

B. Dysarthria

C. Dyspraxia

D. Dysfluency

E. Aphasia

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