REVIEW QUIZ IN PEDIATRIC REHABILITATION D.

Take head circumference

measurements to compare at
1. When held in supported standing, a 14
subsequent visits
month y/o child with spastic diplegia is up
6. When evaluating wheelchair positioning of
on tiptoes with the tiptoes curled. This
a child with cerebral palsy, the physical
position is characteristic of a
therapist should FIRST examine the position
A. Proprioceptive placing reaction
of the child’s
B. Moro Reflex
A. pelvis.
C. Plantar Grasp reflex
B. lower extremities
D. Traction response
C. head.
2. Which of the following methods is most
D. spine.
appropriate for handling a 1 y/o child with
7. A 14 month-old child with brachial nerve
CP who exhibits strong extensor tone in the
palsy has motor and sensory loss in the right
trunk and extremities?
upper extremity in the areas innervated by
A. Carrying the child in a sitting position
C5 and C6. Which of the following activities
B. Carrying the child over one’s shoulder
is MOST difficult for the child to accomplish
C. Keeping contact with the back of the
with the affected upper extremity?
child’s head
A. Pushing a wagon
D. Picking up the child up under the extremities
B. Carrying a teddy bear in the crook
3. An 8 y/o JRA is developing bilateral knee
of the arm
flexion contractures. Which of the following
C. Holding a raisin in the palm of the
interventions is LEAST appropriate?
hand
A. Exercises to increase joint mobility
D. Grasping a cup
B. US to the hamstring insertions to increase
8. A child who has cerebral palsy has been
tissue extensibility
receiving physical therapy 1 time/week for
C. Progressive weight-bearing by walking in a
the past month. During the fourth visit, the
therapeutic pool to increase endurance
physical therapist instructs the parents in a
D. Exercise to increase quadriceps strength
daily exercise program for the child,
4. For a child with Duchenne muscular
including stretching techniques. The BEST
dystrophy, the MOST appropriate physical
method to ensure correct implementation
therapy goal is:
and carry-over of the program is for the
A. prevention of contractures and
therapist to:
determination of the best method of
A. Reassess the patient’s range of
mobility
motion 1 month after instructing the
B. preservation of strength and muscle
parents.
tone.
B. review the parents’ written notes on
C. inhibition of abnormal muscle tone
the child’s progress.
and facilitation of normal movement
C. demonstrate exercises for the
and postural reactions
parents and ask them to return for a
D. Facilitation of normal movement
program check in 1 week.
and improvement of strength.
D. ask the parents to demonstrate the
5. The parents of a 1 month-old child with
exercises and to return for a program
myelomeningocele report that the child has
check in 1 week.
been increasingly irritable and has changed
9. A 6 year-old child with spastic diplegia is
sleeping patterns over the past 3 days. The
walking in the parallel bars. The child walks
child has also been vomiting. Which of the
with increased trunk and hip flexion. What is
following actions is MOST appropriate for the
the MOST appropriate assistive device for
therapist to take?
this patient?
A. Refer for immediate medical follow-
A. Standard walker
up.
B. Forearm crutches
B. Instruct the parents to monitor head
C. Posterior rolling walker
circumference daily
D. Bilateral quad canes
C. Advise the parents to watch the
child for worsening symptoms.
10. The parent of a 4 year-old child who has
myelomeningocele is interested in obtaining
orthoses for the child’s gait training. The
child has an L1 neurological level lesion.
Which of the following orthoses is the MOST
appropriate selection for the physical
therapist to discuss with the parent?
A. Hip-knee-ankle-foot with locked hips
B. Reciprocating-gait
C. Knee-ankle-foot with a pelvic band
D. Ankle-foot
11. A physical therapist is examining a 9 month-
old child who was born at 28 weeks
gestational age. Which of the following
activities should this child be able to
perform?
A. Walking independently
B. Standing independently
C. Creeping on hands and knees
D. Rolling supine to prone
12. A child is referred to PT from evaluation and
treatment of acute-onset knee pain. He
does not recall any injury and says he has
not even participated in physical education
class at school for the last week due to
restrictions from recent removal of his
wisdom teeth. On evaluation, he has
localized erythema, tenderness just above
the patella, and localized edema. He has
also been running a low-grade fever. What
primary pathology may be causing his knee
pain?
A. Patellofemoral pain
B. Osteomyelitis
C. Osteoathritis
D. Osgood-schlatter syndrome
13. You are working with a cerebral palsy child.
You notice that the child has great difficulty
reaching for an object with one hand. The
child prefers to reach for an object with
both hands. What age would be considered
normal for a child to be able to reach for an
object with one hand?
A. 3 months
B. 6 months
C. 1 year
D. 9 months
14. 54. An 18-year-old female having her first
child went into premature labor and
delivered a baby girl. Between which weeks
of pregnancy is labor defined as
premature?
A. Between the 30th and 37th week
B. Between the 28th and 37th week.
C. Between the 24th and 37th week
D. Between the 20th and 37th week
15. A pediatric patient is referred to the clinic
for the physical therapy. You have no
experience in pediatrics or reasonable
understanding of how to treat and progress
this particular cerebral palsy child. Which of
the following would be appropriate for you
to perform ethically and legally with this
patient?
A. A. Since you are not qualified to
treat pediatrics, do not accept this
patient
B. Accept the patient, but do not
promise overoptimistic results
C. Accept the patient. perform a
thorough examination and attempt
treatment to the best of your ability
D. Refer the patient to a facility that
specializes in pediatric physical
therapy
16. A physical therapist is working in an
elementary school system with a child who
demonstrates moderate to severe extensor
spasticity and limited head control. The
MOST appropriate positioning device would
be a:
A. wheelchair with adductor pommel.
B. wheelchair with a back wedge and
head supports.
C. supine stander with abduction
wedge.
D. prone stander with abduction
wedge.
17. The best predictor of ambulation in young
children with cerebral palsy is
A. Absence of primitive reflexes at 3
months
B. Absence of tonic neck reflexes
C. Independent sitting by 24 months of
age
D. Independent standing by 1 year of
age
18. A 13 y/o girl has fractured the (L) patella
during a volleyball game. The physician
determines the superior pole is the location
of the fracture. Which of the following
should be avoided in early rehabilitation?
A. Full knee extension
B. 45 degrees of knee flexion
C. 90 degrees of knee flexion
D. 15 degrees of knee flexion
19. In children with osteogenesis imperfecta,
fractures heal
 A. Within in the normal healing time
B. More quickly than normal
C. More slowly than normal
D. Only with assistance of medication
20. The joint most frequently involved in a
pauciarticular JRA is the
A. Cervical spine
B. Lumbar spine
C. Knee
D. Wrist
21. The most common onset type of JRA is
A. Systemic
B. Juvenile ankylosing spondylitis
C. Polyarticular
D. Pauciarticular
22. During the examination of an infant, the
therapist observes that with passive flexion
of the head the infant actively flexes the
arms and actively extends the legs. Which
of the following reflexes is being observed?
A. Protective extension
B. Optical righting
C. Symmetrical tonic neck
D. Labyrinthine head righting
23. A patient asks the therapist whether she
should be concerned that her 4 month old
infant cannot roll from his back to his
stomach. The most appropriate response to
the parent is:
A. “This is probably nothing to be
concerned about because, although
It varies, infant can usually perform
this task by 10 months of age”
B. “This is probably nothing to be
concerned about because,
although it varies, infants can usually
perform this task by 5 months of age
C. Your infant probably needs further
examination by a specialist,
although it varies, infants can usually
perform this task at 2 months of age
D. Your infant probably needs further
examination by a specialist
because, although it varies, infants
can usually perform this task at birth
24. Which of the following statements is true in
comparing infant’s with Down Syndrome to
infants with no known abnormalities?
A. Motor milestones are reached at the
same time with both groups
B. Postural reactions are developed in
the same time frame with both
groups
C. Postural reactions and motor
milestones are developed slower in
patient who have Down’s Syndrome,
but with the same association with
normal infants
D. Postural reactions and motor
milestones are not developed with
the same association with patients
who have Down’s Syndrome as with
normal infants
25. The spastic type of CP usually from
involvement of the
A. Corpus callosum
B. Basal ganglia
C. Motor cortex
D. Cerebellum
26. Which of the following statements is true
regarding myelodysplasia?
A. Myelodysplasia is defined as
defective development limited to
the anterior horn cells of the spinal
cord
B. Embryologically, myelodysplastic
lesion can be related to either
abnormal nervous system
neurulation or canalization
C. Myelodysplasia is often associated
with genetic abnormalities; however
there is no association with
teratogens
D. Myelodysplasia refers to defects in
the lower spinal cord only.
27. Which of the following statements is true
regarding progressive neurologic
dysfunction
A. Progressive neurologic dysfunction is
common during periods of rapid
growth bout does not occur once
skeletal maturity is reached
B. Deterioration of the gait patterns is
one of the last symptoms to be
detected
C. Symptoms include loss of sensation
and or strength, pain along a
dermatome or incision, spasticity,
onset or worsens and changes in
bowel or bladder sphincter control
D. Development of scoliosis will always
rapid
28. Fine synergistic control of neck flexors and
extensors in the upright position typically
appears in the
A. 2nd month
B. 3rd month
 C. 4th month
D. 5th month
29. In typically developing children, successful
head turning in prone position with an erect
head is characterized by
A. Hip extension, medial rotation, and
abduction
B. Cervical spine extension and 34.
rotation with weight-bearing on
upper abdomen
C. Shoulder flexion and abduction with
weight bearing on elbows
D. Caudal weight shift with load
bearing on lateral thighs and lower
abdomen
30. Development in children with CP is 35.
characterized by
A. Failure to develop reciprocal
patterns of muscle activation
B. The appearance of fidgety
movements as defined by Prechtl
and colleagues at about 9 weeks of 36.
age
C. The appearance of chorea at about
6 months of age
D. Failure to develop binocularity of
vision
31. Circling arm movements, finger spreading
and a poor of repertoire of general 37.
movements are characteristic of
A. Down’s syndrome
B. Muscular dystrophy
C. Spastic cerebral palsy
D. Dyskinetic cerebral palsy
32. The movement of repertoire of the human
newborn includes
A. Projection of arm toward stationary
objects, kicking and mouth to hand 38.
behaviors
B. Projection of arm toward stationary
objects, reaching with grasping and
neonatal stepping behaviors
C. Projection of the arm toward moving
objects, reaching and grasping and
light-avoidance behaviors 39.
D. Projection of the arm toward moving
objects, mouth to hand and kicking
behaviors
33. Once a new motor skill is obtained further
development entails a.
A. Performance with more use of
sensory feedback b.
c.
d.
B. Constricting the degrees of
freedoms used when performing the
skill
C. Perfecting postural control and
transitions between postures
D. Developing a single way of
performing the skill
What is the strongest predictor of skill in
walking for children with typical
development
A. Age
B. Duration of time since walking
began
C. Weight
D. Extent of walking practice
It is typical of a 3 y/o child to
A. Manage buttoning wheel
B. Alternate feet when a
C. Be unafraid of falling
D. Shows no dysmetria during black
stacking
After completing a development
assessment on 7 months old. Which of the
following reflexes would not be integrated
A. Galant reflex
B. Moro Reflex
C. Landau reflex
D. STNR
A physical therapist working in an early
intervention program is providing
intervention to an intent diagnosed with
Erb's palsy This condition most often involves
what nerve roots?
A. C2-C3
B. C3-C4
C. C5-C6
D. C8-T1
A patient with an Erb’s palsy will have
paralysis of all the following muscles except
the
a. Flexor carpi ulnaris
b. Rhomboids
c. Brachialis
d. Teres minor
An 8-year-old female was admitted to the
hospital with hepatomegaly; low grade
from; and swollen and stiff ankle, knee, hip,
elbow, and wrist joints. What is the most
likely diagnosis?
Systemic onset juvenile rheumatoid arthritis
(IRA
Polyarticular JRA
Pauciarticular JRA
Oligoarticular JRA
40. Children who utilize training programs will
not improve
A. Strength
B. Anaerobic conditioning
C. Balance
D. The ratio of "fast twitch. muscle fibers
to slow twitch muscle fibers
41. Which of the following is false for the child
vans the adult?
a. Children have less tolerance for exercise in
the heat
b. Children have similar nutritional
requirements.
c. Children need more hydration in all
situations.
d. Children should follow the same weight-
training routines.
42. A physical therapy examination of an infant
with osteogenesis imperfecta should include
all of the following except
A. Pain
B. Passive ROM
C. Caregiver's handling
D. Active functional movement
43. A child loses balance and falls doom
whenever she tries to catch a ball thrown in
her direction, otherwise the child can sit,
stand, and walk well. The physical therapist
would determine that the child has problem
with
A. Development of higher-level
balance skills
B. Protective reactions
C. Anticipatory postural control
D. Labyrinthine head righting
44. A mother comes to a therapist concerned
that her 4-month-old infant cannot it up
alone yet. Which of the following responses
is the most appropriate for the therapist?
A. "Your infant probably needs further
examination by a specialist
because, although it varies, infants
can usually sit unsupported at 2
months of age,'
B. "Your infant probably needs further
examination by a specialist
because, although it varies, infants
can usually sit unsupported at 3
months of age."
C. "This is probably nothing to be
concerned about because,
although it varies, most infants can sit
unsupported at 8 months of age."
D. "'This is probably nothing to be
concerned about because,
although it vanes, most infants can
sit unsupported at 5 months at age."
45. Using tests of neurologic status and motor
motor action, an experienced physical
therapist or pediatrician should be able to
accurately diagnose cerebral palsy in all
but the mildest cases by
A. 3 months of age
B. 6 months of age
C. I year of age
D. 2 years of age
46. You are performing an examination on a 2-
month-old infant diagnosed with Klumpke’s
palsy, The classic physical findings of a
Klumpke’s Palsy
A. Lack of forearm supination, elbow
extension, and wrist flexion
B. Lack of forearm supination, elbow
flexion, end wrist extension
C. Lack of shoulder external rotation,
elbow flexion, and wrist extension
D. Lack of elbow extension, forearm
pronation, and wrist flexion
47. An infant is able to transition from
quadruped to sitting, demons.te protective
extension reactions in all directions except
backwards, and pivots on belly in a prone
position. This infant is demonstrating gross
motor skills at what chronologic age?
A. 3 to 4 months
B. 5 to 6 months
C. 7 to 8 months
D. 11 to 12 months
48. A two-month-old infant is diagnosed with
left congenital muscular torticollis, which has
resulted in plagiocephaly. This would result in
A. Flattening of the left frontal and left
occipital regions
B. Flattening of the right frontal and left
occipital regions
C. Flattening of the right frontal and
right occipital regions
D. Flattening of the left frontal and right
occipital regions
49. A therapist is examining a 3-year-old child,
who is positioned as follows: supine, hips
flexed to 90 degrees, hips fully adducted,
and lames Bated The therapist passively
abducts and raises the thigh, applying an
anterior shear force to the hip joint. A click
at 30 degrees of abduction is noted by the
therapist. What orthopedic test is the
 therapist performing, and what is its
significance?
A. Ortolani's test, hip dislocation
B. Appley’s compression/distraction
test, cartilage damage
C. McMurray test, cartilage damage
D. Piston test, hip dislocation
50. The therapist is examining a patient with a
diagnosis of cerebral palsy. The therapist
notes that all of the extremities and the trunk
are involved. Further assessment also reveals
that the lower extremities are more involved
than the upper extremities and that the right
aide is mom involved than the left. This
patient most likely has which classification of
cerebral palsy?
A. Spastic hemiplegia
B. Spastic triplegia
C. Spastic quadriplegia
D. Spastic diplegia
51. An infant with Erb's palsy presents with the
involved upper extremity in which of the
following positions?
A. Hand supinated and wrist extended
B. Hand supinated and wrist flexed
C. Hand pronated and wrist extended
D. Hand pronated and wrist flexed
52. When reviewing a patient's chart, the
therapist determines that the patient has a
condition in which the cauda equina is in a
fluid-filled sac protruding from the hack.
What form of spina bifida does the patient
most likely have?
A. Meningocele
B. Meningomyelocele
C. Spina bifida occulta
D. Lipoma
53. A therapist is scheduled to treat a patient
with cerebral palsy who has been classified
as a spastic quadriplegic. What type of
orthopedic deformity should the therapist
expect to see in the patient's feet?
A. Talipes equinovalgus
B. Talipes equinovarus
C. Hindfoot valgus
D. Abnormally large calcaneus
54. What is necessary for an infant to have
mastered before sitting independently on
propped upper extremities can be
achieved?
A. Rolling prone to supine and supine to
prone
B. Translation of grasped objects from
hand to hand
C. Extending the head and neck in
prone, and controlling the pelvis
while using the upper extremities in
supine
D. Crawling and creeping
55. A physical therapist completees a
developmental assessment and identifies
that the infant is unable to roll from supine to
side. Which of the following reflexes could
interfere with the action of rolling?
A. Asymmetric tonic neck reflex
B. Moro Reflex
C. Landau reflex
D. Symmetric tonic neck reflex
56. Proper supportive positioning of an infant
with osteogenesis imperfecta is important
for all of the following reasons except
A. Keeping extremities immobilized to
prevent fractures
B. Protection from fracturing
C. Minimizing joint malalignment and
deformities
D. . Promotion of muscle strengthening
57. A therapist is ordered to fabricate a splint for
a 2-month-old infant with congenital hip
dislocation. In what position should the hip
be placed while in the splint?
A. Flexion and adduction
B. Extension and adduction
C. Extension and abduction
D. Flexion and abduction
58. A 6-month-old infant with acetabular
dysplasia of the right hip diagnosed by
radiograph, with a history of a dislocatable
hip at birth, would usually be treated with
A. Arthrogram and closed reduction
B. Spica cast
C. Pavlik harness
D. Open reduction
59. You an performing an examination on a 2-
yen-old patient diagnosed with leukemia
who has been hospitalized for I month and is
currently undergoing chemotherapy. Upon
observation, you notice that the patient has
difficulty with transitioning from low to high
kneel. You would suspect which primary
muscle is weak?
A. Biceps Femoris
B. Gastrocnemius
C. Gluteus maximus
D. Iliopsoas
60. A PT is working with a child who has cerebral
palsy. The child has limited range emotion
(ROM) in bilateral upper extremities and is
 unable to reach out for objects. The PT
provides intervention that focuses on
allowing the child to participate in play
activities. The best position to place the
child in is
A. Side-lying
B. Prone
C. Supine
D. Sitting
61. A child diagnosed with cerebral palsy has
severe spasticity in the bilateral upper
extremities. The occupational therapy
referral states “fabricate splints to prevent
hand deformities." The theoretical approach
for splinting should emphasize placement of
the bands in the
A. Intrinsic minus position
B. Anti-claw position
C. Resting hand position
D. Reflex inhibiting position
62. A therapist is treating a patient with a spinal
cord injury. The therapist is discharging the
patient after completion of all physical
therapy goals. One of the completed long-
term goals involved the ability to dress and
bathe independently with assistive devices.
This would be a most challenging but
obtainable goal for which of the following?
A. C5 quadriplegia
B. C7 quadriplegia
C. T1 paraplegia
D. C4 quadriplegia
63. A physical therapist is examining a 5-nay-old
infant with cerebral palsy. The infant has an
abnormal amount of extensor tone. Which
of the following is incorrect positioning
advice for the family and nursing staff?
A. Keep the infant in a supine position.
B. Keep the infant in a prone position.
C. Keep the infant in a right side-lying
position.
D. Keep the infant in left side-lying
position.
64. Which of the following is the moo important
goal in treating pediatric patients with
postural reaction deficits?
A. Age-appropriate responses
B. Automatic responses
C. Conscious responses
D. Lower extremity control before
upper extremity control
65. During a home visit, the mother of an IS-
month-old child with developmental delay
and an atrioventricular shunt for
hydrocephalus tells the PT that her daughter
vomited several times, was irritable, and is
now lethargic. The therapist's BEST course of
action is to:
A. Call for emergency transportation
and notify the pediatrician
immediately.
B. Give the child a cold bath to try to
rouse her
C. Place the child in a side-lying
position and monitor vital signs.
D. Have the mother give the child
clear liquids because she vomited.
66. An I8-month-old child with Down syndrome
and moderate developmental delay is
being treated at an Early Intervention
Program. Daily training activities that should
be considered include:
A. Stimulation to postural extensors in
sitting using rhythmic stabilization.
B. Locomotor training using body
weight support and a motorized
treadmill.
C. Holding and weight shifting in sitting
and standing using tactile and
verbal cueing.
D. Rolling activities, initiating
movement with stretch and tracking
resistance.
67. A therapist is examining a child with a history
of primary lymphedema of the right lower
extremity that was diagnosed at birth.
Thickening of skin folds of the toes is evident.
The therapist documents these findings as:
A. Positive stemmer sign
B. Pitting edema
C. Dermal backflow
D. Secondary Edema
68. A G-year-old boy has a diagnosis of
Duchenne's muscular dystrophy, with more
than a third of lower extremity muscles
graded less than 3/5. The child is still
ambulatory with assistive devices for short
distances. The MOST appropriate activity to
include in his POC would be:
A. Progressive resistance strength
training at 80% maximum vital
capacity.
B. 30 minutes of circuit training using
resistance training and conditioning
exercises.
C. Recreational physical activities such
as swimming.
D. Wheelchair sports.
69. A physical therapy plan of care for a child
with spastic cerebral palsy who is 3 years old
chronologically and cognitively, but at a 6-
month-old gross developmental level would
include:
A. Reaching for a black and white
object while in the supine position.
B. Reaching for a multicolored object
while in an unsupported standing
position.
C. Reaching for a multicolored object
while in an unsupp0l1ed, guarded
sitting position.
D. Visually tracking a black and white
object held 9 inches from his/her
face
70. A 2-week-old infant born at 27 weeks'
gestation with hyaline membrane disease is
referred for a physical therapy consult.
Nursing reports that the child "desaturates to
84% with handling" and has minimal
secretions at present. The PT should:
A. Provide suggestions to nursing for
positioning for optimal motor
development.
B. Perform manual techniques for
secretion clearance, 2-4 hours daily,
to maintain airway patency.
C. Put the PT consult on hold, because
the child is too ill to tolerate exercise.
D. Delegate to a physical therapy
assistant (PTA) a maintenance
program of manual techniques for
secretion clearance
71. The therapist is treating a I-year-old child
with Down syndrome at home, and notices
decreasing strength in the extremities, with
neck pain and limited neck motion. Upper
extremity deep tendon reflexes (DTRs) are
3+. The therapist suspects:
A. Upper motor neuron signs consistent
with Down syndrome
B. Atlanto-axial subluxation with spinal
cord impingement.
C. Lower motor neuron signs consistent
with Down syndrome.
D. Atlanto-axial subluxation with
lemniscal impingement.
72. A 4-year-old child with moderate spastic
diplegia is referred to physical therapy for
an adaptive equipment evaluation. Which
device/apparatus would be
CONTRAINDICATED?
A. Bilateral KAFOs.
B. Prone stander.
C. Tone-reducing AFOs.
D. Posture-control walker (posterior
walker)
73. A physical therapy functional goal for a 5-
year-old child with a high lumbar lesion
(myelomeningocele, L2 level) and minimal
cognitive involvement would be:
A. Community ambulation with
HKAFOs and Lofstrand crutches.
B. Household ambulation with a
reciprocating gait Orthosis (RCO)
and Lofstrand crutches.
C. Community ambulation with an RCO
and Lofstrand crutches.
D. Household ambulation with KAFOs
and rollator walker.
74. A PT is treating a 2-year-old child with Down
syndrome who frequently uses a W sitting
position. The main reason to discourage W
sitting in this child is that it may cause:
A. Abnormally low tone because of
reflex activity.
B. Femoral antetorsion and medial
knee stress.
C. Developmental delay of normal
sitting.
D. Hip subluxation and lateral knee
stress
75. A child with spastic cerebral palsy is having
difficulty releasing food from the hand to
the mouth. Once the child has brought the
food to the mouth, it would be helpful for
the caregiver to: Choices:
A. Slowly stroke the finger flexors in a
distal-to-proximal direction.
B. Apply a quick stretch to the finger
flexors.
C. Slowly stroke the finger extensors in a
proximal-to-distal direction.
D. Passively extend the fingers.
76. A young child with newly diagnosed cystic
fibrosis is being seen by a PT in the home.
Which intervention should be considered for
this patient?
A. Teach the parents secretion removal
techniques to all segments of all
lobes of both lungs once or twice a
day.
B. Teach the child active cycle of
breathing technique (ACBT) to be
done once or twice a day to clear
retained secretions.
 C. Teach the child use of the acapella
device in postural drainage positions
to be performed once or twice a
day.
D. Teach the child autogenic drainage
for secretion removal to be
performed once or twice daily
77. A 2 month-old child with bilateral hip
dislocations is being discharged from an
acute pediatric facility. The PT has
developed a home exercise program and
now needs to instruct the parents. The MOST
important item for the therapist to assess
before instructing the parents is: Choices:
A. The financial reimbursement plan. 2.
B. Their degree of anxiety and
attention.
C. Their level of formal education.
D. The home environment.
78. A 9-year-old boy with Duchenne's muscular
dystrophy is referred for home care. The PT
should BEGIN the examination by:
A. Performing a complete motor
examination.
B. Performing a functional examination
using the weeFIM.
C. Asking the child and his parents to
describe the boy's most serious
functional limitations
D. Asking the parents to outline the
boy's past rehabilitation successes.
79. The therapist is on a home visit, scheduled at
lunchtime, visiting an I8-month-old child with
moderate developmental delay. The
therapist notices that the child and mother
are experiencing difficulties with feeding.
The child is slumped down in the highchair
and is unsuccessfully attempting to use a
raking grasp to lift cereal pieces to the
mouth. Both the child and the mother are
frustrated. The FIRST intervention should be
to:
A. Work on desensitizing the gag reflex.
B. Recommend that the mother return
to breastfeeding for a few more
months.
C. Recommend that the mother feed
the child baby food instead of
cereal for a few more months.
D. Reposition the child in a proper
sitting position using postural
supports.
80. The therapist is treating a child with mild
developmental delay secondary to 7 weeks
prematurity at birth. The child is now 8
months old and is just learning to sit. The BEST
choice for training activity is:
A. Standing tilting reactions.
B. Sideward protective extension in
sitting.
C. Prone tilting reactions.
D. Supine tilting reactions.
81. A mother brings her 8-week-old infant to be
examined at early intervention because she
noticed that the infant was taking steps in
supported standing at 2 weeks, but is not
able to do it now. The therapist should:
Choices:
A. Recommend that a full
developmental examination be
performed by the early intervention
team.
B. Explain that this is normal and that
the stepping was a newborn reflex
that has gone away.
C. Recommend that the mother bring
the infant to a pediatric neurologist.
D. Explain this was due to a stepping
reflex that will re-emerge around 10
months.
82. A therapist is examining a 24-month-old
child and observes that the child can sit
independently, creep in quadruped, pull-to-
stand, and cruise sideways, but not walk
without support. The therapist concludes
that this child is exhibiting:
A. Normal cephalocaudal motor
development.
B. Delay in achieving developmental
milestones.
C. Normal gross motor development.
D. Slow maturation that is within normal
limits
83. An appropriate fine motor behavior that
should be established by 9 months of age is
the ability to:
A. Pick up a raisin with a fine pincer
grasp.
B. Build a tower of four blocks.
C. Hold a cup by the handle while
drinking.
D. Transfer objects from one hand to
another.
84. An infant is independent in sitting, including
all protective extension reactions and can
pull-to-stand through kneeling, cruise
sideways, and stand alone. The infant still
 demonstrates plantar grasp in standing. This
infant's chronological age is approximately:
A. 5 months
B. 6 months.
C. 8- 9 months.
D. 10-15 months
85. An infant who was 39 weeks' gestational
age at birth and is now 3 weeks'
chronological age demonstrates colic. In
this case, the BEST intervention the PT could
teach the mother is
A. Stroking and tapping.
B. Fast vestibular stimulation.
C. Neutral warmth.
D. Visual stimulation with a colored
object.
86. Which is NOT considered a normal finding
during an examination of a newborn infant?
A. Symmetry in ROM.
B. Response decrement to repetitive
stimuli.
C. Continuous tremulousness.
D. Dramatic skin color changes with
change of state
87. An infant demonstrates that the
asymmetrical tonic neck reflex (ATNR) is NOT
obligatory when he/she can turn the head:
A. To both sides and open the hand
B. To one side and look at the
extended arm on that side
C. To one side and bring the opposite
hand to mouth.
D. And bring the hand to mouth on the
same side.