peds final

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Author:
shmvii
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218946
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peds final
Updated:
2013-05-10 15:06:39
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peds final
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spring 2013
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  1. no babbling by ___ is a red flag for language delay a/o ASD
    12 months
  2. no backand forth gesturing, pointing, showing, reaching, waving by ___ is a red flag for language delay a/o ASD
    12 months
  3. no words by by ___ is a red flag for language delay a/o ASD
    16 months
  4. no 2-word meaningful phrases by by ___ is a red flag for language delay a/o ASD
    24 months
  5. what kind of loss of speech, babbling, social skills, at what age by is a red flag for language delay a/o ASD
    any, any
  6. when should a kid creep upstairs
     14-18 months
  7. when should a kid creep downstairs
    15-18 months
  8. when should a kid walk backwards a few steps
    15-21 months
  9. when should a kid walk upstairs with one hand held
    17-19 months
  10. when should a kid walk upstairs alternating w rail
    24-28 months
  11. when should a kid walk upstairs alternating w/o rail
    36 months
  12. when should a kid walk downstairs alternating w rail
    36 months
  13. when should a kid walk downstairs alternating w/o rail
    48 months
  14. when should a kid jump in place w both feet
    22-30 months
  15. when should a kid hop 3x
    3 y/o
  16. when should a kid catch a large ball
    24-26 months
  17. when should a kid ride a tricycle
    3 y/o
  18. when should a kid ride a bike w/o training wheels
    6-9 yrs, or as early as 5
  19. when should a kid gallop
    4 y/o
  20. when should a kid skip
    5-6 y/o
  21. when should a kid start to run
    6-7 months after starting to walk
  22. when should a kid start kicking things
    6-8 y/o
  23. when should a kid do pronated grasp
    2-3 y/o
  24. when should a kid do tripod grasp
    3-4 y/o
  25. an injury seen as a result of shaking a baby
    retinal hemorrhages
  26. pathophys of shaken baby syndrome
    strethc at craniocervical junction --> damages the corticospinal axons and cervical nerve roots --> apnea --> hypoxic brain injury

    can also get subdural hemorrhages bc the brain moves w the subdural space, stretching and tearing the subdural veins
  27. functional reach test starting age?
    5-6 y/o
  28. how far should a 5/6 y/o reach on the FRT?
    21 cm
  29. how far should an 11-15 y/o reach on the FRT?
    32 cm
  30. Pediatric Balance Scale ages?
    • 5-15
    • lacks normative data
  31. TUG - age? normative?
    • 4 y/o
    • normative
  32. TUDS score for 8-10 y/o
    8.3 sec
  33. 3 developmental scales / motor assessments / activity asessments
    • Peabody (PDMS)
    • BOT-2
    • Test of Gross Motor Dev (TGMD)
  34. 3 participation screens
    • WeeFim
    • SFA
    • PEDI (pediatric eval of disability inventory)
  35. WeeFIM ages
    • 6 mo - 7 yrs -- healthy child
    • 6 mo - 12 yrs -- disabled
  36. PEDI ages
    • 6 mo to 7.5 yrs
    • (can use on older kids, but then it's not norm ref any more)
  37. SFA ages
    K-6th grade
  38. Peabody (PDMS) ages
    0-71 months

    we do locomotion, stationary, and either reflexes or object manipulation
  39. BOT ages
    4-21 y/o
  40. TGMD ages
    3-10
  41. tests that are graded 2, 1, or 0
    • TGMD (0 or 1)
    • functional skills on the PEDI (0 or 1)
    • Peabody  (0, 1, or 2)
  42. scoring the TGMD
    • looks at the quality of the movement
    • 2 trials
    • take the sum
  43. neuropraxia
    a condition in which a nerve remains in place after a severe injury although it no longer transmits impulses
  44. axonotmesis
    • nerve injury characterized by disruption of the axon and myelin sheath but with preservation of the connective tissue fragments, resulting in degeneration of the axon distal to the injury site
    • regeneration of the axon is spontaneous and of good quality
  45. neurotmesis
    partial or complete severance of a nerve, with disruption of the axon and its myelin sheath and the connective tissue elements
  46. 1st thing most parents notice before diagnosis in a kid w CF
    salty skin
  47. appropriate interventions for a preschool kid w CF?
    • blowing bubbles
    • huffing in a mirror
  48. lung transplant in CF pts?
    can receive double lung transplant which will remiss CF allowing normal life span
  49. which tool is used to eval brachial plexus kids?
    Mallet
  50. most severe type of nerve injury?
    neurotmesis
  51. Of those children diagnosed with the most mild type of brachial plexus palsy(disruption of nerve conduction from stretching the brachial plexus), what is thepercentage of the patients who progress to spontaneous recovery?
    60-90%
  52. 3 primary methods to prevent obstetrical brachialplexus palsy?
    • Blood sugar monitoring in case the mother has gestational diabetes and increased risk of over-nourishment of the baby
    • Consult with obstetrician regarding advanced planning of delivery
    • McRobert’s Maneuver to push mother’s knee back and down for widerpelvic opening during delivery
  53. which types of spinal muscle atrophy are most common?
    2 & 3
  54. an intervention for SMA?
    • NOT: positioning in all positions including side lying, prone, and supine
    • NOT: long duration sitting to increase head and trunk stability
    • YES: the use of hammocks, velcro wristbands with weighted rattled, and short duration sitting to prevent fatigue
  55. primary cause of muscle weakness in SMA?
    defect of gene that maintains the anterior horn cell
  56. is exposure to toxins a risk factor for down syndrome?
    no
  57. biggest reason for early death of Down's pts?
    cardiopulm complications
  58. posture developed by Down's kids?
    Hip Abduction, External Rotation, Foot pronation
  59. best kind of exercise for kids w down syndrome?
    endurance
  60. when you're doing goniometry with an OI pt, how do you get the joint into place?
    • AROM, and you record an approximate number
    • (don't do PROM or AAROM)

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