7.28 Peds Neuro/muscular

Question 1

Ligaments stretched OR partially or completely torn

Answer 1

Sprain

Question 2

Tear in the muscle and/or tendon

Answer 2

Strain

Question 3

When does the lumbar curve develop?

Answer 3

As children begin to walk

Question 4

Muscle % in infants v adults

Answer 4

25% of body weight in infants

40% of body weight in adults

Question 5

What is the differnce between “metatarsus adductus” and “talipes equinovarus”

Answer 5

“metatarsus adductus” = flexible incurving of feet

“talipes equinovarus” = immobile clubfoot

Question 6

What is the Galeazzi Test

Answer 6

Assessing difference in knee height

Question 7

What is the Trendelenberg sign?

Answer 7

Abductor muscle weakness on weightbearing side

Question 8

_______ is performed by adducting the hip while pushing the thigh posteriorly (from back)
If the hip goes out of the socket, it is called “dislocatable” and the test is termed “positive.

What is done to relocate the hip?

Answer 8

Barlow Maneuver dislocates

Ortolani maneuver relocates

Question 9

Genu varum refers to _________ and is a normal finding through ages ____

Answer 9

Bowlegged

2.5-3 years

Question 10

Genu valgum refers to ________ and is a normal finding through age ____

Answer 10

Knock-kneed

Seven

Question 11

Pes plantus refers to ____

Answer 11

Flatfoot

Question 12

Metatarsus Varus refers to _____

Answer 12

Pigeon foot

Question 13

Forward bend test reveals (2) which is indicative of (1).

Answer 13

Discrpancies in ribs
Discrepancies in iliac hips

SCHOLEOSIS

Question 14

Growth Plate Fractures (5)

Answer 14

S     Straight across
A     Above
L     Lower or beLow
T     Two ro Through
ER    ERasure of growth plate or cRush

Question 15

When is the Glasgow coma scale used? Scale from ___ to ____.

Answer 15

Socring systems for evaluation of patients with head trauma

1-15 scale

Question 16

Response if baby is dropped back, arms flail

Answer 16

Moro Reflex

Question 17

Response if baby’s head is turned

Baby extends arm toward direction of head and flexes opposite leg.

Answer 17

“Asymmetrical tonic neck reflex” (Fencing pose)

Question 18

Stroking the lateral aspect of the plantar surface elicits up going of great toe and fanning out of other toes

Answer 18

Babinski reflex

Question 19

When does the stepping reflex appear / disappear?

Answer 19

Appears at birth, disappears at 6-8 weeks

Question 20

Hold baby prone while supporting belly with hand
Stroke along one side of babies’ spine
Baby flexes whole body toward the stroked side

• What is this called?
• When does it disappear?

Answer 20

• Swimmer’s (Galant) Response

- Disappears at 3-4 months

Question 21

When does the parachute reflex appear / disappear?

Answer 21

Appears at 6-8 months, does not disappear.

Question 22

Weak pelvic muscles are a sign of muscular dystrophy form the supine postion, the child will roll to one side bend forward to all four extremities, plant hands on legs, and literally “climb” up

Answer 22

Gower’s sign

Question 23

refer to subtle abnormalities in sensory-perceptual, motor, or other central nervous system functions which are nonspecific findings
e.g. mild dysfunction in motor tone regulation, difficulty in balance, coordination, fine motor function

Answer 23

Soft signs