Ch. 19 Alterations of Neurological Function in Children Flashcards

1
Q
The origin of the peripheral nervous system is which of the following?
  Neural crest
  Neural tube
  Neural groove
  Neural plate
A

Neural crest

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2
Q
A newborn is born with a separation in the skull that contains unossified membranous tissue. What is the appropriate name for this structure?
  Suture
  Fontanel 
  Schwann cell
  Myelin
A

Fontanel

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3
Q

Which of the following is NOT a difference between adults and children in regard to pathophysiology of the nervous system?
The head of the normal infant is one fourth of the height.
The infant’s skull contains fontanels.
An adult’s head will expand with an intracranial mass.
The infant’s head circumference expands until 5 years of age.

A

An adult’s head will expand with an intracranial mass

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4
Q
Which of the following terms describes a child who has an anomaly in which the soft, bony components of the skull and part of the brain are missing?
  Anencephaly
  Cyclopia
  Encephalocele
  Meningocele
A

Anencephaly

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5
Q
An infant has a hernial protrusion of a sac-like cyst containing meninges, spinal fluid, and a portion of the spinal cord through a deficit in the spinal column. Which term BEST describes this condition?
  Encephalocele
  Meningocele
  Myelomeningocele
  Arnold-Chiari malformation
A

Myelomeningocele

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6
Q
The appropriate term for premature closure of one or more cranial sutures during the first 18 to 20 months of life is which of the following?
  Acrania
  Craniosynostosis
  Microcephaly
  Congenital hydrocephalus
A

Craniosynostosis

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7
Q
A child has congenital hydrocephalus. On tapping his skull a resonant sound is appreciated. Which of the following is the appropriate term for this sign?
  MacEwen sign 
  Sunsetting
  Dandy-Walker deformity
  Arnold-Chiari malformation
A

MacEwen sign

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8
Q
A boy is diagnosed with cerebral palsy. He has increased muscle tone, prolonged primitive reflexes, scoliosis, and contractures. Which form of cerebral palsy does this child have?
  Spastic 
  Dyskinetic
  Ataxic
  Mixed variety
A

spastic

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9
Q

Which of the following is a TRUE statement regarding a febrile seizure?
It occurs in 40% of children.
It is usually brief and self-limited.
It occurs most frequently in children older than 5 years.
It is caused by a bacterial infection.

A

It is usually brief and self-limited

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10
Q
A boy is recovering from varicella zoster. He experiences obtundation, coma, and hyperventilation. Which stage of Reye syndrome is he experiencing?
  Stage I
  Stage II
  Stage III 
  Stage IV
A

Stage III

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11
Q

Which of the following is TRUE regarding brain tumors in children?
They represent the most common primary neoplasm in children.
Ninety percent are solid.
They account for 50% of all childhood cancers.
They remain the leading cause of death from disease in children.

A

They remain the leading cause of death from disease in children

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