Pediatric Assessment-Lopez

Question 1

When making a diagnosis, you need to determine if it is a (blank) issue or a (blank) condition

Answer 1

static

progressive

Question 2

What are the 6 major portions of the exam?

Answer 2

Mental Status
Cranial Nerves
Motor Exam
Sensory Exam
Reflexes
Cerebellar Exam

Question 3

What should you measure in a child? what should you do right when the patient walks in? what reflexes are you looking at?

Answer 3

Head circumferences (for those under 10 years of age)

• observe the patient
• primitive reflexes

Question 4

THe exam changes rapidly during the first (blank) years of life

Answer 4

3-4

Question 5

What are the primitive reflexes?

Answer 5

Grasp
Babinski
Neck righting
Sucking
Parachute
Stepping
Moro

(there are more but this good enough to know)

Question 6

If the history and clinical exam calls for it, what three tests can you give?

Answer 6

neuro-imaging
genetic
EMG/NCV

Question 7

In patients with Global Developmental Delay/Intellectual Disability,:
microarray testing is diagnostic on average in (blank)
G-banded karyotyping is abnormal in at least (blank)
Sub-telomeric fluorescence in situ hybridization is positive in (blank).
What does this tell us?

Answer 7

7.8%
4%
3.5%
These tests arent helpful

Question 8

Testing for X-linked Intellectual Disability genes has a yield of up to (blank) in males with an appropriate family history

Answer 8

42%

Question 9

(blank) testing shows full expansion in at least 2% of patients with mild to moderate Global Developmental Delay/Intellectual Disability
- —Fragile X Syndrome

Answer 9

FMR1

Question 10

(blank) testing is diagnostic in 1.5% of females with moderate to severe GDD/ID
- —-Rett Syndrome

Answer 10

MeCP2

Question 11

Tests for (blank) have a yield of up to 5%, and tests for congenital disorders of glycosylation and cerebral creatine disorders have yields of up to 2.8%
Soooo not that helpful

Answer 11

metabolic disorders

Question 12

Several (blank and blank) screening tests have been shown to have a better than 1% diagnostic yield in selected populations of children with GDD/ID.. SO not helpful

Answer 12

genetic and metabolic

Question 13

What is this:

Short achilles tendon and spasticity

Answer 13

cerebral palsy

Question 14

What is this:

Foot drop and walking with a walker/cane

Answer 14

stroke

Question 15

What is this:

blank/masked facies

Answer 15

parkinson