Pediatric Exam Eval

Question 1

What does a newborn screening include

Answer 1

• APGAR: appearance (color), pulse, grimace (reflexes), activity (muscle tone), respiration
• Gestantional age
• Birth weight

Question 2

Crying may be a screen for _______

Answer 2

• SIDS

Question 3

What should you ask the parent

Answer 3

• Patient demographic info
• Medications
• Medical conditions: allergies, seizures, shunt
• Past surgeries
• Dx, birth Hx
• Parent concerns/goals

Question 4

Describe the ages & stages questionnaire (ASQ-3)

Answer 4

• Screening caregiver questionnaire for one month to 5.5 yrs in all domains

Question 5

Describe the Denver developmental screening test

Answer 5

• 0-6yrs with 4 categories: gross motor, fine motor, language, personal-social

Question 6

Describe the Early learning accomplishment profile (E-LAP)

Answer 6

• 0-36mo with 6 areas: gross motor, fine motor, cognitive, self-help, social-emotional, language
• LAP for 36-72mo

Question 7

Describe the Peabody developmental motor scale (PDMS-2)

Answer 7

• 0-7yrs detailed gross & fine motor skills evaluated

Question 8

Describe the Early intervention developmental profile (Michigan)

Answer 8

• 0-3yrs includes several areas including gross motor, fine motor, and reflexes

Question 9

Describe the Developmental assessment of young children (DAYC-2)

Answer 9

• Developmental assessment to determine age equivalents & possible delays in children birth to 5yrs and 11mo
• 5 domains: cognition, communication, social-emotional development, physical development, & adaptive behavior

Question 10

What are the common functional assessments

Answer 10

• PEDI (pediatric evaluation of disability inventory: questionnaire for mobility, self-care, & social function domains
• GMFM (gross motor function measure): for CP, tests lying & rolling, sitting, crawling & kneeling, standing, walking/running/jumping
• Wee FIM (functional instrument measure for infants)
• SFA (school function assessment)

Question 11

Exam tools/assessments for neonatal/infants

Answer 11

• GMA (general movement assessment): for preemie and term infants to predict CP at age 2
• Dubowitz: preemie and term near maturational view
• MAI (movement assessment of infants) up to one year; sensitive but not specific
• AIMS (alberta infant movement screen): 0-18mo observation assess motor delay sensitivity 77 & specificity 82

Question 12

Exam tools/assessments for infant/toddlers

Answer 12

• TIME (toddler infant motor evaluation): 4mo to 3.5yrs; poor responsiveness to change
• MAP (Miller assessment preschool): 3-6yrs

Question 13

Sensory exam tools

Answer 13

• Sensory profile: questionnaire where adults categorizes sensory seeking & avoidance behaviors
• The sensory processing measure (SPM): norm referenced assessment for ages 5-12yrs
• SIPT (Sensory integration praxis test): 4-9yrs Dx sensory processing, requires special PT/OT certification