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Pediatrics > Peds_Comp_Exam > Flashcards

Peds_Comp_Exam Flashcards

1
Q

Physiologic Flexion

A

Birth

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2
Q

Turns head to side in prone

A

Birth

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3
Q

Attempts to lift head in midline

A

1 month

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4
Q

Automatic stepping

A

Birth

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5
Q

Fencer’s posture

A

2 months

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6
Q

Rolling: supine to sidelying - nonsegmentally

A

3 months

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7
Q

Beginning midline head control

A

3 months

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8
Q

Prone on elbows, head to 90 degrees, chin tuck

A

4 months

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9
Q

Hands to midline

A

4 months

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10
Q

Unilateral reaching - prone on elbows

A

5 months

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11
Q

Prone on extended arms

A

5 months

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12
Q

Pivot prone posture

A

5 months

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13
Q

Beginning intra-axial rotation

A

5 months

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14
Q

Rolling prone to supine - segmentally

A

5 months

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15
Q

Head lifting in supine

A

5 months

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16
Q

Supine, hands to knees feet; Supine hands to feet; Supine feet to mouth

A

5 months

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17
Q

Propped sitting

A

5 months

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18
Q

Supine bridging

A

5 months

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19
Q

Rolling supine to prone - segmentally

A

6 months

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20
Q

Ring sitting, unsupported with full extension and high guard

A

6 months

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21
Q

Transferring objects hand to hand

A

6 months

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22
Q

Independent sitting with secondary curves

A

8 months

23
Q

Beginning quadruped

A

8 months

24
Q

Creeping

A

10 months

25
Q

Plantigrade posture

A

10 months

26
Q

Beginning pull to standing

A

8 months

27
Q

Plantigrade creeping

A

10 months

28
Q

Pulls to standing and lowers self

A

10 months

29
Q

Cruising

A

10 months

30
Q

Pulls to standing through half kneeling

A

12 months; (10-13 months)

31
Q

Walking independently

A

12 months; (10-15 months)

32
Q

Creeps up stairs

A

15 months; (14-18 months)

33
Q

Walks up stairs with help of handrail

A

18 months; (16-20 months)

34
Q

Abnormal Integration of this reflex interferes with: - Feeding - Visual Tracking - Midline use of hands - Rolling - Development of crawling - Can lead to skeletal deformities (scoliosis, hip subluxation, hip dislocation).

A

Asymmetrical Tonic Neck Reflex

35
Q

Abnormal Integration of this reflex interferes with: - Ability to prop on arms in prone - Attaining and maintaining hands and knees position - Crawling reciprocally - Sitting balance when looking around Use of hands when looking at object in hands in sitting position

A

Symmetric Tonic Neck Reflex

36
Q

Abnormal Integration of this reflex interferes with: - Ability to initiate rolling - Ability to prop on elbows with extended hips in prone - Ability to flex trunk and hips to come to sitting position from supine position - Often causes full body extension which interferes with balance in sitting or standing

A

Tonic Labyrinthine Reflex

37
Q

Abnormal Integration of this reflex interferes with: - Development of Balance - Can lead to scoliosis

A

Galant Reflex

38
Q

Abnormal Integration of this reflex interferes with: - Ability to grasp and release objects voluntarily - Weight bearing on open hand for propping, crawling, protective responses.

A

Plantar Grasp Reflex

39
Q

Abnormal Integration of this reflex interferes with: - Ability to stand with feet flat on surface - Balance reactions and weight shifting in standing

A

Plantar Grasp Reflex

40
Q

Abnormal Integration of this reflex interferes with: - Oral motor development - Development of midline control of the head - Optical righting, visual tracking, social interaction

A

Rooting reflex

41
Q

Abnormal Integration of this reflex interferes with: - Balance reactions in sitting - Protective responses in sitting - E-H coordination, visual tracking

A

Moro Reflex

42
Q

Abnormal Integration of this reflex interferes with: - Sitting balance - Protective responses in sitting - E-H coordination, visual tracking - Social interaction, attention

A

Startle Reflex

43
Q

Abnormal Integration of this reflex interferes with: - Standing and walking - Balance reactions and weight shift in standing - Can lead to contractures of ankles into plantar flexion

A

Positive support reflex

44
Q
  • Stimulus: Noxious stimulus (pinprick) to sole of foot. Tested in supine or sitting position. - Response: Toes extend, foot dorsiflexes, entire LE flexes uncontrollably.
A

Flexor Withdrawal Reflex - Onset/Integration: – 28 weeks gestation -> 1-2 months

45
Q
  • Stimulus: Noxious stimulus to ball of foot of LE fixed in extension; tested in supine position. - Response: Opposite LE flexes, then adducts and extends.
A

Crossed Extension Reflex: - Onset/Integration: – 28 weeks gestation -> 1-2 months

46
Q
  • Stimulus: Grasp forearm and pull up from supine into sitting position. - Response: Grasp and total flexion of the UE.
A

Traction Reflex - Onset/Integration – 28 weeks gestation ->2-5 months

47
Q
  • Stimulus: Sudden change in position of head in relation to trunk; drop patient backward from sitting position. - Response: Extension, abduction of UEs, hand opening, and crying followed by flexion, adduction of arms across chest.
A

Moro Reflex - Onset/Integration – 28 weeks gestation ->5-6 months

48
Q
  • Stimulus: Sudden loud or harsh noise. - Response: Sudden extension or abduction of UEs, crying.
A

Startle Reflex - Onset/Integration – Birth ->persists

49
Q
  • Stimulus: Maintained pressure to palm of hand (palmar grasp) or to ball of foot under toes (plantar grasp) - Response: Maintained flexion of fingers or toes.
A

Grasp Onset: palmar, birth; plantar, 28 weeks of gestation. Integrated: palmer, 4–6 months; plantar, 9 months.

50
Q
  • Stimulus: Rotation of the head to one side. - Response: Flexion of skull limbs, extension of the jaw limbs, “bow and arrow” or “fencing” posture.
A

Asymetrical Tomic Neck Reflex - Onset/Integration – Birth ->4-6months

51
Q
  • Stimulus: Flexion or extension of the head. - Response: With head flexion: flexion of UEs, extension of LEs; with head extension: extension of UEs, flexion of LEs.
A

Symmetrical Tonic Neck Reflex - Onset/Integration – 4-6months ->8-12 months

52
Q
  • Stimulus: Prone or supine position. - Response: With prone position: increased flexor tone/flexion of all limbs; with supine: increased extensor tone/ extension of all limbs.
A

Symmetrical Tonic Labyrinthine - Onset/Integration – Birth ->6months

53
Q
  • Stimulus: Contact to the ball of the foot in upright standing position. - Response: Rigid extension (co-contraction) of the LEs.
A

Positive Supporting - Onset/Integration – Birth ->6months

54
Q
  • Stimulus: Resisted voluntary movement in any part of the body. - Response: Involuntary movement in a resting extremity.
A

Associated reactions: - Onset/Integration – (Birth-3months)->(8-9years)

Pediatrics (6 decks)

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