PHTH 606 Flashcards

1
Q

Place the following statements in order of presentation with regards to the baby’s development:

  1. physiological flexion
  2. lateral righting
  3. movement control in the transverse plane
  4. flexion against gravity
  5. extension against gravity
A

1, 5, 4, 2, 3

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2
Q

Which situation does NOT correspond to a normally developing 4 month old?

William has adorable smiles and he always puts his little red rattle in his mouth with both of his hands…

Marie loves being on her back! Her head is often turned to one side or another and she moves her little arms on her sides when she is happy. She can even put one of her fists in her mouth!..

Sarah is starting to roll! You should see how hard she tries with her whole body to go to her side! She still can’t go all the way to her stomach but it shouldn’t take very long…

Benjamin is starting to like being on his stomach! He holds himself up with his little arms and holds his head up to look at me when I move around. His legs are straight behind him and I even saw him roll on to his back!…

Laura is wonderful! When I pull her up to sitting she even helps with her little arms. It’s as though she knows what I want her to do!..

A

Marie loves being on her back! Her head is often turned to one side or another and she moves her little arms on her sides when she is happy. She can even put one of her fists in her mouth!..

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3
Q

The ability to bring hands to knees (as depicted in the picture below) reflects the 4 month-old baby’s ability to activate new muscle groups in preparation for rolling from supine to prone. Which of the following muscle groups is this position most representative of?

A

Abdominals

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4
Q

Protective reactions in sitting appear gradually over the first year of life and contribute the child’s ability to maintain the sitting position. Please state the order of appearance of sitting protective reactions in the following positions: forward, sideways and backwards

A

6, 8, 10 months

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5
Q

The following are components of abnormal gross motor development. Which ones would worry you in a 4 month-old infant?

Complete absence of oblique abdominal muscle strength
Obligatory ATNR
Excessive midline orientation of neck and upper extremities
Poor exploration of body
Inability to weight bear on lower extremities in supported standing

A

Obligatory ATNR

Poor exploration of body

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6
Q

Mr Jones brings his child Charlie, who is 15 months to you. On examination you note that Charlie displays right-hand dominance.
What is this most suggestive of?

A

Left sided weakness

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7
Q

At what age should a child develop a mature pincer grasp?

A

9-12 months

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8
Q

Around what age should a child be able to build a tower of three building blocks?

A

18 months

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9
Q

At what age should a child be referred to a paediatrician if they have not begun to walk?

A

18 months

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10
Q

At what age is the gait pattern considered mature?

A

3 years

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11
Q
In normal fine motor development, which of the following should occur first?
Copying a triangle
Drawing a square
Tripod pencil grip
Copying a circle
Copying a cross
A

Copying a circle

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12
Q

Which assessment tool would you use with a 3 month old infant born pre-mature?

A

AIMS (Alberta Infant Motor Scale)

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13
Q

Which assessment tool would you use with a 10 month-old infant, showing a clear preference for the right upper extremity, unable to hold head in midline?

A

GMFM

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14
Q

Which assessment tool would you use with a 6 year old diagnosed with Down Syndrome?

A

GMFM

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15
Q

Which assessment tool would you use with a 17 year old who comes to rule out a coordination problem?

A

BOT-2

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16
Q

Which assessment tool would you use with a 7 year old suspected of having balance problems?

A

MABC-2 / BOT-2

17
Q

Which assessment tool would you use with a 10 year old whose parents think he is a slow runner?

A

BOT-2

18
Q

Which assessment tool would you use with a 6 month old who is unable to reach for objects?

A

PDMS

19
Q

Which assessment tool would you use with a 5 year old who appears to have delayed dexterity and seen prior to school entry?

A

PDMS / MABC-2

20
Q

Which assessment tool would you use with a 24 month old who is suspected of having general motor delays?

A

PDMS

21
Q

Which assessment tool would you use with a 9 year old child who is unable to walk without support?

A

GMFM