QUIZ 2 - Chapter 12 - Part 1 (Pgs 190-199A) Flashcards
This system consists of bones, joints, cartilage, and ligaments
Skeletal
This system consists of muscles, tendons, and the fascia covering them
Muscular
Bands of tough, inelastic fibrous tissue, connects muscles to bones
tendons
Muscles are activated by the _______ system, and move bones to create movement at the joint
nervous
achondroplasia is also known as
dwarfism
achondroplasia, arthrogryposis, juvenile rheumatoid arthritis, osteogenesis imperfecta, and congenital hip hysplasia are all types of __________ system disorders.
musculoskeletal
Dwarfism is a pathologic condition of arrested or stunted growth that occurs during _________.
fetal development
What is dwarfism or achondroplasia a disorder of?
growth cartilage
Due to their physical stature and features, children with achondroplasia may require _______ to perform daily occupations
adaptive equipment
People who have achondroplasia have very large hands - T of F
T
What are the two reasons for Arthrogryposis?
reduced amniotic fluid during gestation and CNS malformations
In the classic form of arthrogryposis, all of the joints of the extremities are ______, but the spine is not affected.
stiff
OT Practitioners rely on _______ to provide the best intervention
family and school personnel
another name 4 juvenile rheumatoid arthritis
Stills disease
During _____, or flare ups, symptoms worsen.
exacerbations
What are some of the symptoms that occur during exacerbation?
joints become hot and painful
joint damage can occur
Children with JRA are not ever able to play or do typical activiites…T or F
F - only during flare-ups
These techniques are encouraged at all times for kiddos with JRA?
Joint Protection techniques
By the time they are adults, what percentage of people with JRA have permanent remission?
75%
Children with JRA may have functional dimitations due to ____ and _________.
contractures and deformities
What would an OT practitioner prescribe to help children with JRA engage in everyday activities?
adaptive equipment and techoloy
Place to find more about the 3 types of juvenile rheumatoid arthritis
P. 196 in PEDS book, Table 12-1 - don’t need to memorize, just an FYI
This is a congenital condition in which bones fail to develop and are brittle.
Osteogenesis imperfecta
Children with osteogenesis imperfecta also have _________.
Secondary Osteoporosis
Osteoporosis in kids can be brought on by a lack of _________ activities such as crawling and standing
weightbearing
T/F - weight bearing activities and muscles pulling on bones during movement make bones stronger
T
OT Practitioners who work with children with osteogenesis imperfecta and osteoporosis must be _____ when helping them experience play, ADLs, education, and social participation.
Gentle
Best group of people to aid in improvement for kids with osteogenesis imperfecta and osteoporosis
Family and teachers
Proper Positioning prevents _______
contractures and deformities
Something really really big - so big it requires the combination of two different BIG words
ginormous (combination of gigantic and enormous) - has nothing to do with this chapter
This is the technical term which means dislocation of the hip
congenital hip hysplasia
Congenital hip dysplasia may be caused by ____ factors
genetic or environmental
T/F - If your child has congenital hip dysplasia, wait until they are quite a bit older to get it taken care of.
F - early intervention is critical to preventing permanent physcial or body structure damage.
For kids with congenital hip dysplasia, parents AND kids need help with daily living skills like _______ activities and providing _______ equipment.
simplifying, adaptive
An infant born with all or par of a limb missing has a ____________.
congenital amputation - “I hate these kids….er…hate working with these types of kids…er…”
A _______ amputation is the result of an accident, infection, or cancer.
traumatic
how many out of 10,000 kids in the US are born missing all or part of a limb.
26
Most common types of amputations
thumb and below-elbow amputations
In some cases _________ may be prescribed to help the child engage in daily activities.
prosthesis
All or most of the arm is missing from the shoulder and below
transverse amelia
all of the arm is missing from the elbow and below
transverse hemimelia
one of the long bones of the forearm is missing. Fingers or thumb may or not be missing.
longitudinal hemimelia
bones of the upper or lower arm are missing. All or part of the hand remains
phocomelia
A prosthesis is most likely to be rejected when the child is ________.
Older
________ are conditions that are not present at birth and involve injury or trauma to the skeletal and/or muscular systems.
acquired musculoskeletal disorders
soft tissue injuries and fractures require the attention of an _______.
orthopedist - a doc who specializes in diseases of the musculoskeletal system
STUMP CARE: Decreased skin surface may result in _________
overheating
STUMP CARE: Bandages must be ____ and must be monitored
dry
STUMP CARE: Examine the stump site for _______ when the prosthesis is removed each night.
excessive redness, irritation, and swelling
STUMP CARE: Report any ____ to the OT immediately
discomfort, redness, or pressure areas
STUMP CARE: Wash the residual limb daily with ___. Rinse and dry carefully. Do not ___ it.
soap and water, soak
STUMP CARE: Cleanse the residual limb ______, ensuring enough time for it to dry thoroughly.
at night
STUMP CARE: Do not shave or apply ______ to the residual limb.
lotions or moisturizers
STUMP CARE: Check the correct fitting of the ______, and make sure that there are no pressure areas.
prosthesis
STUMP CARE: Change __ daily, and wash them by hand using mild soap and water.
STUMP SOCKS
STUMP CARE: Keep the _____ of the prosthesis clean and dry. Inspect for wear.
leather parts, liners, and webbing
STUMP CARE: Check the ______ or components frequently.
mechanical parts