Week 6 - Paediatrics

Question 1

Name six developmental milestones with time scales

Answer 1

Rolling 4/12
Sitting independently 9/12
Pull to stand 9/12
Crawling 9-12/12
Cruising on furniture 12/12
Walking 18/12

Question 2

Name 3 standardised Ax tools for measuring development

Answer 2

Normal motor milestones
Chailey levels of ability
Gross Motor Function Measure
Movement ABC test

Question 3

What SQ would you ask during a Paeds subjective Ax?

Answer 3

Birth Hx
Motor Hx
Social Hx
Cognitive Hx
Family Hx
(Parent/ child perception)

Question 4

What is cerebral palsy?

Answer 4

A permanent impairment of movement and posture resulting from a non-progressive brain disorder due to hereditary factors or events during pregnancy, delivery, neonatal period and the first 2-3/5 y of life

Question 5

What are the different types of a) hypertonic and b) hypotonic CP?

Answer 5

a) Spastic, dystonic

b) Athetoid, Ataxic

Question 6

What are the 5 levels of the GMFCS?

Answer 6

1 - Walks w/o restrictions; limitations in more advanced GMS
2 - Walks w/o assistive devices; limitations walking outdoors and in the community
3 - Walks with assistive devices; limitations walking outdoors and in community
4 - Self mobility with limitations; children transported or use power mobility outdoors and in community
5 - Self mobility severely limited even with assistive technology

Question 7

Define Spina Bifida

Answer 7

Congenital abnormality in the formation of spinal vertebrae

Question 8

What are the 3 types of spina bifida in order of severity?

Answer 8

Cystica Myelomeningocele
Cystica Meningocele
Occulta

Question 9

What is hydrocephalus?

Answer 9

Increased CSF in ventricles of brain

Question 10

What is muscular dystrophy?

Answer 10

MD are a group of inherited genetic conditions that gradually cause the muscles to weaken, leading to increasing disability. Caused by gene mutations in genes responsible for muscle structure and function.