Deck 24: Cerebral Palsy

Question 1

What is the ambulation potential of a patient with CP that has the presence of primitive reflexes beyond age 2 years?

A) poor
B) fair
C) good
D) excellent

Answer 1

poor

Question 2

A child with cerebral palsy is able to walk with an assistive device on level surfaces and climb stairs with the assistance from an adult at its fifth birthday.What level on the GMFCS is this child considered to have achieved?

A) level I
B) level II
C) level III
D) level IV

Answer 2

level III

Question 3

What level of the GMFCS has a child achieved if the child continues to require transportation and has no means of independent mobility at its third birthday?

A) level II
B) level III
C) level IV
D) level V

Answer 3

level V

Question 4

What type of spastic CP involves the trunk and lower extremities,with the upper extremities to a lesser degree?

A) monoplegia
B) diplegia
C) hemiplegia
D) quadraplegia

Question 5

Which of the following is indicative of asymmetric tonic neck reflex?

A) turning the head to the right elicits right upper extremity extension and left upper extremity flexion
B) turning the head to the left elicits right upper extremity extension and left upper extremity flexion
C) turning the head to the right elicits right lower extremity flexion and left lower extremity extension
D) turning the head to the left elicits left lower extremity flexion and right lower extremity extension

Question 6

The majority of children diagnosed with spastic CP ______________.

A) will present with low muscle tone throughout the course of the pathology
B) will present with increased muscle tone throughout the course of the pathology
C) will present with spasticity early in the first year of life and later develop low muscle tone
D) will present with low muscle tone early in the first year of life and later develop spasticity

Question 7

Therapy intervention for children with CP that is solely aimed at motor outcomes ___________.

A) is appropriate for this patient population
B) has worse outcomes than programs based on cognition
C) should be used at the discretion of the supervising therapist only
D) is a poor predictor of functional outcomes

Question 8

What type of cerebral palsy (CP)is most common?

A) hemiplegia
B) ataxia
C) spastic
D) dystonia

Question 9

Which of the following is not seen on examination of children affected with CP on autopsy?

A) Hemorrhage below the lining of the ventricles
B) Hypoxia causing encephalopathy
C) Malformations of the central nervous system
D) Subarachnoid hemorrhage

Question 10

Appropriate positioning in a wheelchair has been shown to improve several aspects of a child's functional ability with CP.Which of the following will not be improved with appropriate positioning?

A) increase in vital capacity
B) improve performance on cognitive testing
C) increase extensor tone
D) encourage smoother and faster reach

Question 11

Which of the following is an effect of moderate hypotonia in a child with CP?

A) truncal kyphosis
B) contractures of the hip and knee flexors
C) flexed, adducted, pronated upper extremity
D) using arms for sitting balance

Question 12

Which of the following is true after orthopedic surgery and casting for a patient with CP?

A) There is no need to inspect for skin breakdown at the edges of the cast.
B) The family should wash and dry the skin at the edge of the cast frequently.
C) The patient should not begin therapy intervention for 4 weeks after surgery.
D) The skin inside the edges of the cast should be kept moist.

Question 13

Which of the following is a true statement regarding muscle dysfunction in CP?

A) Both hypertrophy and atrophy can be present in a child diagnosed with CP.
B) There is an increase in number of sarcomeres per muscle fiber.
C) Muscle will grow faster than bone.
D) There will be a decrease in fat and fibrous tissue and an increase in blood flow to muscles.

Question 14

A 14-year-old with cerebral palsy is able to participate in some physical activities and sports.What level has this child achieved according to the GMFCS?

A) level I
B) level II
C) level III
D) level IV

Question 15

Which of the following clients with CP would benefit the most from a hinged ankle-foot orthosis (AFO)?

A) a beginning stander
B) nonambulators
C) ambulator with excessive ankle pronation
D) clients with some, but limited, functional mobility

Question 16

Which of the following is a postnatal risk factor for CP?

A) cerebrovascular accident
B) prolapsed umbilical cord
C) breech delivery
D) maternal diabetes

Question 17

Why do children with CP adopt a wide-based sitting posture?

A) With wide-based sitting, the upper extremities are more involved than the lower extremities.
B) With wide-based sitting, the lower extremities are more involved than the upper extremities.
C) It increases the ability to turn and rotate in the sitting position.
D) Wide-based sitting allows the child with poor trunk control to maintain the posture.

Question 18

Abnormal spasticity in what two muscle groups will lead to hip dislocations in patients with CP?

A) hip extensors and abductors
B) hip flexors and abductors
C) hip extensors and adductors
D) hip flexors and adductors

Question 19

According to the Gross Motor Function Classification System for cerebral palsy (GMFCS),what level cerebral palsy would a child be considered if they are able to walk before their second birthday?

A) level I
B) level II
C) level III
D) level IV

Question 20

A client is receiving Botox injections into the gastrocnemius muscle secondary to spasticity associated with CP.In general,when will the symptoms of muscle spasms decrease?

A) immediately after injection
B) in 1 to 2 days
C) in 3 to 7 days
D) in 7 to 10 days