Deck 3: Child Appraisal: Examination and Evaluation

Question 1

The Alberta Infant Motor Scale would be appropriate for

A) identifying limitations in an infant's self-help skills.
B) diagnosing neurologic dysfunction in a newborn.
C) assessing a child's self-perceptions of their quality of life.
D) identifying an infant with a gross motor delay.

Answer 1

D
Explanation: The Alberta Infant Motor Scale is meant to identify an infant with a gross motor delay. It does not address self-help limitations, diagnose neurologic dysfunction, or assess quality of life.

Question 2

As part of an Early Intervention grant focused on identifying babies/young children in the community who have developmental delays or are at risk for delay, you are going with the rest of your pediatric team (occupational therapist, speech pathologist, social worker, teacher, etc.) to several area day care centers. Which of the following assessment tools would be most appropriate to use?

A) The Peabody Developmental Motor Scales
B) WeeFIM: Functional Independence Measure for Children
C) Alberta Infant Motor Scale
D) Denver Developmental Screening Test II
E) Miller Assessment of Preschoolers

Answer 2

D
Explanation: Only the Denver Developmental Screening Test II is meant as a screening test. The others are either inappropriate or too comprehensive for screening.

Question 3

Common criteria referenced tests include which of the following?

A) The Peabody Developmental Motor Scales and Gross Motor Function Measure.
B) The Pediatric Inventory of Disability and Functional Independence Measure for Children.
C) The Bayley Scales of Infant Development and Computer Adaptive Testing.
D) The Canadian Occupational Performance Measure and Peabody Developmental Motor Scales.

Answer 3

B
Explanation: Pediatric Inventory of Disability and Functional Independence Measure for Children are criteria-referenced tests, as is the Gross Motor Function Measure. The Peabody Developmental Motor Scales and the Bayley Scales of Infant Development are common norm-referenced tests.

Question 4

Interviewing families and listening to their priorities for their children is an integral part of the

A) Canadian Occupational Performance Measure.
B) School Function Assessment.
C) Bayley Scales of Infant and Toddler Development.
D) Activities Scale for Kids.

Question 5

You are evaluating a 6-year-old girl with Down syndrome for school-based physical therapy services. Which following assessment tool will provide you with information about her school activities, participation, and mobility?

A) Bruininks-Oseretsky Test of Motor Proficiency
B) Pediatric Evaluation of Disability
C) School Function Assessment
D) Gross Motor Function Measure

Question 6

Which of the following tests would compare the child's score to the average score of the sample population in order to identify a delay in development?

A) Bayley Scales of Infant and Toddler Development
B) Pediatric Quality of Life Inventory
C) Gross Motor Function Measure
D) Developmental Observation Checklist System
E) Hawaii Early Learning Profile

Question 7

Which of the following statements is false?

A) Likelihood ratio indicates the probability of the existence of the diagnosis.
B) Sensitivity is the ability of a measure to detect dysfunction.
C) Specificity indicates the absence of a disorder.
D) Reliable measures measure what they are supposed to measure.

Question 8

The evaluation process should

A) identify the unique styles, strengths, and coping strategies of each child.
B) develop the plan of care.
C) develop a shared and integrated perspective of the child and family.
D) build and reinforce the parents' sense of competence and worth.
E) All of the above

Question 9

Quality of life

A) measures include a normal range and standard mean.
B) cannot be measured directly and is determined by a group of questions calculating the underlying dimension.
C) measures detect subtle facets of specific disorders.
D) is an assessment of well-being across one domain.

Question 10

Select the most important consideration when choosing a pain assessment scale.

A) Degree and cause of pain
B) Age and cognitive ability of child
C) Quality of life
D) All of the above

Question 11

If you want to assess the level of caregiver assistance or the types of modifications that a 4-year-old child with arthrogryposis needs to perform functional motor activities, your best choice for an assessment tool is which of the following?

A) Peabody Developmental Motor Scales
B) Gross Motor Function Measure
C) Bruininks-Oseretsky Test of Motor Proficiency
D) Bayley Scales of Infant Development
E) Pediatric Evaluation of Disability Inventory

Question 12

When documenting services for children,

A) the term "patient" or "client" should be used.
B) the Health Insurance Portability and Accountability Act does not apply.
C) the term "infant" or "child" should be used.
D) there is no need to document physical therapy services because the team writes a joint report.
Short Answer

Question 13

You have a 42-month-old child with a diagnosis of fetal alcohol syndrome on your schedule for a developmental evaluation to determine whether he is eligible for physical therapy services at the preschool where you work. Which of the following assessment tools would be the most appropriate to use?

A) Peabody Developmental Motor Scales
B) Alberta Infant Motor Scale
C) Gross Motor Function Test
D) Wong-Baker Faces Scale

Question 14

Which of the following statements is false?

A) Quality of life can be directly measured.
B) Perception of quality of life includes self-determination.
C) Instruments to assess quality of life may be generic or condition specific.
D) Generic quality-of-life measures might lack sensitively to detect subtle facets of a specific disorder.

Question 15

What type of measure distinguishes children with or without a specific characteristic or impairment?

A) Criterion Referenced
B) Discriminative
C) Evaluative
D) Reliable

Question 16

Kelsie is an 8-year-old girl with a diagnosis of L hemiplegic cerebral palsy. She is scheduled for a physical therapy evaluation at your outpatient clinic at the request of her pediatrician and her parents. Her father is present with her. Kelsie reports that she would like to be able to carry her tray in the cafeteria without spilling food, get up and down from her desk with less falls/clumsiness, go up and down stairs while carrying her backpack without using the rail, and rollerblade with her friends. Which of the following would be the most appropriate standardized test to use with Kelsie?

A) Bruininks-Oseretsky Test of Motor Proficiency
B) Pediatric Evaluation of Disability Inventory
C) School Function Assessment
D) Sensory Integration and Praxis Test
E) Timed Up and Down Stairs

Question 17

If you want to assess the level of caregiver assistance or the types of modifications a 4-year-old child needs to perform functional motor activities, your best choice for an assessment tool is which of the following?

A) Peabody Development Motor Scales
B) Gross Motor Function Measure
C) Bruininks-Oseretsky Test of Motor Proficiency
D) Pediatric Evaluation of Disability Inventory
E) Bayley Scales of Infant Development

Question 18

When possible, the best place for examination of a child is which of the following?

A) A natural environment
B) A pediatric outpatient clinic setting
C) A pediatric hospital setting
D) The Health Department

Question 19

Confidence intervals

A) give a range of expected scores.
B) are set ranges of acceptable performance.
C) indicate item response theory.
D) are best when there is a wide interval of scores.

Question 20

Which assessment tool has been validated for use specifically with children with cerebral palsy and Down syndrome?

A) Peabody Developmental Motor Scales, 2nd ed.
B) Gross Motor Function Measure
C) Pediatric Inventory of Disability
D) All of the above

Question 21

An 8-year-old boy has been referred for evaluation for physical therapy. His gym teacher reports that he is very strong and climbs stairs with ease, but that he is clumsy, cannot skip, and has difficulty following instructions in gym class. You suspect the boy has __________________________after observing his lack of motor planning on the playground at recess. What evaluation tool would you use for his formal examination?

Question 22

Pain is considered the fifth vital sign. What behavioral pain scale would you use for a child who is preverbal or nonverbal and cannot participate in a self-reported scale?