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Exam #3 Book Questions

Terms in this set (20)

Why is it important to share information with the family about why you are asking certain things as you evaluate the child?
It helps them to understand the role of occupational therapy.
One of the most commonly used interventions for children with ASD, widely accepted as being evidenced based, is applied behavioral analysis: true or false
True
Difficulties with eating, sleeping, playing, repetitive or difficult behaviors, and paying attention may all be caused in part because of which of the following?
sensory processing challenges
Which of the following is a common issue experienced by families of children with ASD?
-social isolation
-financial limitations
-difficulty accessing needed services
-difficulty obtaining early diagnosis
-all of the above
all the above
Which of the following is a key new feature of the diagnosis of ASD according to the DSM V?
Repetitive behaviors
Mom reports Jenny had damage to her primary motor cortex during birth trauma and she has been receiving OT, PT, and SLP since birth. During the initial evaluation you observe:Abnormal movements and atypical reflexes present (i.e., ATNR) Hypertonicity in her arms with spasticity greater in her right bicep, wrist flexors, and thumb adductor Hypertonicity in her legs with spasticity greater in hip adductors, hamstrings, and gastroc/soleus Delayed or absent righting and equilibrium responsesWhat type of cerebral palsy does Jenny have?
Spastic
You are completing an OT evaluation of Sharae, a 4-year-old girl with athetoid type cerebral palsy (CP). What type of movement would you expect to see during your evaluation?
Large sudden fluctuations, "jerky" movements with poor midrange control
What is a common scale used to determine the level of functional hand use in a child diagnosed with cerebral palsy?
Manual Ability Classification Scale (MACS)
Candace is a 5-year-old girl referred to occupational therapy services due to complications from spastic quadriplegic cerebral palsy. During the initial evaluation, you find hypertonicity in all four extremities (upper and lower) and low muscle tone in her trunk and neck. Which type of medical intervention (medication) is used to reduce spasticity through an injection directly into the muscle?
Botox
During an OT session, you observe a 6-year-old child with CP using common compensatory movements in order to reach and grasp toys. Which common compensatory strategy is often observed in children with cerebral palsy while reaching and grasping?
Excessive trunk movements including trunk extension and lateral flexion
The splint typically used to improve function and prevent deformity in a child with a low median nerve palsy is
A wrist and thumb spica splint
Unstructured clinical observations are useful for the therapist to understand how a child uses the affected upper extremity. Important clinical observations to make are
-appearance of the child's affected arm
-how the child holds the affected arm
-how the child spontaneously uses the affected arm for play and/or self-care activities
(all the above)
With which of the following thermal modalities may children get the benefit of both performing active range of motion and desensitization while receiving the treatment?
Fluidotherapy
During an evaluation, if the therapist notices that the child presents with similar measurements for AROM and PROM in the particular movement plane for the joint, the therapist might assume that the child has
Joint Tightness
The primary treatment applications of neuromuscular electrical stimulation in the pediatric population are
-to increase strength of a specific muscle or muscle group
-to train a muscle or muscle group to perform a specific movement
(A and C only)
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