DPT Pediatric Physical Therapy 3

Question 1

An 8-month-old is unable to bear weight through extended arms in prone position and lacks pivot prone posture. Which sensory system most likely requires facilitation?

Accepted Answer

Vestibular and proprioceptive systems

Answer

Pivot prone and weight bearing in prone require adequate vestibular processing for head righting and proprioceptive feedback through the upper extremities.

Question 2

A child with autism spectrum disorder demonstrates significant hypersensitivity to touch. Which sensory integration intervention strategy is most appropriate?

Accepted Answer

Deep pressure and proprioceptive input before light touch tasks

Answer

Deep pressure and proprioception are typically organizing and calming, preparing the nervous system to tolerate subsequent tactile input.

Question 3

Which developmental milestone should a typically developing child achieve by 12 months of age?

Accepted Answer

Pulling to stand and cruising along furniture

Answer

By 12 months, most children pull to stand and cruise; independent walking typically emerges between 9–15 months.

Question 4

A 7-year-old with juvenile idiopathic arthritis has morning stiffness and joint swelling. When is the optimal time to perform ROM exercises?

Accepted Answer

After a warm bath or shower to reduce morning stiffness

Answer

Warmth reduces viscosity of synovial fluid and decreases pain, making post-bath/shower the optimal time for ROM in JIA.

Question 5

During the Milani-Comparetti Motor Development Screening, a 5-month-old fails to demonstrate head righting in supported sitting. This suggests delay in which postural reaction?

Accepted Answer

Optical and labyrinthine righting reactions

Answer

Head righting in sitting is driven by optical (visual) and labyrinthine (vestibular) righting reactions, which normally emerge by 2-4 months.

(DPT) Board Certified Doctor of Physical Therapy Practice Test

(DPT) Board Certified Doctor of Physical Therapy Practice Test

DPT Pediatric Physical Therapy 3