DPT Pediatric Physical Therapy 4

Question 1

A toddler with Down syndrome (trisomy 21) demonstrates significant hypotonia and joint hypermobility. Which atlantoaxial instability precaution is essential before initiating PT?

Accepted Answer

Screen for cervical instability before any activities loading the cervical spine

Answer

Up to 15% of individuals with Down syndrome have atlantoaxial instability; radiographic clearance is needed before contact sports or cervical loading activities.

Question 2

A child with spina bifida and a neurogenic bladder requires catheterization. Under IDEA, which related service may the PT coordinate with school staff regarding mobility to/from the restroom?

Accepted Answer

Accessible route training and mobility support to enable clean intermittent catheterization

Answer

PT in schools under IDEA addresses educationally relevant mobility needs, including safe, accessible routes to support health-related school routines.

Question 3

When using the Alberta Infant Motor Scale (AIMS), the therapist observes the infant in four positions. Which position is NOT assessed on the AIMS?

Accepted Answer

Sitting with support

Answer

The AIMS assesses prone, supine, sitting (unsupported), and standing — supported sitting is not a distinct AIMS position category.

Question 4

A 5-year-old with hemiplegic CP demonstrates a circumduction gait pattern on the involved side. The primary cause is:

Accepted Answer

Inability to advance the leg through hip flexion due to spastic plantarflexors and hip extensors

Answer

Circumduction is a compensatory strategy to advance a stiff, spastic limb that cannot shorten adequately through swing-phase hip and knee flexion.

Question 5

Which standardized tool best measures functional mobility and daily activity performance in children ages 6 months to 7.5 years with disabilities?

Accepted Answer

Pediatric Evaluation of Disability Inventory (PEDI)

Answer

The PEDI assesses functional skills and caregiver assistance in self-care, mobility, and social function for children 6 months to 7.5 years.

(DPT) Board Certified Doctor of Physical Therapy Practice Test

(DPT) Board Certified Doctor of Physical Therapy Practice Test

DPT Pediatric Physical Therapy 4