DPT Pediatric Physical Therapy 5

Question 1

In the context of IDEA 2004, what distinguishes a 'related service' from 'special education' for a child receiving school-based PT?

Accepted Answer

PT is a related service that supports the child's ability to benefit from special education

Answer

Under IDEA, physical therapy is a related service — a supportive service that helps children with disabilities benefit from their special education program.

Question 2

A 2-year-old with bilateral clubfoot (talipes equinovarus) treated with the Ponseti method has achieved correction. Which intervention is critical to prevent relapse?

Accepted Answer

Foot abduction orthosis (brace) worn 23 hours/day initially, then at night and naps until age 4

Answer

Ponseti protocol requires a foot abduction orthosis after casting to maintain correction; non-compliance results in relapse in the majority of cases.

Question 3

A school-based PT writes goals for a child's IEP. According to IDEA, goals must be:

Accepted Answer

Measurable and focused on educationally relevant functional outcomes

Answer

IDEA requires IEP goals to be measurable and tied to the child's participation in the educational environment, not just clinical or medical outcomes.

Question 4

A 16-year-old with adolescent idiopathic scoliosis (AIS) has a Cobb angle of 28°. According to current evidence, what is the recommended PT approach?

Accepted Answer

Scoliosis-specific exercises (PSSE) such as Schroth method combined with bracing monitoring

Answer

Current evidence supports PSSE (particularly Schroth) for AIS curves 20-45°, often combined with bracing for curves 25-40° in skeletally immature patients.

Question 5

A child with sensory processing disorder shows gravitational insecurity. Which activity would MOST likely provoke distress for this child?

Accepted Answer

Being tilted backward in a tilt-in-space wheelchair or on a therapy swing

Answer

Gravitational insecurity is an excessive fear of movement relative to gravity, particularly triggered by having feet off the ground or being tilted.

(DPT) Board Certified Doctor of Physical Therapy Practice Test

(DPT) Board Certified Doctor of Physical Therapy Practice Test

DPT Pediatric Physical Therapy 5