NPTE-PT Pediatric Physical Therapy 2

Question 1

A child with spastic diplegic cerebral palsy demonstrates a scissoring gait pattern. Which muscle group is PRIMARILY responsible for this pattern?

Accepted Answer

Hip adductors and internal rotators

Answer

Hip abductors

Answer

Knee extensors (quadriceps)

Answer

Ankle dorsiflexors

Question 2

A 3-year-old child presents with Erb's palsy following a brachial plexus birth injury at C5-C6. The CLASSIC resting posture of the affected arm is:

Accepted Answer

Shoulder adduction, internal rotation, elbow extension, and forearm pronation

Answer

Shoulder abduction, external rotation, elbow flexion, and forearm supination

Answer

Shoulder flexion, elbow flexion, and wrist extension

Answer

Shoulder abduction, elbow flexion, and wrist flexion

Question 3

Which intervention is MOST appropriate as first-line treatment for an infant diagnosed with congenital muscular torticollis (CMT)?

Accepted Answer

Passive cervical stretching, active range of motion facilitation, and caregiver education in positioning

Answer

Surgical release of the sternocleidomastoid at 3 months of age

Answer

Mechanical cervical traction applied by the physical therapist

Answer

Strengthening of the ipsilateral sternocleidomastoid to balance tension

Question 4

A child with Duchenne muscular dystrophy (DMD) demonstrates Trendelenburg gait and compensatory lumbar lordosis. These findings are MOST directly caused by weakness of the:

Accepted Answer

Hip abductors (gluteus medius) and hip extensors (gluteus maximus)

Answer

Hip flexors and knee extensors

Answer

Ankle plantar flexors bilaterally

Answer

Hip adductors and knee flexors

Question 5

Which intervention is CONTRAINDICATED for a child with juvenile idiopathic arthritis (JIA) during an acute joint flare?

Accepted Answer

High-intensity resistive exercises targeting the acutely inflamed joint

Answer

Gentle active-assisted range of motion exercises within a pain-free range

Answer

Resting splints to maintain optimal joint alignment

Answer

Warm water aquatic therapy at a comfortable temperature

Question 6

A physical therapist is treating a 5-year-old with autism spectrum disorder (ASD) who has significant tactile hypersensitivity. Which approach is MOST appropriate?

Accepted Answer

Use a sensory integration framework with predictable, structured tactile activities graded to the child's tolerance

Answer

Apply unexpected deep pressure to help the child habituate quickly

Answer

Eliminate all sensory input during therapy sessions to prevent overload

Answer

Focus exclusively on vestibular stimulation to override tactile hypersensitivity

Question 7

A child with myelomeningocele at the L4-L5 level is evaluated for community ambulation. Which orthotic is MOST appropriate?

Accepted Answer

Ankle-foot orthosis (AFO)

Answer

Hip-knee-ankle-foot orthosis (HKAFO)

Answer

Knee-ankle-foot orthosis (KAFO)

Answer

Thoracic-lumbar-sacral orthosis (TLSO) without lower extremity component