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Peds
Test 2
| Question | Answer |
|---|---|
| When discussing diagnoses, consider the following: | Disease itself(prognosis? cause?); Typical signs & symptoms; Deficits & delays; Any related health problems; What would OT do? |
| Congenital heart disease | cardiopulmonary |
| Rheumatic heart disease | cardiopulmonary |
| Dysrythmias | cardiopulmonary |
| brady | slow |
| tachy | fast |
| conductive | problems w/conduction(pacemaker) |
| Neonatal resp problems | cardiopulmonary |
| Asthma | cardiopulmonary |
| CF (cystic fibrosis) | cardiopulmonary |
| cardiopulmonary system consists of | the cardiac (heart & vessels) & respiratory (trachea, lungs, & diaphragm)systems |
| WRAVMA stands for | wide range assessment of visual motor abilities |
| WRAVMA assesses ____ areas using ____ tests | 3;3 |
| WRAVMA age levels | 3 to 17 years |
| WRAVMA areas tested | visual motor (drawing), visual spatial(matching test), fine motor (pegboard test) |
| WRAVMA time required | drawing 5-10 min, matching, 5-10 min, pegboard 4 min |
| WRAVMA score types | raw scores, standard scores, percentile scores, VMA composite |
| WRAVMA average score | 85-115 |
| Does the WRAVMA allow erasing? | NO |
| WRAVMA, which attempt is scored? | first attempt |
| Beery VMI is the | Developmental test of visual motor integration |
| Beery VMI purpose | to assess the extent individuals can integrate their visual & motor abilities |
| Beery VMI age levels for short form | 2-7yrs old |
| Beery VMI age levels for full form | 2-18yrs old |
| Beery VMI age levels for adult form | 19-100yrs old |
| Beery VMI areas tested | Visual motor(VMI), Visual perception(admin after VMI), Motor coordination(admin after VMI) |
| Beery VMI time required | 10-15 min |
| Beery VMI score types | raw, standard, scaled, percentiles, age, equivalent |
| Beery VMI average score | 85-115 |
| Stop the Beery VMI when ___ are missed in a row | 3 |
| When giving the Beery VMI always sit | next to child |
| The visual & motor subtests of the Beery VMI, are given if _____, to help pinpoint ______. | low score on VMI; problem area |
| TVPS stands for | Test of Visual Perceptual Skills |
| TVPS purpose | Measure a child's perceptual ability |
| TVPS age levels | 4-18yrs old |
| TVPS areas tested | Visual-perceptual skills |
| TVPS time required | 30 min |
| TVPS raw scores are reported as | sealed scores and percentile ranks |
| TVPS includes ___ subtests | 7 |
| The 7 TVPS subtests are | visual discrimination, visual memory, spatial relations, form consistency, sequential memory, figure ground, visual closure |
| Each TVPS subtest, overall total score is reported as | a standard score and percent rank |
| The TVPS index score section is | optional |
| BOTMS stands for | Bruinks-Oseretsky Test of Motor Proficiency |
| BOTMS assesses | Motor functioning drawing and bilateral skills Gross motor and fine motor subtests |
| BOTMS age levels | 4.5 - 14.5 yrs old |
| BOTMS areas tested | Gross/Fine motor |
| BOTMS Gross motor areas tested | running, balance, bilateral coordination, strength |
| BOTMS Fine motor areas tested | Response speed, visual-motor, upper limb speed & dexterity, upper limb coordination |
| BOTMS time required | 45-60 min |
| BOTMS score types | Standard, point scores, percentile rank, stanine, gross motor composite, fine motor composite |
| PDMS-2 stands for | Peabody Developmental Motor Scales |
| PDMS-2 assesses | Fine motor, gross motor, grasping, visual-motor integration |
| PDMS-2 age levels | birth to 5yrs 11mo |
| PDMS-2 areas tested | Reflexes(10-12m), stationary(GM), locomotion(GM), object manipulation, grasping, visual-motor integration |
| PDMS-2 time required | 45-60 min |
| PDMS-2 score type | Raw score, age equivalent, percentile, standard, gross motor quotient, fine motor quotient, total motor quotient |
| QNST-3 stands for | Quick Neurological Screening Test-3rd edition |
| QNST-3 assesses | development of motor coordination and sensory integration |
| QNST-3 age levels | 5yrs to geriatrics |
| QNST-3 includes ____ tasks | 15 |
| QNST-3 tasks are | hand skill, figure recog, palm form recog, eye tracking, sound patterns, finger to nose, thumb&finger circle, double simultaneous stimulation, repetitive hand mvmnt, arm&leg ext, tandem walk, stand on 1 leg, skipping, L/R discrim,behavioral irregularities |
| QNST-3 time required | 30 min |
| QNST-3 score type | Raw scores, no discrepancy, severe discrepancy |
| QNST-3 lower score is | better |
| QNST-3, if individual is over ____ yrs old & print, then they automatically get a ___ | 8;1 |
| QNST-3, use pen or pencil? | pen |
| QNST-3, score test as | you go |
| Cystic Fibrosis | Cardiopulmonary |
| Child tastes salty, greasy stool-look for in early infancy | CF |
| Iron deficiency anemia | Hematological disorder-Cardiopulmonary problem |
| Sickle Cell | Hematological disorder-Cardiopulmonary problem |
| Hemophilia | Hematological disorder-Cardiopulmonary problem |
| Red blood cells are not round | Sickle cell |
| Orthopedic or musculoskeletal conditions involve | bones, joints, and muscles |
| Congenital(born with)disorders of the musculoskeletal system include: | achondroplasia(dwarfism), arthrogryposis, juvenile rheumatoid arthritis, osteogenesis imperfect(brittle bones), congenital hip dysplasia |
| Osteogenesis Imperfecta | bones fail to develop & are brittle. Breaks can happen when changing diaper. Parents may be ? about child abuse. May need splint to prevent breaks. |
| The neuromuscular system includes the | nervous system and the muscles of the human body |
| TBI is a _____________ condition | neuromuscular |
| Shaken baby syndrome is a ____________ condition | neuromuscular |
| Erb's Palsy is a ____________ condition | neuromuscular |
| Guillain-Barre is a ___________ condition | neuromuscular |
| Neuromuscular conditions include | TBI, Shaken baby syndrome, Erb's Palsy, Guillain-Barre, Peripheral nerve injuries |
| A Developmental disorder is a ___________ and/or ___________ disability that arises before adulthood and lasts throughout life. | mental;physical |
| Developmental disorders include | Rett syndrome, ADHD, DCD |
| ADHD | Developmental disorder, 3:1 males:females |
| DCD stands for | Developmental coordination disorder |
| DCD | Developmental disorder; children's motor coordination is markedly below their chronologic age & intellectual ability & significantly interferes with ADLs. Catch all disease. Diagnosis must change by 9yrs old. |
| Klinefelter's syndrome | Deletion, Translocation, extra X Common (1 in 500 males) genetic |
| XYY | Deletion, Translocation, extra Y inherited |
| Trisomy 21 (Down's) | Excess chrom material/extra twenty-first chromosome; genetic/not inherited |
| Turner's Syndrome | Decrease in chrom material/missing 1 (X) chromosome |
| Cri du chat (cry of the cat) | Deletion, translocation, deletion of part of chromosome #5. |
| Deletion, Translocation(gets stuck) | variable expression(like ea other), more rare, genetic/not inherited |
| Fragile X | Deletion, Translocation. Deletion of part of an X chromosome |
| Prader-Willi | Deletion, Translocation, involves chromosome 15 |
| Children & adolescents who have Prader-Willi exhibit | Never full or only temporary, severe obesity, hypotonia, moderate MR, self abusive/mutilating, biggest cause of obesity leading to death |
| Angelman syndrome | Decrease in chromosomal material, No #15 chromosome from mother(X) |
| Neurofibromatois | fibroids grow on CNS, genetic |
| Tourette's | Genetic |
| Muscular Dystrophy | Genetic |
| 3 types of Muscular Dystrophy | 1. Limb-girdle 2. Facioscapulohumeral 3. Duchenne's |
| Neoplastic D/Os (cancer) | Leukemia, Brain tumors, Wilm's, Bone tumors |
| Most common types of bone tumors | Ewing's sarcoma & osteosarcoma |
| Ewing's sarcoma | Survival rate higher, radiation, more in trunk and skull |
| Osteosarcoma | may need amputation, long bones |
| LGA | Large for gestational age |
| SGA | Small for gestational age |
| Prematurity is defined as occurring anytime | before 36th wk of gestation or 1 month prior to due date |
| Premature babies often have | Respiratory (RDS), (HMD)hyaline membrane disease, abnormal development of lungs, meconium aspiration, apnea |
| Cardiovascular problem-(PDA) | Patent ductus arteriosus-failure of fetal heart openings to close |
| Metabolic condition-Hyperbilirubinemia | excess red bile pigment;metabolic |
| Metabolic condition-Metabolic acidosis | accumulation of acid and loss of base in body |
| Metabolic condition-Hypocalcemia | blood calcium level below normal |
| Metabolic condition-Hypoglycemia | blood glucose level below normal |
| Smoking causes _GA | S (SGA) Small for Gestational Age |
| Diabetes cause _GA | L (LGA) Large for Gestational Age |
| Nutritional & GI - Necrotizing entercolitis | Acute superficial necrosis(cell death) |
| RLF-retrolental fibroplasia | a condition leading to detachment of the retina. too much oxygen can be cause |
| Teratogens | substance or factor that negatively affect the developing fetus |
| Teratogens - factors affecting how much damage is done | dosage, gestational age, specific sensitivity of developing organs at time of exposure, time taken(what is developing at that time) |
| FAS stands for | fetal alcohol syndrome |
| FAS | one of most serious, 3rd leading cause of MR & birth defects, 1 in 600 to 1000 births, chronic |
| FAS characteristics | vary from mild to sever, typical facial features are flat Philtrum(under nose), thin upper lip, wide set eyes |
| FAS can affect | IQ(FAS avg is 63, 70+ normal), speech, muscles, behavior(impulsive) |
| What can OT can address for FAS | motor skills, ADD, behavior problem |
| Cocaine-crack: infants can be born | addicted, early, & going thru detox |
| Cocaine: infants going thru detox can have | a stroke, then will have CP |
| Cocaine: infants may | have decreased head size, be irritable, hypersensitive to stimuli, congenital anomalies such as limb deformities, CVA, hpertonia, hyper, ADD, learning deficits |
| Cocaine: decreased head size is likely to cause | LD because brain can't grow well |
| Most common, caused by hot objects or flames, such as heat from an open fire, iron, stove, or cigarette | Thermal burn |
| Results from skin or other body tissue coming into contact with electricity | electrical burn |
| ____________ burns are internal | electrical |
| Chemical burns are caused by chemical substance such as | acid or some other poison |
| Most burns are _________, ____% caused by abuse | accidents;abuse |
| APGAR looks at | color, heart rate, reflex, irritability, mm tone, respiratory effort |
| OT for burns | prevention of contractures, ROM-splinting, positioning, pressure garments, scar tissue massage |
| Burns require a lot of surgeries to | release scar tissue(kids grow, scar tissue doesn't) |
Created by:
KristieKing
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