Pediatrics – NOTCE Questions and Answers Graded A+
ADHD - answer Challenges with organization, attention in completing tasks
impulsivity, forgetfulness, difficulty following instructions, restlessness
ADHD - attention deficit only - answer difficulty organizing, finishing tasks or paying attenting e.g. following a conversation
ADHD hyperactive/impulsive type - answer- fidgeting, talkative, challenges to sitting still,
restlessness
ADHD Combined Type - answer Combination of inactive presentation and hyperactive or impulsive presentation changes with age
Sensory Profile - answer Evaluates impact of child's sensory processing on performance.
Considers sensory processing, modulation, and behavioral/emotional responses to sensory input Sensory sensitive, sensory avoidant, low registration, sensory seeking
Bruinicks-Oseretsky Test of Motor Proficiency (BOT) - answer measures gross and fine motor skills in ages 4-15 yo
Peabody Developmental Motor Scale (PDMS) - answer evaluates gross and fine motor skills for 0 to 6. Looks at reflexes, stationary body control and posture, locomotion, object manipulation, grasping and visual motor
Movement ABC - answer Examines gross and fine motor with 8 tasks in 3 different areas: manual dexterity, ball skills and, static and dynamic balance
Visual Motor Integration - answer screening tool for children's ability to coordinate visual
perception and finger hand movements. Perceived Efficacy and Goal Setting System - answerused with children from ages 5 to 10. Allows children to identify which tasks they feel are difficult and that they are performing well
Environmental interventions for ADHD - answer- Seating: preferential seating or alternative seating, cushion - Decrease visual stimuli that is distracting
- Quiet space
- classroom structure is clearly communicated
Occupation based interventions for ADHD - answer- break tasks down into smaller steps - keyboard or oral communication alternatives if there are handwriting difficulties
- use charts, check lists and visuals to support with routines
Autism Spectrum Disorder - answer1. Social communication and interaction: - reduced eye contact/social smile
- reduced speech (mute)/echolalic
- reduced inflection or emotion
- aversion to physical contact
2. Repetitive, restrictive fixations on objects and activities/ lack of spontaneous play - intolerant of routine changes
- perseverate
- repetitive motor patterns
Comorbidities: sensory processing challenges, motor planning and executive functioning challenges
Child Autism Rating Scale - answerObservation tool for ages 2+ to assist with distinguishing autism from development delay
Erb- Duchenne Palsy - answerupper brachial plexus injury (C5-C6) causing paralysis of arm, wasting of hand muscles, and decreased sensation; arm held in characteristic "waiter's tip position;" recovery usually btwn 3-24 months
Klumpke's Palsy - answerlower brachial plexus injury resulting in claw hand deformity; usually improves btwn 3-6 months
sensory loss for half of forearm and hand
Assessments for the Brachial Plexus Injuries - answerWeeFIM to determine level of assistance required to perform ADLs MMT, fine motor and gross motor activities
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