NBCOT – Pediatrics (100% Correct Answers)

Cerebral Palsy Diagnosis Key Markers correct answers Retention of primitive reflexes and automatic reactions Abnormal or variable tone Hyperresponsive tendon reflexes Asymmetrical use of extremities Clonus Poor feeding and tongue control Involuntary movements NONPROGRESSIVE Classification of Cerebral Palsy correct answers Based on limb involvement, distribution / quality of tone, and function Hemiplegia CP correct answers affects the upper and lower extremities on one side of the body; may affect bilateral skills Quadraplegia (tetraplegia) CP correct answers affects the upper and lower extremities on both sides of the body (all 4 limbs) Diplegia CP correct answers quadriplegia with mild upper extremity involvement and significant involvement in the lower extremities Spastic CP correct answers increased flexor or extensor tone Athetoid CP correct answers fluctuation of tone from low to normal with little spasticity Choreoathetoid CP correct answers constant fluctuations from low to high tone, without co-contractions; typically appears as jerky movements (involuntary) Flaccid CP correct answers marked low tone (but will usually progress to spasticity) Ataxic CP correct answers tone is usually within the normal range but involves lower-extremity flexion patterns (balance and coordination difficulties with tremors, but less involuntary movements) Cerebral Palsy OT Treatment correct answers Address tone, motor planning, motor control, and coordination issues AROM & PROM through stretching, exercise and orthotics Adaptive equipment and assistive technology to access education, play, leisure, and social participation Seating and positioning CIMT when indicated