Ch7 – Neuromuscular System Examination, + Full Test Bank

Chapter 07. Neuromuscular System: Examination, Evaluation, and Diagnoses

Matching

Match the component of the physical therapy model of practice with its definition. (Note: Not all options may be used.)

____ 1. Examination

____ 2. Evaluation

____ 3. Diagnosis/Prognosis

Match the clinical sign with the body structure most likely involved. (Note: Not all options may be used.)

____ 4. Problems with timing of movement (coordination)

____ 5. Involuntary movements (dyskinesia)

Match the theory of motor control with its major focus. (Note: Not all options may be used.)

____ 6. Dynamic system theory

____ 7. Systems theory

____ 8. Uncontrolled manifold theory

Match the outcome measure with the related test category. (Note: Not all options may be used.)

____ 9. Screening

____ 10. Developmental

____ 11. Participation

Multiple Choice

Identify the choice that best completes the statement or answers the question.

____ 12. Which component of the International Classification of Functioning, Disability and Health would include the assessment of ROM, motor function, and sensation?

____ 13. Which component of the International Classification of Functioning, Disability and Health would include the assessment of bed mobility, communication, and self-care?

____ 14. Which theory of motor control underlies the use of proprioceptive neuromuscular facilitation quick stretch of the biceps to facilitate elbow flexion?

____ 15. What postural control problem would best explain a decreased ability to lift heavy objects, lean over to retrieve things from the floor, step up onto surfaces without support, step forward, or maintain stance stability with rotation of head and trunk?

____ 16. Which of the following statements most accurately defines spasticity?

____ 17. What aspect of postural control is specifically tested by the Functional Reach Test?

____ 18. Which of the following postural strategies would be typically used to maintain balance during a challenging activity?

____ 19. Which of the following health conditions would be the most likely diagnosis for a child demonstrating difficulty with socialization, communication, and behavior?

____ 20. When performing a well-child screening for a 1-year-old, which of the following signs could indicate a potential diagnosis of autism spectrum disorder?

____ 21. Which of the following impairments of body function would you expect in a child with Down syndrome?

____ 22. Which of the following would best describe a typical posture for a child with Down syndrome?

____ 23. Which of the following is a higher risk for adults with Down syndrome than the normal population?

____ 24. A 4-year-old child is diagnosed with Down syndrome. Which of the following pediatric standardized tests would be most appropriate to administer if the child and family’s goal was to improve ability to transfer into and out of a car, walk up and down stairs safely, brush teeth and dress independently, and play interact with peers?

____ 25. Which is the most likely diagnosis for a child presenting with mild hypotonia, muscle weakness that is most pronounced in the hands, poor postural control, motor coordination difficulties, and delayed motor milestone acquisition without cognitive deficits?

____ 26. Which of the following activities would be more difficult for a 6-year-old child with developmental coordination disorder at school?

____ 27. Which of the following diagnostic pediatric standardized tests would be most appropriate to administer to a 7-year-old child to assist in confirming a diagnosis of developmental coordination disorder?

____ 28. Based on the available evidence, which of the following interventions would be most effective for an 8-year-old child with developmental coordination disorder working on kicking a ball and hitting a target?

____ 29. Which of the following home exercise programs would be most effective for children with Down syndrome and developmental coordination disorder to prevent secondary conditions including type 2 diabetes and cardiovascular disease?

____ 30. Which of the following changes in body structures most likely explain the muscle weakness observed in children with cerebral palsy?

____ 31. An 8-year-old child diagnosed with cerebral palsy independently walks with bilateral forearm crutches indoors at all times and independently propels a manual wheelchair for long distances outside. He sits in a chair with minimal trunk support at school but is unable to hop, jump, or run. Which of the following Gross Motor Function Classification System levels best describes this child’s cerebral palsy?

____ 32. The Glasgow Coma Scale and the Rancho Los Amigos Scale–Levels of Cognitive Functioning are two tests used to measure the child’s ability to follow directions, process sensory stimulation, and determine overall basic cognitive and behavioral function in what patient population?

____ 33. A 9-year-old child diagnosed with myelomeningocele and hydrocephalus presents with blurred vision, headache, increased spasticity, and lethargy. What is most likely causing these symptoms?

____ 34. When working with a child with myelomeningocele, you need to remember that there is an increased prevalence of allergy to which of the following items?

____ 35. An 8-year-old child is seen in an outpatient setting. He has difficulty in physical education class kicking a ball, walking on a straight line, buttoning his shirt, and writing his name. He does not demonstrate any increased tone in his muscles but does have muscular weakness in his fingers and hands > LE. Based on this clinical presentation, which of the following tests and measures would be most appropriate to perform during the physical therapy examination to assist in determining a health condition for this child?

____ 36. A 2-year-old toddler at day care walks on his toes outside on the playground, does not turn to the teacher when his name is called, babbles infrequently, is unable to speak one word, and stacks blocks into big towers during circle time. Which of the following health conditions may be causing this toddler's clinical symptoms as described above?

____ 37. A 6-year-old child with spastic diplegic cerebral palsy, Level II on the GMFCS, would have difficulty with which of the following gross motor skills?

____ 38. A 3-year-old child is seen in an outpatient setting. She has difficulty sitting and demonstrates excessive kyphosis when attempting independent sitting. When placed in a standing position, she locks her knees into full extension and appears to be hanging on her ligaments for support. Which of the following findings is most likely contributing to this clinical scenario?

____ 39. A 3-year-old child is seen in an outpatient setting. She has difficulty catching a ball as she brings her arms up to corral the ball after it hits her chest. Which of the following movement functions is most likely affected?

____ 40. Which of the following movement control theories includes patterns of movement that emerge from experience with a specific task?

____ 41. Christina is an 11-year-old child with spastic, dystonic quadriplegic cerebral palsy who is transported by her caregivers in a manual wheelchair in all settings. She is unable to maintain upright sitting on the floor and needs head support at all times. Her Gross Motor Function Classification System (GMFCS) level is:

____ 42. An 8-year-old child diagnosed with cerebral palsy ambulates independently with bilateral forearm crutches indoors and independently propels a manual wheelchair for long distances outside. He sits in a chair with minimal trunk support at school but is unable to hop, jump or run. He needs assistance on the stairs. What is his Gross Motor Function Classification System (GMFCS) level?

____ 43. Jayden is a 7-year-old with spastic diplegic cerebral palsy, GMFCS Level II, who attends a karate class 2 days a week with his typically developing peers. Which component of the International Classification of Functioning, Disability and Health (ICF) model would include Jayden’s involvement in the karate class?

Chapter 07