FSBPT NPTE PTA QUIZ 1 QUESTIONS & ANSWERS
Which of the following options is a MOST LIKELY to be a characteristic of athetoid
cerebral palsy? - Answers :Slow, writhing movements
Charteristics of athetoid cerebral palsy explanation: - Answers :Slow, writhing,
involuntary movements are a characteristic of athetoid cerebral palsy.
Mass patterns of flexion/extension, the imbalance of tone across joints, which may
cause contractures and deformities, and a crouching gait are all characteristics of
spastic cerebral palsy.
cerbral palsy - Answers :insult to the brain during development, at birth , or within the
1st few years resulting in permanent, non-progressive damage
Etiology of CP - Prenatal - Answers :maternal infections, diabetes, malnutrition, seizures
or radiation exposure
Etiology of CP - Preinatal - Answers :prematurity, low birth weight, multiple births,
prolapsed umbilical cord, interventricular hemorrhage, and asphyxia
Etiology of CP: Postnatal - Answers :infection (meningitis, encephalitis), asphyxia,
traumatic brain injury(tbi)(falls, shaken baby syndrome), stroke, near drowning and brain
tumor
clinical picture of CP - Answers :distribution of motor involvement may take one of 3
different types
distribution of motor involvement of CP - Answers :diplegia, hemiplegia and
quadriplegia/tetraplegia
diplegia: extremity impacted - Answers :both legs affected while the trunk and UE's may
be affected to lesser degree
diplegia: typical standing posture - Answers :hip flexion, adduction and internal rotation.
knee flexion.
ankle plantar flexion.
diplegia: typical gait - Answers :poor disassociation between legs, noted trunk rotation,
and high guard positioning of arms for balance.
may use wheelchair, walker or crutches.
hemiplegia: extremity impacted - Answers :one arm and leg on the same side affected
hemiplegia: typical standing posture - Answers :shoulder adduction and internal
rotation.
elbow and wrist flexion.
, hip internal rotation.
knee extension.
ankle plantar flexion.
hemiplegia: typical gait - Answers :asymmetrical gait with circumduction of LE's.
may use cane or crutches for balance.
quadriplegia/tetraplegia : extremity involvement - Answers :all four extremities and trunk
involvment
quadriplegia/tetraplegia : typical standing posture - Answers :with greater levels of trunk
involvement the child may demonstrate head involvement
hypotonia - Answers :floppy, rag doll, or low tone, muscle body. lower than normal,
usually throughout the body.
hypotonia characteristics - Answers :excessive ROM.
weak deep tendon reflexes and primitive reflexes.
peds- child is usually over weight due to deficient energy output.
impaired speech due to poor oral motor control.
gait wide base of support. short stride length and poor balance.
hypertonia - Answers :tight, spastic, stiff or rigid. muscle tone is higher than normal with
location determined by area of motor cortex involved.
hypertonia characteristics - Answers :ROM of motion may be limited.
common contractures: hip ADD, IR and flexion; knee flexion; ankle planar flexion.
hype reflexive deep tendon reflexes.
persistence of primative reflexes (asymmetrical neck reflexes [ATNR], symmetrical tonic
neck reflexes[STNR]. tonic labyrinthine reflexes [TLR]) limiting the development of
normal movement.
peds-child is usually thin due to excessive energy output.
speech is usually impaired due to poor oral motor control.
gait is usually impaired due to poor muscle control and decreased balance with
variations related to the distribution of muscle tone.
Athetosis or Dystonia - Answers :poor stability in midline resulting from lesion in the
basal ganglia or cerebellum. identified by writhing movements, fluctuating tone, and
constantly moving between end ranges
Athetosis or Dystonia characteristics - Answers :destitution throughout body including
face.
ROM usually normal but may be excessive due to constant movement throughout
range.
hyper reflexive deep tendon reflexes.
peds-hypertonia in infancy changes to athetosis as child matures.
Which of the following options is a MOST LIKELY to be a characteristic of athetoid
cerebral palsy? - Answers :Slow, writhing movements
Charteristics of athetoid cerebral palsy explanation: - Answers :Slow, writhing,
involuntary movements are a characteristic of athetoid cerebral palsy.
Mass patterns of flexion/extension, the imbalance of tone across joints, which may
cause contractures and deformities, and a crouching gait are all characteristics of
spastic cerebral palsy.
cerbral palsy - Answers :insult to the brain during development, at birth , or within the
1st few years resulting in permanent, non-progressive damage
Etiology of CP - Prenatal - Answers :maternal infections, diabetes, malnutrition, seizures
or radiation exposure
Etiology of CP - Preinatal - Answers :prematurity, low birth weight, multiple births,
prolapsed umbilical cord, interventricular hemorrhage, and asphyxia
Etiology of CP: Postnatal - Answers :infection (meningitis, encephalitis), asphyxia,
traumatic brain injury(tbi)(falls, shaken baby syndrome), stroke, near drowning and brain
tumor
clinical picture of CP - Answers :distribution of motor involvement may take one of 3
different types
distribution of motor involvement of CP - Answers :diplegia, hemiplegia and
quadriplegia/tetraplegia
diplegia: extremity impacted - Answers :both legs affected while the trunk and UE's may
be affected to lesser degree
diplegia: typical standing posture - Answers :hip flexion, adduction and internal rotation.
knee flexion.
ankle plantar flexion.
diplegia: typical gait - Answers :poor disassociation between legs, noted trunk rotation,
and high guard positioning of arms for balance.
may use wheelchair, walker or crutches.
hemiplegia: extremity impacted - Answers :one arm and leg on the same side affected
hemiplegia: typical standing posture - Answers :shoulder adduction and internal
rotation.
elbow and wrist flexion.
, hip internal rotation.
knee extension.
ankle plantar flexion.
hemiplegia: typical gait - Answers :asymmetrical gait with circumduction of LE's.
may use cane or crutches for balance.
quadriplegia/tetraplegia : extremity involvement - Answers :all four extremities and trunk
involvment
quadriplegia/tetraplegia : typical standing posture - Answers :with greater levels of trunk
involvement the child may demonstrate head involvement
hypotonia - Answers :floppy, rag doll, or low tone, muscle body. lower than normal,
usually throughout the body.
hypotonia characteristics - Answers :excessive ROM.
weak deep tendon reflexes and primitive reflexes.
peds- child is usually over weight due to deficient energy output.
impaired speech due to poor oral motor control.
gait wide base of support. short stride length and poor balance.
hypertonia - Answers :tight, spastic, stiff or rigid. muscle tone is higher than normal with
location determined by area of motor cortex involved.
hypertonia characteristics - Answers :ROM of motion may be limited.
common contractures: hip ADD, IR and flexion; knee flexion; ankle planar flexion.
hype reflexive deep tendon reflexes.
persistence of primative reflexes (asymmetrical neck reflexes [ATNR], symmetrical tonic
neck reflexes[STNR]. tonic labyrinthine reflexes [TLR]) limiting the development of
normal movement.
peds-child is usually thin due to excessive energy output.
speech is usually impaired due to poor oral motor control.
gait is usually impaired due to poor muscle control and decreased balance with
variations related to the distribution of muscle tone.
Athetosis or Dystonia - Answers :poor stability in midline resulting from lesion in the
basal ganglia or cerebellum. identified by writhing movements, fluctuating tone, and
constantly moving between end ranges
Athetosis or Dystonia characteristics - Answers :destitution throughout body including
face.
ROM usually normal but may be excessive due to constant movement throughout
range.
hyper reflexive deep tendon reflexes.
peds-hypertonia in infancy changes to athetosis as child matures.
