Basic test

1. What instrument is developed to identify the problems in the performance of gross motor function of a child with Cerebral Palsy?
a. Manual Ability Classification System (MACS)
b. Functional Independence Measure (FIM)
c. Gross Motor Function Measure (GMFM)
d. Canadian Occupational Performance Measure (COPM)
   
2. Which of the following answers is describing the level of activities according to the ICF-CY:
a. Improving muscle strength
b. Reduction of spasticity
c. Washing upper body
d. Going to school with peers
   
3. The Gross Motor Function Measure (GMFM) is an evaluative test:
a. to measure change over time of a child
b. to discriminate between individuals
c. to predict the future possibilities of a child
d. to determine the level of development of a child
   
4. The items of the GMFM describe:
a. only walking abilities
b. performance of most common motor abilities
c. performance in the field of participation
d. range of motion, strength and spasticity
5. The Gross Motor Growth Curve has to be used:
a. to follow weight, length and BMI over time
b. to compare CP children with healthy children
c. to compare growth of weight and length with gross motor function
d. to determine improvement after intervention
   
6. From a functional perspective on training activities: how do you train a 8 year old child, GMFCS level II, to open a door:
a. by training hand muscles
b. by mental training
c. by practicing opening doors, step by step with supervision
d. it is to dangerous, parents should open the door
   
7. When a child has a GMFCS level 1 on the age of 6 years, then this child is able to:
a. Walk outdoors without walking aids without limitations in duration
b. To climb stairs with the aid of one banister
c. To walk outdoors only with walking aids
d. To crawl only on the elbows
8. Treatment goals are necessary to:
a. score with a football during a game
b. define endpoint targets for treatment and measure progress of your client over time.
c. do an assessment/observation with the goals
d. none of the above
   
9. SMART goals are important to:
a. evaluate the progress of the therapy in a systematic and reliable way with the child, parents and the team
b. discuss with the patient
c. continu with the treatment without any results
d. it is important, but it is too hard.
   
10. The treatment plan should be focussing on:
a. function level of the ICF
b. activity level of the ICF
c. the goals of the patient
d. both answer a b c
   
11. Rehabilitation team work for the CP child is based on:
a. needs, assessment and physical examination
b. prescription of the doctor
c. physical examination of ROM, spasticity and strength
d. the treatment method NDT
   
12. Rehabilitation goals are focussed on:
a. reaching as much ‘normality’ as possible
b. improving functions
c. activities and participation
d. exercise programs at home
   
13. Sports that can be useful and give joy to the child with CP:
a. if it is included in the goals of the child
b. if the environment of the child enables sport-activities
c. if the trainer of the sports and the parents have the ability to guide the child
d. a, b and c
   
14. P. is a 5 year old boy with a spastic CP GMFCS II , An example for a SMART goal can be:
a. P. lies in his bed with straight legs for all night.
b. P. walks the stairs by using the banister in 6 weeks
c. P. stands on one leg for 15 seconds
d. All answers are good
   
15. The difference between GMFCS type I and III
a. walking without a walking aid
b. the ability of walking the stairs with a handrail
c. using a wheelchair for longer distance
d. all answers are good
   
16. Climing the stairs is in the ICF-CY a level of
a. participation
b. activity
c. function
d. handicap
17. What type of walking is most at risk for losing the ability of walking at older age.
a. Typ I
b. Typ II
c. Typ III
d. Typ V
   
18. When you want to measure the spasticity of the Hamstrings
a. You do the Thomas test
b. You can use the position you use when you measure the popliteal angle
c. You let the child site straight up en move his leg fast to straightened position
d. none of the answers is right
   
19. The identification of problems in performing daily activities and needs of the child and parents is:
a. not necessary to start a treatment
b. not really useful, because you know what the problems are
c. the base for a goal oriented treatment
d. needed to start the physical examination
   
20. Which of the following answers is describing the level of participation according to the ICF-CY:
a. Improving muscle strength
b. Reduction of spasticity
c. Washing upper body
d. Going to school with peers
   
21. The criteria for the diagnosis Cerebral Palsy in children are:
a. The presence of spasticity
b. A medical history of premature birth or asphyxia in a terme baby
c. The presence of a stable cerebral movement disorder with an onset before the first birthday
d. Peri Ventricular Leucomalacia on a MRI-brain scan
   
22. In a spastic movement disorder the following sign MUST be present:
a. Delay in motor development
b. Hypertonia
c. Prematurity
d. Posture and/or movement dependent muscle tone deregulation
23. The most characteristic sign of a dyskinetic movement disorder is:
a. Hypertonia
b. Involuntary movements during activities
c. Involuntary movements at rest
d. Problems with speech
   
24. Asking for the needs of a child of 10 years old can be done with:
a. Canadian Occupational Performance Measure
b. GMFM-66
c. Movement Assessment Battery for Children
d. Melbourne assessment
25. Self care defined on the level of the ICF-CY, is considered to be:
a. A body function
b. Level of activities
c. Level of participation
d. Environmental item
   
26. Goal oriented therapy is important to:
a. Evaluate the outcomes of the interventions
b. Motivate your client to perform to the optimum
c. Work together with all involved professionals on the same goal
d. All of the above
   
27. You can use the Gross Motor Growth Curve
a. to determine improvement after intervention
b. to follow weight, length and BMI over time
c. to compare CP children with healthy children
d. a and c
   
28. From a functional perspective on training activities: how do you train a 4 year old child, GMFCS level III, to climb stairs:
a. training Quadriceps muscles
b. training to stand up from half kneeling
c. by climbing stairs, step by step with supervision
d. it is to dangerous, parents should carry the child upstairs
   
29. A 8 year old child, GMFCS level II, has had Botoline toxine A treatment in Gastroc and Soleus of both legs and has new AFO’s. He wants to learn to walk outside, without support.
a. first he should learn to stand still without support, with orthosis.
b. you let him walk with the orthosis and if necessary with a walking aid.
c. he should start with walking inside, on bare feet.
d. he must learn to use his M. Tibialis ant. in sitting position.
   
30. When a child has a GMFCS level 2 on the age of 6 years, then this child is able to:
a. Walk outdoors without walking aids without limitations in duration
b. To climb stairs with the aid of one banister
c. To walk outdoors only with walking aids
d. To crawl only on the elbows
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