| 1. |
In the ICF model, cognition is on the level of: |
| a. |
Activities |
| b. |
Body functions |
| c. |
Participation |
| d. |
Personal Factors |
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| 2. |
In a CP child walking in crouch gait, the external moment around the knee in terminal stance will be: |
| a. |
Supination |
| b. |
Pronation |
| c. |
Flexion |
| d. |
Extension |
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| 3. |
Selectivity of movement in the lower limb can be observed |
| a. |
During crawling |
| b. |
During high-knee walk |
| c. |
During voluntary movement of the knee in sitting on the couch |
| d. |
In all 3 situations as described |
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| 4. |
At physical examination, a range of motion of the popliteal angle in slow movement is 90 degrees, and in fast movement 95 degrees. The conclusion is: |
| a. |
There is little spasticity and much shortening of the hamstrings |
| b. |
There is hypertonia of the hamstrings |
| c. |
There is severe spasticity of the hamstrings |
| d. |
There is severe hypertonia and spasticity of the hamstrings |
| 5. |
A child is presented for physical examination. In sitting on a chair, continuous movements were present in the mouth, hands and feet. The most likely movement disorder is: |
| a. |
A spastic movement disorder |
| b. |
An ataxic movement disorder |
| c. |
A dyskinetic movement disorder
|
| d. |
A mixed movement disorder |
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| 6. |
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 |
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|
| 7. |
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 |
| 8. |
Climing the stairs is in the ICF-CY a level of: |
| a. |
participation |
| b. |
activity |
| c. |
function |
| d. |
handicap |
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| 9. |
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 |
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| 10. |
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 |
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|
| 11. |
How can you measure progress of your client over time in a reliable way and discuss/evaluate with child and parents: |
| a. |
Interview |
| b. |
Observation |
| c. |
Therapeutic goals |
| d. |
None of the above |
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| 12. |
What should you do to formulate goals in ADL activities in a reliable way:
|
| a. |
use the SMART rule |
| b. |
ask for the needs and perceived problems in ADL |
| c. |
observe the activities in the most natural environment |
| d. |
combination of the above |
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| 13. |
The treatment plan is focussing on: |
| a. |
performing activities that are important to the client and the family and have therapeutic value |
| b. |
stretching and pulling of the client |
| c. |
doing everything the client wants |
| d. |
performing activities that are important to the client |
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|
| 14. |
The examination of the dorsal flexion of the foot with straight leg is a clinical measure of the length of which muscle: |
| a. |
The Gastrocnemius |
| b. |
The Rectus Femoris |
| c. |
The Hamstrings |
| d. |
The Soleus |
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|
| 15. |
During the examination where you move the knee to flexion in prone you doesn't measure: |
| a. |
Angle of Catch of the rectus femoris |
| b. |
Tone of the rectus femoris |
| c. |
length of the rectus femoris |
| d. |
Range of motion of the knee joint |
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| 16. |
The examination of popliteal angle is a clinical measure of the length of
which muscle: |
| a. |
The Gastrocnemius |
| b. |
The Rectus Femoris |
| c. |
The Hamstrings
|
| d. |
The Psoas |
| 17. |
Children who walk in this gait pattern are the most at risk for losing walking walking ability
|
| a. |
Hyperextension of the knee in midstance |
| b. |
Knee flexion and full footcontact in midstance |
| c. |
Equinus of the ankle in midstance |
| d. |
Valgus foot deformation in midstance |
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| 18. |
How many gait patterns are described by Rodda to classify children with CP? :
|
| a. |
2 |
| b. |
5 |
| c. |
10 |
| d. |
4 |
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| 19. |
In description of gait, which percentage of the gaitcycle (0-100%) is the loading
response?:
|
| a. |
0-10% |
| b. |
10-30% |
| c. |
30-50% |
| d. |
50-60% |
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| 20. |
Botulinum toxin A reduces spasticity by:
|
| a. |
Blocking conduction in a nerve |
| b. |
Inhibition in the spinal cord of the stretch reflex |
| c. |
Blocking the synaptic transmission to a muscle |
| d. |
Blocking the contraction of a muscle fiber |
| |
|
| 21. |
Baclofen reduces spasticity by:
|
| a. |
Blocking conduction in a nerve |
| b. |
Inhibition in the spinal cord of the stretch reflex |
| c. |
Blocking the synaptic transmission to a muscle |
| d. |
Blocking the contraction of a muscle fiber |
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|
| 22. |
Rehabilitation goals are focussed on:
|
| a. |
reaching as much ‘normality’ as possible |
| b. |
improving functions |
| c. |
activities and participation |
| d. |
exercise programs at home |
| 23. |
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 |
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|
| 24. |
CIMT is applicable to the following medical diagnosis: |
| a. |
only Spastic hemiparesis |
| b. |
only OBPL |
| c. |
spastic hemiparesis and OBPL |
| d. |
non of the above |
| 25. |
After the intervention of BOTOX and CIMT (three months), improvement can be seen in : |
| a. |
spasticity |
| b. |
range of motion |
| c. |
quality of performance of daily activities |
| d. |
quality of performance of daily activities and participation |
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| 26. |
From a functional perspective on training activities: how do you train a 4 year old child, GMFCS level IV, 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 not possible, inform the parents about the possibility of adaptations |
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| 27. |
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 |
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| 28. |
When a child has a GMFCS level 2 on the age of 3 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 with walking aids |
| d. |
To crawl only on the elbows |
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| 29. |
The observation of the functional level of motor skills |
| a. |
has to be performed hands on |
| b. |
is especially needed to get an impression of the spontaneous activities the child can perform |
| c. |
is developed to observe the angle of catch and range of motion |
| d. |
is developed to examine the level of functioning of the parents |
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| 30. |
What description fits with MACS level II?: |
| a. |
Handles most objects but with somewhat reduced quality and/or speed of achievement |
| b. |
Does not handle objects and has severely limitedability to perform even simple actions |
| c. |
Handles objects with difficulty; needs help to prepare and/or modify activities |
| d. |
Handles objects easily and successfully |
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