Misc. Flashcards

1
Q

Burn ankles

A

Want to plantar, neutral to extend

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2
Q

What position would a hip be in with a SCFE (Slipped Capital Femoral Epiphysis)

A

Flexed and external

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3
Q

Burn Hips

A

Want to flex, abduct, external. Splint straightextension

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4
Q

How do you provoke pain and check for a SCFE

A

Rotate internal and extend

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5
Q

What is a heliotrope rash

A

purple on exposed skin, eyes, interphalangeal, fingers

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6
Q

What can C5 SCI do independently

A

Manual or power wheelchair

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7
Q

What is harder to get, IEP or 504 plan

A

504 has a much broader definition of disability (for adults and kids), school must remove barriers

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8
Q

Difference Wilson disease and williams

A

Wilson (copper) bad liver

Williams (friendly with bad heart)

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9
Q

Grade 1 concussion

A

Confused, no black out, back and good by 15 min

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10
Q

Medications for Dermatomyositis

A
Sunscreen
Topical steroids
Ora/IV steroids
Methotrexate
IVIg
Hydroxychloroquine for rash
Diltiazem for calcium deposits
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11
Q

What is Klippel-Feil

A

Carvical Synostosis (self fusion)

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12
Q

Burn elbow

A

wants to flex and pronate, splint in extension and supinate

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13
Q

What do vertebrae look like with sickle cell

A

Fish mouth

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14
Q

Name 4 complications of Down

A
  • Hypothyroid
  • Congenital Cataracts
  • Hip dysplasia
  • Atlantoaxial instability
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15
Q

American Academy of Pediatrics guidelines for folic acid supplementation

A

All woman childbearing 400 mcg
Women w/ spina bifida or prior NTD pregnancy 4 mg/day through 1st trimester
(reduces risk 70%)
High risk (Diabetes and valprioc acid) 4mg/day

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16
Q

How does younger age (before 8) affect the risk of cervical spinal cord injury

A

Higher at younger age. More elastic spinal ligaments.

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17
Q

What does Helio mean

A

From Greek, meaning “Sun”, like Helios-Titan God of the Sun

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18
Q

Other clinical features of Nonaccidental Trauma

A

Retinal Hemorrhage

Bruises

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19
Q

Concussion return to play (Classic)

A

-One Grade 1, 15 min when clear
2 Grade 1, one week
-One grade 2, 1 week, 2 grade 2 2 weeks
-Grade 3, 1, 2, or 3 weeks

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20
Q

What is the Oberlin procedure

A

Transfers one or multiple ulnar nerve fascicles to the musculocutaneous nerve as it enters the biceps.

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21
Q

Grade I Intraventricular hemorrhage

A

Blood lining the ventricles, no spill into

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22
Q

Scale for 1 to3 yo cognition

A

Bayley

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23
Q

Which glands produce saliva unstimulated (meaning most of the time even without food)

A

Submandibular and Sublingual

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24
Q

What can C6 SCI do independently

A

Feed, dress UE, manual and power w/c, drive

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25
Q

Burn anterior neck

A

Wants to flex, place in extension

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26
Q

Grade 3 concussion

A

Any black out

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27
Q

What is the treatment for DI

A

Desmopressin (artificial antidiuretic hormone) = trade DDAVP

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28
Q

What organ to watch in Friedreich’s Ataxi

A

Heart

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29
Q

Cerebral salt wasting

A

Low sodium, does not involve hypothalamus-pituitary system. Direct effect of brain on renal tubular function. So it is a direct effect of TBI on kidney function. These patients are dehydrated. Given that fluids and salt

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30
Q

Grade 2 concussion

A

Confused, no black out, more than 15 min

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31
Q

What is the ADA

A

Americans with Disabilities Act - 1990

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32
Q

What is the IDEA

A

Individuals with Disability Education Act

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33
Q

Surgical intervention for Brachial palsy

A

Commonly recommended for those have less than antigravity in elbow fees at 6 months

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34
Q

What’s worse, TBI or Nonaccidental trauma

A

Nonaccidental Trauma

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35
Q

Severe TBI

A

GCS 3-8
PTA over 24 hrs
Duration unconscious 3 mo or less

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36
Q

How to Remember Legg-Calve-Perthes

A

Legg = A
Calve = V
Perthes = N
Avascular necrosis of the hip in kids

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37
Q

What is the only thing C1-4 SCI can do

A

Drive a chair

38
Q

Burn knees

A

want to flex, extend

39
Q

When to brace idiopathic scoliosis

A

20 degrees

40
Q

Grade IV Intraventricualr hemorrhage

A

Blood filling the ventricles and spilling out to the surrounding brain

41
Q

What does DDH stand ford

A

Developmental Dysplasia of the hip

42
Q

Grade III Intraventricular hemorrhage

A

Blood filling the ventricles with swelling

43
Q

Risk factors for brachial plexus injuries

A
  • increased birth weight
  • multiparous mothers
  • shoulder dystocia
44
Q

What is a 504 plan for school

A

Physical Accommodations based on Section 504 of the Rehabilitation Act of 1973

45
Q

Where is weakness in Dermatomyositis

A

Proximal and symmetric

46
Q

What does the Individual with Disability Education Act do

A

Provides a free public education for all students with disabilities.

47
Q

Burn axilla

A

90 out

48
Q

Mild TBI

A

GCS 13-15
PTA less than 1 hr
Duration unconscious max 30 min

49
Q

Diabetes insipidus after TBI

A

DI (diabetes insipidus) = deficiency antidiuretic hormone which leads to excessive water loss, high salt, thirsty, and pee too much.

50
Q

Burn wrist

A

Wants to flex, splint 20 of extension

51
Q

Nonaccidental Trauma brain findings

A

Angular deceleration causing subdural
Cerebral Swelling
Contact injuries (skull fx, scalp hematoma, brain contusions)
Upper cervical injury

52
Q

Five parts of ADA

A
  1. Equal employment
  2. Any government situation
  3. Transport
  4. Telecom
  5. Misc
53
Q

What can C7 SCI do independently

A

Feed, dress UE, bladder, bowel, roll, transfer, wheelchair etc

54
Q

Why do girls have more Rett

A

Rett is x-linked, Xq28. If a boy (XY) has it, then he only has the mutated X gene and no female “X” to balance it, so he dies). Girls have one affected X and another not, still very severe but not immediate death

55
Q

Max Dysport kids

A

16 u/kg in each limb, cut off around 600 upper or 1000 lowers

56
Q

SIADH means

A

Syndrome of of inappropriate antidiuretic hormone. Less pee,low sodium and low serum osmolality

57
Q

Burns

A

See chart p 239 Ped Rehab

58
Q

What is a PPT

A

Planning and Placement Team

59
Q

What is SCIWORA

A

Spinal cord injury without obvious radiographic abnormality

60
Q

What is Klumpke’s palsy

A

Involvement of C8 and T1

61
Q

Brown sequard

A

Same side paralyzed, no vibration/position

Other side, no pain or temperature

62
Q

What is Erb’s Palsy

A

C5 and C6 injury

63
Q

Meds to avoid in CMT

A
Meds that can cause nerve damage:
Vincristine
Cisplatin
Isoniazid
Nitrofurantoin
64
Q

Anterior axilla burn

A

shoulder adduction, 90 abduction

65
Q

What is an IEP

A

Individual Education Plan

66
Q

What is an AED

A

Anti
Eleptic
Drug

67
Q

Important tool for infant and toddler development

A

Beyley

Need info

68
Q

Bladder capacity one more time

A

Age + 2 in ounces

Multiple (age + 2) by 30 for ml (because 30 ml = 1 oz)

69
Q

Brief description of Dermatomyositis

A

Inflammatory proximal myopathy with hand and skin rash of 5-10 year olds

70
Q

Which gland produces the majority of saliva with food

A

Parotid

71
Q

When to start Ponseti method

A

7 days (1 week)

72
Q

Mild TBI

A

Alteration mental status
GCS 13 or greater
No MRI findings

73
Q

What is the order of correction in Ponseti method

A

forefoot adduction, forefoot supination, then equinus

74
Q

What is the Galeazi

A
On back
Knees flexed
Feet on table
One leg lower than the other
Indicates hip disloc or short femur
75
Q

Anterior cord

A

Paralyzed, no pain, no temp

Dorsal ie, posterior no vibe/position

76
Q

How many months are infants obligate nose breathers

A

6

77
Q

Treatment SIADH

A

Water restriction and replete sodium

78
Q

ANA positive in Pauciarticular JIA (Junevile Idiopathic Arthritis)

A

Marker for Uveitis in younger girls

79
Q

3 days to 4 weeks newborn competence scale

A

Brazelton

80
Q

Moderate TBI

A

GCS 9-12
PTA 24 hrs or less
Duration unconscious max 24 hrs

81
Q

What happens if you bring sodium levels up too fast

A

Pontine myelinolysis

82
Q

What is the hallmark of Systemic JIA

A

Fever 2x a day (up to 104)

83
Q

Grade II Intraventricular hemorrhage

A

Blood into ventricles no swelling

84
Q

Is Rheumatoid Factor (RF) often positive in JIA

A

No, less than 10%

85
Q

Burn anterior neck, risk and prevention

A

Flexion of neck, extend

86
Q

Burn Fingers

A

Want to flex, splint full extension, thumb radial

87
Q

Burn MCPs

A

want to flex, splint full extension

88
Q

Does an IEP legally binding

A

Yes!

89
Q

What does AAC stand for

A

Augmentative and Alternative Communication

90
Q

How many pregnancies USA neural tube defects (NDT)

A

3,000

91
Q

Who gets Legg-Calve-Perthes, boys or girls

A

Boys 5:1