Cerebral Palsy

Question 1

What toxins are prenatal risk factors for CP?

Answer 1

Iodine deficiency and organic mercury intoxication

Question 2

What surgical procedure can be done for spasticity in CP patients?

Answer 2

Selective dorsal rhizotomy

Question 3

Which movement disorder is characterized by slow rhythmic movement with tone changes in the trunk and extremities?

Answer 3

Dystopia

Question 4

When will Dyskinetic cerebral palsy patients walk?

Answer 4

3 years

Question 5

MRI may show periventricular leukomalacia in what types of cerebral palsy?

Answer 5

Spastic Diplegic, Spastic Quadriplegic and Spastic Hemiplegic

Question 6

When does the majority of cerebral palsy occur?

Answer 6

Prenatal period

Question 7

Most common type of mixed cerebral palsy?

Answer 7

Spastic athetoid

Question 8

In Spastic Diplegic CP, is UE or LE involvement more common?

Answer 8

LE

Question 9

What type of CP has the highest rate of mental retardation, and which has the lowest rate

Answer 9

Highest rate = spastic quadriplegic

Lowest rate = spastic hemiplegic and Diplegic

Question 10

Most common cause of sensorineural hearing loss in CP

Answer 10

Kernicterus

Question 11

Which movement disorder is characterized by slow writhing involuntary movements of distal extremities

Answer 11

Athetosis

Question 12

What is the spastic hemiplegic gait pattern

Answer 12

Hip hiking or hip circumduction because of weak hip flexion and ankle dorsiflexion

Question 13

What is the most common type of cerebral palsy

Answer 13

Spastic Diplegic

Question 14

What signs indicate pseudobulbar involvement?

Answer 14

Dysphagia, drooling, dysarthria

Question 15

When will hemiplegic cerebral palsy patients walk

Answer 15

By 2 years

Question 16

Which movement disorder is characterized by abrupt, irregular jerky movements of head, neck and extremities?

Answer 16

Chorea

Question 17

Spastic Diplegic vs Spastic Hemiplegic

Answer 17

Diplegic = UE or LE
Hemiplegic = one side of the body

Question 18

What is the individuals with disabilities education act (IDEA)

Answer 18

Early intervention is required for children who demonstrate developmental delay in their first 3 years of life

Question 19

Which type of cerebral palsy shows opisthotonic posturing?

Answer 19

Spastic quadriplegic

Question 20

Most frequent visual deficit seen in CP

Answer 20

Strabismus

Question 21

Which movement disorder is characterized by uncoordinated movements

Answer 21

Ataxia

Question 22

What is the spastic Diplegic gait pattern

Answer 22

Scissoring gait pattern with ankles in equinus

Question 23

Which artery is most commonly involved in hemiplegic cerebral palsy

Answer 23

MCA

Question 24

Most widely used therapeutic exercise method for CP

Answer 24

Bobath

Question 25

What type of cerebral palsy has a high incidence of sensorineural hearing loss?

Answer 25

Dyskinetic cerebral palsy

Question 26

What nerve do you block to lessen crouch gait pattern

Answer 26

Sciatic nerve to hamstrings

Question 27

When will diplegic cerebral palsy patients walk?

Answer 27

Most of them walk on time

Question 28

What is the leading cause of childhood disability

Answer 28

Cerebral palsy

Question 29

5 types of spastic CP

Answer 29

1. Monoplegic 2. Diplegic 3. Hemiplegia 4. Triplegic 5. Quadriplegic

Question 30

Which type of cerebral palsy shows signs of upper motor neuron involvement?

Answer 30

Spastic cerebral palsy

Question 31

What primitive reflex can be an early clue that child has CP?

Answer 31

Persistent or obligatory ATNR

Question 32

How can sitting be used to prognosticate walking in CP patients

Answer 32

If a child can sit independently by 2 yo, prognosis for ambulation is good

Question 33

Main precaution of using dantrolene

Answer 33

Hepatotoxicity - check LFT

Question 34

What is bobath exercises?

Answer 34

Inhibits primitive reflex patterns. Aka neurodevelopmental treatment

Question 35

What is a good prognostic indicator of intellectual potential in CP patients?

Answer 35

Speaking in 2-3 word sentences by 3yo

Question 36

When will quadriplegic cerebral palsy patients walk?

Answer 36

1/4 will walk, 1/4 won't walk. 1/2 will require assistance.

Question 37

What is the crouch gait pattern

Answer 37

Tight hip flexors and hamstrings with weak quads

Question 38

Which category of CP is pyramidal and extrapyramidal

Answer 38

``` Pyramidal = Spastic CP Extrapyramidal = Dyskinetic CP ```

Question 39

What type of CP is seizures most common in

Answer 39

Spastic quadriplegic

Question 40

Most common perinatal risk factor for developing cerebral palsy

Answer 40

Prematurity