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Neural Tube Disorders and Hydrocephalus

The form of spina bifida in which part of the spinal cord and nerves protrude through an incompletely closed spine is:

A. Acute spinal defect

B. Meningocele

C. Myelomeningocele

D. Spina bifida occulta

C. Myelomeningocele

A baby is born with a small sac at the occiput of the cranium, filled with fluid and a small amount of neural tissue; this defect would correctly be called a/an:

A. Anencephaly

B. Encephalocele

C. Hydrocele

D. Meningocele

B. Encephalocele

Which of the following regarding spina bifida is accurate:

A. Myelomeningocele is the least severe form.

B. The bony deformity involves malformation of the transverse process of the vertebral body.

C. The most common location is within the cervical spine.

D. Folic acid deficiency may contribute to spina bifida

D. Folic acid deficiency may contribute to spina bifida

The most appropriate orthosis for a child with myelomeningocele who has medial and lateral knee instability, has inadequate toe clearance during gait, has quad strength of 2, and is a household ambulator with limited community ambulation is:

A. HKAFO

B. KAFO

C. SMA

D. TKAFO

B. KAFO

When a PT positions the infant in supine with hips flexed to 90 degrees and abducts one hip, causing the head of the femur to move posteriorly, the PT is using the

A. Clunk test to determine hip symmetry

B. Ober test to determine iliotibial band tightness

C. Galeazzi sign to determine differences in thigh length

D. Ortolani sign to identify hip dislocation

D. Ortolani sign to identify hip dislocation

You’re evaluating an infant with a myelomeningocele defect that has 4/5 ileopsoas and quad strength and 3/5 anterior tibialis strength. It is likely that this child’s lesion is at level:

A. L3

B. L4

C. L5

...

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