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Gold standard case presentation
Cerebral palsy encompasses a spectrum of neurological deficits, due to neurological damage either ante-natally, intra-partum or early post-partum.
Clinical symptoms and signs:
- Delayed developmental milestones
- Jerky, random, uncoordinated movements
- Muscle spasms
- Tip-toe walking in infancy
Scoliosis is the curvature, sideways of the spine, which is common in cerebral palsy, which can lead to unbalanced shoulders and similar problems in the waist and hip. Scoliosis causes a restrictive lung defect of the lung due to a failure of complete rib expansion. This leads to reduced lung volumes. Sometimes if the defect is extrinsic, different positions can be of benefit.
Patients often feel breathless, especially upon exertion, but with an essentially normal physical lung examination. In mild to moderate scoliosis, the lung function will be mostly normal. Only in severe cases will it reduce the flow-volume curve, with a reduced total lung capacity.
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Question 1 of 5
1. Question1 point(s)
Does this patient have a central or a peripheral cause of their neurological deficit?CorrectIncorrect
Question 2 of 5
2. Question1 point(s)
Describe this patient’s reflexesCorrectIncorrect
Question 3 of 5
3. Question1 point(s)
This patient’s symptoms have been present lifelong. What is the most likely diagnosis?CorrectIncorrect
Question 4 of 5
4. Question1 point(s)
Which of the following are recognised causes of cerebral palsy? Select all that apply.CorrectIncorrect
Question 5 of 5
5. Question1 point(s)
What proportion of patients with cerebral palsy were born prematurely?CorrectIncorrect