The physical exam of an established 7-month-old client - diagnosed with spastic 

cerebral palsy – will mostly likely be positive for which signs?

Increased deep tendon reflexes and sustained clonus

Dystonic posturing and sustained clonus

Abnormal involuntary movements and increased deep tendon 

reflexes

Nystagmus and absent reflexes

Question 2 1 / 1 point

A 4-year-old client, who is new to the clinic, presents for a sick visit. However, 

upon exam the provider discovers that the client has flaccid paralysis over the 

lower extremities, absent deep tendon reflexes, lack of response to touch and 

pain, and has a saclike cyst on the lower back. What is the most probable 

diagnosis?

Viral gastroenteritis

Myelomeningocele

Meningitis

Shunt infection

Question 3 1 / 1 point

A 7-month old female client presents to the clinic to establish care. During the 

visit, the parents report that their daughter was developing as expected during 

the first 5 months of life but they fear that her development has plateaued. Over 

the last two months she has become withdrawn and has lost skills previously 

performed like partial hand skills and acquired spoken language. The provider 

notes on exam excessive bruxism, periods of apnea followed by hyperpnea, hand

wringing, and spastic para¬paresis. What is the most likely diagnosis?

Rett Syndrome

Autism Spectrum Disorder

Cerebral Palsy

Brain Damage

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Question 4 0 / 1 point

An apparently healthy 7-year-old client, presents to the clinic complaining of 

left-sided facial paralysis that occurred suddenly. The client denies any sensory 

loss but reports difficulty closing the left eyelid. The provider suspects the client 

has Bell’s Palsy. Which cranial nerve is most likely affected in this condition?

IV

V

VI

VII

Question 5 0 / 1 point

A 2-year-old client, who is unknown to the clinic, is presented as a walk-in after 

experiencing two seizures last night when the temperature spiked to 102°F. 

During the visit, the provider learns that the client is currently being treated for a

viral illness. In the clinic, the client’s temperature is 100°F. The provider informs

the parent that febrile seizures may reoccur. Although rarely required, what 

prophylactic medication can the provider prescribe? (select all that apply)

Diazepam 0.33 mg/kg by mouth every 8 hours for 2 to 3 days

Diazepam 0.5mg/kg by suppositories once per day

Phenytoin 0.33mg/kg by mouth every 8 hours for 2 to 3 days

Phenytoin 0.5mg/kg by suppositories once per day