Pediatric Emergency Medicine

Pediatric Neurologic Examination Quiz - 12/02

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Pediatric Quizzes 

December 2002
American College of Emergency Physicians Section of Pediatric Emergency Medicine 

Ilene A. Claudius, MD
Children's Hospital Los Angeles, CA
Assistant Professor, USC Keck School of Medicine

Revised June 2011 

Larry B. Mellick, MD, Professor of Pediatrics and Emergency Medicine, Medical College of Georgia


  1. When is an upgoing plantar reflex normal?

    1. Never
    2. Until 1 month
    3. Until 6 months
    4. Until 12 months
    5. Until adolescence

  2. When can children do tandem gait on a neurologic exam?

    1. 6 years
    2. 5 years
    3. 4 years
    4. 3 years
    5. 2 years

  3. What are some early signs of hypertonicity in a child who is fighting you?

  4. The parents are concerned an infant is deaf, but he is cooing normally. Is that possible? Yes or No

  5. The parents are concerned a toddler is head banging. Is he autistic?

  6. How can you do a sensory exam in the injured extremity of a child?

  7. When can a child with an eye injury read an eye chart?

    1. Always
    2. 2 years
    3. 4 years
    4. 6 years
    5. 8 years
  8. Does a lack of blinking in response to threat indicate blindness in a neonate? Yes or No

  9. You can slightly drop the head of a baby and he responds with arm extension and abduction, followed by arm flexion and a cry. What is this called and in what age groups is it normal?


  10. An otherwise asymptomatic 2-week-old infant has brisk reflexes and 10 beats of clonus at the ankle. What labs should be checked?

  11. When does the palmar grasp reflex diminish?

            a. 2 months

            b. 4 months

            c. 6 months

            d. 1 year

Copyright 2004 American College of Emergency Physicians. Pediatric Emergency Medicine Section quizzes may be reproduced for educational purposes only. To obtain permission to reprint for any other purpose, please submit your written request to: Deputy Executive Director, American College of Emergency Physicians, PO Box 619911, Dallas, TX 75261. 


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