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Comprehensive Management of Developmental Coordination Disorder

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1.  What percent of children are affected by DCD?
  1. 1-2%
  2. 2-3%
  3. 3-4%
  4. 5-6%
2.  Which of the following poses an increased risk for development of DCD?
  1. Female gender
  2. Intra-uterine growth restriction
  3. Prematurity (less than 32 weeks gestation)
  4. Prenatal steroid exposure
3.  When assessing for motor impairments, what is the cut-off score on the Movement Assessment Battery for Children (MABC-2) that would indicate concern for DCD?
  1. Less than 5th percentile
  2. Less than 15th/16th percentile
  3. Less than 15th/16th percentile except less than 5th percentile for children ages 3-5 years
  4. There is no specific cutoff
4.  "Assessment - Criterion B" of the DSM-V criterion for DCD is that the motor impairments must significantly and persistently interfere with ADLs appropriate to chronological age and impacts school/vocational and leisure/play activities. All of the following tools can be used to determine if this criterion is met EXCEPT:
  1. Developmental Coordination Disorder Questionnaire (DCDQ)
  2. Bruiniks-Osteresky Test of Motor Proficiency (BOT-2)
  3. Movement Assessment Battery for Children (MABC)
  4. Listening for DCD Checklist
5.  What signs would lead you toward recommending DCD as a diagnosis?
  1. Evidence of progressive deterioration
  2. Asymmetrical tone or strength
  3. Inability to imitate movement patterns
  4. Head trauma
6.  Differential diagnosis include all of the following EXCEPT:
  1. Attention Deficit & Hyperactivity Disorder (ADHD)
  2. Genetic (Down's Syndrome)
  3. Musculoskeletal (Legg-Perthes, EDS)
  4. Cognitive (MR, DD)
7.  Neuroimaging studies of children with DCD have shown the following:
  1. Children with DCD showed relative over-activation in a network of brain regions associated with motor learning
  2. Children with DCD have a higher incidence of sensory processing difficulties
  3. Children with DCD activate more and different brain regions than typically developing children when performing a motor task
  4. Treatment of DCD normalizes the brain
8.  Task-oriented interventions:
  1. Address the motor task itself
  2. Use cognitive strategy and problem solving training
  3. Use a top-down approach
  4. All of the above
9.  Process-oriented interventions:
  1. Are harder and more time consuming for therapists to facilitate
  2. Involve repetition of the whole task multiple times in a single setting
  3. Address the body functions required to perform an activity
  4. Transfer improvement to other functional tasks
10.  Examples of task-based interventions for children with DCD include:
  1. Cognitive Orientation Approach to Occupational Performance (CO-OP)
  2. Motor Learning Theory
  3. Sensory Integration
  4. Neuro-Developmental Theory (NDT)

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