Systemic paediatrics: cerebral palsy management: practice question

A Pediatrics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Pediatrics · Systemic paediatrics: cerebral palsy management

Sample item

A 4-year-old with spastic quadriplegic cerebral palsy has painful leg adductor spasticity and difficulty with perineal care. Which treatments reduce focal and generalised spasticity?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Botulinum toxin injections and oral or intrathecal baclofen

Cerebral palsy is a non-progressive motor disorder from a lesion in the developing brain. Spasticity is managed with physiotherapy, botulinum toxin for focal muscles, baclofen orally or intrathecally, and orthopaedic surgery when needed.

Option by option

  • A. Botulinum toxin injections and oral or intrathecal baclofen (correct)

    Correct. These are standard anti-spasticity measures.

  • B. Growth hormone

    Growth hormone does not treat spasticity.

  • C. Anticoagulants

    Anticoagulants have no role.

  • D. Antibiotics

    Antibiotics do not treat spasticity.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Pediatrics question

What is the answer to this Pediatrics question?

The best answer is A, Botulinum toxin injections and oral or intrathecal baclofen. Cerebral palsy is a non-progressive motor disorder from a lesion in the developing brain.

Why is "Growth hormone" not the answer?

Growth hormone does not treat spasticity.

Why is "Anticoagulants" not the answer?

Anticoagulants have no role.

Why is "Antibiotics" not the answer?

Antibiotics do not treat spasticity.

What concept does this question test?

It tests Systemic paediatrics: cerebral palsy management in Pediatrics. Spasticity is managed with physiotherapy, botulinum toxin for focal muscles, baclofen orally or intrathecally, and orthopaedic surgery when needed.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Systemic paediatrics: cerebral palsy management?

Memorise milestones and the vaccine schedule as tables and revise them often. Then use the flashcards and the other Pediatrics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.