Paediatric: Gross Motor Function Classification System: practice question

A Orthopaedics 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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Orthopaedics · Paediatric: Gross Motor Function Classification System

Sample item

A paediatrician records that a child with cerebral palsy can walk indoors and outdoors and climb stairs but has limited speed, balance and coordination. Which scale is used to classify gross motor ability in this way?

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

The answer and the reasoning

D. Gross Motor Function Classification System (GMFCS) level I or II

The GMFCS classifies children with cerebral palsy into five levels based on self-initiated movement, sitting and mobility. Level I children walk without limitations, level II walk with limitations in the community, and level V need to be transported. It predicts hip displacement risk and guides surveillance.

Option by option

  • A. Apgar score

    The Apgar score assesses the newborn at birth.

  • B. Gower score

    Gower sign relates to proximal weakness in muscular dystrophy.

  • C. Glasgow Coma Scale

    The Glasgow Coma Scale assesses consciousness.

  • D. Gross Motor Function Classification System (GMFCS) level I or II (correct)

    Correct. The GMFCS grades functional mobility in cerebral palsy.

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 Orthopaedics question

What is the answer to this Orthopaedics question?

The best answer is D, Gross Motor Function Classification System (GMFCS) level I or II. The GMFCS classifies children with cerebral palsy into five levels based on self-initiated movement, sitting and mobility.

Why is "Apgar score" not the answer?

The Apgar score assesses the newborn at birth.

Why is "Gower score" not the answer?

Gower sign relates to proximal weakness in muscular dystrophy.

Why is "Glasgow Coma Scale" not the answer?

The Glasgow Coma Scale assesses consciousness.

What concept does this question test?

It tests Paediatric: Gross Motor Function Classification System in Orthopaedics. Level I children walk without limitations, level II walk with limitations in the community, and level V need to be transported. It predicts hip displacement risk and guides surveillance.

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 Paediatric: Gross Motor Function Classification System?

Pair each fracture with its classic complication and nerve injured. Then use the flashcards and the other Orthopaedics 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.