You are conducting a preparticipation physical examination for a 10-year-old girl with Down syndrome who will be playing basketball. She has slight torticollis and mild ankle clonus. Which additional diagnostic test would be required for her?
a. Cervical spine radiography
b. Visual acuity
c. Mini-Mental State Examination
d. Nerve conduction studies
A
This girl is experiencing symptoms of atlantoaxial joint instability and should therefore have cervical spine radiography with neurologic consultation before beginning sports activities.
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