Neuro Quiz

The Glasgow Coma Scale is the most widely used clinical scale that measures levels of consciousness and helps define and classify the level of brain injury sustained. Which of the following is NOT a traditional scoring component of this scale? A) Eye opening response B) Length of post-traumatic amnesia C) Motor response D) Verbal response

B) Length of post-traumatic amnesia

Which of the following is true with regard to the Physical Therapy examination of the confused and agitated patient? A) PT examination should be delayed until the patient is able to cooperate B) PT examination may consist of observation during functional activities until the patient is able to cooperate C) PT examination should be strictly structured with a systematic examination of strength, active/passive ROM and sensation D) PT examination may consist of evaluation of cognitive abilities which is impaired at this point of recovery

B) PT examination may consist of observation during functional activities until the patient is able to cooperate

Of the following exercises which would you MOST prefer for a 60 yo male patient with Parkinson's disease to promote aerobic activity? A) Finger ladder B) Stationary bike C) Long arc quads in supported sitting D)Hamstring curls in prone position

B) Stationary bike

Which of the following is an effective strategy to overcome freezing during gait? A) Proper diet intake B) Use of metronome C) Use of open variable environment for practice D) Proper sleep pattern

B) Use of metronome

What is the MOST likely classification of the altered state of consciousness for a patient with traumatic brain injury who presents with a completely nonfunctional arousal system; no auditory, visual, cognitive, or communicative function; and is ventilator dependent? A) Vegetative state B) Neurogenic reserve state C) Comatose state D) Minimally conscious state

C) Comatose state

Which of the following treatment strategies includes teaching one-handed dressing techniques to a patient with TBI, who cannot use both hands? A) Motor learning B) Impaired-based C) Compensatory D) Restorative

C) Compensatory

Which of the following is an appropriate strategy while treating an individual with traumatic brain injury and performing at Rancho level IV? A) Daily emphasis for new skill development with carryover expectations from previous sessions B) Daily constraint-induced therapy protocol without flexibility and options C) Daily routine of being treated by the same physical therapist at the same time and location D) Daily food preparation and money management training

C) Daily routine of being treated by the same physical therapist at the same time and location

Which one of the following symptoms is atypical for patients with multiple sclerosis? A) Visual loss B) Sensory paresthesia C) Flaccid paralysis D) Neurogenic fatigue

C) Flaccid paralysis

Which approach needs to be considered when determining the appropriate amount and type of exercise in a patient with amyotrophic lateral sclerosis, whose functional status has declined? A) Providing a program that includes exercises with heavy eccentric loading B) Developing a program that focuses more on the weaker muscles versus the stronger ones C) Providing the patient with an exercise program at low to moderate intensities D) Encouraging the patient to rest and exercise less so energy can be conserved

C) Providing the patient with an exercise program at low to moderate intensities

Which of the following is the MOST important protocol for preventing common secondary impairments for patients in comatose or vegetative states after brain injury? A) Eliminate the use of tilt-in-space wheelchairs to enable proper positioning in rigid-frame chairs. B) Encourage plantarflexion of the foot by serial casting C) Re-position patients every 2 hours to decrease likelihood of skin breakdown D) Position lower extremities in full extension whenever possible while in bed

C) Re-position patients every 2 hours to decrease likelihood of skin breakdown

Management of fatigue in patients with MS is best addressed by which of the following options? A) Teaching patients activity pacing and energy conservation techniques B) Discontinuing participation in all aerobic exercise C) Encouraging patients to stop activities of daily living, like driving, shopping, and any house work D) Discontinuing all strength training activities

A) Teaching patients activity pacing and energy conservation techniques

A 56-year-old patient with amyotrophic lateral sclerosis reports mild right shoulder pain since doing strengthening exercises. The strength of the shoulder musculature is 4/5. Which of the following is the MOST appropriate intervention at this point in time? A) Managing pain and advancing resistance exercises gradually B) Stop all exercises till pain subsides C) Performing heavy eccentric exercises to maintain stabilization D) Providing the patient with a sling to rest shoulder

A) Managing pain and advancing resistance exercises gradually

Which of the following choices describes the severity of head injury in an individual whose score on Glasgow Coma Scale was 10? A) Moderate head injury B) Concussion C) Mild head injury D) Severe head injury

A) Moderate head injury

Which of the following approaches for return to play/activity is recommended for an individual with mild traumatic brain injury? A) Graded exercises after symptoms have resolved B) Return to play after 24 hours of rest C) Prolonged physical rest even after symptoms have resolved D) Activities requiring intense attention and concentration

A) Graded exercises after symptoms have resolved

Which of the following is true regarding muscle weakness seen with Lou Gehrig's disease? A) Is asymmetrical B) Starts with face and progresses to LE C) Starts with LE and progresses to face D) Is symmetrical

A) Is asymmetrical

A patient post TBI appears confused but shows goal directed behavior and is dependent on external input or direction, can follow simple directions and shows some carryover of learned tasks. What level of cognitive functioning (Rancho Los Amigos) would best describe this patient? A) V Confused-Inappropriate B) IV Confused-Agitated C)VI Confused-Appropriate D) VII Automatic-Appropriate

C)VI Confused-Appropriate

What is the main difference of consideration when planning Physical Therapy plan of care for individuals with progressive conditions as compared to those with non-progressive conditions? A) Consider previous problems B) Consider functional problems C) Consider only immediate problems D) Anticipating future problems

D) Anticipating future problems

What is the cardinal sign of Parkinson's disease? A) Spasticity B) Dysphasia C) Postural stability D) Bradykinesia

D) Bradykinesia

Which of the following is a sympathetic nervous system response that is MOST likely to be present after traumatic brain injury? A) Decreased blood pressure B) Slowed respiratory rate C) Hypothermic state D) Increased heart rate

D) Increased heart rate

Which of the following BEST describes the response of a patient with multiple sclerosis who experiences a worsening of spasticity and blurring of vision after 60 minutes of vigorous exercise that subsides within 12 hours? A) MI B) Appropriate response to exercise C) Exacerbation D) Pseudo exacerbation

D) Pseudo exacerbation