Functional Neuro Practice Exam
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- 1.Jem is having trouble brushing her hair. You suspect that it is because of loss of range of motion. Which will best help you verify your suspicion?
- A.
AROM
- B.
PROM
- C.
MMT
- 2.Kathy has a trach and reports feeling stuffy. What should you do?
- A.
Ask her to blow her nose
- B.
Get a nurse
- C.
Give her a face massage, starting at the temples and moving in toward the nose
- D.
Put a tissue over her trach and ask her to cough
- 3.Nancy was checked in to the hospital yesterday and has undergone a neurologicial exam due to signs of neurological impairments. She has a deep tendon reflex rated at 5 (sustained clonus) in her foot. What can you do to help?
- A.
Get her to walk
- B.
Place her foot in a foot drop splint
- C.
Wrap her foot in a blanket
- D.
Stretch out the muscle
- 4.A 4 on the modified Ashworth scale indicates...
- A.
No increase in muscle tone
- B.
Affected part is rigid in flexion or extension
- C.
Marked increase in muscle tone through most of the range of motion, but the affected part is easily moved
- D.
Muscle tone increased by 40% of normal muscle tone
- 5.If you are helping someone with eating, and he doesn't swallow all the food/ gets a little stuck in his throat (he can breathe), what should you try first?
- A.
Tell him to cough to clear the passageway
- B.
Ask him to swallow again
- C.
Give him a drink of water
- D.
Fish out the food with your finger
- 6.When assessing feeding, which of these should be addressed before the others?
- A.
Positioning
- B.
Swallowing
- C.
Lip closure
- D.
Ability to use adaptive equipment
- 7.If a client is only allowed to have pudding-like liquids and complains of dry mouth, what is your best option to help them?
- A.
Give them water to squish around in their mouth and spit out
- B.
Give them thin liquids via spoon
- C.
Dip a sponge in glycerin and swipe in mouth
- D.
Give them water with thick-it to pudding-like consistency
- 8.Miccah has MS and has tremors and problems with coordination. Which is the best to intervention during therapy?
- A.
Ask the client to prop their elbow on a sturdy surface for stability and grab objects nearby
- B.
Practice throwing and catching a ball
- C.
Use a bent spoon for feeding
- D.
Recommend surgical intervention
- 9.Which of the following is false regarding MS?
- A.
Fatigue can be debilitating and affect many areas of occupation
- B.
Cold temperatures can exacerbate symptoms
- C.
MS can cause vision problems
- D.
MS causes an increase in serotonin
- 10.Which of the following is not a sensory disturbance related to MS?
- A.
Paraesthesia
- B.
Dysesthesia
- C.
Referred pain in shoulder
- D.
Chronic pain
- 11.Margaret has Guillain-Barre Syndrome and has little function in her hands. She is no longer using a feeding tube and is learning to feed herself again. Previous attempts to use built up silverware were unsuccessful. Now, you are trying to help her use a universal cuff. Before trying this adaptive equipment, what should you do?
- A.
Give support for arm with a table
- B.
Make sure patient is sitting up straight
- C.
Stabilize wrist
- D.
All of the above
- 12.Heather is in the tail end of the progressive phase of Guillain-Barre and wants to go home. What do you recommend?
- A.
Talk to others on her team and don't close her file in case she wants to come back. It's not your place to tell her she absolutely can't go home, but you think she will struggle.
- B.
Give her information on where to purchase a wheelchair
- C.
Recommend wrist supports and a shower chair
- D.
Teach her how to fill her feeding tube
- 13.Which is not a common safety issue for patients with Guillain-Barre when they return home?
- A.
Heightened sensation
- B.
Weakness
- C.
Accessibility of home
- D.
Body awareness
- 14.Which of the following is not an energy conservation/ work simplification technique?
- A.
Good posture
- B.
Organizing work area
- C.
Holding breath while moving heavy objects
- D.
Avoiding emotional stress
- 15.Which posturing most likely indicates the best prognosis?
- A.
Decorticate
- B.
Decerebrate
- C.
Degenerate
- 16.Sherry has a brain tumor in her cerebellum. Which would not assess the impact the brain tumor has on her functioning?
- A.
Walking on a line
- B.
Finger to nose
- C.
Bilateral skills
- D.
Sensation Testing
- 17.Which of the following is false regarding levels of consciousness?
- A.
As people emerge from a coma, they first enter the vegetative state and then the minimally conscious state
- B.
People in a minimally conscious state will react appropriately to stimulation
- C.
People in a vegetative state have sleep-wake cycles
- D.
Length of time in a coma has an affect on prognosis
- 18.What is not an appropriate intervention to work on with someone who has c-spine precautions?
- A.
EOB BADLs
- B.
Hand manipulation
- C.
Alertness
- D.
Sensation
- 19.Which of the following is not a c-spine precaution?
- A.
Do not flex shoulder past 90 degrees
- B.
Only removing cervical collar to perform bathing
- C.
Log roll to move in bed instead of segmental
- D.
HOB flat
- 20.What is the last thing (of this list) you will look at upon entering the room of someone with a Glasgow Coma Scale of 6?
- A.
Vitals
- B.
Time you entered
- C.
Lines, tubes, and drains
- D.
Muscle tone
- 21.Which is not an appropriate intervention for someone with brain damage?
- A.
Using spoons to demonstrate bathing ADLs
- B.
Transfers from bed to wheelchair
- C.
Bed mobility: EOB to perform ADLs
- D.
BADLs
- 22.If someone is rated as 3 on the Rancho Scale, which would be the least appropriate goal?
- A.
Pt will be able to correctly identify family members in photographs while seated EOB 75% of the time in 1 wk.
- B.
Pt will tolerate supine to sit c total A to participate in 1 HOH BADL in 1 wk.
- C.
Pt will show response to yes/no questions regarding familiar person in photos 50% of the time in 1 wk.
- 23.At what Rancho level would it be most appropriate to do a cooking task and not provide all of the ingredients?
- A.
Level 2
- B.
Level 3
- C.
Level 6
- D.
Level 7
- 24.When working with someone who is at Rancho V, which of these is the least appropriate?
- A.
Assisting with ADLs
- B.
Having the TV on during treatment to encourage blocking external stimuli
- C.
Discussing daily routine problems with patient
- D.
Discussing family
- 25.What is the most appropriate goal for someone who is at a Ranch VI level?
- A.
Pt will explain step by step pre-morbid bathing routine 3 of 5 trials in 1 wk.
- B.
Pt will create memory aids to use during cooking task without assistance in 1 wk.
- C.
Pt will respond to 1 step motor command during HOH BADL 50% of the time.
- D.
Pt will participate in community outing, using cognitive and visual skills.
- 26.Richard sustained a mTBI while playing basketball. He is experiencing concentration, memory, and decision-making difficulties as well as vision problems and headaches. He wants to play basketball today, against the doctors' recommendations. What is the best intervention for him?
- A.
Self Awareness Training Program
- B.
BiVABA
- C.
Rivermead Behavioral Memory Test
- D.
Visual exercises to strengthen ocular muscles
- 27.Which of the following is most appropriate for someone with stage 2 ALS?
- A.
Music glove
- B.
Skin integrity education
- C.
Wheelchair mobility
- D.
ADL equipment
- 28.Which is not a focus for OT treatment of people in stage 3 of ALS?
- A.
Foot drop splints
- B.
Skin integrity
- C.
Empowering independence
- D.
Family and patient education
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