Review Questions Of Neuromuscular Pt

12 Questions | Total Attempts: 593

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Disorder Quizzes & Trivia

Review questions for neuromuscular physical therapy. Intended for study for the boards.


Questions and Answers
  • 1. 
    Wernicke's area is located where in the brain and what purpose does it have?
    • A. 

      The Frontal Lobe, controls the motor aspect of speech.

    • B. 

      Parietal Lobe, controls the motor aspect of speech

    • C. 

      Temporal Lobe, controls the motor aspect of speech

    • D. 

      Parietal Lobe, controls language comprehension

    • E. 

      Temporal Lobe, controls language comprehension

  • 2. 
    The precentral gyrus is known best as?
    • A. 

      The primary motor cortex for voluntary movement

    • B. 

      The primary sensory cortex for integration of sensation

  • 3. 
    Which of the following spinal cord pathways is responsible for pain and temperature?
    • A. 

      Dorsal columns

    • B. 

      Lateral spinothalamic

    • C. 

      Anterior spinothalamic

    • D. 

      Spinocerebellar

    • E. 

      Reticulospinal

  • 4. 
    Which of the following TBI's is not considered a primary brain injury?
    • A. 

      Diffuse axonal injury

    • B. 

      Focal injury

    • C. 

      Hypoxic-ischemia injury

    • D. 

      Coup-contracoup injury

  • 5. 
    A 16 year old patient is referred to you for treatment of neck pain from a whiplash injury. This injury occurred during a car accident in which the patient lost consciousness for 12 hours. Which of the following neurological dysfunctions is most likely the cause of her loss of consciousness and what symptoms might you see?
    • A. 

      A diffuse axonal injury, in which the patient will have complete memory loss.

    • B. 

      A focal injury in which there was a laceration. The patient will have difficulty with her memory until the edema/hemorrhaging from the laceration has dissipated.

    • C. 

      An electrolyte imbalance secondary to damage to the thalamus, resulting in a mass release of damaging neurotransmitters. Pt will have difficulty with voluntary muscle control.

    • D. 

      A classic concussion. pt may or may not have retrograde amnesia and posttraumatic amnesia.

  • 6. 
    A PT is treating a 56 year old with a TBI secondary to burst brain aneurysm. The referral papers read that the patient is a level V on the Rancho Los Amigos Level of Cognitive Function scale. Which of the following treatment options would best fit into your plan of care for this patient.
    • A. 

      Maintaining respiratory status and prevention of respiratory complications by use of postural drainage, percussion and suction

    • B. 

      Allow the pt to increase independence by moving activities from closed environments to open environments

    • C. 

      Encourage the pt to carry on an active lifestyle that improves cardiovascular endurance. Discuss with family the importance to keeping the patient active.

    • D. 

      Promote early return to ADL's by positioning the patient in proper body alignment and sitting them upright

    • E. 

      Promote and emphasize safety and behavioral management techniques in a structured, low stimulate environment.

  • 7. 
    A 35 yr old male pt, who's in the hospital, suffered a diffuse axonal injury. The patient has difficulty with attention. He is unable to form new memories and is having difficulty with hyperarousal. Where should the PT rate this pt in recovery stages of diffuse axonal injury?
    • A. 

      Mute responsiveness to minimally responsive

    • B. 

      Confusional state

    • C. 

      Emerging Independence

    • D. 

      Intellectual or social competence

  • 8. 
    A pt who is in a rehab facility is a 26 year old male who suffered a C5 spinal cord injury after jumping into a pool and hitting his head off the side. When evaluating this pt the physical therapy scales him a Level C on the ASIA scale. Which of the following characteristics would BEST fit the patients diagnosis?
    • A. 

      Pt has forearm supination and pronation and elbow flexion with a grade of 4/5. Wrist extensors, elbow extensors, finger flexors and finger abductors are all 0/5.

    • B. 

      Pt has forearm supination and pronation with a grade of 4/5. Wrist extensors, elbow extensors, finger flexors and finger abductors are all 3+/5.

    • C. 

      Pt has elbow flexion and forearm supination with a grade of 3+/5. Wrist extensors, forearm pronation, and finger flexion all scale 2/5.

    • D. 

      Pt only has elbow flexion, shoulder flexion and shoulder IR grading 4/5. Pt has a grade of 0/5 in wrist extensors, finger flexion and finger abduction, but the patient states that he can feel the test while they are being preformed.

  • 9. 
    A pt who recently was diagnosed with a C7 complete spinal cord injury, secondary to MVA, has asked her physical therapist what complications come along with being a spinal cord injured person. Which of the following answers is NOT a correct response to the pt's question?
    • A. 

      Discuss with the patient the change in vital capacity, as the pt at first will initially only have 30% of what she had before, but with hard work she will be able to return to 90-100%.

    • B. 

      Describe to the patient what ulcers are and discuss the importance of performing pressure relief 3-4 times an hour and how a turning program will help eliminate that risk.

    • C. 

      Educate the patient on deep vein thrombosis' and explain that these are common during the first 3 months of recovery and can be prevented by a regular turning program, PROM, elastic stockings, and proper positioning of the lower extermity

    • D. 

      Discuss with the patient how temperature internally and externally will now effect her. At first the pt will have difficulty with hypothermia and then eventually that will change to hyperthermia. This is all due to a lack of control over sweat glands and initial difficulties with vasodilation.

    • E. 

      Educate the patient about the importance of daily exercise not only to improve function but also to prevent heterotopic bone formation.

  • 10. 
    What is the highest spinal cord injury level that a patient could be in order to participate in a wheelchair sport?
    • A. 

      C8

    • B. 

      T1-T5

    • C. 

      T6-T8

    • D. 

      T9-12

    • E. 

      T12-L2

  • 11. 
    A pt with a C7 spinal cord injury has decided that he wants to drive again. As a therapist the best response to you patient would be?
    • A. 

      "I wish you could be at your level of injury that's just not possible"

    • B. 

      "Well it's a possibility but it will require that you have a van lift to get you in and out of the car"

    • C. 

      "That is a great plan, but do you have some one at home who will be able to help you get in and out of car. You would be able to drive your vehicle with hand controls"

    • D. 

      "This is very plausible and a good step to moving back into society. your young and in great shape so we just need to work on the technique of getting you into the car followed by you getting your wheelchair into the car"

  • 12. 
    Which of the following symptoms is NOT commonly presented with damage to the middle cerebral artery?
    • A. 

      Sensory Ataxia

    • B. 

      Contralateral hemiparesis arms more effected than legs

    • C. 

      Contralateral sensory loss legs more effected than arms

    • D. 

      Homonymous hemianopsia

    • E. 

      Global aphasia