Neurological Physical Therapy MCQs Quiz
Get ready to take this "Neurological physical therapy MCQs quiz" and assess yourself. Neurological Physiotherapy is a specialist area or part of physiotherapy focused on the treatment of individuals who have neurological conditions. Neurological disorders have an effect on the functioning of the brain, spinal cord, and nerves. These are the review questions for neuromuscular physical therapy intended for study for the boards. Let's see how many of these you answer.
- 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.
The parietal Lobe controls the motor aspect of speech.
- C.
Temporal Lobe controls the motor aspect of speech.
- D.
The parietal Lobe controls language comprehension.
- E.
Temporal Lobe controls language comprehension.
Correct Answer
E. Temporal Lobe controls language comprehension.Explanation
The correct answer is that the Temporal Lobe controls language comprehension. This region of the brain is responsible for processing auditory information and understanding spoken language. It is involved in recognizing and interpreting words, sentences, and the meaning of language. Damage to the Wernicke's area in the Temporal Lobe can result in difficulties understanding and producing coherent speech, a condition known as Wernicke's aphasia.Rate this question:
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- 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
- C.
Both
- D.
None
Correct Answer
A. The primary motor cortex for voluntary movementExplanation
The precentral gyrus is known as the primary motor cortex for voluntary movement. This region of the brain is responsible for planning, executing, and controlling voluntary movements of the body. It receives information from other areas of the brain and sends signals to the muscles to initiate specific movements. This role in motor control makes the precentral gyrus an essential part of the brain's motor system.Rate this question:
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- 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
Correct Answer
B. Lateral spinothalamicExplanation
The lateral spinothalamic pathway is responsible for transmitting information related to pain and temperature sensations. This pathway carries signals from the spinal cord to the thalamus, which then relays the information to the somatosensory cortex in the brain. The other options listed are not specifically involved in processing pain and temperature sensations.Rate this question:
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- 4.
Which of the following TBIs is not considered a primary brain injury?
- A.
Diffuse axonal injury
- B.
Focal injury
- C.
Hypoxic-ischemia injury
- D.
Coup-contrecoup injury
Correct Answer
C. Hypoxic-ischemia injuryExplanation
Hypoxic-ischemia injury is not considered a primary brain injury because it occurs as a result of secondary processes following a primary brain injury. It involves a decrease in oxygen supply and blood flow to the brain, leading to cellular damage and dysfunction. In contrast, diffuse axonal injury, focal injury, and coup-contrecoup injury are all examples of primary brain injuries that directly result from the initial trauma to the brain.Rate this question:
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- 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 is 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.
Correct Answer
D. A classic concussion. PT may or may not have retrograde amnesia and posttraumatic amnesia.Explanation
The most likely cause of the patient's loss of consciousness is a classic concussion. This type of injury can result in retrograde amnesia and posttraumatic amnesia, meaning that the patient may or may not remember events leading up to the injury and may have difficulty forming new memories after the injury.Rate this question:
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- 6.
A PT is treating a 56-year-old with a TBI secondary to a 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 the 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 the family the importance of keeping the patient active.
- D.
Promote early return to ADLs 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 stimulating environment.
Correct Answer
E. Promote and emphasize safety and behavioral management techniques in a structured, low stimulating environment.Explanation
The correct answer is to promote and emphasize safety and behavioral management techniques in a structured, low stimulating environment. This is the best treatment option for a patient who is a level V on the Rancho Los Amigos Level of Cognitive Function scale. At this level, the patient is in a confused-inappropriate state and requires a controlled and structured environment to ensure their safety and manage their behavior. This approach will help the patient gradually regain cognitive function and prevent any further complications or injuries.Rate this question:
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- 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 the recovery stages of diffuse axonal injury?
- A.
Mute responsiveness to minimally responsive
- B.
Confusional state
- C.
Emerging Independence
- D.
Intellectual or social competence
Correct Answer
B. Confusional stateExplanation
The patient should be rated in the "Confusional state" stage of recovery from diffuse axonal injury. This stage is characterized by difficulty with attention, inability to form new memories, and hyperarousal. The patient is not in a minimally responsive state as they are able to respond, albeit with confusion. They are also not in the stage of emerging independence or intellectual/social competence, as they are still experiencing cognitive impairments.Rate this question:
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- 8.
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 extremity.
- D.
Discuss with the patient how temperature internally and externally will now affect 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.
Correct Answer
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%.Explanation
The answer "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%" is not a correct response to the patient's question because it provides inaccurate information. In reality, individuals with a complete spinal cord injury at the C7 level will have a vital capacity of around 50-60% of what they had before the injury, not 30%. While respiratory function can improve with rehabilitation, it is unlikely that the patient will be able to return to 90-100% of their pre-injury capacity.Rate this question:
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- 9.
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
Correct Answer
B. T1-T5Explanation
The highest spinal cord injury level that a patient could be in order to participate in a wheelchair sport is T1-T5. This means that the injury is located in the thoracic region of the spine, specifically between the first and fifth thoracic vertebrae. Injuries at this level typically result in paraplegia, which affects the lower limbs but allows for good upper body function. This level of injury allows individuals to have sufficient upper body strength and control to participate in wheelchair sports.Rate this question:
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- 10.
Which of the following symptoms is NOT commonly presented with damage to the middle cerebral artery?
- A.
Sensory Ataxia
- B.
Contralateral hemiparesis arms more affected than legs.
- C.
Contralateral sensory loss legs more affected than arms.
- D.
Homonymous hemianopsia
- E.
Global aphasia
Correct Answer
C. Contralateral sensory loss legs more affected than arms.Explanation
Contralateral sensory loss legs more affected than arms is not commonly presented with damage to the middle cerebral artery. Damage to the middle cerebral artery typically causes contralateral hemiparesis, where the arms are more affected than the legs, as well as symptoms such as sensory ataxia, homonymous hemianopsia, and global aphasia.Rate this question:
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Quiz Review Timeline +
Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.
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Current Version
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Sep 12, 2023Quiz Edited by
ProProfs Editorial Team -
Nov 13, 2009Quiz Created by
Nicole.mardanes
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