Neurological Physical Therapy MCQs Quiz

10 Questions | By Nicole.mardanes | Updated: Aug 14, 2022 | Attempts: 2233

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Neurological Physical Therapy MCQs Quiz - 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.

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.
  
  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.
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
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 TBIs is not considered a primary brain injury?
- A.
  
  Diffuse axonal injury
- B.
  
  Focal injury
- C.
  
  Hypoxic-ischemia injury
- D.
  
  Coup-contrecoup 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 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.
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.
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
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.
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
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