Mngmt of Neuro

  1. A disease process that increases the chances of a person suffering a cerebrovascular accident is:
  2. Basic principles in NDT treatment of the CVA patient include all but one:
    Superimpose normal movement on abnormal tone.
  3. A TIA is characterized by:
    Paralysis lasting from a few minutes to several hours but less than 24 hours.
  4. The patient responds with articulated speech, however you note a general decrease of comprehension when you give verbal cues. Your patient has which of the following?
    Wernicke's aphasia
  5. After a stroke, an abnormal synergy results in:
    Decreased selective movement
  6. A CVA patient with left sided weakness of UE and LE likely has a lesion located in the:
    Right cerebral hemisphere
  7. Which one is not a common malalignment seen in someone after a CVA?
    Elbow extension
  8. Due to laterality, a patient with right hemiplegia might have more difficulty with:
  9. Disarthria is a speech problem which includes:
    Paralysis in muscles used for speaking
  10. Patient with a left CVA. He presents with homonymous hemianopsia, right hemiparesis, and sensory deficits mostly in the UE. What cerebral artery is most likely responsible?
    Middle cerebral artery
  11. Factors that contribute to the development of shoulder subluxation and pain in a person with CVA include all but one:
    Weight bearing
  12. A patient with CVA presents with significant coordination deficits. The patient has functional upper and lower extremity strength however ambulates with an ataxic gait pattern. This patient has damage in what area of the brain?
  13. Hypotonicity of the rotator cuff muscles can facilitate subluxation of the glenohumeral joint in a patient status post CVA by:
    Allowing the scapula to rotate downward.
  14. Early bed positioning of the CVA patient should include all but one:
    Scapular retraction
  15. Mr. Smith is 2 months s/p right CVA. He presents with unilateral neglect, aphasia, apraxia, and left hemiparesis with greater invovement in the LE than the UE. Occlusion of what artery is most likely responsible?
    Anterior cerebral artery
  16. An associated reaction is:
    An automatic response of the involved side resulting from action in some other parts of the body.
  17. A patient with left CVA. Behavioral characteristics you might expect to encounter include all of the following except:
    Over estimation of her own ability
  18. Raimeste's phenomenon describes:
    Resultant abduction of the affected side with resisted abduction on the sound side.
  19. An entry in the record indicates that the patient exhibits significant sensory deficts in the anterolateral spinothalamic system. Which sensation would be most affected?
  20. Abnormal synergies after CVA are usually encountered in the:
    Spastic stage
  21. Due to laterality, a patient with left hemiplegia would have difficulty with:
    Poor judgement
  22. Global aphasia may indicate:
    Extensive brain damage
  23. How could the STNR help a patient with an UE extension synergy gain some flexion in the UE's?
    Flexion of the neck results in increased flexor tone in the UE's.
  24. A CVA patient lies supine in bed. The patient's PT discourages her from lying supine for a long period of time because:
    The position reinforces abnormal retraction of the scapula.
  25. Patient with shoulder subluxation secondary to a flaccid UE. The followwing techniques would be beneficial in treating the flaccid UE except:
    Distraction techniques
  26. A hemiplegic patient with a subluxed shoulder. The therapist placed the patient in a sling for the purpose of:
    Preventing further subluxation or recurrence of the shoulder has been reduced.
  27. A patient with hemiplegia should be positioned in sidelying in the affected side early in rehabilitation. The advantages of this position include all except:
    Improve gross motor coordination of the affected side.
  28. Which one is the highest priority for a PTA treating a patient s/p CVA who cannot move without assistance?
  29. Teaching a patient with CVA to transfer to the affected side:
    Helps direct the patients attention to the affected side.
  30. Using a constraint-induced treatment method, which of the following would you have your patient with right CVA perform:
    Transfer into a WC using a standing pivot transfer to the left.
  31. A disadvantage of quad cane with a patient with CVA is that:
    The device may promote excessive weight shift to the unaffected side.
  32. A gait problem commonly seen in a person following CVA is:
    Initial contact on the lateral side of the foot.
  33. Impaired proprioception in a patient with CVA can be a significant factor in:
    Decreased mobility
  34. Patient with left CVA, a PTA applies resistance to the right elbow flexion and notices a flexion resopnse of the right LE. The PTA would document this as:
    Homolateral limb synkinesis
  35. Patient with left hemiplegia using a ladder as a treatment tool, the patient is able to stabilize on the left LE and step to the first rung of the ladder with the right LE. What would be the next best progression to develop dynamic stability on the left?
    Standing on the left LE and stepping to the front, side, back, and front with the right LE.
  36. In a person after CVA, elevation and retraction of the pelvis can result in:
    Loss of momentum and rebound to initiate swing.
  37. Your patient s/p left CVA has increased knee flexion and ankle equinovarus as initial contact on the right. Which task of gait is compromised?
    Weight acceptance
  38. Patient s/p right CVA exhibits pusher syndrome. Which of the following would the patient most likely do in sitting?
    Lean to the left with increased weight bearing on the left buttock.
  39. While gait training a patient with left CVA, you see that from the beginning of loading response through midstance in the right, the patient's knees wobbles then snaps back into hyperextension. A possible cause of the knee motion is:
    Impaired proprioception in the right
  40. Elements to enhance attention to sensory input include:
    All of the above
  41. A patient with pusher syndrome. Which would be the least effective technique to inlcude while working on sitting balance?
    Passively correct the patient's posture and tell him to "stay".
  42. A bridging exercise for the patient after CVA would not help to:
    Increase hip flexor strength
  43. A wheelchair that is too wide may:
    Prevent reaching the push arms for independent mobility.
  44. What wheelchair feature facilitates improved trunk and pelvic positioning?
    Firm seat and back
  45. A roho seat custom cushion is designed to distribute weight with:
    inflatable air
  46. The pelvic belt needs to be positioned to allow acitve anterior pelvic tilt. What is your best position for the pelvic belt in relation to the sitting?
    90 degrees
  47. Which factor would be the least important to ensure accurate recommendations seat width and depth?
    Emotional state
  48. The dimensions of a standard adult size WC is:
    16 in deep and 18 in wide
  49. An abductor cushion/wedge on a WC should never be used to:
    Keep the patient from slipping forward
  50. In the film about WC modifications, lowering the back height and slightly tilting the chair backwards help to:
    Sagittal plane balance
  51. Which is the most important fact to consider when designing a custom WC?
    Provide optimum function for the user.
  52. Which feature in a WC seat cushion could compensate for a flexible coronal plane pelvic stability?
    Different foam density on one side
  53. A sit in space WC:
    Maintain the angular configuration of the body while changing the orientation of the chair.
  54. Which of the following is most likely the consequence of a WC with inadequate seat width?
    Excessive pressure on the greater trochanter
  55. Camber on a WC is used to determine:
    Turning radius
  56. Patient in a WC and is scooted forward with a posterior pelvic tilt. Which is most likely contributing to his position?
    The pelvic belt is not positioned appropriately
  57. Which of the following patient would be most in need of a WC that is lower than standard height?
    Patient with hemiplegia
  58. Custom contoured WC and seats and backs:
    Enhace stability
  59. A custom WC is considered an orthotic device because:
    It provides support while assisting motion
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Mngmt of Neuro