81-105 LT Quiz

Question 1

81a.Meningococcal infection →

Answer 1

chemoprophylaxis for close contacts

Question 2

81b Enteroviral meningitis →

Answer 2

no specific prevention or treatment

Question 3

81c Herpetic encephalitis →

Answer 3

has specific antiviral treatment

Question 4

81d Tick-borne encephalitis →

Answer 4

vaccine-controlled infection in Lithuania.

Question 5

A patient with apraxia is unable to

Answer 5

Make a purposeful, planned action

Question 6

Lesions of which cranial nerve pairs result in total ophtalmoplegia?

Answer 6

III, IV, VI

Question 7

68 male, impaired
coordination, orientation, changed behavior, right hemiparesis. Symptoms
progressing for last 3 days. There is no brain trauma. CV pathologies. Brain CT #left cerebral
hemisphere hypodense 1,5cm fluid collection. Which pathology?

Answer 7

Chronic subdural hematoma

Question 8

Which of these patients has highest risk to develop intracranial aneurysm:

Answer 8

Long-term smoker, with moderate arterial hypertension

Question 9

Cytotoxic edema related to:

Answer 9

Swelling of astrocytes

Question 10

Spinal neuroma is

Answer 10

Intradural extramedullary lesion

Question 11

Characteristic to diffuse axonal injury:

Answer 11

Long-term coma

Question 12

Which mononeuropathy causes inability to toe walk?

Answer 12

Tibial

Question 13

Symptoms of either central or peripheral nervous system lesion?

Answer 13

Paraparesis, dysphagia, dysdiadochokinesia, dysarthria, monoparesis

Question 14

Correct statement about Electrical Muscle stimulation (EMS):

Answer 14

Physiological impulse to pause ratio is 1:3.
Denervated muscles contract while pulses lasting more than 10 milliseconds are active.
The duration is extended gradually, first 10 minutes, then to 20-30 minutes

Question 15

Spasmodic torticollis treatment:

Answer 15

Ramizectomy

Question 16

Which of these tumors is characterized by focal seizures in the legs (limbs)?

Answer 16

Parasagital meningioma

Question 17

30-year-old man, excrutiating piercing headached (left orbit and temple), lacrimation and nasal congestion. Episodes last up to 1 hour and several times a day & at night. During these episodes redness of the eye and sweating of the face. What is your preliminary diagnosis?

Answer 17

Cluster headache

Question 18

TENS indication

Answer 18

phantom pain after amputation

Question 19

Which of the following statements about ALS (amyotrophic lateral sclerosis) is true?

Answer 19

1. ALS is the leading mortality cause among all motor neuron diseases
2. Etiology of sporadic ALS is currently unknown

Question 20

A 55-year-old male with arterial hypertension and diabetes developed an acute ischemic stroke in the projection of internal capsule that
manifested with isolated hemiparesis. Where does the damaged tract decussate?

Answer 20

Junction between medulla oblongata and spinal cord

Question 21

A 21-year-old female patient presents with diplopia while looking to the left. Neurological examination reveals impaired adduction of the
right eye accompanied with monocular horizontal left–beating nystagmus of the left eye. Convergence and other eye movements are
normal. Where is the lesion located?

Answer 21

Right medial longitudinal fasciculus

Question 22

Symptoms indicate that the lesion is located in the central nervous system (CNS), but does not indicate where exactly in the CNS?

Answer 22

Hemiparesis
Impaired position sense
Babinski reflex
Hemiataxia

Question 23

Movement & Fundamental muscles of “Functional Hand” after spinal cord injury

Answer 23

wrist extension

extensors carpi radialis

Question 24

64, male long history of hypertension, ischaemic heart disease, atrial fibrillation. suffered an ischaemic stroke with right-sided hemiparesis. There are reduced limb muscle tone, diminished tendon reflexes, hemihyperesthesia, and hemianopia
on the left, positive Babinski sign bilaterally. What diagnostic
investigation is required immediately?

Answer 24

Head CT

Question 25

patients with cognitive and perceptual impairments, the physiotherapist
should:

Answer 25

use clear commands, reduce the number of stimuli, provide more supervision

Question 26

64, male. Two and a half hours ago, he suddenly
developed dizziness and left-sided limb weakness. On examination: the patient is conscious, well-oriented, has a regular heart rate of 120
bpm and a radial pulse rate of 96 bpm, arterial blood pressure of 230/115 mmHg. There are reduced limb muscle tone, diminished tendon reflexes, hemihyperesthesia, and hemianopia
on the left, positive Babinski sign bilaterally. preliminary diagnosis?

Answer 26

Acute cerebrovascular accident in the right middle cerebral artery

Question 27

In Parkinson‘s disease, there is dopamine deficiency. However, L-Dopa is used for treatment, not dopamine. Why?

Answer 27

Dopamine does not cross blood-brain barrier and therefore does not exert any therapeutic effects in the central nervous system

Question 28

Occupational therapist in the team of rehabilitation specialists is responsible for

Answer 28

for improving patient performance