DAY 5

Question 1

The following condition/s is/are considered LEAST damaging in nerve injuries.
a. Crush or stretch injury
b. Clean, simple laceration
c. Mixing of fibers as in higher level lesions
d. Avulsion lesions

Answer 1

c. Mixing of fibers as in higher level lesions

Question 2

This outcome measure of intervention in Carpal Tunnel Syndrome was reported to be 4 times
more responsive to clinical improvement than measures of neuromuscular impairment.
a. 2-point discrimination
b. Light touch with monofilaments
c. Functional Status Scale
d. Symptoms Severity Scale
e. Manual muscle test

Answer 2

d. Symptoms Severity Scale

Question 3

In the adult, the subarachnoid space ends inferiorly at the level of
a. Coccyx.
b. lower border of L1.
c. sacral promontory.
d. S2-S3.
e.S5

Answer 3

d. S2-S3.

Question 4

The primary impairment in patients diagnosed with cerebellar cerebral vascular accident is:
a. Impaired speech
b. Visual field cuts
c. Decreased balance and coordination
d. Impaired comprehensive skills

Answer 4

c. Decreased balance and coordination

Question 5

The following statements characterize the lateral femoral cutaneous nerve, EXCEPT:
a. There is no atrophy and no motor or reflex change
b. Sensory and motor function is mediated by this nerve
c. More apt to occur with metabolic disorders
d. Some sensory loss to pain and touch is typical

Answer 5

b. Sensory and motor function is mediated by this nerve

Question 6

Relatively rapid, irregularly recurrent, unpredictable, nonrhythmic, involuntary movements of
the trunk, face or extremities.
a. Myoclonus
b. Chorea
c. Hyperkinesia
d. Tremor
e. AthetosiS

Answer 6

b. Chorea

Question 7

Drooping of contralateral lower face may indicate a lesion of the
a. basal ganglia.
b. cerebral cortex
c. cerebellum.
d. corticobulbar tract.
e. corticospinal tract.

Answer 7

d. corticobulbar tract.

Question 8

The following are tie generalizations concerning the motor innervation of the hand, EXCEPT
a. Median nerve for the thenar eminence while ulnar nerve for the hypothenar
muscles.
b. “Half-half” rule of nerve supply, i.e. median and ulnar, include the flexor
digitorum superficialis and lumbricals.
c. The median nerve supplies most of the flexors of the wrist and digits with
proximal attachments on the forearm and in the region of the medial epicondyle.
d. The radial nerve supplies all the extensors of wrist and digits with proximal
attachments on the forearm and in the region of the lateral epicondyle.
e. The ulnar nerve supplies most of the small muscles in the hand.

Answer 8

b. “Half-half” rule of nerve supply, i.e. median and ulnar, include the flexor
digitorum superficialis and lumbricals.

Question 9

Seizures at the onset of stroke are found in 10% of this/these type/s of stroke.
I. Thrombotic
II. Embolic
III. Hemorrhagic
a. II and III
b. I and II
c. I and II
d. I, II, and III
e. II

Answer 9

a. II and III

Question 10

What blood cells are activated by antigen only when associated with another host cell?
a. Neutrophils
b. Eosinophils
c. T-lymphocytes
d. B-lymphocytes

Answer 10

c. T-lymphocytes

Question 11

Which of the following statements is true?
I. Functionally, anatomic actions determine muscle participation in postures and
movements
II.Muscles also participate in posture and movements according to limb and a body
position in relation to gravity, applied resistance, and velocity of motion
a. I is false, II is true
b. I is true, II is false
c. I and II are true
d. I and II are false

Answer 11

a. I is false, II is true

Question 12

Craniosacral therapy is an evaluation and treatment approach that assume the presence of
craniosacral motion to be as follows EXCEPT it is
___________
:
a. A physiological motion because it is unconscious and voluntary
b. Unstable and fluctuates in response to exercise, emotion and rest
c. An inherent rhythmical motion in human and animals, different from any other
rhythm in the body
d. Claimed to change in response to trauma, autism or learning disability

Answer 12

a. A physiological motion because it is unconscious and voluntary

Question 13

Symptoms associated with bilateral vestibular hypofunction include the following, EXCEPT:
a. Oscillopsia
b. Postural instability
c. Gait ataxia
d. Difficulty reading
e. Blurred vision

Answer 13

d. Difficulty reading

Question 14

The following characteristics describe an upper motor neuron disease EXCEPT: _______.
I. There are lesions affecting nerves below the level of the brainstem
II. Lesions may be found in descending motor tracts within the cerebral motor cortex
III. Symptoms may include hypertonicity and hyperreflexia
IV. Tracts in the lateral white
column of the spinal cord are
damaged
V. The ventral gray column of the spinal cord may be affected.
a. I, II, and V
b. I, II and IV
c. III, IV and V
d. II, III and IV

Answer 14

a. I, II, and V

Question 15

From the following clinical signs, ataxic gait, hypotonia, dysmetria, dysdiadochokinesia, which
part of the brain has sustained injury?
a. Basal Ganglia
b. Parietal Lobe
c. Premotor Cortex
d. Cerebellum

Answer 15

d. Cerebellum

Question 16

A deep sulcus that outlines and sweeps backward above the temporal pole, and then continues,
on the superolateral surface, almost horizontally backwards marking the line along which the
hemisphere became folded. The speech and hearing area are both closely associated with it.
a. Medial
b. Lateral
c. Collateral
d. Central
e. Calcarine

Answer 16

b. Lateral

Question 17

What explains pain control in acupuncture?
a. Decrease of activity of neurons upstream in the system
b. Stimulation of unmyelinated nerve fibers
c. Release of opiates
d. Heat and vibration counterirritant applied to the needle structure

Answer 17

c. Release of opiates

Question 18

At the anterior clinoid process, the internal carotid artery gives off this tiny, but vitally
important arterial branch.
a. Superior thyroid
b. Anterior cerebral
c. Lenticulostriate
d. Ophthalmic
e. Middle cerebral

Answer 18

d. Ophthalmic

Question 19

In contrast to a nerve action potential, a muscle action potential has a
________.
a. Slower conduction velocity
b. Lower overshoot
c. More negative resting membrane potential
d. Shorter duration

Answer 19

a. Slower conduction velocity

Question 20

What part of the central system gathers information about the environment as well as the
magnitude of the response of its effects and transmits it to the center?
a. Central processor
b. Integrating center
c. Sensor
d. Effector

Answer 20

c. Sensory

Question 21

Discrete muscle movements relating to swallowing, chewing and facial movement are elicited
more readily from stimulation of which part of the primary motor area?
a. Lateral
b. Inferior
c. Superior
d. Medial

Answer 21

a. Lateral

Question 22

In Romberg’s sign, the ___________________.
I. Client stands with feet together and eyes open
II. Sign is negative if the client sways and falls when the eyes closed
III. Sign is positive if the client sways when the eyes are closed
IV. Client stands with feet together and eyes closed
V. Sign is positive if the client falls when the eyes are closed
a. I and II
b. II and IV
c. III, IV, and V
d. I, III, and IV

Answer 22

c. III, IV, and V

Question 23

The cardiac output among the elderly at rest and during light exercise is nearly the same as in
the young persons because
______
.
I. Aged hearts have a faster intrinsic rhythm
II. This is partly due to cardiac hypertrophy with its resultant bigger end-diastolic volume
III. Of the stiffer arteries among the elderly, end-systolic volume is also greater, increasing
the tendency for pulmonary congestion
a. I and III
b. I only
c. I and II
d. II and III

Answer 23

d. II and III

Question 24

Bilateral vestibular deficits results in the following, EXCEPT:
I. Postural instability
II. Disequilibrium
III. Oscillation
IV. Skew deviation
a. IV
b. I
c. II
d. III

Answer 24

a. IV

Question 25

The following statements apply to Percussion and Vibration EXCEPT:
a. Alterations in airway diameter and airflow may increase the viscosity of
mucus, making percussion more effective in mobilizing secretions that are
adherent to the bronchial walls.
b. The exact mechanism of action of chest percussion is unknown, but there is
some evidence that physical stimulation alters airflow and is associated with the
release of pulmonary chemical mediators
c. Recommended for the patient who is intubated and mechanically ventilated
d. Recommended for patients with impaired cognition or poor coughing ability
e. Used to enhance mucociliary clearance from both central and peripheral
airways

Answer 25

a. Alterations in airway diameter and airflow may increase the viscosity of
mucus, making percussion more effective in mobilizing secretions that are
adherent to the bronchial walls.

Question 26

To facilitate scapular protraction, Bobath advocates positioning the hand
I. Hands clasped
II. Affected thumb is above the unaffected thumb
III. Fingers interlaced
IV. Fingers not interlaced
V. Unaffected thumb is above the affected thumb
a. IV and V only
b. I and III only
c. I, II, and III
d. I, IV and V
e. II, III and V

Answer 26

c. I, II, and III

Question 27

Which of the following statements is true concerning vital capacity of client with restrictive lung
disease?
a. Above normal due to destruction of alveolar septa
b. Above normal due to greater radial traction exerted on airway walls
c. Below normal due to increased airway resistance
d. Below normal due to reduced lung compliance

Answer 27

d. Below normal due to reduced lung compliance

Question 28

The oral cavity is normally heavily populated by microorganisms that can potentially harm the
lungs. Which of the following effectively prevents translocation of these organisms to the lung
substance?
a. Stiffness of the lung substance
b. Mucociliary excalator
c. Swallowing reflex
d. Esophageal peristalsis

Answer 28

b. Mucociliary excalator

Question 29

The height of a specific vertebrae may be used to determine landmarks. Which of the following
are true?
I. C2-level with hyoid bone
II. C4-C5-level with thyroid cartilage
III. T4-height of the manubrium and body of sternum
IV. T12 body- tip of the xiphoid process
V. L4 spinous process- level with the highest portion of the crest of the ilium
VI. S2- height of posterior superior iliac spine
a. I, II, III and IV
b. II, IV, V and VI
c. I, II, III and VI
d. III, IV, V and VI
e. II, III, V and VI

Answer 29

e. II, III, V and VI

Question 30

Reflex contraction of the agonist muscles results in patterns of inhibition of their antagonist
muscles through what reflex?
a.Stretch reflex
b.Rebound phenomenon
c.Crossed extensor reflex
d.Lengthening reaction
e.Reciprocal inhibition

Answer 30

e.Reciprocal inhibition

Question 31

Secretion removal techniques are an integral component of a pulmonary rehabilitation program.
What is the simplest method to clear secretions from the upper airways?
a. Positioning
b. Vibration
c. Percussion
d. Cough

Answer 31

d. Cough