Finals 2

Question 1

Brudzinski’s sign

Answer 1

severe neck stiffness causes a patient’s hips and knees to flex when the neck is flexed

Question 2

Kernig’s sign

Answer 2

severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees

Question 3

Minimal detectable change (MDC) in 5x sit to stand:

Answer 3

3.6-4.2 seconds

Question 4

Minimally Clinically Important Difference (MCID):

Answer 4

2.3 seconds

Question 5

5XSST 60-69:

Answer 5

11.4

Question 6

5XSST 70-79:

Answer 6

12.6

Question 7

5XSST 80-89:

Answer 7

14.8

Question 8

5XSST geriatric population greater than 12 seconds:

Answer 8

further assessment of fall risk

Question 9

5XSST geriatric population greater than 15 seconds

Answer 9

recurrent falls

Question 10

5XSST vestibular disorders:

Answer 10

greater than 15 seconds fall risk

Question 11

5XSST PD:

Answer 11

greater than 16 seconds fall risk

Question 12

Minimal detectable change for Parkinson’s Disease 9 hole peg test, dominant hand:

Answer 12

2.6 seconds

Question 13

Minimal detectable change for Parkinson’s Disease 9 hole peg test, nondominant hand

Answer 13

1.3 seconds

Question 14

Archicerebellum (Flocculonodular)

Answer 14

Uncoordinated trunk movements – ataxia. Balance deficits d/t loss of vestibular input from vestibular nuclei, cuneocerebellar tract, and rostral cerebellar tract

Question 15

Paleocerebellum(Anterior):

Answer 15

Disturbances in extensor tone (b/c this lobe receives the Spinocerebellar tracts – which when lost result in an ↑ in extensor tone.

Question 16

Neocerebellum (Posterior):

Answer 16

Ipsilateral ataxia, Ipsilateral hypotonia & hyporeflexia, Dysmetria, Adiadochkinesia, movement decomposition, asthenia, intention tremors, rebound phenomenon, ataxic gait, staccato voice

Question 17

Basilar migraine

Answer 17

symptoms include vertigo, tinnitus, decreased hearing, and ataxia (loss of coordination)

Question 18

Peripheral tests

Answer 18

head thrust
head shaking nystagmus
Dix hallpike
tragal pressure
fized gaze nystagmus

Question 19

Peripheral or central:

Answer 19

❏ VOR
❏ Spontaneous Nystagmus (if vertical, then central*)
❏ Visual Acuity/Dynamic Visual Acuity
Fixed Gaze Nystagmus

Question 20

Central:

Answer 20

❏	OMROM
❏	Smooth Pursuit
❏	Saccades
❏	VOR Cancellation
❏	Convergence
❏	Optokinetic Nystagmus
Fixed Gaze Nystagmus- directional changing

Question 21

Bulbar palsy:

Answer 21

LMN affecting: CNVIIXII

flaccid paralysis of pharynx and larynx

Question 22

Pseudobulbar palsy

Answer 22

bilateral UMN

spastic paralysis of pharynx and larynx

Question 23

Stage I ALS:

Answer 23

early disease, mild focal weakness, asymmetrical distribution, symptoms of hand cramping and fasiculations

Question 24

Stage II ALS

Answer 24

moderate weakness in groups of muscles, some wasting (atrophy) of muscles; modified independence with assistive devices

Question 25

Stage III ALS

Answer 25

severe weakness of specific muscles, increasing fatigue, mild to moderate functional limitations, ambulatory

Question 26

Stage IV ALS

Answer 26

severe weakness and wasting of Les, mild weakness of Ues; moderate assistive and assistive devices, wheelchair user

Question 27

Stage V ALS

Answer 27

1. progressive weakness with deterioration of mobility and endurance, increased fatigue, moderate to severe weakness of whole limbs and trunk, spasticity, hyperreflexia, moss of head control, maximal assist

Question 28

Stage VI ALS

Answer 28

bedridden, dependent ADLs, FMS; progressive respiratory distress

Question 29

Aerobic post polio:

Answer 29

3x a week
60-70% HR
15-30 mins
walking, swimming, etc

Question 30

Strength post polio:

Answer 30

3-5 x a week
60-80% 1RM
5 contract, 10 relax
concentric