Kahoot: quiz 3 (TBI & CVA) Flashcards
a pt w “sympathetic storming” post-TBI would present with
increased HR
decreased BP
decreased RR
hypothermia
increased HR
to reduce secondary impairments post TBI, a PT/PTA should:
reposition the patient in bed every 3 hours
perform ROM once/week
strengthen mm once/week
perform mobility training with the patient daily
perform mobility training with the patient daily
the Glasgow Coma Scale measures all except:
sensory response
eye movements
motor response
verbal response
sensory response
a pt who demos loss of consciousness for greater than 24 hours would be indicated of a :
severe TBI
moderate TBI
mild TBI
concussion
severe TBI
a pt who presents w a ranchos los amigos level of cognitive functioning (LOCF) level 3 would have:
confabulation
appropriate behavior
eye-opening on command
robot-like mannerisms
eye-opening on command
when designing a tx plan for a pt post TBI, which of the following would be MOST appropriate
complex tasks
open environment
blocked practice
massed practice
blocked practice
which intensity would be MOST appropriate for a TBI pt w/ a max HR of 150bpm
50bpm
90bpm
142bpm
65bpm
90 bpm
pt demos impulsivity and poor safety awareness w all mobility is MOST indicative of injury to:
L hemisphere injury
R hemisphere injury
cerebellum injury
basal ganglia injury
R hemisphere injury
a pt w R hemisphere damage would be most likely to present with
r side sensory loss
Broacas aphasia
agnosia
difficulty expressing positive emotions
agnosia - lose the ability to recognize familiar objects, people, smells, or sounds, despite having intact senses
which medications is MOST likely to be used for a patient suffering from an ischemic stroke?
bisoprolol
tissue plasminogen activator (t-PA)
levodopa
gabapentin
t-PA
T/F: a pt w a stroke in the ACA will present with motor/sensory loss greater in the LE than the UE?
TRUE
a pt w a R MCA stroke will likely present with aphasia
false - the L hemisphere has language not the R
which of the following presentations BEST describes symptoms of a stroke in the MCA?
LE spared or less affected
sensory ataxia of ipsilateral limb
contralateral spastic hemiparesis
cortical blindness
LE spared or less affected
a pt states “i am going to the country where the apples feel bright and there is exciting” would be most likely to have:
agnosia (don’t recognize common/familiar objects)
Broca’s aphasia
Wernicke’s aphasia
homonymous hemianopsia
Wernicke’s aphasia (WTF?)
a pt post R MCA presents w Pushers Syndrome. The PTA/PT should:
place a solid bar on the patient L side
place a solid bar on the patient R side
perform standing in a dark room
push back into the patient
place a solid bar on the patient R side (to strong side)
the joint motions that occur in a UE flexor synergy pattern post-stroke are:
shoulder flex/ABD supination
shoulder flex/ADD supination
shoulder ext/Abd supination
shoulder Ir/ABD supination
shoulder flexion/abduction and supination
a positive Romberg sign indicates impairment in which of the following?
cerebellum
dorsal column - medial lemniscus pathway
basal ganglia
vestibular system
dorsal column-medial lemniscus pathway
which postural strategy is primarily activated when a person experiences forward sway?
hip strategy
ankle strategy
stepping strategy
visual strategy
ankle strategy
allows for head/eye movement through gaze stabilization that counters head movements; allows for a stable image
VSR
VOR
oculomotor nerve
graphesthesia
VOR - visual ocular reflex
HIP strategy: falling forward, what activates 1st?
abdominals
paraspinal
quadriceps
hamstring
abdominals -> quads
- proximal to distal mm activation
a Parkinsons patient with axial rigidity will present with tightness in:
ankles
hands
hip
fingers
hip
to address akinesia and hypokinesia, which of the following activities would be beneficial?
narrow BOS strandning
performing small arm swings
large amplitude movements of the arms
static hold positions
large amplitude movements of the arms
which is an appropriate stretching exercise to address ROM limitations into trunk extensions?
upper trunk rotation
prone push-ups (press-ups)
hook-lying, lower trunk rotation
high-kneeling w hips extended
prone push-ups (press-ups)
T/F: isometric training is generally contraindicated for Parkinsons patients
true, want to do isotonic; concentric/eccentric
which is not a common clinical symptom of MS?
dysautonomia
flaccidity
spasticity
dizziness
flaccidity is rare in pts with MS
T/F: exercising to the point of fatigue is contraindicated with TBI patients
false! its pts w MS= high fatigability
pt w early signs of ALS would first present with weakness in which area?
core
shoulders
hands
glutes
hands, begins distally then progresses proximally
T/F: heavy ECCENTRIC exercise should be AVOIDED w ALS patients
true!
a pt w ALS would be showing signs of overuse of their muscles if:
muscles are flaccid
increased fasciculations occur (eye twitch)
reported fatigue (general)
sensation loss
increased fasciculations occur (eye twitch)
