Misc Questions From Discussion And Samples

Question 1

Which of the following is not a benefit of early mobilization of the recovering stroke patient?

A. May increase patient’s level of consciousness and arousal
B. Minimizes positive outlook
C. Prevents or minimizes effects of bed rest and deconditioning
D. Promotes functional reorganization and minimizes learned non-use

Answer 1

B

Question 2

A physical therapist is treating a 48 y/o female who is recovering from a left ischemic CVA. Her right UE presents as Brunnstrom 1 and her LE is at a Brunnstrom 3. Which of the following would be most beneficial to promote ROM in her right UE?

A. Serial casting
B. ROM exercises
C. Joint mobilization
D. Facilitated stretching

Answer 2

??

Question 3

Which of the following is not a principle of promoting function induced recovery?

A. Develop attention and encourage awareness of feedback
B. Intensity is not significant
C. Repetition is essential
D. Substituting alternative motor strategies and body segments is important

Answer 3

A?

Question 4

While working with a stroke patient on pre-gait training, a therapist tells the patient how well she did only when her performance is outside the boundaries of correctness; both positively (“great step”) and negatively (“try to shift your weight more”). Example of which type of augmented feedback?

A. Bandwidth feedback
B. Blocked feedback
C. Delayed feedback
D. Faded feedback

Answer 4

A

Question 5

_ _ involves providing augmented feed back when performance exceeds a predetermined range of errors

Answer 5

Bandwidth

Question 6

_ _ is when the frequency of augmented feedback is systematically reduced during the course of practice

Answer 6

Faded feedback

Question 7

_ _ is feedback that is given after every few trials

Answer 7

Summed feedback

Question 8

_ _ is given after several seconds, giving the patient time to self-correct

Answer 8

Delayed feedback

Question 9

Put the feedback schedule in order of progression: faded, delayed, bandwidth, and summed.

Answer 9

Summed
Faded
Bandwidth
Delayed

Question 10

A therapist is working with a patient who is unable to express his thoughts verbally but appears to be getting frustrated and his overall tightness/ tone is increasing making functional movements difficult during the treatment.  All of the following may be beneficial for temporarily inhibiting this increased tightness except:
A. Slow, vestibular stimulation
B. Slow repetitive stroking
C. Neutral warmth wrap
D. Quick light touch

Answer 10

D

Question 11

_ is a measure of resting muscle activation

Answer 11

Tone

Question 12

_ is a passive measure of resistance to range of motion/ movement

Answer 12

Spasticity

Question 13

_ is just stuck, doesn’t move when you try to passively move it.

Answer 13

Rigidity

Question 14

An example of _, is a limb that is hanging at your side, distracting the joint from the weight of the limb. Brunnstrom level?

Answer 14

Flaccid

Brunnstrom 1

Question 15

_ _ means that there is very little active movement, limb is getting tired and flexion pattern at rest is showing. Has higher tonicity than a flaccid limb but almost no active movement. Brunnstrom level?

Answer 15

Emerging spasticity

Level 2

Question 16

_ _ _ _: patient can extend or flex some joints, but is still dominated by synergistic patter but does have some movements out of synergy. Brunnstrom level?

Answer 16

Movements deviating from synergy

Brunnstrom 4

Question 17

_ _, movement is present but totally in synergy. Ex: all joints of a limb flex or extend together as one, cannot independently control.Brunnstrom level?

Answer 17

Maximal Spasticity

Brunnstrom level 3

Question 18

_ _ _ _ _, movements are not dominated by a synergistic pattern, however some synergy may still be present. Brunnstrom level?

Answer 18

Level 5

Question 19

At a Brunnstrom level 6, patient has _ _ _. Is able to?

Answer 19

Has no more synergy

Is able to independently move joints whenever they wish

Question 20

A patient recovering from a traumatic brain injury demonstrates instability during feeding while sitting in a wheelchair. The therapist determines that the modification is necessary to ensure optimal function. The first body segment or segments the therapist would align is the:

A. Head
B. Trunk
C. Pelvis
D. Lower extremities

Answer 20

C

Question 21

A therapist examine a patient with a right CVA and determines that the patient has a profound deficit of homonymous hemianopsia. The best initial strategy to assist the patient in compensating for this deficits is to:

A. Provide constant reminders, printed notes on the left side, and telling the patient to look to the left
B. Teach the patient to turn the head on effected left side
C. Place items, eating utensils on the left side
C. Rearrange the room so while in bed the left side is facing the doorway

Answer 21

B

- before you rearrange items or provide reminders you have to educate the patient as to why and what you want them to do

Question 22

A patient with right hemiparesis has difficulty clearing the more affected foot during the swing phase of gait. An appropriate physical therapy intervention for the right lower extremity might include:

A. Sitting on a therapy ball, alternating lateral side steps and back to neutral
B. Pushing backward while sitting on a rolling stool
C. Forward step ups in standing using graduated height steps
D. Bridging

Answer 22

C
- steps work on strengthening all muscles that are involved in gait and works on clearing the foot by increasing the step height as patient improves

Question 23

A PT is evaluating a 75 year old patient who suffered an ischemic stroke 2 months ago. He has right side hemiparesis and requires moderate assistance for all mobility. Which of the following characteristics would least likely to be present in this patient?

A. Challenges controlling emotions/ frequent crying
B. Slow and cautious behavior
C. Speech and language defecits
D. Visual and perceptual deficits

Answer 23

D