Neuro

Question 1

Parkinson’s PT ther ex interventions (4)

Answer 1

1. PNF
2. Decrease rigidity
3. posture
4. increase ROM

Question 2

Other Parkinson’s PT interventions (3)

Answer 2

1. functional mobility
2. balance
3. endurance

Question 3

contralateral hemiplegia/paresis and sensory loss w/ LE>UE

Answer 3

Anterior cerrebral artery ACA stroke

Question 4

contralateral hemiplegia/ paresis and sensory loss. PAIN. Involuntary mvmt. Vision loss. Pusher syndrome

Answer 4

Posterior cerebral artery PCA stroke

Question 5

contralateral hemiplegia/paresis and sensory loss w/ UE>LE

Answer 5

Middle cerebral artery MCA stroke

Question 6

mix of ipsilateral and contralateral signs. Locked in syndrome

Answer 6

vertebral and basilar artery stroke

Question 7

mvmt not possible on command. May occur automatically

Answer 7

ideomotor apraxia

Question 8

mvmt not possible on command or automatically

Answer 8

ideational apraxia

Question 9

speech flows smoothly but lacks comprehension

Answer 9

receptive aphasia (Wernicke’s)

Question 10

speech is slow and hesitant w/ limited vocab but comprehension is good

Answer 10

expressive aphasia (Broca’s)

Question 11

complete bilateral loss of all sensory modalities w/ spastic paralysis below level of lesion

Answer 11

complete cord lesion UMN

Question 12

Loss of spinothalamic tracts (pain and temp). Loss of ventral horn (motor function). Preservation of proprioception

Answer 12

Central cord lesion UMN

Question 13

Ipsilateral loss of corticospinal tracts (motor function). Contralateral loss of spinothalamic tract (pain and temp). Isilateral loss of DML (proprioception)

Answer 13

Brown-Sequard syndrome UMN

Question 14

Loss of bilateral motor function, pain and temp sensation. Preservation of proprioception and vibration

Answer 14

Anterior cord syndrome UMN

Question 15

Loss of proprioception and vibration. Preservation of motor function and pain/temp sensation

Answer 15

posterior cord syndrome UMN

Question 16

Potential for nerve regeneration. Incomplete lesions common. At or below L1

Answer 16

Cauda equina injury LMN

Question 17

CVA pt. Cautious, slow, depression, irritability. Use demonstration

Answer 17

L CVA

Question 18

CVA associated w/ difficulty planning and initiating mvmts

Answer 18

L CVA

Question 19

CVA associated w/ difficulty sustaining mvmts

Answer 19

R CVA

Question 20

CVA pt. Impulsive, quick, safety issues. Use vc

Answer 20

R CVA

Question 21

Causes for hip hiking in pt’s w/ stroke (2)

Answer 21

1. decreased hip/knee flex

2. increased trunk and LE tone

Question 22

Causes for circumduction in pt’s w/ stroke (3)

Answer 22

1. increased extensor tone
2. decreased hip/knee flex
3. footdrop/increased PF

Question 23

Causes for knee hyperextension during stance in pt’s w/ stroke (2)

Answer 23

1. hip retraction

2. glute max or HS weakness

Question 24

Causes for footdrop in pt’s w/ stroke (2)

Answer 24

1. Increased extensor tone

2. flaccidity

Question 25

Guillain Barre red flag

Answer 25

Overstretching and overuse of denervated mm