Quizzes Flashcards
A score of 10 on the GCS is indicative of:
moderate brain injury
Which potential spinal cord injury complication could be addressed by including tilt table activities?
Orthostatic hypotension
Which type of CVA is characterized by symptoms that do not fully present until 1-2 days after onset?
Stroke in evolution
At what age would a typical infant be expected to crawl forward and begin to walk along furniture?
8-9 months
Damage to which structure will result in ipsilateral impairment?
Cerebellum
Which sense is assessed by asking a patient to close their eyes and identify the direction in which a joint is moving?
Kinesthesia
A PF and inversion response of the foot is produced with which deep tendon reflex associated with the L4-5 spinal level?
Tibialis posterior tendon
A therapist performs sharp and dull sensory testing to asses the:
trigeminal nerve
Which cranial nerve contains both sensory and motor fibers?
Facial
Which muscle is not innervated by the musculocutaneous nerve?
Anconeus
Which form of aphasia is characterize by severe expressive and receptive impairments?
Global aphasia
A tuning fork may be used to assess which cranial nerve?
Vestibulocochlear
The adductor muscle group derives its primary innervation from the:
obturator nerve
A therapist evaluates a 47-yo male patient with symptoms including distal extremity weakness that has been progressing proximally. This is most indicative of:
ALS
Which of the following best describes a cauda equina injury?
considered a peripheral nerve injury
Receptive aphasia is also referred to as:
Wernicke’s
A 3-month-old infant would be expected to exhibit which of the following reflexes?
positive support reflex
A patient’s ability to move within a weight bearing position or rotate around a long axis is best described as:
mobility
Which Rancho level of cognitive functioning presents with heightened activity levels, confabulation, inability to follow directions, and non-purposeful behaviors?
Confused-Agitated
Which brain structure controls body temperature, sleep, and appetite?
hypothalamus
Which lobe of the brain receives auditory, motor, sensory, memory, and visual info which is processed to provide meaning to objects?
Parietal
Which of the following is an example of a lower motor neuron disease?
Muscular dystrophy
Which structure is found within the cerebrum?
lateral ventricles
What structure in the diencephalon is responsible for receiving information from the autonomic nervous system and assisting in hormone regulation?
hypothalamus
Which of the following structures is not a part of the vestibular system?
Cochlea
A patient demonstrates goal directed behaviors with cues from the therapist, but gives incorrect verbal responses in conversation. This is what Ranch level?
Confused appropriate
Weakness in serratus anterior is most likely associated with damage to the
long thoracic nerve
A lesion at which nerve root level would be associated with weakness of the extensor hallucis?
L5
Positional changes detected by the inner ear stimulate which primitive reflex?
tonic labyrinthine reflex
Balance and posture are primarily controlled by which brain structure?
Cerebellum
Weakness of the SCM would be associated with which myotome?
C2
A patient who has had a left hemisphere CVA is most likely to show deficits relating to
mathematical calculations
The medial leg and great toe are associated with which dermatome?
L4
Which of the following is not innervated by the sacral plexus?
Biceps femoris
The buttock, posterior thigh, and posterior lower extremity are associated with which dermatome?
S1
Which of the following is a sensory tract responsible for lower extremity proprioception?
fasciculus gracilis
Which type of pharm agent may be prescribed during treatment following a spinal cord injury, CV accident, or MS?
antispasticity agents
Touch and pain sensations on the skin of the face are associated with which cranial nerve?
Trigeminal
What cranial nerve is responsible for voluntary movement of the tongue?
hypoglossal
Which neurological rehab model utilizes concepts such as compensation, plasticity, and strategy?
Motor control: a Task Oriented Approach
Which of the following is a pyramidal motor tract responsible for contralateral voluntary movement?
corticospinal tract
Which of the following is most characteristic of an upper motor neuron disease?
hyperactive reflexes
The brachioradialis reflex is associated with which nerve root level?
C5
Which of the following is considered a left hemisphere characteristic?
production of written and spoken language
A complete spinal cord lesion at the T4 level would be documented as
paraplegia
During which developmental stage would a child be expected to demonstrate skipping and manipulation of small buttons?
5-8 years
A patient has difficulty performing rapid alternating pronation and supination of the forearms. This would be characterized as
dysdiadochokinesia
Which structure is located within the cerebrum?
basal ganglia
The supraspinatus muscle is innervated by the
suprascapular nerve
Which part o the brain contains the thalamus, hypothalamus, and epithalamus?
diencephalon
Sho flexion, adduction, and lateral rotation are components of which UE proprioceptive neuromuscular facilitation pattern?
D1 flexion
The efferent fibers of which cranial nerve can be assessed by stimulating the gag reflex?
glossopharyngeal
Based on the Motor Control: A Task Oriented Approach for neuromuscular rehab, the ability to utilize previous strategies to return to the same level of functioning is best termed
recovery
Which muscle is innervated by nerves arising from both the medial and lateral cords of the brachial plexus?
pec major
Which neuro rehab model defines stages of recovery used to evaluate and document a patient’s progress?
Brunnstrom
Which of the following is responsible for the production of CSF?
choroid plexus
A pt who has had a CVA exhibits a UE extensor synergy. Which of the following would not be a component of this pattern?
forearm supination
Slurred speech due to a motor deficit of the tongue or essential speech muscles is best termed
dysarthria
Which part of the brain is primarily responsible for primitive survival functions?
brainstem
An example of an upper motor neuron disease is
cerebral palsy
An infant that exhibits the symmetrical tonic neck reflect would assume which body position with neck flexion?
UE flexion and LE extension
Which CN’s efferent fibers influence an individual’s ability to swallow and say ah?
vagus
Which LE proprioceptive NM facilitation pattern is characterized by ankle PF and inversion?
D2 extension
Which nerve root level would correspond to a muscle-related bladder dysfunction?
S4
What reflex is elicited through light touch on the cheek and causes an infant’s mouth to open and the head to turn towards the side of the stimulus?
rooting reflex
What age group is highest risk for acquiring a TBI?
15-24 yo males
The use of overflow from motor output of unaffected areas to produce active movement of affected areas is encouraged in which neuro rehab model?
Brunnstrom
A therapist observes a pt ambulating with a Trendelenburg gait due to a neuro deficit. Which nerve is most likely involved?
superior gluteal nerve
Sx of festinating gait, bradykinesia, and difficulty initiating movement are symptoms commonly associated with
Parkinson’s
Asking a pt to identify an object placed in their hand without looking at it is used to assess
stereognosis
A pt performs a combo of bilateral UE movements with hands clasped to facilitate trunk stability. This PNF pattern is termed
chopping
Damage to which nerve would most likely result in foot drop during gait?
deep peroneal
The superior oblique muscle of the eyeball is innervated by which cranial nerve?
trochlear
Depakote, Dilantin, and Klonopin are bran name examples of what type of pharm agent?
anti epileptic agents
A sudden onset of severe headache, vomiting, and high BP are indicative of what type of stroke?
hemorrhagic stroke
Which nerve root innervates both the poses and the hip adductors?
L2
A lesion of C8 root would most likely be associated with weakness in
thumb extension
A pt sustains a corticospinal tract lesion at the level of the brainstem that produces extension of the trunk and extremities. This would be termed
decerebrate rigidity
Which structure is an extrapyramidal tract responsible for ipsilateral postural adjustments?
vestibulospinal tract
Broca’s aphasia AKA
expressive aphasia
Lesion of C4 root would most likely be associated with weakness of
levator scapulae
Primary risk factor for CVA is
heart disease
Deltoid weakness would be associated with an injury to which nerve?
axillary
The majority of CN originate from which structure in the brain?
brainstem
Which of the following is responsible for providing proprioceptive information to the CNS regarding balance?
somatosensory receptors
Which balance strategy is most commonly utilized for high level tasks, such as surfing, that require both stability and mobility?
suspensory
Frontal lobe of the brain is responsible for
expression of speech
Which of the following is a passive PNF technique used to decrease hypertonia?
rhythmical rotation
The dermatome that begins in the deltoid area and extends anteriorly to the base of the thumb is
C5
The use of reflex inhibiting postures to influence abnormal tone and reflexes are components of which model?
Neuromuscular Developmental Treatment
A pt exhibits a flexor synergy of the LE during an assisted transfer to chair. Which positioning is most likely to be seen?
great toe extension
Anticipated normal response to brachioradialis reflex testing is
elbow flexion and forearm supination
Which dermatome level would be assessed by lightly touching the occiput?
C2
Which of the following terms is not commonly associated with the Brunnstrom approach to neuro rehab?
mass movement patterns
Which of the following is not considered an inhibitory sensory stimulation technique in the Rood model of neuro rehab?
resistance
The inability to control the range of a movement and the force of muscular activity is best termed
dysmetria
The hemispheres of the cerebrum are joined by the
corpus callosum
A pt who has undergone a radical neck dissection is unable to initiate a shoulder shrug. Which nerve was most likely damaged during surgery?
accessory
Which of the following is an extrapyramidal motor tract?
rubrospinal
Which of the following is not innervated by the femoral nerve?
quadratus femoris
Which of the following is a sensory tract responsible for ipsilateral subconscious proprioception?
spinocerebellar
Which region of the brain is responsible for an individual’s ability to recognize another person’s face and interpret their emotions?
temporal lobe
Which form of incomplete spinal injury results from damage to the dorsal columns, spinothalamic, and corticospinal tracts?
central cord syndrome
An active normal response to DTR testing would be documented as
2+
Which model of neuro rehab emphasizes sensory stimulation techniques as a key component of treatment interventions?
Rood
The use of specific handling techniques to facilitate posture, alignment, and motor control is a component of which neuro rehab approach?
Neuromuscular Developmental Treatment
Which incomplete spinal cord injury presents with motor function that is typically preserved and sensory impairments that include two-point discrimination and stereognosis?
posterior cord syndrome
Which disease presents with demyelination of myelin sheaths, resulting in brain and spinal cord plaques?
multiple sclerosis
Which of the following is a genetic disorder that is typically fatal within 15-20 years after the manifestation of clinical symptoms?
Huntington’s
A pt is asked to distinguish between sweet and salty substances placed on the anterior aspect of the tongue. This assesses the sensory aspect of which CN?
facial
The medical record indicates that a patient was classified as having a mild brain injury based on the results obtained from the GCS. The pt’s most likely score was
14
Which of the following structures is not a part of the brainstem?
infundibulum
Muscle wasting of peroneals and PFors is a characteristic finding of a root lesion at
S1
Impaired coughing, difficulty clearing secretions, altered breathing pattern, and poor endurance are characteristics of
complete C7 tetraplegia
A therapist is working on supine activities with a pt who has a complete C6 injury. The pt suddenly complains of a severe headache and heavy sweating. The most appropriate therapist response is to
assist the patient into a sitting position
A weak or diminished Achilles tendon reflex would be associated with damage to which nerve root level?
S2
Which dermatome level is typically associated with the abdomen?
T8-T12
A surgical intervention in which specific spinal cord tracts are severed with the goal of decreasing spasticity and increasing function is best termed
myelotomy
The normal balance strategy used to compensate for postural sway is
ankle
Efferent and afferent components are found in which cranial nerve?
glossopharyngeal
Ataxia is best described as
the inability to perform coordinated movements
Which finding is typically associated with the presence of a lower motor neuron disorder but not an upper motor neuron disorder?
fasciculations
A full functional recovery is expected in the majority fo patients diagnosed with
Guillain-Barre syndrome
A pt is asked to close their eyes and identify a letter drawn on their skin by the therapist. This technique is used to assess
graphesthesia
Which nerve root is associated with triceps DTR?
C7
