Rehab Questions Flashcards
How many times should the patient look up and down during the Spontaneous Nystagmus Vertical Saccades test?
A. 45 times in each direction
B. 20 times in each direction
C. 10 times in each direction
D. 5 times in each direction
D. 5 times in each direction
For QEEG What is a recommended technique for addressing artifacts in the side ports?
A. Massage the back of the head.
B. Instruct the patient to tilt their head backward.
C. Adjust the cap size to fit more snugly.
D. Massage the temporalis or remind them to hold their tongue against the roof of their mouth.
D. Massage the temporalis or remind them to hold their tongue against the roof of their mouth.
Why is it important to minimize artifacts during data collection?
A. To get an accurate read
B. To make the data more visually appealing
C. To ensure patient comfort
D. To make the data collection process faster
A. To get an accurate read
What observable change might indicate a patient is experiencing fatigue?
A. Dry palms
B. Steady breathing
C. Increase in symptoms
D. Reduced heart rate
C. Increase in symptoms
A patient’s capillary refill time of 2 seconds is considered?
A. Abnormal.
B. Normal.
C. Suggestive of circulatory issues.
D. Indicative of dehydration.
B. Normal.
Which SSEP site corresponds to the middle of the wrist?
A. Tibial nerve
B. Median nerve
C. V1
D. V2
B. Median nerve
In the cervical proprioception exercise, what should the patient do after opening their eyes?
A. Wait for the rehab to move their head back to center
B. Patient should self correct by moving back to center
C. Attempt it again with eyes open this time
D. Go back to where they think the rehab moved their head to.
B. Patient should self correct by moving back to center
What is necessary to present after the physical exam is completed?
A. Patient’s previous medical history
B. A summary of the vital signs only
C. The Report of Findings
D. Supplement options
C. The Report of Findings
What is the size order of caps from smallest to largest?
A. Blue, Red/Blue, Yellow, Yellow/Red
B. Yellow/Red, Yellow, Red/Blue, Blue
C. Yellow, Yellow/Red, Blue, Red/Blue
D. Yellow, Yellow/Red, Red/Blue, Blue
D. Yellow, Yellow/Red, Red/Blue, Blue
What is the purpose of changing the ‘Display’ to Ani-Streamer?
A. To change the method to Z-Tunes
B. To display the program for them to watch
C. To display the brain waves
D. To adjust the Z Threshold
B. To display the program for them to watch
What is the main use of the Gamma controller in the Vielight system?
A. To enhance focus and memory in patients.
B. To induce relaxation and calmness in patients.
C. To facilitate deep sleep and rest.
D. To decrease anxiety levels in patients.
A. To enhance focus and memory in patients.
How can you identify the vagus nerve location for Gammacore treatment?
A. Below the jawline
B. At the center of the throat
C. Within the triangle formed by the sternocleidomastoid
D. Above the chin point
C. Within the triangle formed by the sternocleidomastoid
If the patient says their head felt heavy during the maneuver what should you do?
A. Stop and have them sit up
B. Never do it again
C. Tell Dr. Minh
D. Write it as a note in the chart next to the exercise
D. Write it as a note in the chart next to the exercise
Which would not be a way to increase difficulty for NSI?
A. Dual tasking
B. Balance board
C. Increase the size of the stimuli
D. Quadrant loading
C. Increase the size of the stimuli
What area do we stim the patient during tilt table?
A. V1
B. V3
C. Hypoglossal
D. Trick question - we don’t stim during tilt table
C. Hypoglossal
What does a finding of 2/5 muscle strength in the lower extremities signify?
A. Normal strength in the legs.
B. Severe atrophy in the muscle groups.
C. Complete paralysis in the lower extremities.
D. Mild weakness in the leg.
D. Mild weakness in the leg.
What does the patient do during HEVM testing?
A. Follows the target up and down eyes only
B. Follows the target with head and eyes
C. Saccades with their eyes
D. Does pursuits without moving head
B. Follows the target with head and eyes
What should be done with the ‘Z Threshold’ before beginning the neurofeedback session?
A. Set it to the Z Threshold that is noted in the previous SOAP
B. Set it to 10.00
C. Set it to 5.00
D. Set it to any number
C. Set it to 5.00
How high of a spike in HR indicates an action required?
A. 5 points
B. 10 points
C. 15 points
D. 20 points
B. 10 points
Which direction should the head be turned initially during a LARP exercise?
A. Head to the right
B. Head to the left
C. Head towards the ceiling
D. Head towards the floor
A. Head to the right
For QEEG What should you do after filling the cap hole with gel
A. Keep it slightly lifted
B. Nothing
C. Push down into the scalp
D. Readjust the hat
C. Push down into the scalp
What instruction should be given to the patient during the Spontaneous Nystagmus Central test?
A. Move their head side to side
B. Follow the dot with their eyes
C. Imagine a dot far away from them and focus on that dot without moving their eyes
D. Look up when you say up and down when you say down
C. Imagine a dot far away from them and focus on that dot without moving their eyes
What is the point of the ear clips?
A. They don’t require gel - they are the ground
B. They do require gel - they are the ground
C. They protect against artifacts from the ear
D. They are to keep the cap from falling off
B. They do require gel - they are the ground
What is the point of the nose piece on the vielight?
A. It gets the light right into your blood stream
B. It gives more oxygen while the therapy happens
C. There is no difference with or without it
D. It makes the light slightly less effective
A. It gets the light right into your blood stream
What is the primary focus of the Asymmetrical Tonic Neck Reflex Remediation – Lizard exercise?
A. Increasing flexibility
B. Rotating torso while seated
C. Strengthening the core
D. Simultaneously lifting arm and leg on the same side
D. Simultaneously lifting arm and leg on the same side
For QEEG If the patient is a child who can’t keep their feet still what can you do?
A. Nothing, run the test and hope it doesn’t cause an artifact
B. Tell them they can gently move their feet
C. Get a stool to put their feet on
D. Bring the chair higher so their feet dangle
C. Get a stool to put their feet on
When should you clean the goggles lens?
A. Before each patient
B. After each patient
C. Once a month
D. Once a week
A. Before each patient
When do you unplug the CAPS?
A. Doesn’t matter
B. As soon as you are done using it
C. After you are finished with all the testing
D. Once you have combined and uploaded
B. As soon as you are done using it
What nerve does the Gammacore stim?
A. Trigeminal
B. Facial
C. Peroneal
D. Vagus
D. Vagus
For VHIT What should be done with the goggles after the test is finished?
A. Keep them on the patient
B. Dispose of the foam
C. Leave them connected to the computer
D. Put them on the placeholder
D. Put them on the placeholder
What is absolutely necessary for all tilt table.
A. Normatec boots
B. No/No gaze stability
C. Yes/Yes gaze stability
D. Table strap
D. Table strap
What is the location for the SSEP site V2?
A. Posterior to the medial malleolus of the foot
B. On the eyebrow
C. An inch below the zygomatic arch
D. Slightly to the side of the mandible
C. An inch below the zygomatic arch
What is the gammacore aiming to stim?
A. Medial nerve
B. Forearm
C. Esophagus
D. Vagal nerve
D. Vagal nerve
During the initial setup of neurofeedback, which of the following is NOT a step listed?
A. Set the Z-Tunes method.
B. Lower the TV to its lowest level.
C. Adjust the Session Rounds settings.
D. Change the Netflix account settings.
D. Change the Netflix account settings.
When the doctor makes a note during a section you should?
A. Leave the normal statement and write whatever they said next to it
B. Bold the words the doctor said while leaving the rest normal font
C. Delete any contradicting statements and include what was noted
D. Delete the whole section and write everything in the “Notes” section
C. Delete any contradicting statements and include what was noted
What is indicated by hearing a low-pitched sound during the test?
A. The head was moved too quickly
B. The test was not accepted
C. The patient needs assistance
D. The test was successful
B. The test was not accepted
If a patient spells ‘WORLD’ correctly forwards but not backwards, what should you do?
A. Delete the whole section
B. Leave the section how it is
C. Correct the sentence to accurately state that result
D. Tell the doctor
C. Correct the sentence to accurately state that result
In what scenario is it especially critical to summarize how a patient has been doing?
A. For regular check-ups
B. During the first visit
C. When scheduling follow-up appointments
D. For personal injury (PI) patients
D. For personal injury (PI) patients
Why do we use the Alpha setting?
A. To help focus/memory/concentration
B. To relax the sympathetic system
C. To excite the sympathetic system
D. To increase awareness
B. To relax the sympathetic system
Which object is best used to perform the Rooting Reflex Remediation?
A. A cloth
B. A soft toy
C. A finger
D. A brush
D. A brush
For VHITWhen should you plug the goggles in to the computer?
A. Doesn’t matter
B. Before opening the program
C. Immediately after opening the program
D. After calibrating
B. Before opening the program
What should the patient do with their eyes during cervical proprioception?
A. Have them open when the head is being moved, and closed when going back to center
B. Have them closed until they think they are back at center then open
C. Keep them closed throughout the entire exercise
D. Have them closed when the head is being moved, and open when going back to center
B. Have them closed until they think they are back at center then open
If someone reaches a z threshold of 1 a few sessions in a row, what should you do?
A. Change the shows they are watching
B. Start at 5 and decrease by .15 instead
C. Change method to All or none and start again at 5.0
D. Change the method to All or None and start at 10.0
C. Change method to All or none and start again at 5.0
When do you put the cover on the goggles?
A. When the test says Spontaneous Nystagmus
B. When the patient is done calibrating
C. After the last test
D. After every other test
A. When the test says Spontaneous Nystagmus
How long should the patient hold the position in TLR Remediation – Core?
A. 20 seconds
B. 5 seconds
C. 10 seconds
D. 15 seconds
D. 15 seconds
Which section do you copy from the Diagnosis and plan or previous retest?
A. Subjective
B. Objective
C. Plan
D. None
B. Objective
What angle should the legs be at during core stability if they can?
A. 45
B. 30
C. 90
D. 180
C. 90
What is the primary purpose of SSEP stimulation during a rehab visit?
A. To increase patients pain tolerance
B. To decrease heart rate
C. To precharge the brain and fire into certain areas of the brain
D. To heal neuropathy
C. To precharge the brain and fire into certain areas of the brain
At what point in testing are the doctors likely to report a terminal/intention tremor?
A. Pinwheel testing
B. Cranial Nerves
C. Finger to Nose
D. Gait
C. Finger to Nose
If the patient is on the larger side and Normatec is on their plan what should you do?
A. Squeeze them in, they are one size fits all boots
B. Zip up only to where is comfortable and run it from there
C. If they don’t fit, don’t use, make a note in the chart
D. Use the zone section on the normatec control box
C. If they don’t fit, don’t use, make a note in the chart
If the person has back pain and is unable to do the dead bug core stability what should you do?
A. Skip the exercise and make a note in the chart
B. Have them try to plank
C. Put an ice pack under and continue
D. Hold the position for fewer seconds
B. Have them try to plank
During the Grasp Reflex Remediation, which way should you stroke?
A. Towards the thumb
B. Away from the thumb
C. Straight down
D. Doesn’t matter
D. Doesn’t matter
What can you do if T3 looks messed up?
A. Pull the cap off their forehead to loosen it a little
B. Ask them to stop blinking
C. Tell them to relax their jaw
D. Move the computer closer to the cap
C. Tell them to relax their jaw
How long do we hold each position in horizontal manuevers
A. 30 seconds
B. 45 seconds
C. 15 seconds
D. 1 minute
A. 30 seconds
Why is it necessary to check that the brain waves look clean before starting the session?
A. The program won’t run if there are artifacts
B. It is not necessary
C. The tv show won’t run if there are too many artifacts
D. To minimize artifacts that affect the sessions accuracy
D. To minimize artifacts that affect the sessions accuracy
What order do we do BP in?
A. Supine, Sitting, Standing
B. Sitting, Supine, Standing
C. Standing, Sitting, Supine
D. Doesn’t matter
B. Sitting, Supine, Standing
What should be communicated to family members wishing to enter the outside room?
A. Family visits are allowed anytime, depending on the patient’s wishes.
B. They can enter if they are quiet and unobtrusive.
C. Access is usually reserved for patients unless absolutely necessary.
D. Family members are welcome as long as they follow the rules.
C. Access is usually reserved for patients unless absolutely necessary.
Which of these would not cause a reject?
A. Patient blinking
B. Slow and controlled movements of the head
C. Fast and quick jerk movements of the head
D. Off plane movements of the head
C. Fast and quick jerk movements of the head
How should the patient breath during core stability?
A. They should hold their breath
B. Doesn’t matter how they breathe
C. Belly breaths
D. Shallow breathing
C. Belly breaths
Which area of the body is associated with the common peroneal nerve during SSEP?
A. On the lateral side of the ankle
B. In the arch of the foot
C. Behind the proximal fibular head
D. Behind the knee
C. Behind the proximal fibular head
Which exercise involves the patient recalling the position of a dot before indicating its location?
A. Rotator 3
B. Quadrant Loading
C. Visual Motor
D. Memory Saccades
D. Memory Saccades
What is the direction of the patient’s head movement in the Left Anterior (LA) exercise?
A. Up and to the left
B. Down and to the left
C. Down and to the right
D. Up and to the right
C. Down and to the right
What should you do with a broken cap?
A. Try to fix it
B. Tie a knot in it and tell rehab lead
C. Tie a knot in it and tell minh
D. Leave it and someone else will deal with it
B. Tie a knot in it and tell rehab lead
In the right anterior maneuver, how is the patient’s head positioned at the beginning of the procedure?
A. Turned to the right 30 degree in flexion
B. turned to the right 30 degree in extension
C. Turned to the left 30 degree in extension
D. Turned to the left 30 degrees in flexion
D. Turned to the left 30 degrees in flexion
How many sessions does it take for people to feel a difference?
A. At least 5
B. 5-10
C. 10-30
D. Depends on the patient
D. Depends on the patient
What should a patient be able to do during the visualization testing concerning convergence?
A. Show convergence insufficiency
B. Maintain normal head position
C. Exhibit gaze deviation
D. Achieve normal convergence
D. Achieve normal convergence
Which sign of fatigue can be directly assessed through visual observation?
A. Increased sweating
B. Nausea
C. Pupil size
D. Complaints of pain
C. Pupil size
Which of the following is NOT recommended when documenting the intensity of pain?
A. Using a numerical rating scale
C. Describing pain as mild, moderate, or severe
D. Focusing on the impact of pain on activities of daily living
B. Avoiding statements about the patient’s condition
A. Using a numerical rating scale
During Go - no go, what must you click during set up if you want the patient to press on the outside of the center box if the two stimuli are different
A. Countdown - 1
B. Match
C. Unmatch
D. Proactive
B. Match
For VHIT What is the proper head movement speed to ensure test acceptance?
A. Gradually increasing speed
B. Slow and steady
C. Moderate and stable
D. Very quick and slight
D. Very quick and slight
In which situation might family members be granted access to the outside room?
A. The mom of a 25 year old really wants to
B. They are translating for the patient
C. The cousins of a patient are visiting and want to be with them
D. The patient is doing group therapy with another
B. They are translating for the patient
When preparing to start the balance targeting exercise, what must the rehab professional click in the LARP or RALP plane?
A. Empty squares
B. Circles
C. Red squares
D. Letters
A. Empty squares
How long should the QEEG data be recorded for each of the two tests?
A. 6 minutes for each test
B. 3 minutes for each test
C. 4 minutes in total
D. 2 minutes for each test
B. 3 minutes for each test
Which symptom, along with a high blood pressure reading, indicates the need for immediate medical attention?
A. Severe headache
B. Dizziness
C. Fatigue
D. Mild nausea
A. Severe headache
What gaze stability do we typically do during tilt table?
A. Depends on the patient
B. Yes/Yes
C. No/No
D. LARP
C. No/No
In the core stability exercise, how should the patient position their arms?
A. Crossed over their chest for support
B. Extended straight back behind them
C. Pointed towards the ceiling with thumbs turned outward
D. At their sides with palms facing down
C. Pointed towards the ceiling with thumbs turned outward
What does the patient look at during optokinetic reflex testing?
A. A small target the doctor holds
B. A red cloth
C. Black dot on the wall
D. A red and white striped cloth
D. A red and white striped cloth
What is the average timing for a tachistoscope session?
A. No more than 1 minute
B. It is typically set to 5 minutes at a time
C. It is generally ran for about 2 min at a time.
D. It runs without a specified time limit.
C. It is generally ran for about 2 min at a time.
What is an important instruction for the patient during the core stability exercise?
A. Tilt the pelvis upward
B. Push the low back into the table
C. Relax the back completely
D. Arch the back for mobility
B. Push the low back into the table
What happens if the percent reward is consistently above 80?
A. The session is too hard
B. The session is too easy
C. The session is just right
D. The session needs to be restarted
B. The session is too easy
What should be done with the CAPS files after completing all tests?
A. They should all be uploaded to the persons Jane files
B. They should be sent directly the doctor in charge
C. They should be combined into a singular PDF report.
D. They should be printed individually.
C. They should be combined into a singular PDF report.
For VHIT What should the patient do while the laser dot is flashing?
A. Move their head to follow the dot
B. Look away from the laser dot periodically
C. Focus on the laser dot while minimizing blinking
D. Close their eyes until the test starts
C. Focus on the laser dot while minimizing blinking
What kind of patients are we usually helping with tilt table?
A. Patients with diabetes
B. Patients with chronic pain
C. Patients with BPPV
D. Patients with dysautonomia
D. Patients with dysautonomia
What are the forms of feedback we have?
A. Just auditory
B. Just visual
C. Auditory and visual
D. Neither
C. Auditory and visual
What does the subjective part of the SOAP note focus on?
A. Clinical facts and figures
B. Patient-reported experiences and feelings
C. Procedures performed during sessions
D. Treatment plans and outcomes
B. Patient-reported experiences and feelings
In the Asymmetrical Tonic Neck Reflex Remediation – Lizard, what is the first movement the patient should perform?
A. Turn their head to one side
B. Extend their head up
C. Lift both arms simultaneously
D. Bend both legs at the knees
A. Turn their head to one side
Which step follows after the patient has turned their head to the right in the Right Anterior Maneuver?
A. Patient can slowly sit up
B. Head to the left
C. Turn onto their right shoulder
D. Turn onto their left shoulder
D. Turn onto their left shoulder
What should the sensation feel like when using the Gammacore device?
A. Faint and barely perceptible
B. Mild and ticklish
C. Sharp and painful
D. Strong with a pulling sensation
D. Strong with a pulling sensation
How long should a maneuver be practiced before transitioning to a new therapy?
A. 5 visits
B. 3 visits
C. 7 visits
D. 1 visit
B. 3 visits
What are we trying to do during primitive reflex remediation?
A. Make the reflex go away
B. Improve the strength and speed of the reflex
C. Improve the range of the reflex
D. To stimulate blood circulation
A. Make the reflex go away
What should be changed to ensure the neurofeedback session has appropriate difficulty?
A. Adjust the Z Threshold
B. Change the Round Duration
C. Increase the Number of Rounds
D. Alter the Display settings
A. Adjust the Z Threshold
What does the integration phase of rehab typically involve?
A. Only physical therapy exercises
B. Warm up before exercise
C. Repositioning maneuver
D. Combination of therapies for multiple systems
D. Combination of therapies for multiple systems
What is the N-Back (N-1) exercise?
A. You have the patient name the stimuli one behind the current one on the screen
B. You have the patient name the stimuli two behind the current one on the screen
C. You don’t touch the first stimuli
D. You don’t touch the last stimuli
A. You have the patient name the stimuli one behind the current one on the screen
For QEEG
What should be included in the naming convention for a recording with eyes open?
A. (Patient ID) (Test type) (Date)
B. (Last name) (First name) (Date) (Eyes open)
C. (First name) (Last name) (Eye state) (Test number)
D. (First name) (Last name) (EO) (Date of the recording)
D. (First name) (Last name) (EO) (Date of the recording)
What blood pressure reading should prompt immediate notification to a doctor?
A. 130/90
B. 120/80
C. 150/95
D. 170/100
D. 170/100
Which direction do you move the head in first for ocular counter roll?
A. Right
B. Down
C. Left
D. Up
C. Left
For VHIT What do you do during head check?
A. Move the head slowly up and down
B. Move the head quickly up and down
C. Move the head slowly left and right
D. Move the head quickly left and right
C. Move the head slowly left and right
What percentage of screen dimness is recommended for most patients?
A. 90%
B. 100%
C. 75%
D. 50%
C. 75%
When opening up the patient should look like what during the Moro Reflex Remediation exercise?
A. Arms and legs fully extended, leaning back
C. Right arm over left, right leg over left
D. Seated with hands on knees
B. Arms and legs fully extended, leaning forwards
A. Arms and legs fully extended, leaning back
How is the time spent on each target determined during the exercise?
A. Patient holds it for as long as they can
B. By the rehab choosing the setting during set up
C. Rehab chooses it based on the patient’s height and tells them when to switch
D. It is fixed for all patients
B. By the rehab choosing the setting during set up
What does a normal pinwheel test suggest regarding sensory function?
A. Reduced sensory perception on the left.
B. Presence of hyperesthesia on the left.
C. Normal sharpness and intensity feeling bilaterally.
D. Sharpness perception is greater on one side.
C. Normal sharpness and intensity feeling bilaterally.
What should you do if the stimulation during SSEP becomes uncomfortable for the patient?
A. Decrease the strength of the stimulation
B. Change the stimulation site immediately
C. Continue without adjustment to complete the test
D. Don’t stim there anymore
A. Decrease the strength of the stimulation
What is the initial action taken after the patient’s heart rate spikes up 10 points during tilt table therapy?
A. Wait a sec to see if it sustains - if it does, move them down
B. Wait a sec to see if it sustains - if it does, move them up
C. Move them back to the original supine and start over
D. Begin therapies immediately
A. Wait a sec to see if it sustains - if it does, move them down
Where is V3 located
A. slightly to the side of the mandible
B. an inch below zygomatic arch
C. on the tongue
D. medial top part of eye, on eyebrow
A. slightly to the side of the mandible
Why do most of our patients use Alpha?
A. They don’t, most use Gamma
B. Many of our patients have sympathetic systems in overdrive due to their accident/injury
C. Many of our patients need more energy to help focus/concentration due to their accident/injury
D. There is not really a difference in alpha and gamma
B. Many of our patients have sympathetic systems in overdrive due to their accident/injury
Where should the patients arms be during BP?
A. Doesn’t matter
B. On the table, at heart level
C. By their side
D. Wherever is most comfortable for the patient
B. On the table, at heart level
Which ports will be messy if the patient is blinking?
A. T
B. O
C. F
D. None
C. F
Which test assesses a patient’s ability to count backward from 100 by 7?
A. Serial 7s test
B. Concentration test
C. Attention Span Test
D. Digit Span Test
A. Serial 7s test
What does it mean if a patient shows improvement in sway with visual stimuli?
A. Their vestibular system is highly functioning.
B. Visual compensation is aiding balance.
C. They have lost stability.
D. There is a further decline in overall balance
B. Visual compensation is aiding balance.
What should the patient do during the calibration process?
A. Move their head to follow the dot
B. Look at the center of the tv for 5 seconds
C. Look at each corner of the tv
D. Keep their head still and only have their eyes follow the dot
D. Keep their head still and only have their eyes follow the dot
What is the primary purpose of the Alpha controller in the Vielight system?
A. To stimulate physical activity
B. To enhance memory retention
C. To induce a state of calmness
D. To increase concentration levels
C. To induce a state of calmness
Which outcome indicates a potential issue during the Gait assessment?
A. Asymmetrical arm swing during dual tasking.
B. Normal arm swing and pace while walking.
C. Consistent foot placement without deviation.
D. Walking with a steady posture at all times.
A. Asymmetrical arm swing during dual tasking.
When adjusting the Normatec system for a patient, what should be taken into consideration?
A. Only the patient’s treatment history.
B. The patient’s height and intensity level.
C. The patient’s footwear size.
D. The current weather conditions outside.
B. The patient’s height and intensity level.
What is the correct distance between the patient and the TV during the VNG setup?
A. 24 inches
B. 36 inches
C. 60 inches
D. 48 inches
B. 36 inches
What is the correct sequence of actions for the 4-4-8 breathing technique?
A. Breathe in for 8 seconds, hold for 4 seconds, then exhale for 4 seconds.
B. Breathe in for 4 seconds, hold for 4 seconds, then exhale for 8 seconds.
C. Breathe in for 4 seconds, exhale for 4 seconds, then hold for 8 seconds.
D. Breathe in for 4 seconds, hold for 8 seconds, then exhale for 4 seconds.
B. Breathe in for 4 seconds, hold for 4 seconds, then exhale for 8 seconds.
What does a capillary refill time of 2 seconds indicate?
A. Poor perfusion
B. Hypoperfusion
C. Normal perfusion
D. Hyperperfusion
C. Normal perfusion
What is an indication that the VHIT test has been accepted?
A. Hearing a high-pitched sound.
C. Hearing a low-pitched sound.
B. A green dot will appear
D. The computer will flash
A. Hearing a high-pitched sound.
What should the stimulation strength feel like during a SSEP procedure?
A. Very weak and barely noticeable
B. Strong and slightly uncomfortable
C. Moderate but not painful
D. Unpleasant and harsh
C. Moderate but not painful
How many levels of difficulty are there in the Wii balance exercise sections?
A. 2
B. 4
C. 3
D. 5
C. 3
What type of viewing involves the thumb and head moving in opposite directions?
A. x0 viewing
B. x1 viewing
C. x2 viewing
D. LARP viewing
C. x2 viewing
What should you do if a patient rejects hypoglossal stim?
A. Immediately don’t do it anymore
B. Try to educate/convince them but accept if they don’t want to
C. Stim their medial n. instead
D. Stop treatment for the day
B. Try to educate/convince them but accept if they don’t want to
What should be done if there is a calibration error?
A. Click default settings immediately
B. Cancel the test
C. Click approve to continue
D. Try moving the chair and adjusting the tv and retry calibration
D. Try moving the chair and adjusting the tv and retry calibration
What is the ideal position of the chair in relation to the screen?
A. As close as possible to the screen
B. In a corner of the room, away from the screen
C. Same set up as VNG
D. At a reasonable distance from the screen
D. At a reasonable distance from the screen
What is the pattern of head movement in the Diamond gaze yes/yes stability pattern?
A. Rotational
B. Up and back to neutral
C. Left and right
D. Up and down
D. Up and down
What is the purpose of the repositioning maneuvers in vestibular rehabilitation?
A. To reduce the patient’s symptoms of pain
B. To increase the patient’s range of motion
C. To strengthen the patient’s neck muscles
D. To recalibrate the inner ear
D. To recalibrate the inner ear
What should be done if the patient struggles with the cervical proprioception exercise?
A. Decrease the distance moved
B. Go to a side they are better at
C. Go to a side they are worse at
D. Move the chair farther back
A. Decrease the distance moved
How long should you stim their tongue during tilt?
A. Have them hold it on their tongue the whole time
B. 25 sec
C. 30 sec
D. 15 sec
D. 15 sec
What type of viewing involves the patient looking at a stationary target and moving their head back and forth around 30 degrees?
A. RALP viewing
B. x0 viewing
C. x1 viewing
D. x2 viewing
C. x1 viewing
Which activity should NOT be included in the subjective documentation?
A. Comparing current pain levels to the last visit
B. The patient’s statement of feeling fine today
C. Illustrating the implications of the patient’s pain
D. What the pain is preventing the patient from doing
B. The patient’s statement of feeling fine today
If a patient finds it difficult to complete the 4-4-8 breathing, what might be the issue?
A. Inhaling/exhaling at the wrong pace
B. The surroundings are too quiet
C. They are not laying down properly
D. The patient is too relaxed
A. Inhaling/exhaling at the wrong pace
What finger should the pulse ox be on?
A. Doesn’t matter
B. Middle finger
C. Index finger
D. Pinky finger
C. Index finger
What is the significance of finding hypometric saccades during testing?
A. The saccades are inaccurate and not reaching their target.
B. The saccades are symmetrical in both directions.
C. The saccades are faster in one direction only.
D. The saccades are too fast.
A. The saccades are inaccurate and not reaching their target.
What is the first head position for Left Posterior Maneuver?
A. Head to the right and extended
B. Head to the right and flexed
C. Head to the left and extended
D. Head to the left and flexed
C. Head to the left and extended
For VHIT Why is it important for the strap on the goggles to be snug?
A. Its not, make it loose and comfortable
B. The goggles detect movement and will give false info if they are slipping
C. The tighter to the eye, the bigger the pupil will appear
D. It makes the pupil less blurry
B. The goggles detect movement and will give false info if they are slipping
What is special about VHIT 1?
A. You need VHIT 2 on in order for it to run
B. You need it on in order for VHIT 2 to run
C. They are the exact same
D. You never turn off VHIT 1
B. You need it on in order for VHIT 2 to run
How long do you hold each position for in ocular counter roll?
A. 5 seconds
B. 10 seconds
C. 15 seconds
D. 3 seconds
B. 10 seconds
Which result does not suggest a problem with auditory function during cranial nerve testing?
A. Finger rub reveals a significant difference between left and right.
B. Rinne test AC is not > BC.
C. Weber’s test lateralizes to the L.
D. Palatal elevation is present BL.
D. Palatal elevation is present BL.
What should you do if the goggles are not recording?
A. Replace the foam cushion.
B. Ask the patient to stop blinking
C. Try it under a different profile and change it later
D. Exit, replug in the goggles, and reopen the program
D. Exit, replug in the goggles, and reopen the program
If a patient rejects the tongue stim, what should you do?
A. Don’t stim but do everything else
B. Don’t do the tilt table therapy
C. Stim V3 instead
D. Ask Minh
C. Stim V3 instead
Which comes first?
A. Saccadometry
B. Spontaneous Nystagmus Central
C. OPKs
D. Ocular Counter Roll
D. Ocular Counter Roll
Which is not a way to increase the difficulty of core stability?
A. Have them extend alternating arm and leg
B. Rehab moves a limb or two in a circle and they must resist
C. Hold it longer
D. Bring their knees in closer to chest
D. Bring their knees in closer to chest
How should the patient be to start in TLR Remediation - Core
A. Lying flat on their back
B. Standing with arms extended
C. Laying on their stomach
D. Seated with legs crossed
A. Lying flat on their back
What is the normal data of the Fundoscopic exam in terms of A/V ratio?
A. Should be exactly 1:1.5
B. Should be greater than 2:1
C. Should be less than 1:3
D. Should be 1:1
A. Should be exactly 1:1.5
How are the basic 4 of NSI?
A. Proactive, Reactive, Saccades 1, Tachistoscope
B. Reactive, Rotator 3, Saccades 2, Tachistoscope
C. Proactive, Saccades 1, Geoboard, Metronome
D. Proactive, Reactive, Saccades 2, Tachistoscope
A. Proactive, Reactive, Saccades 1, Tachistoscope
What does the halo headband provide during exercises?
A. More proprioceptive input
B. Less proprioceptive input
C. Support for the neck
D. Security for their head
A. More proprioceptive input
What is the purpose of GammaCore
A. Activates the parasympathetic System
B. Activates the sympathetic System
C. Helps you focus/concentrate
D. Helps with awareness of body parts
A. Activates the parasympathetic System
Where should the patient look during the head-check phase?
A. At the flashing red laser
B. At the center red laser
C. At the black dot
D. Eyes closed
C. At the black dot
During tilt, What are the increments that we slowly increase the table at?
A. 10
B. 5
C. 3
D. 15
B. 5
What should be done to address artifacts located in the front ports during QEEG?
A. Massage the temporalis.
B. Adjust the recording settings.
C. Ensure head is tilted backwards.
D. Check for tugging of the cap or remind the patient to look at their nose.
D. Check for tugging of the cap or remind the patient to look at their nose.
How should they have their feet during CAPS testing?
A. One on top of the other
B. Hip distance
C. Whatever is most comfortable for them
D. As close as they can comfortably
D. As close as they can comfortably
In the assessment section of documentation, what should primarily be included?
A. Detailed descriptions of the patient’s medical history
B. Observations from the rehab
C. List of all the diagnostics they have done
D. Bullet points outlining the diagnosis
D. Bullet points outlining the diagnosis
Does it matter if the doctor or the rehab sees the patient first?
A. No
B. Yes alert the front desk if there is a mistake
C. Yes alert the lead rehab if there is a mistake
D. Yes alert minh if there is a mistake
A. No
Which cognitive ability is evaluated by spelling the word ‘WORLD’ forwards and backwards?
A. Long-term memory.
B. General knowledge.
C. Attention span.
D. Working memory.
D. Working memory.
Which of the following does NOT involve working on multiple systems during rehabilitation?
A. NSI
B. Cervical Proprioception
C. Visual/vestibular rehab
D. Tilt table therapy
B. Cervical Proprioception
Which is the hardest NSI thing for the patient to perform?
A. Reverse stimuli
B. Dual tasking
C. Saccades 1
D. Depends on the patient
D. Depends on the patient
What condition would require skipping the OPKs?
A. Diabetes
B. Dyslexia
C. Fatigue
D. Seizures
D. Seizures
What is the proper flow of the rehab visit?
A. Energy/Healing, Integration, Rehabilitation
B. Integration, Energy/Healing, Rehabilitation
C. Energy/Healing, Rehabilitation, Integration
D. Integration, Rehabilitation, Energy/Healing
C. Energy/Healing, Rehabilitation, Integration
Which head positions are tested during the third round in their correct order?
A. Right anterior, left anterior, right posterior, left posterior.
B. Left anterior, right anterior, right posterior, left posterior
C. Right anterior, left posterior, left anterior, right posterior.
D. Left anterior, left posterior, right anterior, right posterior
C. Right anterior, left posterior, left anterior, right posterior.
What to do if a patient makes you uncomfortable?
A. Tell the lead or manager
B. Tell the front desk to not book them on you anymore
C. Confront the patient
D. Try your best to ignore
A. Tell the lead or manager
What can you do if the artifacts do not go away and the reading still looks messy?
A. Ask them to come back a different day
B. Restart the computer
C. Try a new cap
D. Run it anyways
C. Try a new cap
What does the patient do during “Gait” testing portion of bedside?
A. Sits on a chair and gets moved in a circle, one direction at a time
B. Core stability work
C. Stand and describe if they feel they are swaying or not
D. Walk
D. Walk
How can the difficulty of the core stability exercise be increased?
A. By allowing the knees to touch the table
B. By moving the legs and hands in opposing circles
C. By bringing the knees closer to the chest
D. By doing a plank instead
B. By moving the legs and hands in opposing circles
What is the goal of tilt table therapy?
A. To lower the patients heart rate overall
B. To train the autonomic nervous system to properly pump blood to the brain
C. To train the central nervous system to be more sympathetic
D. To reduce the patient’s blood pressure
B. To train the autonomic nervous system to properly pump blood to the brain
How long should tilt table be performed?
A. No more than 5 minutes
B. 5-10 minutes
C. 15 minutes
D. The whole session
B. 5-10 minutes
What percentage should they be averaging in for you to lower the z threshold?
A. 100%
B. 50%
C. 60-80%
D. 40-50%
C. 60-80%
What are the vielight options?
A. Delta or Gamma
B. Alpha or Delta
C. Alpha or Gamma
D. Beta or Alpha
C. Alpha or Gamma
If the patient is unable to do No/No gaze stability looking at your thumb or dot on the ceiling you should?
A. Have them do yes/yes
B. Have them close their eyes and imagine a dot and still do the no no motion
C. Don’t do any gaze stability
D. Don’t do the tilt table therapy anymore
B. Have them close their eyes and imagine a dot and still do the no no motion
What can you say if the F2 port looks messy during a QEEG?
A. Tell them to relax their jaw
B. Adjust the back of the cap
C. Tell them to relax their forehead
D. Tell them to put their tongue to the roof of their mouth
C. Tell them to relax their forehead
Which is the proper progression for difficulty of exercises?
A. Sitting, supine, standing, foam pad
B. Supine, standing, sitting, foam pad
C. Supine, sitting, foam pad, standing
D. Supine, sitting, standing, foam pad
D. Supine, sitting, standing, foam pad
What impact does the ‘Transition Range’ setting have during the session?
A. It is unrelated to session performance.
B. It determines the response sensitivity to brain activity.
C. It affects how rewards are calculated.
D. It adjusts the Netflix streaming speed.
B. It determines the response sensitivity to brain activity.
What is the purpose of placing a pulse oximeter on the patient’s index finger during tilt table therapy?
A. To monitor blood pressure
B. To monitor heart rate
C. To monitor oxygen saturation
D. To comfort them
B. To monitor heart rate
What phrase should the technician use when instructing the patient during the eyes closed QEEG test?
A. Imagine looking at the tip of your nose.
B. Keep your eyes as tightly shut as possible
C. Keep your eyes closed and slightly crossed
D. Look somewhere below the TV
A. Imagine looking at the tip of your nose.
What document should be referred to when creating the assessment section of patient notes?
A. The subjective report from the patient
B. The previous therapy session notes
C. The findings in the Diagnosis and Plan chart
D. The medical history section of the patient’s file
C. The findings in the Diagnosis and Plan chart
What happens if the stimuli persistence feature is enabled?
A. The stimuli will disappear immediately when tapped
B. The stimuli will remain visible after being tapped
C. The stimuli will remain until they hear a noise
D. The patient must hold the stimuli for it to disappear
B. The stimuli will remain visible after being tapped
For VHIT How often should the foam cushion be replaced?
A. Every session
B. Once a month
C. When dirty
D. Only when elastic wears out
C. When dirty
Which test involves the patient watching a target with their eyes but not moving their head
A. HEVM
B. Pursuits
C. Finger tap
D. Alternating finger tap
B. Pursuits
For VHIT What is the correct order of tests?
A. Lateral, LARP, RALP
B. Lateral, RALP, LARP
C. LARP, RALP, Lateral
D. RALP, LARP, Lateral
A. Lateral, LARP, RALP
What do you ‘dock’ during NFB?
A. Z threshold
B. show they are watching
C. Qeeg/brainwaves page
D. Bird noises
B. show they are watching
Which test might the doctor need the rehabs assistance during?
A. Finger to nose
B. Luria sequencing
C. Fitz-Ritzen
D. Cranial Nerves
C. Fitz-Ritzen
What is the target for sinusoidal eye exercise?
A. Diamond gaze paper
B. Single dot
C. Rehabs thumb
D. Patients thumb
B. Single dot
What would indicate a normal result during the saccades test?
A. Reduced gain while tracking the target.
B. Hypometric saccades to the left with head movements.
C. Fast, accurate, and symmetrical saccades in horizontal and vertical planes.
D. Saccades with noticeable delays in response.
C. Fast, accurate, and symmetrical saccades in horizontal and vertical planes.
What is the correct duration for the breath-holding phase in the 4-4-8 breathing technique?
A. 2 seconds
B. 10 seconds
C. 4 seconds
D. 8 seconds
C. 4 seconds
What is the primary instruction for Antisaccades portion of testing
A. When a dot appears look where the dot would be if it was on the opposite side
B. When a dot appears look where the dot would be if it was on the opposite side then back to center
D. When a dot appears look anywhere on the opposite side then back to center
C. When a dot appears look at it then back to center
B. When a dot appears look where the dot would be if it was on the opposite side then back to center
Which system integrates two or more systems during a rehab visit?
A. SSEP
C. Gammacore
B. Gaze stability
D. Proactive on NSI
D. Proactive on NSI
How long do you run a QEEG for a child?
A. 3 min EC 3 min EO
B. 5 min EC 3 min EO
C. 5-10 min EC and EO
D. 1 min EC 1 min EO
C. 5-10 min EC and EO
Why do we want patients relaxed and calm during a session?
A. When they’re relaxed they are nicer to you
B. When they’re relaxed their brain is more plastic and learns better
C. When they’re relaxed they are smarter
D. We don’t want them relaxed
B. When they’re relaxed their brain is more plastic and learns better
What should you do if the percent reward is below 40?
A. Adjust the Round Duration
B. Increase the Z Threshold
C. Decrease the Z Threshold
D. Restart the session
B. Increase the Z Threshold
For QEEG Which part of the cap should not get wet when cleaning?
A. Ear clips
B. Inside electrodes
C. Rainbow strap
D. Black end piece
D. Black end piece
What is the correct way to set up the patient’s profile in NSI?
A. First name is their birth year, last name is the first two letters of the first name and first letter of the last name
B. First name is their birth year and last name is their full name
C. First name is their first two letters of the first name and first letter of the last name, last name is their birth year
D. First name is their last name and last name is their birth year
A. First name is their birth year, last name is the first two letters of the first name and first letter of the last name
What part of the SOAP note is the subjective component primarily based on?
A. The physician’s diagnosis.
B. The medical history of the patient.
C. Physical examination findings.
D. What the patient tells you during the session.
D. What the patient tells you during the session.
What does it indicate when the stimuli turn red during the balance exercises?
A. The patient should stop the current activity
B. The patient has targeted a specific area for the right duration
C. The patient needs to change their posture
D. The patient has completed the entire session
B. The patient has targeted a specific area for the right duration
What could the yoga mat in the big room be used for?
A. Nothing, only doctors can use that
B. Primitive reflex integration
C. Yoga
D. Fitz-Ritzen
B. Primitive reflex integration
Can you pause the session?
A. no
B. yes
C. only on cz head
D. only on zukor launcher
B. yes
What should be done if the patient fails one of the test during CAPS?
A. Quickly move on to the next
B. Tell them next time they do it they will be 100% better so don’t worry
C. Press unable to complete
D. Tell the doctor
C. Press unable to complete
For CAPS, What is the order of the second set of tests?
A. Left, Right, Extended, Flexed
B. Right, Left, Extended, Flexed
C. Right, Left, Flexed, Extended
D. Left, Right, Flexed, Extended
C. Right, Left, Flexed, Extended
For VHIT How many accepted tests are necessary for each direction during testing?
A. 20 accepted tests per direction
B. 15 accepted tests per direction
C. 25 accepted tests per direction
D. 10 accepted tests per direction
A. 20 accepted tests per direction
To get most stimuli in one quadrant, during set up you must
A. Press on the quadrant you want and it will be white
B. Press on the quadrant you want and it will be grey
C. Press all of the quadrants except the one you want, the one you want will be white
D. Press all of the quadrants except the one you want, the one you want will be grey
C. Press all of the quadrants except the one you want, the one you want will be white
Which is not a way to make the eye exercise easier for someone?
A. Slow down
B. Do less reps
C. Bring the thumb closer so their eyes converge
D. Have them imagine a dot
C. Bring the thumb closer so their eyes converge
How long should each side to side gaze be held during the Spontaneous Nystagmus Horizontal Saccades test?
A. 1-2 seconds
B. 5 seconds
C. 3 seconds
D. .5 seconds
A. 1-2 seconds
What should you do if someone’s eyes look choppy during gaze stability?
A. Tell them they are done for the day and move on
B. Add a couple more reps
C. Speed up
D. Slow down
D. Slow down
How should you have the transition range?
A. 25%
B. 50%
C. 75%
D. 100%
C. 75%
Can we shorten Grade 1 to G1?
A. No that looks unprofessional
B. Yes you should every time
C. You can but not necessary
D. No that means something different
C. You can but not necessary
When do we clean the QEEG caps?
A. End of each session
B. Once it gets really gooey, after a few uses
C. End of the day
D. End of the week
C. End of the day
Where should you put “C2” in the spine section?
A. Segmental/somatic dysfunction was noted at the following levels:
B. Taut and tender muscle fibers were noted at:
C. Muscle strength UE: 5/5 bilaterally:
D. Muscle strength LE: 5/5 bilaterally:
A. Segmental/somatic dysfunction was noted at the following levels:
Who does Geoboard help?
A. Patients with dyslexia
B. Patients with depression
C. Patients with eye pain
D. Patients with fatigue
A. Patients with dyslexia
How many OPK tests are there?
A. 3
B. 5
C. 4
D. 2
C. 4
What finding in the muscle testing indicates potential weakness?
A. Muscle strength noted as 3/5 on the left side.
B. Full muscle control when asked to perform tasks.
C. Muscle strength rated as 5/5 bilaterally.
D. No evidence of muscle tightness or rigidity.
A. Muscle strength noted as 3/5 on the left side.
What finding in cranial nerve testing is for olfactory function?
A. Jaw is deviated to the right
B. Inability to detect scents from one nostril
C. Inability to taste
D. Corneal reflex is abnormal bilaterally
B. Inability to detect scents from one nostril
What should you do if you got an E for one or both of the eyes during PLR?
A. Export, this is supposed to happen
B. Tell the doctor in charge of their case
C. Tell Minh
D. Retake the eye with the E in a brighter room
D. Retake the eye with the E in a brighter room
Where should the rehab be during CAPs testing?
A. Doesn’t matter
B. Behind the patient
D. Behind the computer to watch the timer
C. To the side of the patient
B. Behind the patient
Which sign of fatigue involves changes in heart function that can be observed?
A. Increased heart rate
B. Decreased heart rate
C. Increased pupil constriction
D. Relaxed appearance
A. Increased heart rate
What does a normal response in the Fitz-Ritzen Testing indicate?
A. The patient shows balance when standing on a foam pad.
B. The patient has normal muscle strength.
C. The patient experiences dizziness when moving their body.
D. The patient does not experience dizziness or any symptoms.
D. The patient does not experience dizziness or any symptoms.
For VHIT What do you do you are getting a large number of rejects due to the patient?
A. Try a different test then come back to it
B. Note that they are unable to complete and why, move on without finishing the test
C. Keep trying until you get it, we need the data
D. Ask Dr. Minh to come assist
B. Note that they are unable to complete and why, move on without finishing the test
Which of the following is a technique used to calm down the nervous system during a rehab visit?
A. Gammacore
B. SSEP
C. Visual/Vestibular Rehab
D. Repositioning Maneuver
A. Gammacore
When do you put the foam pad on during CAPS?
A. After the first test
B. After the second test
C. After the third test
D. After the fourth test
B. After the second test
What must the patient take off during CAPs testing?
A. Socks
B. Shoes
C. Jewelry
D. Socks and shoes
B. Shoes
If the patient asks something you don’t know you should?
A. Lie with confidence
B. Redirect them to the doctor for a better answer
C. Give it your best guess
D. Switch the convo immediately
B. Redirect them to the doctor for a better answer
What should be ensured in each eye during the ocular counter roll procedure?
A. Circles around each pupil
B. Triangles around each pupil
C. Nothing
D. A cross grid through each pupil
D. A cross grid through each pupil
What section is the Hand Supination/Pronation in?
A. Muscle Testing
B. Deep Tendon Reflexes
C. Motor/Sensory
D. Cranial Nerves
C. Motor/Sensory
What is an essential aspect of the Asymmetrical Tonic Neck Reflex Remediation – Lizard movement?
A. Keeping the head in a neutral position
B. Getting as much drag from the ground as possible
C. Using weights on arms and legs
D. Performing the movement quickly
B. Getting as much drag from the ground as possible
When the patient is unable to complete the test, when can they stop trying to balance?
A. After the 20 seconds up
B. Right after they fail once, they can stop trying to balance
C. Right after they fail twice, they can stop trying to balance
D. Right after they fail three times, they can stop trying to balance
B. Right after they fail once, they can stop trying to balance
Which of the following is NOT involved in the rehabilitation (One System) phase of a rehab visit?
A. Repositioning Maneuver
B. Visual/Vestibular Rehab
C. NSI
D. Complex Movements
C. NSI
For VHIT What action should you take if the patient’s hair is slippery and causing the goggles to slide down?
A. Just continue normally
B. Hold the straps
C. Adjust the goggles every few minutes
D. Ask the patient to tie their hair back
D. Ask the patient to tie their hair back
If a patient demonstrates normal convergence, what does it suggest about their visual function?
A. They experience double vision.
B. They have a significant visual field defect.
C. They have convergence insufficiency.
D. Their eye muscles are functioning properly.
D. Their eye muscles are functioning properly.
What is the patient instructed to do between CAPS tests?
A. Keep their eyes closed.
B. Open their eyes.
C. Move around the testing area.
D. Remain silent.
B. Open their eyes.
During the Prosaccades test, what should the patient do when a side dot flashes?
A. Look to the center dot
B. Look where the dot would be on the other side and back to center
C. Look at the dot then back to the center
D. Keep looking to the side where the dot flashes until another one flashes on the same side
C. Look at the dot then back to the center
What symptom is commonly associated with fatigue that involves the eyes?
A. Decreased visual acuity
B. Persistent headaches
C. Increased constriction of pupils
D. Increased dilation of pupils
D. Increased dilation of pupils
Which test requires you to click ‘Calibrate’, then ‘Torsion’ then ‘Set reference’
A. Spontaneous Nystagmus Central
B. OPKs
C. Calibration
D. Ocular counter roll
D. Ocular counter roll
When should you clean the prongs with the alcohol prep pads?
A. Before V1
B. Before V3
C. Before hypoglossal
D. After every site
C. Before hypoglossal
During the Reflex app process, how should the patient’s eyes be managed?
A. The rehab should cover one of their eyes
B. Have patient cover one eye while testing the other
C. Test both eyes simultaneously
D. Both eyes should be uncovered
ANSWER: B
B. Have patient cover one eye while testing the other
What does the setting Gamma do?
A. Help calm down and relax the system
B. Triggers the parasympathetic system
C. Helps with focus and concentration
D. Makes you smarter
C. Helps with focus and concentration
Which of the following therapies is focused on working with one system only?
A. Balance on NSI
B. NSI
C. Stimulation/Energy Healing
D. Visual/Vestibular Rehab
D. Visual/Vestibular Rehab
What is a suggested action when using the Red Light Mat?
A. Use the green protection glasses at all times.
C. Encourage the patient to keep their eyes open.
D. Set the timer for 30 minutes of therapy.
B. Keep the chair upright so you get max O2 to your brain
A. Use the green protection glasses at all times.
If a patient falls on the first 4 tests of CAPS do you need to do the rest?
A. No
B. Yes
B. Yes
What position should the patient be in for TLR Remediation – Superman?
A. Standing with arms extended
B. Lying on their back
C. Seated with arms crossed
D. Lying on their stomach
D. Lying on their stomach
What is the total duration of each test administered in CAPS?
A. 20 seconds
B. 15 seconds
C. 10 seconds
D. 25 seconds
A. 20 seconds
What is the purpose of the colored glasses in the big room?
A. They help with blurry vision
B. They help with light sensitivity
C. They make it so the patient is unable to see
D. They are prism glasses
B. They help with light sensitivity
When documenting the patient’s plan, what is important?
A. Increasing the difficulty of exercises from session to session
B. Maintaining the same level of exercise difficulty in sessions
C. Assigning exercises unrelated to the patient’s condition
D. Focusing solely on patient comfort during therapy
A. Increasing the difficulty of exercises from session to session
What is the primary goal of the cervical proprioception exercise?
A. To train the awareness of where the head is in space
B. To enhance muscle strength in the neck
C. To relieve neck stiffness
D. To improve cognitive function
A. To train the awareness of where the head is in space
For VHIT What color should the pupil appear when correctly calibrated?
A. Black
B. Red
C. Gray
D. White
D. White
What movement should the patient perform first during the Moro Reflex Remediation?
A. Open both arms and legs fully
B. Switch arm and leg positions
C. Bend slightly forward
D. Sit with feet on the ground
C. Bend slightly forward
During Tachistoscope, if you select “verbal” during the set up the patient will have to ….?
A. Read words in their head and tap them back in the same order they read them
B. Read the words out loud and tap them back in the same order they read them
C. Hear words and tap them back in the same order they heard them
D. Try to say the words at the same time as the computer shows them
C. Hear words and tap them back in the same order they heard them
What equipment do you need for cervical prop or decoupling?
A. Normatec boots
B. Any glasses they can’t see through
C. Laser glasses
D. Vielight
C. Laser glasses
Which Brodmann areas do you select?
A. 1 Left and 2 Left
B. 1 Right and 2 Right
C. Depends on the patient
D. We do not select any Brodmann areas
D. We do not select any Brodmann areas
What do we use to track info during tilt table?
A. Blood pressure cuff
B. Pulse Ox
C. Normatec Boots
D. Halo Headband
B. Pulse Ox
What is a critical element to include in the subjective documentation other than the chief complaint?
A. The provider’s personal assessment of the patient’s progress
B. An explanation of what the pain is preventing the patient from doing
D. Information about any medical history unrelated to the current visit
C. The medications that the patient is no longer taking
B. An explanation of what the pain is preventing the patient from doing
What does the Antisaccades test evaluate?
A. Balance during dual tasking.
B. Ability to suppress eye movements toward a stimulus.
C. Speed of ocular movements in one direction.
D. Muscle strength in the upper extremities.
B. Ability to suppress eye movements toward a stimulus.
What should a patient be instructed to do during the balance test?
A. Keep their hands straight down the entire time
B. Keep their hands by their sides
C. Keep their hands near the wall for balance
D. Keep their hands on their hips
B. Keep their hands by their sides
How long do you have someone wear the vielight?
A. During stim then take it off
B. They can wear it the whole session
C. Only once they are done with stim
D. During proprioceptive exercises only
B. They can wear it the whole session
What should be done after the Gammacore device beeps for the first time?
A. Turn it back up
B. Turn off the device immediately
C. Reapply gel and perform another round on the same side
D. Switch to the other side of the neck
C. Reapply gel and perform another round on the same side
What is not something you will note for resting head position?
A. yaw
B. elevation of the head
C. tilt
D. slant
D. slant
Where would you record patients interpretation of if they are feeling like they are moving in any direction?
A. Fitz-Ritzen
B. Initial Sway
C. Perceived Sway
D. Sway improved with
C. Perceived Sway
For the Grasp Reflex Remediation, what should be the state of the patient’s hand?
A. Partially clenched
B. Tightly clenched
C. Slightly tense
D. Fully relaxed
D. Fully relaxed
Why is it essential to keep the focal point an arm’s length away or use a dot on the ceiling during vestibular rehab?
A. To prevent convergence
B. To decrease heart rate
C. To reduce dizziness
D. To improve gaze stability
A. To prevent convergence
If a patient says they are okay but you observe signs of fatigue you should
A. Reduce the number of reps, slow down, or change exercises
B. Continue until they say they feel fatigued
C. Slowly increase difficulty until they say they feel fatigued
D. Stop the session
A. Reduce the number of reps, slow down, or change exercises
How often should the screen be dark?
A. 40%
B. 50%
C. 60%
D. 60-80%
A. 40%
For VHIT What should be done if the foam cushion on the goggles appears dirty?
A. Leave it until the end of the day.
B. Wipe it down with alcohol wipes.
C. Cover it with a cloth.
D. Replace it immediately.
D. Replace it immediately.
What indicates the presence of facial paresis in a cranial nerve assessment?
A. Deviated jaw during opening.
B. Absence of a symmetric smile.
C. Loss of the corneal blink reflex.
D. Normal muscle tone in the face.
B. Absence of a symmetric smile.
What do the patients watch during QEEG?
A. Tv show
B. Zukor
C. CZ Head
D. Nothing
D. Nothing
How many testing sets should be run in the CAPS test?
A. Only the first three sets
B. All four sets
C. Only the first two sets
D. Only the last three sets
D. Only the last three sets
About how many times should someone turn to each side during cervical decoupling?
A. 2
B. 1
C. 10
D. 5
D. 5
Which vital signs should be recorded by the rehab during the patient’s exam?
A. Blood pressure, reflexes, and heart rate
B. Height, weight, and oxygen levels
C. Blood pressure, heart rate, and oxygen saturation
D. Heart rate, respiratory rate, and skin temperature
C. Blood pressure, heart rate, and oxygen saturation
When you are finished with your patient and they are seeing the doctor next you should?
A. Walk them into the doctors room
B. Send them to the doctors room
C. Send them to the lobby
D. Have them wait in the hall outside the doctors room
C. Send them to the lobby
How do you switch between the Alpha and Gamma settings on the Vielight headset?
A. By pressing the yellow button on the controller.
B. By clicking the blue button on the top of the headset.
C. By turning the controller knob.
D. By unplugging and replugging the headset.
B. By clicking the blue button on the top of the headset.
During CAPS, What action should be taken after the first two tests with the eyes open and closed?
A. Gently place the foam pad on the platform
B. Immediately save the test results
C. Have the patient rest without any support
D. Ask the patient to close their eyes again
A. Gently place the foam pad on the platform
Where should the patient look during Spontaneous Nystagmus Horizontal Saccades during the test?
A. As far as they can to the left and right
B. Doesn’t matter where exactly as long as they look left and right
C. To where they believe the left and right sides of the tv are
D. down to the left and right
C. To where they believe the left and right sides of the tv are
Where is the head starting position for Right Horizontal maneuver?
A. Left slightly flexed
B. Left slightly extended
C. Right slightly flexed
D. Right slightly extended
C. Right slightly flexed
What is the maximum score a patient can achieve on the digit span test when reciting numbers?
A. 3
B. 10
C. 5
D. 7
D. 7
What QEEG ports are likely to be messy if you remind them to hold their tongue against the roof of their mouth?
A. F
B. P
C. O
D. T
D. T
What is the purpose of adjusting the toggle on the goggles?
A. To adjust the brightness of the TV
B. To ensure the cursor is on the pupil and the eye is in focus
C. To tighten the band on the goggles
D. To move the green dot to eye level
B. To ensure the cursor is on the pupil and the eye is in focus
What should you write in the notes near this cervical prop?
A. Nothing
B. Which directions you practiced/symptoms
C. How many times you practiced
D. If they enjoyed it or not
B. Which directions you practiced/symptoms
What finding in the deep tendon reflexes suggests hyperactivity?
A. Reflexes are rated 2+ bilaterally.
B. 2+ on the left and 1+ on the right.
C. Reflexes rated 4+ on either side.
D. Negative for all pathological reflexes.
C. Reflexes rated 4+ on either side.
During QEEG In case of artifacts in the front ports, what should the technician instruct the patient to do?
A. Close their eyes and lift the cap to release tension.
B. Remain completely still at all times.
C. Tilt their head back and forth.
D. Look at the ceiling and then back down.
A. Close their eyes and lift the cap to release tension.
What should you do if you are unfamiliar with a medical term during the bedside exam?
A. Write it down as clearly as possible and ask later
B. Attempt to guess its meaning
C. Ignore it completely
D. Ask the doctor to explain it immediately
A. Write it down as clearly as possible and ask later
In the Rooting Reflex Remediation, which method is used to stimulate the patient’s mouth area?
A. Stroking the cheek with an object
B. Pulling the patient’s bottom lip down
C. Tapping the side of the mouth
D. Blowing air towards the mouth
A. Stroking the cheek with an object
Which test is the doctor saying 7 numbers in monotone straight forward style?
A. Serial 7s intact
B. Digit span /7 with linear presentation
C. Digit span /7 with prosodic presentation
D. Attention and concentration appear intact
B. Digit span /7 with linear presentation
What is the appropriate action if the calibration shows slanted dots for VHIT ?
A. Remove the goggles and recalibrate.
B. Adjust the goggles to ensure they are level.
C. Ask the patient to tilt their head.
D. Increase the brightness of the laser.
B. Adjust the goggles to ensure they are level.
What should the patient do during 4-4-8 breathing?
A. Look down between their feet
B. Eyes open facing forward
C. Eyes closed
D. Open and close their eyes for every second of breath
C. Eyes closed
What is an important troubleshooting step if the data lines during a test are completely off?
A. Redo the entire set of tests.
B. Change the position of the patient.
C. Ignore the data and continue.
D. Recalibrate the goggles and redo that specific test.
D. Recalibrate the goggles and redo that specific test.
What does the Z-score represent in the context of patient data?
A. The highest value in the data set
B. The lowest value in the data set
C. The average value of the data
D. How far off normal their brainwaves are
D. How far off normal their brainwaves are
What should be done if the patient expresses symptoms during therapy?
A. Wait to see if they persist, if they do not, bring them down 10 -20 degrees
B. Wait to see if they persist, if they do, bring them down 10 -20 degrees
C. Wait to see if they persist, if they do, bring them up 5
D. Wait to see if they persist, if they do, bring them down 5
B. Wait to see if they persist, if they do, bring them down 10 -20 degrees
If a patient wants to hangout outside of the office?
A. You can do whatever you want
B. You should wait until they are no longer a patient
C. You are obligated to hangout with them
D. You should say yes and then email them no
B. You should wait until they are no longer a patient
For QEEG What should be done if the reading looks messy after checking link ears?
A. Redo the test.
B. Change the recording settings.
C. Continue with the current data collection.
D. Reanalyze the recorded data.
A. Redo the test.
What finding would indicate normal gaze stability during testing?
A. Symmetrical eye movement during tracking.
B. Difficulty holding gaze on a moving target.
C. Poor eye tracking in one direction.
D. Stable gaze in all cardinal fields of vision.
D. Stable gaze in all cardinal fields of vision.
If the chart says Gammacore (L) when you duplicate it what should you do for your visit?
A. Use gammacore on the left side
B. Don’t use the gammacore anymore
C. Use gammacore on the right side and switch the (L) to (R)
D. Do gammacore on left side first then right side
C. Use gammacore on the right side and switch the (L) to (R)
How much gel should be applied to the electrodes before using Gammacore?
A. A pea-sized amount of gel on each electrode
B. No gel is needed
C. A few drops of gel
D. A large dollop of gel
A. A pea-sized amount of gel on each electrode
How is a normal result determined in the Antisaccades test?
A. Saccades with equal response times in both directions.
B. Saccades are hypometric with no errors.
C. Fast and precise saccades towards the target that flickers.
D. Fast, accurate, and symmetrical saccades to the non-flickering target.
D. Fast, accurate, and symmetrical saccades to the non-flickering target.
During tilt table therapy, how often should the set of V3 stimulation and No/No gaze stability be repeated?
A. Every time the heart rate spikes by 5 points.
B. After every 5 degrees of tilt adjustment.
C. Every 15 seconds regardless of heart rate changes.
D. After raising the table by 10 degrees.
B. After every 5 degrees of tilt adjustment.
What is one difference between cervical prop and cervical decoupling?
A. Cervical prop is standing, decoupling is sitting
B. Cervical decoupling is standing, cervical prop is sitting
C. Cervical prop is standing on foam pad, decoupling is while walking
D. Cervical decoupling is standing, cervical prop is while walking
B. Cervical decoupling is standing, cervical prop is sitting
How do you know what size cap someone should wear?
A. Guess, most people are red/blue
B. Size it every time with the string in the drawer
C. Use the measuring tape
D. Guess, most people are Yellow/Red
C. Use the measuring tape
What type of viewing involves the thumb and head moving in the same direction?
A. x1 viewing
B. x0 viewing
C. x2 viewing
D. LARP viewing
B. x0 viewing
What is the purpose of NFB?
A. Relaxes the patient, activates parasympathetic system
B. To retrain the brain to have no bad brain waves
C. To retrain the brain to self regulate
D. To prune all the bad brain waves and form new ones
C. To retrain the brain to self regulate
What is the maximum duration for using the Vielight headset per session?
A. 15 minutes
B. 10 minutes
C. 25 minutes
D. 20 minutes
D. 20 minutes
Which statement about the sound settings is true during the neurofeedback session?
A. It must be set to Variable Volume.
B. It should be in dynamic mode.
C. It should be set to Fixed Volume.
D. Sound settings are not necessary.
C. It should be set to Fixed Volume.
What is the point of core stability?
A. Stabilizes the cerebellum and brainstem
B. Makes them stronger and that makes them healthier
C. Relaxes the system
D. Activates the parasympathetic system
A. Stabilizes the cerebellum and brainstem
Which button is used to initiate therapy with the Vielight headset?
A. The blue button on the top
B. The power button on the side
C. The yellow button
D. The green button
C. The yellow button
If someone can do the eye exercise easily you should …?
A. Stop doing it and move on
B. Upgrade them using the progressions
C. Do it faster until their eyes look choppy again
D. Do it extra slow to see if their eyes can handle it
B. Upgrade them using the progressions
During the QEEG recording process, what position should the patient’s head ideally be in?
A. Leaning slightly backward.
B. Tilted to the left.
C. In a neutral position.
D. Leaning slightly forward.
C. In a neutral position.
What should the patient watch if they have a history of seizures?
A. Any show
B. A very calming show
C. No NFB for them
D. CZ Head
D. CZ Head
Why is it important to clean the QEEG caps and ear clips daily?
A. To remove gel and conducting paste that could impede function.
B. To ensure patient comfort.
C. To maintain the aesthetic appearance.
D. To verify the functionality of the electrodes.
A. To remove gel and conducting paste that could impede function.
What level should the volume be when speaking with patients?
A. Super loud and clear, it is hard to hear with brain injuries
B. Calm and low, to avoid bothering other patients
C. Fast and quick, to get as much done as possible
D. Talk the whole session to distract them from their pain
B. Calm and low, to avoid bothering other patients
What does selecting ‘Trails’ on the TV during the exercise do?
A. Makes the patient have to follow the trails to correct stimuli
B. Records the pathway the patient is taking to get to the correct stimuli
C. Increases the difficulty
D. Provides trails as hints if they mess up too many times
B. Records the pathway the patient is taking to get to the correct stimuli
When the screen is dark is that a bad thing?
A. Yes, the brain waves are not in the range we want them in
B. No, we want the brain to be challenged and want to make it brighter
D. Yes, it means the person is focused on something else
C. No, we prefer the screen black it should be black about 50-60% of the time
B. No, we want the brain to be challenged and want to make it brighter
For TLR Remediation – Core, how long should the patient hold their curled position?
A. 5 seconds
B. 10 seconds
C. 15 seconds
D. 20 seconds
C. 15 seconds
What is a potential consequence of providing incorrect information to a patient?
A. Improved staff credibility.
B. Increased patient satisfaction.
C. Loss of trust in the healthcare team.
D. Enhanced patient cooperation.
C. Loss of trust in the healthcare team.
If a patient gets dizzy or nauseous during testing, what should be the immediate action?
A. Start a different test to distract them.
B. Stop, they are done testing for the day.
C. Continue testing as they may feel better.
D. Pause the test and wait for improvement.
D. Pause the test and wait for improvement.
When should you turn off the VHIT computer completely?
A. At the end of the week
B. When not in use
C. At the end of the day
D. At the end of the quarter
C. At the end of the day
During the Diamond gaze exercise, how far away should the patient be from the paper?
A. 5 feet
B. 3 feet
C. Arms distance
D. Up to rehabs discretion - will vary depending on patient
C. Arms distance
What is the function of the yellow icon labeled ‘Stim’ during the SSEP procedure?
A. Indicates the patient is ready for stimulation
B. Signals that stimulation is currently active
C. Displays the strength of the stimulation
D. Shows the device is preparing for testing
B. Signals that stimulation is currently active
What does an abnormal finger to nose test indicate?
A. Problems with coordination.
B. Issues with muscle strength.
C. Impaired sensory feedback.
D. Abnormal balance during ambulation.
A. Problems with coordination.
What should you do once you took a picture of both eyes for the PLR?
A. Put away the ipad
B. Bring the ipad to the doctor
C. Export
D. Upload to their Jane
C. Export
What test involves the patient repeating three hand motions that the doctor makes?
A. Hand supination/Pronation
B. Applause sign
C. Luria sequencing
D. Pinwheel
C. Luria sequencing
For QEEG Which is the smallest cap size?
A. Blue
B. Red/Yellow
C. Red/Blue
D. Yellow
D. Yellow
For QEEG What may be wrong if an O port is messy?
A. Ear clips aren’t attached
B. Clenched jaw
C. Back of head is rubbing against something
D. Eyes blinking
C. Back of head is rubbing against something
What is an upgrade with the cervical proprioception exercise if it is too easy for the patient?
A. Decrease the distance from the dot
B. Increase the distance the rehab moves their head
C. Decrease the distance the rehab moves their head
D. Add more visual distractions.
B. Increase the distance the rehab moves their head
Which NSI section do we not use?
A. Go no go
B. Geoboard 4
C. OPtokinetics 1
D. Balance Targeting
C. OPtokinetics 1
What determines the strength of the stimulation during SSEP procedures?
A. The type of equipment used
B. The turning mechanism on the side of the computer
C. The turning mechanism on the prongs
D. The button on the computer keyboard
C. The turning mechanism on the prongs
If the Normatec boots are in the plan but they do not fit the patient properly you should?
A. Zip them as far as you can and then use the zone areas on the machine
B. Do not use the boots
C. Squeeze the legs in, they should fit everyone
D. Send the patient a link, tell them to buy their own and bring them
B. Do not use the boots
How much gel should you put in each cap hole?
A. Fill up the whole thing, more is better so you don’t have to do it again
B. Very little, squish it against the head so a small bead of gel is visible
C. Very little so no gel is seen from the outside
D. More for the bigger caps, less for the smaller caps
B. Very little, squish it against the head so a small bead of gel is visible
If the doctor said “Reduced arm swing with dual tasking” you can assume they are at what part of the bedside?
A. Fitz- Ritzen
B. Gait
C. Touch localization
D. Alternating finger tap
B. Gait
Which response indicates normal muscle tone?
A. Flaccidity in the lower extremities.
B. Atrophy noted in the right calf.
C. Increased muscle rigidity in upper extremities.
D. No flaccidity or spasticity observed.
D. No flaccidity or spasticity observed.
For VHIT
Which way do you turn their head to set up the position for the third test?
A. To the right
B. To the left
C. You keep it centered
D. Down
B. To the left
What should be done if the patient is wearing mascara and it is interfering with the sensor?
A. Adjust the sensor to compensate
B. Have them remove it with makeup wipes
C. Leave it on and continue the test
D. Stop the test
B. Have them remove it with makeup wipes
How long should the patient ideally hold the core stability position?
A. ideally up until right before their threshold
B. ideally once they hit their threshold
C. 30 seconds for everyone
D. Once they pass their threshold
A. ideally up until right before their threshold
What is the last position for Left horizontal maneuver?
A. Head to the right flexed
B. Head to the right extended
C. Head to the left flexed
D. Head to the right extended
C. Head to the left flexed
What is a recommended way to respond to a complex question about brain exercises?
A. Give a simplified explanation and advise them to ask the doctor for specifics.
B. Order the patient to find information online.
C. Ignore the question to avoid confusion.
D. Explain the topic in great detail and confidence whether you know it or not.
A. Give a simplified explanation and advise them to ask the doctor for specifics.
What is not a way of failing the test during CAPS?
A. Touching the wall
B. Wobbling
C. Opening their eyes
D. Being touched by the rehab
B. Wobbling
What should you do if the cursor is not staying on the patient’s pupil during the test?
A. Increase the brightness of the testing screen.
B. Tighten the goggles
C. Move the goggles closer to the eyes.
D. Instruct the patient to keep their eyes open wide.
D. Instruct the patient to keep their eyes open wide.
Which finding would indicate normal functioning of deep tendon reflexes?
A. 2+ reflexes on both sides.
B. 3+ reflexes on both sides
C. 1+ reflexes on both sides
D. 4+ reflex response on one side.
A. 2+ reflexes on both sides.
Which of the following is NOT a sign of fatigue?
A. Increased heart rate
B. Watery eyes
C. Increased pupil size
D. Pursuit smoothness
D. Pursuit smoothness
What should the patient choose on Netflix to watch?
A. A show that they can watch while remaining calm so there are limited artifacts
B. Animal show
C. Something they aren’t too interested in so they can focus on NFB
D. Anything from Hulu, Netflex, or Youtube
A. A show that they can watch while remaining calm so there are limited artifacts
Which site corresponds to the hypoglossal nerve during the SSEP?
A. An inch below the zygomatic arch
B. Medial top part of the eye
C. Posterior to the medial malleolus
D. Directly on the tongue
D. Directly on the tongue
When does the green dot jump from side to side?
A. Horizontal pursuits
B. Vertical pursuits
C. Horizontal saccades
D. Vertical saccades
ANSWER: C
What is one of the main purposes of the subjective?
A. To make sure the objectives are known
B. To have record of diagnostics
C. To justify the patients care
D. To let the patient rant
C. To justify the patients care
