Neuro Exam 1 Review

You are assisting a PT in a sensory evaluation. The PT asks the patient to duplicate the position of an extremity with the contralateral extremity. This therapist is assessing which type of sensation?

• Vibration perception

• Proprioceptive awareness

• Pressure perception

• Stereognosis perception

Which of the following exercises would most likely trigger the hip postural sway strategy during treatment?

• Have patient stand on a firm flat surface

• Have patient stand on an irregular surface such as a balance/wobble board that causes large perturbations

• Having the therapist push the patient in several different directions in standing position

• Have patient stand on a smooth surface with eyes closed

You are working with a patient with a decreased level of consciousness. You observe that your patient is difficult to arouse, and once aroused is confused. You would describe this behavior as:

• Stupor

• Obtunded

• Lethargic

• Comatose

A typical pattern for extensor LE spasticity and an upper motor neuron lesion is:

• Pelvic protraction, hip adduction, external rotation, and knee flexion

• Pelvic retraction, hip abduction, internal rotation, and knee flexion

• Pelvic protraction, hip adduction, external rotation, and knee extension

• Pelvic retraction, hip adduction, internal rotation, and knee extension

Which of the following motor tracts are instrumental in maintaining posture?

• a. Medial Reticulospinal and Anterior Corticobulbar Tracts

• b. Medial Reticulospinal and Lateral Vestibular Tracts

• c. Anterior Corticobulbar and Lateral Vestibular Tracts

• d. Lateral Corticobulbar and Lateral Vestibular Tracts

You are asked to assist a PT with screening to identify system-related impairments that could contribute to functional limitations. Which of the following is NOT an example of an activity to screen for nonequilibrium coordination deficits?

• Moving the heel up the shin

• Finger to nose movement

• Tapping the foot or hand

• Turning in a circle

The evaluating PT has reported that your patient has the coordination impairment “disturbance of gait.” Any of the following would be appropriate activities for you to choose from EXCEPT:

• Displace balance unexpectedly while patient is standing.

• Alter speed and direction of ambulation activities.

• March in place.

• Practice walking sideways and backward.

Tags

NGSS.MS-PS2-1

Your patient tells you that she feels dizzy. Upon further questioning, she tells you that the room feels like it is spinning. You would document her complaint as:

• Vertigo

• Lightheadedness

• Disequilibrium

• Oscillopsia

A vestibular schwannoma is a benign tumor of which of the cranial nerves?

• CN VII

• CN VIII

• CN IX

• CN X

Physical therapy is not appropriate for patients having which of the following conditions?

• Benign paroxysmal positional vertigo

• Unilateral vestibular hypofunction

• Ménière’s disease

• Bilateral vestibular hypofunction