Week 2 Quiz

While weakness can certainly be variable post-stroke, some common patterns of loss are seen in the extremities. What MMT findings would align with these common patterns?

• Biceps 1/5; Triceps 3/5

• Anterior Tibialis 2/5; Gastrocnemius 4/5

• Adductor Longus 0/5; Glute Med 2/5

• Hamstrings 3/5; Quadriceps 5/5

What task would a patient with a lower extremity flexor synergy have the MOST difficulty with?

• Kicking a soccer ball with involved leg

• Standing up on their tippy toes

• Transitioning from sit to stand

• Lifting involved leg up onto step

Ideomotor apraxia would present as which of the following:

• When given a hair tie, the patient tells you it is used for toileting. When asked to demonstrate its function, they tie their hair into a ponytail.

• When given a toothbrush, the patient tells you it is used to brush teeth. When asked to demonstrate its function, they mimic brushing their teeth.

• When given a pencil, patient tells you it is used for eating. When asked to demonstrate function, they attempt to comb their hair.

• When given a comb, patient tells you it is used to brush hair. When asked to demonstrate function, they mimic taking a sip of water.

What is the minimal clinically important difference identified for the Rivermead Motor Assessment?

• 2 points

• 3 points

• 4 points

• 5 points

You want to initiate an aerobic exercise program for your patient that experienced a stroke, however no graded exercise testing was completed. Which of the following would be an appropriate parameter to start with for your patient?

• High intensity interval training

• Monitor BP and HR on first and last day of exercise only

• If targeted intensity cannot be reached, frequency and/or duration should be modified instead

• Monitor progress with use of the 10 meter walk test

Your patient demonstrates an inability to detect visual stimuli present in their right upper visual field, but have no difficulties seeing visual stimuli in any other region of their visual fields. Where might their stroke be?

• Left superior branch of the middle cerebral artery

• Left inferior branch of the middle cerebral artery

• Left anterior cerebral artery

• Left superficial branch of the posterior cerebral artery

What clinical observation might you see with a patient who is experiencing double vision?

• Eye squinting

• Head tilt

• Bumping into objects

• Difficulty finding objects

Vertigo is a debilitating symptom that causes a room-spinning sensation and can be seen with all the following neuroanatomical damage, EXCEPT:

• Pontine stroke

• Midbrain stroke

• Thalamic stroke

• Cerebellar stroke

While interviewing your patient and inquiring about their symptoms, which patient report would be consistent with somatosensory impairment associated with stroke?

• "I had a stroke in my thalamus and notice I only lost feeling in my thumb and pointer finger."

• "It is a lot harder to feel when something is painful than when something is gently touching me."

• "Since my stroke, the sensation in my right arm is completely gone."

• "I will admit that I do not use my arm as much anymore due to not being able to feel it."

Your patient in acute care who is s/p R MCA CVA was evaluated by a colleague yesterday. In their PT evaluation, your colleague mentions that the patient demonstrates Pusher's Syndrome. What should you expect to see once you begin to mobilize this patient?

• When upright, the patient actively pushes their body to the right

• The patient has more difficulty orienting their head to vertical than the rest of their body

• The pushing tendencies will likely be worse in sitting than in standing

• The patient will have significant difficulties utilizing external cues and corrections