Week 3 Quiz

A patient in the ED is having emotional outbursts, inappropraite bouts of laughter, and mood swings. Where in the brain might diagnostic imaging show damage?

• Prefrontal cortex

• Superior temporal lobe

• Inferior parietal lobe

• Basal ganglia

While evaluating a patient who suffered a L MCA CVA, you note they have difficulties with immediate recall. However, you are wondering if it is a communication deficit rather than a cognitive one, as it appears the skill of repeating words is effortful under several circumstances. The rest of their speech is largely intact. What communication deficit might be at play here?

• Conduction aphasia

• Broca's aphasia

• Anomic aphasia

• Wernicke's aphasia

With which types of aphasia will the patient be notably aware of their deficits?

• Broca's and Wernicke's aphasia

• Global and Anomic aphasia

• Conduction and Mixed transcortical aphasia

• Broca's and Transcortical motor aphasia

A patient presenting with all the following might be suggestive of the presence of speech apraxia, EXCEPT:

• Speech errors

• Impaired prosody

• Difficulty with articulation

• Slurred speech

Your patient demonstrates clear signs of aphasia when being evaluated in the ED. The team wanted to complete a Glasgow Coma Scale assessment on this patient. Based on the presence of aphasia, what should the recommendation be for this measure?

• The measure can be completed as usual

• The measure should not be completed at all

• The measure can be partially completed, excluding the verbal response

• The measure can be partially completed, excluding the motor and eye responses.

What common hemiplegic gait impairment would be considered a temporal asymmetry?

• Decreased step length

• Decreased step height

• Decreased weight bearing in stance

• Decreased cadence

Which of the following long-term goals would best address your expectation that the patient will return to a limited community ambulation status?

• The patient will improve their gait speed to 1.0 m/s on the 10-meter walk test

• The patient will ambulate 100m on the 6-minute walk test

• The patient will improve their gait speed to 0.4 m/s on the 10-meter walk test

• The patient will ambulate 10m on the 6-minute walk test

Excessive external hip rotation is commonly seen in what gait phase when a patient demonstrates hemiplegic gait patterns?

• Initial swing to mid-swing

• Double limb stance

• Heel strike to mid-stance

• Mid-stance to terminal stance

While performing a task analysis on your patient's gait, you note that they stay in a flexed position at the hips and knees, giving a crouched appearance. What brace might be particularly helpful in improving this patient's gait mechanics?

• KAFO

• Hinged AFO

• Ground Reactive AFO

• Posterior leaf spring AFO

What is the suggested protocol for integrating body-weight supported treadmill training in the acute to subacute stages of stroke rehab?

• Daily for 30-60 minutes of total walking

• 3-5x/week for 10-15 minutes of total walking

• 3-5x/week for 30-60 minutes of total walking

• Daily for 10-15 minutes of total walking