STROKE

Non-modifiable risk factors of CVA, except:

• Age

• Hypercholesterolemia

• Race

• Gender

A stroke patient has beginning extensor synergy of LE. Which is NOT part of this synergy?

• Ankle PF

• Hip abd

• Ankle inversion

• Hip add

A 50 yr old stroke pt with lesion in left posterior superior temporal region presents fluent verbal output, impaired repetition and comprehension. Which type of aphasia does he have?

• Conduction

• Broca's

• Wernicke's

• Global

A PT is instructing a stroke pt during ambulation training, PT noted that the pt is doing well since there is lesser errors and overall endurance is improving. The best strategy to promote continued motor learning is:

• Continue the patient to perform the activity inside parallel bars until mistakes are all corrected

• Continue to provide feedback every walk trials

• Have the pt practice walking in different environments

• Intervene early whenever errors appears during exercises

An indication for stroke patients where you need to stop performing exercises/PT Mx:

• Systolic BP increased by 20 mmHg after exercise

• Diastolic BP increased by 10 mmHg during exercise
  

• Pt complaints of tiredness

• Pt. Systolic BP decreased by 30 mmHg after exercise

During examination of a stroke pt, the PT noticed that pt's speech is slow and hesitant, expressions are awkward and two-word productions, but has good comprehension. Pt exhibits:

• Non fluent aphasia

• Fluent aphasia

• Global aphasia

• Dysarthria

A patient presents with hemiparesis, where pt demonstrates foot drop during swing phase of the gait. It would be most appropriate to administer FES to the TA and the:

• Gastrocnemius

• Tibialis posterior

• Extensor digitorum longus

• Peroneus longus

Your patient is recovering from a right CVA.  She tells you she is thirsty and asks you for a can of soda.  When you give her the can, and instruct her to open it, she is unable to complete the task.  Later after the tx session when she is alone, you observe her drinking from the can.  You suspect she may have a primary deficit in:

• Ideational apraxia           

• Ideomotor apraxia           

• somatognosia                                                             

• unilateral neglect

The most appropriate immediate technique to incorporate into treatment that will assist with standing is:

• tilt table with progressive vertical positioning

• standing in a pool

• using a standing table     

• standing in parallel bars with increasing time intervals

The patient with left hemiplegia would be least likely to respond in therapy if the motor learning strategies emphasized:

• maximum use of verbal cues

• maximum use of demonstration and gesture

• encouragement of the patient to slow down

• simplification/restructuring of the environment including removal of all clutter