WorksheetsAssociated Topics in PM&R
Total questions: 25
Worksheet time: 13mins
Which of the following is described as sudden, jerky, irregular, or periodic involuntary contractions of a muscle or group of muscles?
Myoclonus
Dystonia
Myotonia
Myokymia
Fasciculation
Which of the following is the most common symptom seen with Parkinson's Disease?
Resting tremor
Bradykinesia
"Cogwheel" rigidity
Postural instability
Autonomic dysfunction
Which of the following is the most prevalent movement disorder with tremors that are postural or kinetic and worse with simple tasks, 5-10Hz, and unilateral in 10% of patients.
Essential Tremor
Parkinson's Disease
Huntington Disease
Tic disorder
Which of the following is/are true regarding rehab of Parkinson's patients?
Exercise decreases progression of PD
Exercise has protective benefits on onset of PD
Swallowing evaluation is recommended
Hypophonia cannot be overcome by therapy
Rhythmic pattern/music training has no effect on freezing/festination
Which of the following is false regarding Parkinson's surgical treatment?
Techniques include destructive surgery and DBS
Patients with dementia and behavioral symptoms are candidates for surgery
Surgery can help with symptoms of rigidity, dyskinesias, and tremor
DBS is the preferred surgical treatment for PD-related tremor and levodopa-related complications
How many units of botox provides the median lethal dose (LD50) for an 18 gram female Swiss-Webster mouse?
1
10
50
100
The peak effect of botox occurs at:
2-3 weeks
4-6 weeks
6-8 weeks
3-5 days
The baclofen concentration at the level of the spinal cord for intrathecal administered baclofen to oral baclofen is:
5:1
10:1
100:1
500:1
The Split Anterior Tibial Tendon Transfer (SPLATT) is used to treat equinovarus deformity of the foot and involves a longitudinal split of which muscle/tendon?
Achilles
Tibialis Anterior
Tibialis Posterior
Peroneus longus
Sustained, nonrhythmic muscle contractions that are rapid and stereotyped, often occurring in the same extremity or body part during times of stress are referred to as?
Chorea
Hemiballismus
Tics
Akathisia
Having a manual wheelchair seat width too narrow can result in what complication?
Pressure injury to greater trochanters
Difficulty with wheelchair propulsion
scoliosis
pressure injury to ischial tuberosity
A 75 y/o female with right sided hemiparesis requires a manual wheelchair. What critical adjustment of the wheelchair is needed?
Lower the height of the seat
Raise the height of the seat
Provide a wider wheel base
Ensure safety belt is in place
What is the preferred armrests for wheelchairs?
Desk-length fixed
Desk-Length removable
Full-length fixed
Full-length removable
Which wheelchair design would be better for a patient with an ischial pressure injury?
Bed Rest
Suspension system
Power recliner
Tilt-in-space
What is the minimum degree of tilt required for sufficient redistribution of pressure in a Tilt-in-Space Wheelchair?
30
50
80
100
Huntington’s Disease, an autosomal dominant disease, caused by an abnormal accumulation of the Huntington protein in brain cells, is due to what genetic defect?
FGFR3 gene mutation
CAG trinucleotide repeats of chromosome 4
Fibrillin/FBN1 mutation
FMR1 mutation due to CGG trinucleotide repeats
Which structure is often atrophied on brain imaging in Huntington’s Disease patients?
Caudate
Substantia Nigra
Putamen
Pars Reticulata
Caudate
Substantia Nigra
Putamen
Pars Reticulata
Which of the following regarding Friedreich’s Ataxia is false?
Autosomal recessive inheritance with gene X25 mutation.
Presents most commonly after age 25.
Most commonly starts with progressive ataxia, lower limb areflexia, impaired vibration and proprioception.
Nonneurologic conditions include hypertrophic obstructive cardiomyopathy.
Which of the following medications is least likely to be a cause of drug induced parkinsonism?
Haldol (and other neuroleptic agents)
Metoclopramide
Amiodarone
THC
Lithium
When prescribing a wheelchair, it is important to recall that inaccurate measurements are a major factor contributing to increased
Deformity
Pressure injury development
Patient discomfort
Cost
All are true regarding spasticity except for
A motor disordered characterized by an abnormal, velocity-dependent increase in the tonic stretch reflexes
Spasticity is a lower motor neuron syndrome
Spasticity is an upper motor neuron syndrome
Can result from conditions such as stroke, cerebral palsy, anoxic brain injury, SCI or MS
Which is not a sign associated with Upper Motor Neuron Syndromes
Hyperreflexia
Muscle Atrophy
Decreased cutaneous reflexes
Loss of coordination
Which of the following diseases would having spasticity potentially put you at a decreased risk for?
DVT
CKD
TIIDM
HTN
Which of the following complications are associated with Spasticity?
Osteoporosis
DVT
Acquired peripheral/entrapment neuropathy
Muscle atrophy
A new stroke patient is admitted to your service on inpatient rehab. During your physical exam upon high velocity elbow extension you notice an increase in muscle tone with a catch and release at the end range of motion. How would you grade this using the Modified Ashworth Scale?
Elbow Flexion: 2
Elbow flexors: 1
Elbow Flexion: 1+
Elbow flexors: 1+
