1. You have just finished your examination
The contrecoup injury occurs
and evaluation of a pt who is about to begin
rehab from SCI. The pt’s family asked you if
the pt will ever be able to drive indep. What
is the highest SCI level where this activity
would be a realistic indep fxnal outcome?
a. C4
b. C6
c. T1
d. T3
2. You are about to examine a pt who
according to the medical record suffered
from a MCA stroke. Based on your
knowledge of the various strokes and
manifestations, you expect this pt to present
c:
a. C/L hemiparesis and sensory
deficits c involvement of
LE>UE
b. C/L hemiparesis and sensory
deficits c involvement of
UE>LE
c. C/L hemiparesis and sensory
deficits UE=LE
d. C/L hemiparesis and aphasia
3. You just have completed your
examination of a pt dx c SCI. Your
documentation states the ff for motor
control: Paralysis of trunk and (B) LE but
able to demonstrate sh control (delts),
elbow flexion (biceps/elbow flexors), FA sup
(brachialis and brachioradialis), although
lacks elbow extension and FA pronation.
Which SCI are you describing?
a. C4
b. C5
c. C6
d. C7
4. You are examining a pt who suffered a
dramatic brain injury as a result of a
contrecoup insult. How does this type of
insult differ from a coup injury?
a.
directly beneath the area of
the impact
b. The contrecoup injury occurs
directly opposite to the point
of impact
c. The contrecoup injury is the
result of a moving object that
strikes the skull
d. The contrecoup injury is the
result of a crush syndrome
5. *Your supervisor is watching you
examine a pt in ICU who recently suffered a
stroke. Your evaluation reveals C/L
hemiplegia (UE>LE), homonymous
hemianopsia, aphasia and C/L loss of
sensation in the UE. Your supervisor asks
you which of the cerebral aa is the likely
location of the lesion.
a. MCA
b. ACA
c. PCA
d. Lateral cerebral aa
6. You are performing auscultation of a pt’s
heart. Which of the ff is true about the 2nd
sound during auscultation of the heart?
a. 2nd sound is of the closure of
the aortic and pulmonic
valves
b. 2nd sound is of the closure of
the mitral and tricuspid
valves
c. 2nd sound is of the opening
of the mitral and tricuspid
valves
d. 2nd sound is of the opening
of the pulmonic and aortic
valves
7. You are examining a pt who sustained
SCI and who presents c the ff findings:
Intact proprioception in (B) LE, c (B) loss of
motor fxn and sensitivity to pain and
temperature below the level of the lesion.
Which of the ff syndromes is the lesion most
typical of?
a. Brown Sequard Syndrome
b. Anterior cord syndrome
c. Posterior cord syndrome
d. Lateral cord syndrome
8. *You are evaluating a pt in ICU. The pt
demonstrates no eye opening no verbal
response and no motor response. Using the
GCS, how would you score this pt?
a. 0
b. 3
c. 5
d. 7
9. Indep community ambulation as the
primary means of fxnal mobility is a realistic
fxnal expectation for a pt c the highest level
of SCI at:
a. T9-T10
b. T12-L1
c. T6-T9
d. L4-L5
10. You are examining a 21-yr old man who
suffered a GSW and now exhibits Brown
Sequard syndrome. The classic s&sxs of
this syndrome are:
a. Preservation of the perianal
sensation, (N) LE reflexes
and active toe flexion
b. I/L weakness and loss of
proprioception and vibration
below the lesion level c C/L
loss of pain and temperature
sensation
c. Loss of motor fxn and pain
and temperature sensation
below the level of the lesion
on (B) sides of the body
d. Loss of UE fxn c preservation
of LE fxn
11. You are setting a long-term goal for an
18 y/o pt c C7 quadriplegia. Which of the ff
goals represents the most reasonable and
highest level of fxn that the pt should
achieve?
a. Amb on level surfaces c
knee-ankle-foot orthoses
b. Use of a power w/c
c. Indep bed mob
d. Negotiation of uneven terrain
c manual w/c
12. A pt c Brown Sequard syndrome is
referred to PT. This type of SCI presents c:
a. Paralysis, loss of
proprioception and vibration
on the same side of the
lesion
b. Loss of pain and temperature
on the opposite side of the
lesion
c. Paralysis, loss of pain and
temperature on the same
side as the lesion
d. Both A and B
13.* You are examining a pt c a hx of stroke
several weeks prior. The pt is unable to talk
to name common objects or to formulate
words because of the stroke. The medical
condition for this term is?
a. Apraxia
b. Aphasia
c. Apraxia
d. Agnosia
14. You are reviewing the medical records
of the pt you’re about to examine in the ICU.
According to the pt’s chart the pt suffered an
intracranial bleed d/t trauma. Which of the ff
is the most common type of intracranial
bleeding d/t trauma?
a. Subdural hemorrhage
b. Subarachnoid hemorrhage
c. Intercranial bleed
d. Extracranial bleed
15. *You are treating a pt c C5 tetraplegia
who begins to demonstrate s & sx of
autonomic dysreflexia. Which of the ff VS, if
monitored, would validate the presence of
this condition
a. Pulse rate
b. Respi Rate
c. BP
d. Body temp
16. You are examining a pt who is 3 days
S/P head injury. You note that the pt is
demonstrating decorticate posturing. This
type of posturing is characterized by:
a. UE pxned in extension and
LE in flexion
b. UE pxned in flexion and LE
in flexion
c. UE pxned in extension and
LE in extension
d. UE pxned in flexion and LE
in extension
17. *Broca’s aphasia is a common
manifestation resulting from a CVA that
affects which of the ff aa?
a. Basilar aa
b. PCA
c. MCA
d. ACA
18. A pt rehabilitating from SCI has
significant LE spasticity which often results
in the pt’s feet to becoming dislodged from
the w/c’s footrest. The most appropriate
modification to address this problem is:
a. Hydraulic reclining unit
b. Elevating leg rest
c. Heel loops and/or toe loops
d. Detachable swing-away leg
rest
19. You are treating a pt who had recently
suffered a stroke and has been dx c ® sided
homonymous hemianopsia. Which of the ff
statement is true about the placement of
objects in the early rehab period?
a. Objects should be placed on
the (L) side of the pt
b. Objects should be placed on
the ® side of the pt
c. Objects should be placed on
both sides of the pt
d. Objects should be placed
slightly to the ® of the pt
20. You are treating a pt dx c MS. All of the
ff would be included in your design for the
intervention except:
a. Scheduling late morning
sessions
b. Aggressive stretching
c. Energy conservation and
stress management
techniques
d. High intensity exercise
21. (TEX) You are treating a pt who has
suffered a CVA 8 wks ago. The pt is
demonstrating isolated jt mvt that are
performed c coordination. According to
Brunnstrom, which stage of recovery is the
pt in?
a. 3
b. 4
c. 5
d. 6
22. You are treating a 60 y/o male dx c PD.
D/t the effects of the dse, pt is unable to
perform BADLs s assistance from family
members. Your most appropriate mx
objective is?
a. Improve UE and LE strength
b. Improve respi capacity
c. Improve initiation of mvt
d. Improve UE and LE ROM
23. While treating a pt c a T4 SCI, the pt
begins to exhibit s and sxs of autonomic
dysreflexia while exercising in the supine
pxn. What would be the best course of
immediate action?
a. Check the pt’s catheter for
blockage
b. Sit the pt up
c. Elevate the pt’s legs
d. Monitor the pt’s BP
24. You are about to discharge a pt c a C7
SCI. Which of the ff would be challenging
but obtainable goals for this pt?
a. Indep c ADLs; may need
adaptive aids for bowel care
b. Indep pressure relief
c. May have limited walking c
bracing
d. Indep slide board transfer
25. *While examining a pt, you notice color
changes in the skin during pxn changes of
the foot. Specifically, pallor develops during
elevation of the leg and hyperemia develops
when the limb is then pxned in the
dependent pxn. Based on your findings, you
decide to treat this pt for?
a. Chronic venous insufficiency
b. Arterial insufficiency
c. Raynaud’s phenomena
d. Buerger’s dse
26. You are treating a pt who has a
complete SCi at the level of C6. As part of
your intervention you decide to instruct the
family in exercises to maintain the pt’s
passive ROM. What should you instruct the
family to do?
a. Focus on ranging only those
mm that assist specific fxnal
needs
b. Maintain the (N) ROM of all
of the pt’s mm
c. Emphasize flexibility of the
LB extensors and hamstrings
while maintaining (N) ROM in
other areas
d. Avoid ROM to certain areas
to promote stability (e.g
Shoulders)
27. You are monitoring a cardiac pt during
an exercise session. All of the ff would be
expected to occur physiologically c this pt at
a given workload, except?
a. (B) HR and Systolic/Diastolic
BP will increase
b. HR will be higher while
systolic BP will be lower
c. Systolic and diastolic BP will
(B) increase
d. This pt will tire the longer the
exercise duration
28. (TEX) Your pt is recovering from a ®
CVA. During gait analysis you observe
lateral trunk bending toward the (L) during
midstance on the (L) leg. Of the ff, what
would you do to help correct this deviation?
a. Strengthen hip ABD on ®
b. Strengthen hip ABD on (L)
c. Strengthen hip extensors on
®
d. Strengthen hip extensors on
(L)
29. (TEX) PT intervention for a pt c PD
includes therapeutic exercise. The desired
response to exercise for this pt is:
a. Increased isotonic and
isometric strength
b. Improve initiation of mvt and
reciprocal motion
c. Improve ROM and jt stab
d. Increase proximal and distal
stab