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Neuro Exam I
Neuro Exam I
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1
A pt is rigid, has dyskinesia, and has difficulty dual tasking. What condition is MOST likely?
TBI
SCI
Parkinson's Disease
Stroke
2
What helps to stabilize gaze during head movements?
Semicircular Canals
Vestibulo-Spinal Reflexes
Vestibulo-Ocular Reflexes
Otoliths
3
You suspect that your pt has had damage to their parietal lobe. Which symptom would you NOT expect to during the eval?
R-L Discrimination
Ataxia
Finger Agnosia
Agraphia
4
Injury to which tract causes spasticity?
DCML
Tectinospinal
Corticospinal
Spinothalmic
5
Which structure detects linear accerleration and orientation of the head in relation to gravity?
Vestibulo-Ocular Reflexes
Vestibulo-Spinal Reflexes
Otoliths
Semicircular Canals
6
Fasciculations are associated with which type of injury?
Parkinson's Disease
Stroke
UMN lesion
LMN lesion
7
A pt has weakness, increased reflexes, and hypertonia, What type of condition is most likely?
UMN Lesion
LMN Lesion
Nerve Compression
Cerebellar involvement
8
To prevent a contracture, which basic PNF technique would be MOST effective?
Resistance
Prolonged Stretch
Quick Stretch
Tapping/Repeated Stretch
9
Which structure detects angular accleration and deacceleration forces?
Otoliths
Semicircular Canals
Vestibulo-Spinal Reflexes
Vestibulo-Ocular Reflexes
10
How does the suspensory strategy effect balance?
By Stabilizing the COM over the BOS
By realigning the BOS under the COM
By recruiting muscles so the body moves around a fixed pedulum
By Lowering COG
11
If a patient has stopped going to church due to pain, what part of the ICF model does that go under?
Activites
Health Condition
Participation
Body Function and Structure
12
A pt has been Dx with a CVA, and has difficulty producing forces rapidly. Which movement diagnosis is MOST likely?
Fractionanted Movement
Hypermetria
Hypokinesia
Force Production Deficit
13
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"Good Job"
"That was 2 seconds faster"
No feedback bc the pt doesn't ned it anymore
"That was fast"
14
A pt is A&O x 1, and require multiple stimuli to stay awake, What state of conciousness are they in?
Stupor
Obtunded
Alert
Lethargic
15
How do reaching movements effect balance?
By Lowering COG
By Stabilizing the COM over the BOS
By recruiting muscles so the body moves around a fixed pedulum
By realigning the BOS under the COM
16
A pt is dx with gertsmann syndrome, what part of the brain is damaged?
Prefrontal Cortex
Parietal Lobe
Temporal Lobe
Frontal Lobe
17
If a patient has trouble going up and down the stairs, what part of the ICF does that go under?
Body Function and Structure
Activites
Health Condition
Participation
18
If you lose ONE of the 3 senses, Balance can still be functional
TRUE
FALSE
19
A pt complains of “tunnel vison”. Which visual field deficit is MOST likely?
R Optic Tract Lesion
L Optic Tract Lesion
Optic Chiasm Lesion
Optic Nerve Lesion
20
Exerternal perturbations are an example of what type of postural control?
Anticipatory
Adapative
Proactive
Reactive
21
A pt is able to carry out spontaneous tasks, but is unable to perform tasks on demand, what condition is MOST likely?
Ideomotor Apraxia
Expressive Aphasia
Ideation Apraxia
Receptive Aphasia
22
When is the hip strategy used as a balance strategy?
On a soft/foam surface with large perturbations
On a firm surface with small pertubrations
On a firm surface with large perturbations
On a soft/foam surface with small perturbations
23
Which is a test of activity and functional performance?
Modified Ashworth
FGA
ABC
Falls Efficacy Scale
24
What assists in regulation of postural tone and muscle activity?
Otoliths
Vestibulo-Spinal Reflexes
Semicircular Canals
Vestibulo-Ocular Reflexes
25
A pt is diagnosed with “Lumbar Radiculopathy”, when testing his reflexes what do you expect his LEs reflexes to score?
2+
4+
3+
1+
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Moter Performance
Transfer Test
Motor Learning
Retension Test
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R ACA
R MCA
L ACA
L MCA
28
A pt has expressive aphasia, what do they have difficulty with?
Combinations of getting the words out and processing them in
Processing the words coming IN
Getting the words OUT
Motor articulation
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Cognitive
Associative
Autonomous
Motor Control
30
A pt reports dizziness with head turns, What movement system diagnosis is MOST likely?
Force Production Deficit
Perceptual Deficit
Sensory Selection and Weighting Deficit
Sensory Detection Deficit
31
Which standardized outcome measure is considered a static test for stable BOS?
Functional Gait Assessment (FGA)
Functional Reach
Mini-BESTest
TUG
32
A patient has excessive kee and hip motion during gait, which sequencing problem is MOST likely?
Co-Activation on agonists
Delayed Recruitment of proximal synergies
Reversal in recruitment
Delayed Activation of postural responses
33
A pt has difficulty distinguishing foreground from the background, what might they be having trouble with?
Position in space
Topographic Orientation
Figure Ground Perception
Body Scheme
34
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Ideation Apraxia
Ideomotor Apraxia
Anosognosia
Ataxia
35
Which dysfunction is NOT part of the coordination motor exam?
Dysmetria
Dyssynergia
Dysdiadokinesia
Kinesthesia
36
Which is NOT a common postural problem in patients with cerebellar involvement?
Dyskinesia
Difficulty Adapting sensory information
Difficulty Scaling activites
Hypermetric responses
37
If a patient is Mod A during transfers, where would that go in the ICF model?
Body Function and Structure
Participation
Activites
Impairments
38
A pt reports a sensation of falling and is resistant to correction, which movement system diagnosis is MOST likely?
Force Production Deficit
Perceptual Deficit
Sesory Selection and Weighting Deficit
Sensory Detection Deficit
39
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10 Meter Walk
6 Minute Walk
FGA
Five Times Sit to Stand
40
A pt has been gait training after a CVA, What type of treatment does this fall under?
Compensation
Prevention
HEP
Remediation
41
Which sensory system usually has the most input during posture control and balance
Somatosensory
CNS
Vestibular
Vision
42
A pt performed the TUG in 20 secs during eval. To have meaningful change how quickly would he have to be during re-eval?
16 seconds
20 seconds
18 seconds
17 seconds
43
A patient shows a (+) Babinkski sign, what is type of injury does that indicate?
UMN lesion
LMN lesion
Hypertonic
Peripheral Nerve Damage
44
Which motor stratagy for balance is activated distal to proximal?
Hip Strategy
Reaching
Ankle Strategy
Stepping
45
A pt with a stroke refuse to use his affected arm during mealtimes. Which principle of neuroplasticity is seen?
Use it or Lose it
Transference
Use it and improve it
Interference
46
When is the ankle strategy used as a balance strategy?
On a firm surface with large perturbations
On a firm surface with small pertubrations
On a soft/foam surface with small perturbations
On a soft/foam surface with large perturbations
47
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Lacunar Stroke
PCA
AICA
PICA