NMP Midterm Exam

A pt experiencing tetraplegia and locked in syndrome is likely suffering what kind of stroke?

When should the patient evaluation occur?

Which Ranchos level does cognitive deficit coincide with?

A movement system diagnosis is based on which of the following?

Which type of cerebral hemorrhage is typically caused by a rupture of a cerebral aneurysm?

Test and measures are always prognostic

Which of the following is MOST likely to impact the PT plan of care of a patient with a R hemispheric stroke?

What type of AFO is recommended for individuals in Brunnstrom stage 3 according to the AFO CPG?

Which of the following is a score of the smallest amount of change that would indicate a notiveable change in ability?

A high INR could indicate what?

Only a pt with a L hemsipheric lesion would have difficulty expressing negative emotions

What is the main symptoms of a brainstem stroke?

A physical therapist is walking a patient who recently had a hemorrhagic stroke. What SHOULD the patient's INR be?

To be classified as a neurological stroke, it must persist for at least 24 hours

Which of the following will influence your prognosis?

What part of the brain is most affected with pusher syndrome?

Which of the following are characteristics of a hemorrhage stroke?

Which type of neurosurgery must be done within 6 hours of onset?

Pt experienced urinary incontinence, flat affect, and lower extremity > upper extremity motor impairment. which stroke?

Stroke is the second leading cause of death and the leading cause of long-term disability among adults in the US

tPA is contraindicated in patients with hypertension

What is an evaluation?

Which of the following is not a symptom listed on the NIH stroke scale?

Which of the following would we be concerned with when reviewing a blood test post-stroke?

An arteriography is an x-ray of the carotid artery with a dye injected into an artery in the arm or leg

Which of the following would be considered the most important goal of long term medical management?

Pusher syndrome typically takes about 1 year to overcome and correct with good prognosis to return to walking at 2 years

A pt presents with slow, cautious behavior and wernicke's aphasia, what is the likely medical diagnosis?

Physician guidelines ALWAYS supersede published guidelines

At what point should tPA be prescribed to a patient with atherothrombotic stroke?

Which of the following arteries are pictures under a doppler ultrasound?

An MRI is the gold standard with stroke imaging at all hospitals and EDs

What questions are appropriate to ask a patient in home health?

The likely intellectual deficit of a pt with right hemispheric lesion would be:

If a patient is taking Warfarin, but INR is less than 2, what is your patient at risk for?

A PT is working with a pt who has a rapid onset of headache described as "the worst HA of my life." MOST concerned w/?

Which prognostic indicators is ONLY appropriate for pts with lesions to the primary motor cortex or UMN tracts?

Which of the following can neuroimaging not provide to us?

A stroke which develops slowly and are often purely motor or sensory from fatty deposits in the bloodstream is a...

Pt presents post-stroke with difficulty reading because of homonymous hemianopia & Raynaud's disease. Likely diagnosis?

If taken in ___ hours, a CT scan will tell what type of stroke is present, if taken in ____ weeks, will tell the extent

What is the ideal INR range for a patient 3 days status post hemorrhagic cerebrovascular accident?

Which of the following help create a good prognosis statement?

Which type of stroke is characterized by a more variable onset, PMH of ischemic attacks, &family hx of ischemic stroke?

Which of the following is not a goal of medical management?

While performing high intensity gait training a PT has a pt step on and off a foam. Which would have MOST difficulty?

Which patient would pose the most risk in having a stroke?

This imaging is a series of x-rays that are taken at different angles to allow for a 3D image of the arteries.

If a pt is too low level, we should not perform the outcome measure

When working with your patient, it is important to let the patient do it, make it salient, and prioritize intensity

Which of the following stroke syndromes has the WORST prognosis for return to indepdent ambulation?

Hemorrhagic stroke is the most common CVA, affecting about 80% of individuals with stroke

How many reps are we looking for our patient to do, ideally? Does it rep need to look perfect?

If the SEM is a higher value, the more reliable a test is

CT imaging is the most adopted gold standard neuroimaging device post-stroke

Which of the following is not important when triangulating patient safety?

Which of the following is deprived from the brain causing cellular metabolism leading to tissue necrosis after stroke?

What does F.A.S.T stand for in relationship to a stroke?

Increasing intensity after stroke will lower your chances of recurrent stroke and prove to have a better outcome

If the INR is between 4.0-5.0 resistive exercise is still okay as long as you are cautious

1.0 is the normal value of INR

A pt has a movement system diagnosis of hypokinesia, which of the following stroke syndromes do they MOST likely have?

A lesion in the R & L hemisphere could cause apathy, homonymous hemianopsia, depression, memory loss, or low frustration

As long as a pt is can advance both limbs, which is LEAST important when completing high intensity gait 4 pt w/ stroke?

A physical therapist is walking a patient who recently had an ischemic stroke. What is their INR?

The presence of urinary incontinence in someone with an ACA stroke indicates a worse prognosis

How many degrees do patient's with pusher syndrome shift their midline?