quiz 1 & 2 Flashcards
Which of the following locations would a patient report diminished sensation if the L3 dermatome region was impacted?
Dorsum of foot
Groin
Anterior thigh
Lateral calf
Anterior thigh
A patient with an upper motor neuron syndrome presenting with the typical pattern of spasticity in the upper limb would present with which of the following joint positions?
Shoulder abduction
Shoulder internal rotation
Wrist extension
Elbow extension
Shoulder internal rotation
Which of the following BEST differentiates the anterolateral spinothalamic tract from the dorsal column tract?
The anterolateral spinothalamic tract transmits fine touch, while the dorsal column tract transmits crude touch.
Both tracts transmit pain and temperature but to different areas of the brain.
The anterolateral spinothalamic tract is responsible for motor control, while the dorsal column tract is responsible for sensory processing.
The anterolateral spinothalamic tract carries pain and temperature, while the dorsal column tract carries proprioception and vibration.
The anterolateral spinothalamic tract carries pain and temperature, while the dorsal column tract carries proprioception and vibration.
A patient presents with muscle atrophy, fasciculations, and hyporeflexia in her right arm. These symptoms BEST describe which of the following neurological syndromes?
Anterior cord syndrome
Upper motor neuron syndrome
Central cord syndrome
Lower motor neuron syndrome
Lower motor neuron syndrome
A patient presents with complete loss of voluntary movement on one side of the body following a cerebrovascular accident. Which term BEST describes this condition?
Monoplegia
Paraplegia
Hemiparesis
Hemiplegia
d. Hemiplegia
Which of the following interventions BEST represents the neuroplasticity principle of ‘salience’ within a treatment?
A patient with a goal to ambulate performs ambulation
A patient with a passion for soccer performs ball kicking activities
A patient performs a movement fifty times
A patient pushes themselves physically to work hard
b. A patient with a passion for soccer performs ball kicking activities
Which of the following motor impairments is characterized by increased muscle tone that is uniform and present throughout the entire range of motion, regardless of movement velocity?
Clonus
Rigidity
Flaccidity
Spasticity
b. Rigidity
PT Evaluation results for light touch sensation on the right side of the body:
Region: Sensation Grade:
C4 1
C6 1
C7 1
C8 3
T4 4
T7 4
T10 4
L1 2
L2 2
L4 2
L5 2
S1 2
S2 2
What does the sensation test score for the dermatome region of the medial malleolus indicate?
Sensation in this area was decreased, delayed
Sensation in this area was increased, exaggerated
Sensation in this area was inconsistent
Sensation in this area was absent
b. Sensation in this area was increased, exaggerated
A patient who presents with a traumatic brain injury resulting in right side upper and lower body coordination impairments as well as a right upper extremity scapula fracture which was repaired 12 weeks. Based on this information, which of the following Proprioceptive Neuromuscular facilitation interventions would be the MOST appropriate and effective to perform with this patient to address their coordination deficits and improve function with ambulation?
Resisitive D1 pattern to the right lower extremity
Resistive D2 pattern to the left lower extremity
Resisitive D2 pattern to the left upper extremity
Resisitive D2 pattern to the right upper extremity
a. Resistive D1 pattern to the right lower extremity
Which of the following sensation tests is MOST likely being performed if a patient is asked to, ‘Move your elbow through a small ROM and hold statically in a position. Describe the position by duplicating the position on the contralateral extremity?’
Kinesthesia Awareness
Stereognosis
Proprioceptive Awareness
Graphesthesia
a. proprioceptive Awareness
Which of the following BEST describes the difference between an equilibrium and a nonequilibrium exercise intervention?
Equilibrium exercises are used exclusively for patients with spinal cord injuries, while nonequilibrium exercises are used only for patients with traumatic brain injuries.
Equilibrium exercises are performed in open-chain positions, while nonequilibrium exercises are always performed in closed-chain positions.
Equilibrium exercises focus on improving postural stability and balance control, while nonequilibrium exercises emphasize limb coordination and movement control in non-weight-bearing positions.
Nonequilibrium exercises are designed to improve postural stability in standing, while equilibrium exercises focus on strengthening isolated muscle groups
Equilibrium exercises focus on improving postural stability and balance control, while nonequilibrium exercises emphasize limb coordination and movement control in non-weight-bearing positions.
Which of the following interventions would be the MOST appropriate adjustment for a patient presenting with hyperalgesia?
Encourage complete rest and avoidance of all sensory input to prevent further pain.
Use only thermal modalities, such as ice or heat, to manage pain without incorporating movement-based interventions.
Introduce graded exposure to non-noxious stimuli and desensitization techniques to reduce pain sensitivity.
Increase pressure during manual therapy to desensitize the area more quickly
c. Introduce graded exposure to non-noxious stimuli and desensitization techniques to reduce pain sensitivity.
In which of the following ‘Stages of Motor Learning’ would a patient rely on visual feedback and cognitive effort to perform a task?
Autonomous
Associative
Expert
Cognitive
d. Cognitive
Which of the following PNF patterns is MOST appropriate for a patient needing to improve shoulder flexion, external rotation and abduction strength?
Upper extremity D2 extension
Upper extremity D1 extension
Upper extremity D1 flexion
Upper extremity D2 flexion
d. Upper extremity D2 flexion
A patient presents with a “flat” or absent facial expression at rest and has difficulty engaging the muscles of his face to show expressions. Which of the following spinal tracts is MOST involved in the function of facial expressions?
Corticobulbar tract
Spinothalamic tract
Vestibulospinal tract
Corticospinal tract
a. Corticobulbar tract
A patient who presents with weakness and limited ability activating the gluteus maximus, gluteus medius and gastrocnemius muscles would BEST benefit from manual resistance, applied during which PNF pattern?
D2 flexion pattern
D1 flexion pattern
D2 extension pattern
D1 extension pattern
c. D1 extension pattern
When performing sensation testing, which of the following statements is MOST accurate in regards to the procedure and recommendations for testing?
Perform testing to the distal area first
Perform testing to the proximal area first
Perform testing with the eyes open first
Perform deep sensations first
a. Perform testing to the distal area first
Which of the following statements BEST describes the theory behind how Proprioceptive Neuromuscular Facilitation improves coordination?
Tactile and verbal cues should be avoided to prevent overstimulation of the nervous system
Facilitating distal stability of joints leads to improvments in proximal control
Facilitating proximal stability of joints leads to improvments in distal control
Maximal resistance and tactile cues promote motor performance allowing for better control of limbs
Facilitating the proximal stability of joints leads to improvements in distal control
The Physical Therapist Assistant provides verbal cues to “Close the hand, turn, and pull up and across the face” during a PNF session. Based off this verbal cue, which of the following diagnol patterns is MOST likely being performed?
UE D2 Flexion
UE D2 Extension
UE D1 Flexion
UE D1 Extension
UE D1 Flexion
A patient who has impairment of cranial nerve twelve would MOST likely present with?
Tinnitus
Myopia
Asthenia
Dysarthria
Dysarthria
When performing DTR testing, a patient is graded a 4+ grade when the plantar flexors are tested. Which of the following statements BEST describes this presentation?
There is no response to the stimulus
The reflex is brisk yet normal
There is slight movement of the plantarflexors yet it is depressed
Clonus is observed in the plantarflexors
the reflex is brisk yet normal
Post motor vehicle accident the patient is obtunded and presents with bilateral upper extremities and lower extremities in extension. Which of the following statements BEST describes what has likely occured?
A lower motor neuron injury associated with peripheral nerve injury
A stroke which can be managed with hypertensive medications
A severe brainstem injury and poor prognosis
A cerebral cortex injury and favorable prognosis
A cerebral cortex in jury and favorable prognosis
A patient who demonstrates dysfunction within the “Tectospinal Tract” would MOST likely present with dysfunction of which of the following cranial nerves?
Cranial nerve 2
Cranial nerve 5
Cranial nerve 11
Cranial nerve 9
cranial nerve 11
Which of the following descending motor spinal tracts would need to be INTACT in order to perform deep tendon reflex testing to the patellar tendon?
Reticulospinal
Vestibulospinal
Cerebrospinal
Tectospinal
reticulospinal