Neuro 1
Neuro 1
2. Patient c/o loss of balance and nystagmus. Upon giving non-equilibrium tests, patient
always overshoots touching from his finger to PT's finger. He also presents
intentional tremor. Which structure is damaged?
A. Posterior lobe of cerebellum
B. Flocculonodular lobe
c. Paleocerebellum
D. Basal ganglia
3. Which of the following functions is most likely to be impaired in a patient who has a
pontine infarct?
A. Jaw movement
B. Eyelid elevation
C. Tongue movement
D. Pharyngeal swallowing
4. A patient with stroke comes to the clinic with left hand weakness. As a therapist, you
know that the patient will also have problems with:
A. Expressing positive emotions
B. Safety precautions
c. Language expression
D. Mathematical calculations
5. Upon initial evaluation, you noticed that patient is using neologisms because he is
unable to understand the question asked. Which is the possible damage area in the
brain?
Picture:
7. Upon PT evaluation, you asked your patient to say "ah", You observed that the uvula
deviated to the left upon doing the action. What is the most likely affected structure?
A. Lesion to the R CN 9
B. Lesion to the R CN 10
c. Lesion to the LCN 9
D. Lesion to the L CN 10
9. Patient has a cranial nerve lesion. Based on your ocular inspection, what other
manifestation is seen on your patient?
A. Vertical diplopia
B. Impaired pupillary light reflex
c. Impaired sensation on R side of face
D. Horizontal diplopia
10.The patient tested positive in the test shown below. What is the expected
manifestation seen in this patient?
A. Unable to move eye medially
B. Jaw deviation towards bad side
c. Tilting of the head away from the lesion
D. Loss of taste sensation on anterior 2/3 of tongue
11.Observing the accommodation reflex, when the target is moving closer to the
patient, what extraocular muscle should contract?
A. Lateral rectus
B. Superior oblique
c. Inferior rectus
D. Medial rectus
C. Endoneurium, Epineurium
D. Epineurium, Perineurium
14.You have a T4 SCI patient and you are to position the patient using a tilt table. You
are aware that the patient is experiencing AD, except:
A. 20 mm Hg increase in systolic blood pressure
B. Flushing and piloerection below level of lesion
c. Blurred vision
D. Constricted
15.All statements are true about Spinal cord injury, except:
A. Complete injury as having no sensory or motor function in the lowest sacral
segments (54 and 55) with no sacral sparing
B. Anterior cord syndrome is frequently related to flexion injuries of the cervical
region with resultant damage to the anterior portion of the cord and/or its vascular
supply from the anterior spinal artery.
C. Individuals with cauda equina injuries exhibit reflexive bowel and bladder and
saddle anesthesia.
D. Central cord syndrome has been associated with congenital or degenerative
narrowing of the spinal canal.
16.A patient with Spinal Cord Injury is referred for Initial management. Medical chart
reveals that the injury is at the level of C8 on the right side due to a gunshot wound.
Which of the following findings is most expected from this patient?
A. Impaired proprioception sensation on the left middle finger
B. Intact vibratory sensation on the right little finger
c. Absent temperature sensation on the left apex of axilla
D. No pain sensation on the right lateral epicondyle
17.A therapist is treating a patient with severe Alzheimer's disease. What manifestations
will you expect this patient to have?
A. Becoming restless at night
B. Forgetting familiar words
C. Lost sense of self
D. Loss of recent memories
18.Mrs. Park, a 45-year-old detective, is admitted to the neurology units with rapid
worsening fatigue, progressive weakness, and a recent onset of difficulty breathing.
She was diagnosed with myasthenia gravis. Which of the following is not a feature of
MG, except?
A. Presence of antibodies to voltage-gated calcium channels
B. Administration of edrophonium improves strength
c. Resolution of weakness upon exercise
D. Presence of bronchial carcinoma
19.Patient was diagnosed with CVA, and a thrombus was found in the red-shaded area.
Which clinical manifestation is seen?
A. RLE>UE weakness
B. Frontal gaze paralysis to the L
c. L homonymous hemianopsia
D. Non fluent aphasia
20.Pt has affectation on the imaging shown. Observed changes are expected to the pt;
except:
A. Difficulty initiating tasks, processing delays
B. Difficulty processing verbal cues, verbal commands
c. Disorganized problem solving
D. Rigidity of thought
21.
A. Right inferior quadrantinopsia; Left parietal fibers of optic radiation
B. Right superior quadrantinopsia; Left temporal fibers of optic radiation
C.Left inferior quadrantinopsia; right parietal fibers of optic radiation
D. Left superior quadrantinopsia; right temporal fibers of optic radiation
22.A patient comes to the clinic with a diagnosis of unknown Neurologic Disorder. When
doing assessment, you notice a violent, flailing motions of the LUE and LE. What part
of the brain is affected?
A. Putamen
B. Caudate
C. Globus Pallidus
D. Subthalamic Nucleus
23.You are treating a patient with known neurological condition. Upon IE, you observed
that the pt has jerky movements of the limbs as well has signs of forgetfulness and
hallucination. What is the possible diagnosis of the patient?
A. Huntington's disease
B. Alzheimer's disease
C. Parkinson's disease
D. Grand mal seizure
24.A 5-year-old patient with spina bifida with talipes equinovarus seen in both feet.
What is the expected level of affectation?
A. L5-S1
B. L1-L2
C. L4-L5
D. S2
25.Vice sustained a whiplash Injury 2 mo. ago after a vehicular collision. A day after the
incident, she noted severe vertigo lasting for 29 seconds whenever she bends over,
looks up, or get out of bed that is persistent downbeating and torsional to the L.
Imaging are normal and no tinnitus was noted.
A. Pt. Has UVH, (+) hallpike on (R), ant SCC, L cupulolithiasis
B. Pt. Has UVH, (+) hallpike on (R), post SCC, R canalithiasis
C. Pt. Has BPPV, (+)hallpike on (R), post SCC, L cupulolithiasis
D. Pt. Has BPPV, (+) hallpike on (L), ant SCC, L canalithiasis
26.You held your patient's head in slight flexion, then asked the patient to look at your
nose. You suddenly rotated the patient's neck towards the right. The patient showed
no corrective saccade. The same was seen when rotated to the opposite side.
You will note that the patient has?
A. Bilateral vestibular hypofunction
B. Canalithiasis
C. Defective vestibular ocular reflex
D. Normal vestibular function
27.Patient with a stooped posture present with small, even steps when walking and
often freezes when exposed to obstacles. What other clinical manifestations are seen
with this patient?
A. Excessive heel strike with increased forefoot loading
B. Difficulty turning: decreased steps per turn
c. Increased speed of walking
D. Slower learning rates, reduced efficiency
28.You are assessing your pt's pathological reflexes. You then performed resisted
abduction in his Llower extremity, the R LE also abducted. You noted that the patient
tested positive. What test is this and Indicative of what condition?
A. Kernig sign: Meningitis
B. Raimiste's: Stroke
c. Brudzinski sign: Meningitis
D. Soque's: Stroke
29.Patient with ALS was referred to you. Upon evaluation, you observed the signs and
symptoms seen in this diagnosis. Which is not an expected manifestation in your
patient?
A. Sialorrhea
B. Intact bowel and bladder function
c. Impaired sensation
D. Dysarthria
30.Mr. X suffered TBI 2 years ago. Currently, he has minor deficits that are not disabling.
According to GOS, patient can be under what level?
A. Upper severe disability
B. Lower severe disability
c. Lower good recovery
D. Upper good recovery
31.A patient with Parkinson's Disease is being referred for Initial Evaluation. According to
the patient's chart, she is under level 3 in the Hoehn and Yahr classification. As a
therapist, what will be the patient's manifestations?
A. Patient has difficulty in rising up from a sitting position
B. Patient has right UE and LE affectation
c. Patient is ambulatory with a single-tip cane
D. Patient has bilateral affectation
32.You are treating a patient when suddenly the patient experiences a seizure attack.
There is repetitive, jerking movements of the entire body. What type of seizure is the
patient experiencing?
A. Clonic
B. Grandmal
c. Tonic
D. Myoclonic
33.Your co-PT is treating an 80 y.o female patient. You know that these are expected
physiological changes to the patient, except:
A. Tunnel vision
B. Frequently increase use of taste enhancers
c. Resting blood pressure increases
D. Decreased peripheral resistance
34.A patient with sudden onset of weakness of the facial muscles on the left side but
able to wrinkle the forehead and cannot smile, pucker the lips, or wrinkle the nose.
There is an absence of tearing in the patient's left eye and dryness of the mouth. The
patient's corneal reflex is present on the left and right, and pinprick and temperature
sensation are normal on both sides of the face. This presentation is characteristic of:
A. Trigeminal neuralgia
B. Right cortical cerebrovascular accident
C. Facial palsy
D. Oculomotor nerve
36. Upon checking a patient's chart, it states that the patient has a good dynamic
balance. What will be the patient's presentation?
A. Able to maintain balance while turning trunk
B. Able to maintain balance while picking up objects from the floor
C. Able to weight shift easily within full range in all directions
D. Accepts moderate challenge without losing balance
37.A 24 y/o football player is recovering from Traumatic Brain Injury. The patient is under
the Graduated Return-to-play program and is now at the Sport-specific exercise
stage. As a therapist, what is the objective of the aforementioned stage?
A. Recovery
B. Increase HR
c. Add movement
D. Restore confidence
38. You objectively measure for static and dynamic balance using berg balance
scale to your 75 year old patient. Patient's score is 41. This is indicative of?
A. Patient has low risk of falls
B. Patient has significant risk of falls
c. Patient has no risk of falls
D. Patient has high risk of falls
39.You are assessing your patient's milestone. His mother told you that patient can now
hold his head steady in supported sitting. Which of the following reflexes is expected
to be seen?
A. Rooting reflex
B. Positive support reflex
c. Galant reflex
D. Plantar grasp reflex
41. If you were told by a co-PT that their assessment of a patient's Glasgow
Coma Scale was E2, V2, M5, how would you interpret this?
A. The patient's eyes open to pain, patient is confused and able to withdraw
stimulated arm
B. The patient's eyes open to pain, they provide incomprehensible sounds
when asked, and they are able to localize to trapezius pinch
c. The patient's eyes open to pain, oriented and are able to obey commands
D. You don't know how to interpret the mentioned scale
43. You are assessing the spasticity of the (L) LE using MAS. Result: slight
increase and catch in less than half of the motion performed. How would you
document it?
A. Knee extensors: 1+
B. Knee flexors: 1+
c. Knee extensors: 1
D. Knee flexors: 1
44. As the therapist stroke the upper right quadrant of the pt's abdomen,
there is no twitching of the sald area. How will you document the
assessment?
A. Abdominal reflex is normal
B. There is lesion at the T11-T12 level
c. Abdominal reflex is not normal
D. Findings are inconclusive
45. Your 7 month old patient has a response to extend his neck and UE, and
flexion legs upon neck extension. You know that when this reflex still persists,
this interferes with, except:
A. Holding the quadruped position
B. Development of crawling
c. Sitting balance when looking around
D. Rolling
46. You noticed that your patient's light touch sensibility has diminished
during sensory testing. What sensory impairment might your patient be
suffering from?
A. Pallanesthesia
B. Dysesthesia
c. Atopognosia
D. Thigmanesthesia
47. You are working with an 8-year old patient diagnosed with CP spastic
diplegia. She is able to walk without assistance but has limitations when
walking outdoors and in the community. What is her gross motor function
classification level?
A. Level 1
B. Level 2
c. Level 3
D. Level 4
49. In CTSIB, a patient presents with postural sway when the platform is
changed from a flat to an uneven one and when standing on a foam with eyes
open and closed. Patient is probably dependent on what?
A. Vestibular: postural sway in CTSIB 5, 6
B. Somatosensory: postural sway in CTSIB 3, 4, 5, 6
c. Vision: postural sway in CTSIB 2,3,5,6
D. Surface: postural sway in CTSIB 4,5,6
50. A 36 y/o female patient, is referred for initial Evaluation with complaints
of dysequilibrium and ataxia but no noted nystagmus and vertigo. What test
will you use assess for this patient?
A. Rotational chair test
B. Clinical Test for Sensory Interaction of Balance
c. Dix-Hallpike test
D. Roll test
52. You have a patient who suffered severe traumatic brain injury (TBI).
What are the other findings associated with this case?
A. Patient suffered Post-Traumatic Amnesia for 23 hours
B. Patient lost his/her consciousness for 1 hour
c. Patient suffered Post-Traumatic Amnesia for 8 days
D. Patient's GCS score is 14
53. You observed that your CVA patient exhibits a strong extensor synergy
in the upper extremity. Which is not part of the synergy?
A. Ankle plantarflexion
B. Hip external rotation
c. Knee extension
D. Ankle inversion
54. You are assessing the tone of your patient who has a post (R) CVA. You
noticed that there is a slight increase in the muscle tone, manifested by a
catch in less than half of ROM. What grade best described it?
A. 1
B.1+
C.2
D.3
55. Picture
A.T12-L1
B. L4-L5
C. S1-S2
D. S2-S4
56. A paraplegia SCI patient was referred to you for PT. Which off the
following is not an appropriate PT intervention for your patient?
A. For pressure relief: If patient is able to perform a forward lean, the lean
should be greater than 65 degrees.
B. For preparation in long sitting, hamstrings may require stretching to
achieve a straight leg raise of approximately 100 degrees.
c. All pressure-relief maneuvers should be maintained for at least 2 minutes
to be effective.
D. No resistance training of hip and trunk for the Ist few weeks
57. The patient manifests with high stepping gait. In order for the patient to
walk without hesitation, what will be the most helpful strategy to teach to the
patient?
A. Use of assistive device on the L side
B. Instruct the patient to look toward the floor when walking
C. Ask the patient to exaggerate hip flexion when walking
D. Use of anterior rollator walker
58. Patient is using the wheelchair as a primary mobility device. She is able
to use the W/C in level surfaces and uneven surfaces with difficulty, However,
she is unable to maintain nor assume the wheelie position. What is SCI level
of the pt?
A. T2
B. T3
C. C7
D. T1
59. A patient with SCI is under Pulmonary Rehabilitation. W the patient can
only mobilize secretions in the upper respiratory tract, what is the possible
level of injury?
A. T10
B. T2
C. T5
D. T1
64. You are teaching positional strategies to your CVA patient to prevent
malalignment for occurring. Which is not beneficial to your patient?
A. Supine: Scapular protracted, shoulder forward and slightly adducted; arm
supported on a pillow (affected UE)
B. Sitting: Hips flexed to 90°, positioned in neutrall with respect to rotation
C. Sidelying on good side: affected hip is forward and flexed, knee flexed and
supported on a pillow
D. Sitting: Pelvis is aligned in neutral with weight-bearing on both buttocks
65. What is the best treatment for patient A who has RCVA with a drawing
like this on the paper?
Patient A
A. Use of Sl brush
B. Crossing the midline tasks
c. Label objects that are used frequently
D. Use of red tape used to mark the edges on stairs
66. Patient has forward head posture due to tight pectoralis major. You
decided to do hold-relax technique and you passively moved the shoulder into
horizontal abduction.What is the next step to ask the patient to perform?
A. Relaxation of antagonist muscle
B. Isometric contraction of pectoralis major
c. Isotonic contraction of pectoralis major
D. Isometric contraction of rhomboids
71. A 50 y/o female s/p TBI (RLA LOCF: confused- inappropriate) secondary
to blow on head. She was referred to you for PT evaluation and treatment.
What is the best treatment strategy for this patient?
A. Treat patient in an open environment
B. Allow for increasing independence
C. Assist patient in behavioral, cognitive, emotional integration
D. Apply a consistent pace of approach to treatment
72. An 80 y.o female patient has a bone mineral density of -2.5 SD. Which is
not an advisable Intervention for your patient?
A. Avoid trunk flexion with twisting motions
B. Flat shoes with thick soles should be worn to enhance better balance
c. Diet should be low in salt and avoid excess protein
D. Regular weight-bearing exercise is encouraged
74. Mr. X has L CN11 lesion which causes him to tilt his head to the stronger
side. What stretch is beneficial to the patient?
A. A. Stretch towards (L) lat. Flexion; (L) rotation
B. B. Stretch towards (R) lat. Flexion; (L) rotation
c. C. Stretch towards (R) lat. Flexion; (R) rotation
D. D. Stretch towards (L) lat. Flexion; (R) rotation
75. You have a pediatric patient who suffered Erb's Paralysis on the Left UE
due to a cervical rib abnormality. What will not be a part of your intervention
if PT session starts a week after the injury, except:
A. Gentle ROM exercises
B. Elicitation of muscle activity with age appropriate functional movements of
UE
c. Partial limb immobilization across the upper abdomen
D. Gentle constraint of the right UE
76. You have determined that treating a neurological patient with a sensory
stimulation technique would be quite effective in the inhibition of muscles
that are extremely spastic. Which of the following techniques listed below
would be best in inhibiting the muscles?
A. Approximation
B. Quick icing
c. Chair rocking
D. Traction
79. PT is assessing the patient's gait with common peroneal nerve injury
and PT observed a (+) foot drop. One of the interventions listed is FES. At
what phase of gait should you turn on the current?
A. Acceleration
B. Midstance
C. Initial contact
D. Toe off
80. Mr. J is has acquired burns in his forearm. The PT wants to use
iontophoresis to treat the keloid. What are the correct parameters for the
treatment?
A. Acetic acid ion using cathode as electrode
B. Xylocaine ion using cathode as electrode
c. Sodium chloride using anode as electrode
D. Potassium iodide using cathode as electrode
81. Which of the following is beneficial for this current?
A. Denervated muscle
B. Transfer of medicinal agents using electrotherapy
c. Disuse atrophy of quadriceps
D. Wound healing
83. Patient has difficulty supinating his forearm with depicted weakness of
the supinator muscle. You want to utilize EMG biofeedback in order to
strengthen the mm. What are the correct parameters for the treatment?
A. High sensitivity, widely spaced
B. Low sensitivity, closely spaced
C. High sensitivity, closely spaced
D. Low sensitivity, widely spaced
87. You are to use the modality shown. Your goal is to decrease
compression, what will be the force applied if your patient weighs 100 lbs?
A. 7 lbs
B. 7.7 lbs
c. 12 lbs
D. 15 lbs
88. Your patient is experiencing a chronic low back pain, diagnostic imaging
presented L4-L5 HNP. How would you position your patient?
A. Prone with no pillow
B. Supine, 60-90 deg hip flexed
c. Supine, 75-90 deg hip flexed
D. Supine, 45-60 deg hip flexed
89. A pt who reports neck pain radiating to the elbow is treated with
cervical traction. During the tx, the pt reparts increased pain with radiating
pain into the ring finger and little fingers of the R hand. The appropriate
action for the PT to do is:
A. Reduce the traction force
B. Change the angle of pull of the traction
c. Refer the patient back to the physician
D. Stop the intervention and reevaluate
90. A patient with a venous stasis ulcer is being treated using intermittent
pneumatic compression (IPC). As a therapist, what would be the
inflation/deflation time for the IPC to benefit the patient?
A. 20 secs/10 secs
B. 100 secs/15 secs
c. 50 secs/10 secs
D. 90 secs/30 secs
91. . A PT opted to use high stretch bandage. Which of the following is true
about the said bandage?
A. It provides 30-40 mmHg
B. It provides high resting pressure
C. It provides high working pressure
D. It is best to be applied to a patient with functional muscles
93. You have a patient who was diagnosed with rheumatoid arthritis. You
opted to use whirlpool in conjunction during exercise. However, she is not
able to tolerate cold whirlpool, What will be the temperature setting of the
whirlpool for this patient?
A. 32-79 F
B. 92-96 F
C. 99-104
D. 79-92 F
94. You are to apply IPC to your patient with chronic edema of R LE. Her BP
is 130/70 before proceeding. This is her 1th session, what is the appropriate
initial pressure given?
A. 30 mmHg
B. 70 mmHg
c. 40 mmHg
D. 80 mmHg
95. For the purpose of edema reduction, the PT opted to use the contrast
bath. As a therapist, how will you proceed with the treatment?
A. There should be a small temperature difference between warm and cold
water
B. Start immersing the extremity in warm water
c. End the treatment in warm water
D. Repeat warm and cold immersion for 8 times
96. The patient has (+) pulse and no normal breathing. After activating the
EMS, which is the next thing to do?
A. Monitor until emergency responders arrive.
B. Provide rescue breathing
c. Perform cycles of 30 compressions and 2 breaths
D. Give 1 shock, resume CPR for 2 minutes
97. Mr. Park has the right to make choices about the medical care given to
him. This is the principle of?
A. Justice
B. Nonmaleficence
c. Autonomy
D. Beneficence
98. A patient with CVA was referred to you for PT. You performed gait
retraining for 20 minutes, therapeutic exercises for 30 minutes, and
neuromuscular re-education for 6 minutes with the patient. If a commercial
insurance is funding the patient's medical expenses, how many units can
be billed for gait retraining?
A. 1
B. 2
c. 3
D. 4
ANSWER:
1. D 43 A 85 D
2. A 44 C 86 D
3. A 45 D 87 A
4. B 46 D 88 A
5. B 47 B 89 D
6. B 48 B/C 90 D
7. B 49 D 91 B
8. D 50 A 92 C
9. B 51 B 93 D
10 D 52 C 94 C
11 D 53 B 95 B
12 B 54 B 96 B
13 D 55 A 97 C
14 B 56 A 98 A
15 C 57 B 99 C
16 C 58 C 100D
17 C 59 C
18 B 60 D
19 D 61 C
20 D 62 D
21 C 63 C
22 D 64 A
23 A 65 B
24 C 66 B
25 D 67 D
26 D 68 C
27 D 69 D
28 B 70 A
29 C 71 D
30 D 72 B
31 A 73 B
32 A 74 D
33 D 75 C
34 B 76 C
35 A 77 A
36 B 78 D
37 C 79 A
38 D 80 D
39 D 81 C
40 B 82 B
41 B 83 C
42 D 84 B