Quiz
NPTE Practice - Neuromuscular & Nervous System
Perguntas do quiz (30)
1A nurse caring for a patient who is 2 days post cerebrovascular accident asks the physical therapist for positioning recommendations when the patient lies on the hemiplegic side. The therapist's recommendations should include positioning the:
- Awrist in a flexed position.
- Belbow in a flexed position.
- Cscapula in a protracted position.
- Dforearm in a pronated position.
2During a physical therapy examination, a patient reports numbness, burning, and paresthesias in both feet. A neurological examination reveals bilateral loss of pain and temperature sensation in a stocking-and-glove distribution, diminished ankle reflexes, normal knee-jerk reflexes, and decreased strength in the feet and ankles bilaterally. The patient MOST likely has:
- AL4–L5 nerve root compression.
- Bintermittent claudication.
- Cperipheral vascular disease.
- Dperipheral neuropathy.
3The parent of a child with myelomeningocele at L2 asks a physical therapist to provide information regarding the child's prognosis for walking. The therapist should respond by telling the parent that the child will MOST likely be able to:
- Awalk with ankle-foot orthoses throughout the home and school.
- Bwalk with knee-ankle-foot orthoses throughout the home and school.
- Cwalk with knee-ankle-foot orthoses within the home.
- Dstand using a parapodium; walking will not be possible.
4A physical therapist is preparing to give instructions in the use of a new standing device to the family of a 3-year-old child who has myelomeningocele. Which of the following actions should the therapist perform FIRST?
- AAsk the family what problems they would have with using a standing device.
- BGive the family product literature and a video about the standing device.
- CAsk the family what method would be best for them to learn to use the standing device.
- DShow the family how to place the child into the standing device.
5A patient with multiple sclerosis wants to transfer independently. The patient progressed from moderate to minimal assistance for transfers within 3 days; however, no progress has been made in the past 2 weeks. The physical therapist should:
- Adischarge the patient without further intervention.
- Bprovide the patient with a home program and re-evaluate in 1 month.
- Cincrease the patient's treatments to 5 times/week for 2 weeks.
- Ddecrease the patient's treatments to 1 time/week until the goal is achieved.
6A patient recently sustained a cerebrovascular accident, with resulting hemiplegia. A physical therapist is assisting the patient with rolling in bed. The therapist's FIRST consideration should be to:
- Amove the patient only to the uninvolved side.
- Bdiscourage the patient's use of the uninvolved side.
- Ckeep the head in midline.
- Dprotect the involved shoulder.
7A patient who has a spinal cord injury has loss of proprioception, two-point discrimination, and vibration sense below the level of the lesion. Which of the following syndromes is MOST likely present?
- ACentral cord
- BAnterior cord
- CPosterior cord
- DBrown-Séquard
8A physical therapist is examining a patient who reports a burning sensation between the 2nd and 3rd metatarsals that spreads across the forefoot. The pain occurs primarily with weight-bearing or pressure on the area, but also at night when the patient is in bed. The MOST likely cause of the pain is:
- Aplantar fasciitis.
- Bcomplex regional pain syndrome.
- Ca Morton neuroma.
- Dtarsal tunnel syndrome.
9For a patient with a complete T10 spinal cord injury to achieve stability while standing with crutches, the patient should maintain which of the following positions?
- AHips posterior to the ankles
- BShoulders posterior to the hips
- CAnkles plantar flexed
- DKnees hyperextended
10A patient recovering from a traumatic brain injury is unable to correctly state his whereabouts and insists he is staying at a resort. Which of the following is the MOST appropriate action for the physical therapist to take?
- ADiscuss the confusion with the patient's friend.
- BOrient the patient to the correct location.
- CAgree with the patient.
- DDocument dementia in the patient's chart.
11A patient reports a 3-month history of sudden, severe vertigo associated with sweating and a feeling of light-headedness. Symptoms increase with forward bending and turning around in bed. The sensations usually stop after 30 seconds in a static position. Which of the following tests is MOST appropriate to determine the cause of the dysfunction?
- AGait assessment
- BDix-Hallpike maneuver
- CVestibulo-ocular assessment
- DMarching in place with eyes closed
12Which of the following devices is MOST appropriate for testing protective sensation in the feet?
- ATwo-point compass
- BBlunt pin
- CSkin thermometer
- D10-g (5.07) monofilament
13When instructing an individual with intellectual disability, which of the following teaching techniques is MOST appropriate?
- AEmphasize verbal feedback.
- BProvide instruction using a single method.
- CPractice, review, and facilitate overlearning of concepts and techniques.
- DPractice a series of portions of a task rather than the complete functional task.
14A physical therapist is conducting a reflex text as shown in the photographs. The arrow indicates the path of the applied stimulus. The results of the test are MOST likely to indicate:
- Aa peripheral nerve injury
- Ba lesion of the anterior horn cells.
- Ca normal response.
- Dan injury to the spinal cord.
15A physical therapist is evaluating a patient who has a vascular lesion in the brainstem affecting the oculomotor nerve (CN III). During the cranial nerve examination, which of the following signs would be the MOST significant?
- AInability to close the eyelid
- BMedial strabismus
- CPtosis of the eyelid
- DDifficulty looking inferomedially
16A patient is being evaluated for possible carpal tunnel syndrome, and a nerve conduction velocity test is performed. Which of the following findings would MOST strongly support the diagnosis?
- ADecreased latency at the elbow
- BDecreased latency at the carpal tunnel
- CIncreased latency at the carpal tunnel
- DIncreased latency at the forearm
17A patient who has right hemiplegia is unable to avoid obstacles on the right side of the hallway while walking with a walker. During meals, the patient does not eat foods placed on the right side of the plate. Which of the following tests is MOST appropriate to perform?
- APatient looks at a fixed target in front while turning the head side to side.
- BPatient detects therapist's fingers from the side while looking straight ahead.
- CPatient shifts gaze from one object to another quickly with the head stationary.
- DPatient tracks therapist's finger moving vertically, horizontally, and diagonally.
18A patient who has a T7 spinal cord injury (ASIA Impairment Scale D) exhibits decreased motor function in the right lower extremity and loss of pain sensation over the left distal trunk and lower extremity. Which of the following syndromes is MOST likely present?
- ACentral cord
- BAnterior cord
- CPosterior cord
- DBrown-Séquard
19When examining a patient with right facial weakness, a physical therapist notes the presence of a right Bell phenomenon. Which of the following additional findings is MOST likely to be present?
- ADecreased taste sensation on the tongue
- BAbnormal tone of the right limbs
- CPtosis of the right eyelid
- DLoss of pain and temperature sensation across the lower right jaw
20A physical therapist examines a patient with multiple sclerosis who is in a period of exacerbation. The patient is independent with bed mobility, can sit unassisted at the edge of the bed, and requires physical assistance to stand with a walker. Which of the following interventions would have the HIGHEST priority?
- AWheelchair propulsion up a 10-ft (3-m) ramp
- BWheelchair transfers
- CWalking with an assistive device
- DTub transfers
21A patient with a severe cerebellar lesion can sit independently, can stand with minimal assistance, and requires moderate assistance of one person to walk safely. The patient wants to transfer independently from a wheelchair to a bed. Which of the following transfer techniques is MOST appropriate for the patient?
- AStanding pivot
- BManual pivot
- CMechanical lift
- DSliding
22A patient with Parkinson disease has just been admitted to a rehabilitation unit. The patient is dependent in all transfers and requires moderate assistance of one person to walk 30 ft (9.1 m) with a standard walker. To facilitate good carryover for activities, instruction of the family in transfers should occur:
- Aduring a home visit after the patient is discharged.
- Bjust prior to discharging the patient.
- Cearly in the rehabilitation program.
- Dwhen the family feels ready to take the patient home.
23A patient with a mild closed head injury and bilateral femur fractures requires instruction in a lower extremity exercise program. To plan the most effective teaching methods for this patient, what is MOST critical to assess at the INITIAL visit?
- AComprehension of written, verbal, and demonstrated instructions
- BShort-term memory capacity
- CAuditory and visual status
- DAny personality changes compared to the patient's premorbid status
24A patient sustained a gunshot wound to the spine in the area of L1. The patient has weakness of the left lower extremity and inability to move the knee, ankle, or foot. The patient's patellar tendon and Achilles tendon reflexes are increased on the left side. There is also loss of proprioception in the patient's left ankle and knee, a positive Babinski sign on the left side, and diminished sensation to pinprick and temperature changes in the right thigh, leg, and foot. Results of all of the patient's cranial nerve tests are normal. These findings are consistent with which of the following injuries?
- AComplete severance of the spinal cord
- BInjury to the left anterior horn of the spinal cord
- CInjury to the left side of the spinal cord
- DInjury to the central area of the spinal cord
25Which of the following elements of motor learning contributes MOST to retention of a motor skill?
- AMental practice
- BManual contact to guide the patient
- CSummary knowledge of results
- DPractice of the motor skill
26A patient reports burning medial knee pain that occurs during knee flexion greater than 60°. Resisted knee extension is strong and pain free. The patient denies any popping or instability and there is no history of trauma. There is tenderness to palpation over the anteromedial distal thigh. Which of the following conditions is MOST likely causing the patient's knee pain?
- AMedial meniscal tear
- BAdductor magnus strain
- CSaphenous nerve impingement
- DMedial collateral ligament tear
27In the INITIAL management of a patient with a partial peripheral nerve injury, the goal of the physical therapy intervention will MOST likely be to prevent which of the following problems?
- ANerve degeneration
- BSpasticity and clonus
- CMuscle atrophy
- DContractures and adhesions
28A patient has sustained a traumatic brain injury and is slow to respond to all stimuli. The patient currently verbalizes and moves away from noxious stimuli and is able to close the eyes 3 of 5 times when asked. What level on the Rancho Los Amigos levels of cognitive functioning scale BEST describes this patient's current status?
- ALocalized response
- BConfused-agitated
- CGeneralized response
- DConfused-inappropriate
29A manual muscle test of a patient who sustained a gunshot wound immediately superior to the elbow joint reveals specific muscle weakness from a partial median nerve injury. The physical therapy intervention for the patient should include strengthening activities for wrist flexion, forearm:
- Apronation, finger flexion, and thumb (1st digit) adduction.
- Bpronation, finger flexion, and thumb (1st digit) opposition.
- Csupination, finger abduction, and thumb (1st digit) opposition.
- Dsupination, finger flexion, and thumb (1st digit) extension.
30For an individual with a T12 spinal cord injury to be able to walk, achievement of which of the following ranges of motion is MOST important?
- A30° of ankle plantar flexion
- BFull hip extension
- CNormal knee flexion
- D110° straight-leg raise
Informações
- Descrição
- NPTE Practice Quiz sobre NPTE Practice - Neuromuscular & Nervous System, criado por Christopher Wysong em 07-11-2019.
- Autor
- Christopher Wysong
- Idioma
- English
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