Neuroanatomy
Stroke/ CVA
Ped Development
Ped Disorders
Complex Patients
100

This is how Cranial Nerve III is tested.

pupillary reflex or raising eyelid, H-test

100

This is when a patient is unable to move past a thought or a word not related to the current context.


perseveration

100

This neuromuscular facilitation technique is the MOST appropriate to use with a patient with Down Syndrome in order to promote normal muscle activity.

Quick vestibular stimulation 

Faciliatory techniques

100

Children born into poverty are susceptible to this condition.


Diabetes

100

A patient with a status post tibial fracture is now having difficulty moving their right ankle. The ankle appears red and painful upon palpation. What is the physical therapist assistant MOST likely suspecting?

Deep Vein Thrombosis

200

This cranial nerve has only an efferent function.

Hypoglossal

Accessory

Abducens

Trochlear

Oculomotor

200

This location in the body's circulation would potentially lead to a cerebrovascular accident if the formation of a clot occurred.



The left ventricle from bicuspid valve dysfunction

200

A physical therapist assistant would expect to see this reflex on the ipsilateral leg after pinching an infant's toe.


Flexion withdrawal reflex

200

A child extends their upper extremities forward in response to an anterior perturbation. This is the response the child would demonstrate.

Protective reaction


NOT righting response, equilibrium reaction, moro reflex

200

A patient is being seen for right knee arthritis, and has hx of COPD, HTN, high cholesterol, congestive heart failure, osteoporosis, and a history of falls. The patient presents bilateral lower extremity swelling. What is the MOST likely reason for this presentation?

R sided Congestive Heart Failure

300

The majority of spinal cord tracts decussate in the central nervous system in this location.


Medulla 

("decussate" refers to the crossing or intersection of nerve fibers from one side of the body to the other. The medulla oblongata is a part of the brainstem, and it contains various nerve tracts that carry signals between the brain and the spinal cord.)

300

Your patient is one day status post cerebrovascular accident (CVA). What is the BEST dynamic intervention to prevent the development of a deep vein thrombosis (DVT)?

Early ambulation

300

This the BEST example of functional gross motor movement of a 6 month old.

Unilateral reaching while in prone

300

This would be the MOST appropriate treatment technique for a patient with spastic cerebral palsy in order to promote normal muscle activity.


Rhythmic rotation  

300

This is considered the fifth vital sign

Pain

400

A patient presents with a lesion to the Right Vagus nerve. When assessing the nerve, this is what the examiner should expect.


uvula deviates to the left 

400
A PTA reads in the medical record that a patient was recently prescribed a thrombolytic agent. This type of stroke would be considered a contraindication to this type of pharmacological agent.

Hemorrhagic stroke (increases hemorrhaging)

This med is indicated for Ischemic stroke.

400

This describes a finding that would be MOST expected in a child with thoracic area spina bifida.

Deep Tendon Reflex of 3+/4
UMN Lesion

400

This clinical presentation/condition would MOST likely have serial casting as an important intervention.

Hypertonic plantarflexors

400

A patient is attending physical therapy for fall prevention. The patient presents with a sudden onset of confusion and trouble speaking. What should the physical therapist assistant do NEXT?

Have the patient remain seated and call 911

500

The PTA treats a patient who has a cerebellar lesion. This clinical finding is expected to be observed with this condition. (Name the specific impairment)

Dysmetria (timing, force, extent, direction of limb movement, unable to reach target), nystagmus (gaze-evoked, eyes drift involuntarily to neutral), dysdiadochokinesia (inability to perform rapid alternating movements)

500

A patient with L MCA might present with these clinical findings. List at least 2.

Aphasia, face and UE involvement
500

This is the cervical position in a patient with left sided torticollis.

Left side-bend, Right rotation and flexion

500

This describes athetoid type movement, as seen in some children with cerebral palsy.

Slow, twisting and writhing involuntary movements

NOT Sudden, rapid and jerky involuntary movements, Reduced amplitude of movement, Involuntary cyclical oscillations 

500

A patient performing a warm-up on the upper extremity ergometer complains of sharp chest pains. What is the MOST likely a cause of this symptom?

Angina

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