TBI
SCI
CVA
Pain
Pediatrics
100

A patient is being evaluated to determine their Ranchos Level of Function. They can respond to simple commands, however their memory is impaired and when they speak, they are often incoherent and make comments that are improper and out of place. What should the level be?

  • III: localized response

  • IV: confused/agitated 

  • V: confused-inappropriate 

  • VI: confused- appropriate 

V: confused-inappropriate

100

A patient has motor function intact below the neurological level, though the key muscle groups below have a muscle grade of less than three. What ASIA level is this?

  • A

  • B

  • C

  • D

C

100

Which is not a risk factor for strokes?

  1. Metabolic Syndrome

  2. Lower LDL levels

  3. Atherosclerosis 

  4. Previous cardiac surgery

Lower LDL levels

100

When does nociceptive pain occur?

  1. In response to an immediate noxious stimulus

  2. After damage to the somatosensory nervous system

  3. After 3-6 months of chronic pain

  4. Only after first experiencing nociplastic pain 

In response to an immediate noxious stimulus

100

Tonic Labrinthine reflex integrates at what age? 

  1. 8 months 

  2. 2 months

  3. 6 months 

  4. 10 months 

6 months

200

A patient is noted to be level VII, automatic-appropriate. What may still be limited in terms of cognitive or mental behaviors?

  • Judgment 

  • No memory recollection present 

  • No response to physical stimuli 

  • Performance of simple, innate tasks 

Judgment

200

What is NOT true about spasticity in patients with SCI?

  • More prevalent with higher and incomplete lesions 

  • Quick stretching will elicit this response 

  • It is only detrimental to a patient’s function 

  • Nociceptive stimuli can increase tone

It is only detrimental to a patient’s function

200

Which of the following is NOT a common issue with a RIGHT sided stroke?

  1. Apraxia

  2. Irritability

  3. Poor hand-eye coordination

  4. Left-sided neglect 


Apraxia

200

Which of the following is NOT true of nociplastic pain?

  1. Nociplastic pain includes hyperalgesia or allodynia

  2. Symptoms are localized with a relatively short healing time

  3. Pain is associated with central sensitization

  4. Both nociceptive pain and neuropathic pain can lead to peripheral and central sensitization

Symptoms are localized with a relatively short healing time

200

You want to test to see if the traction reflex is still integrated. You set the child up for the test, then grasp their forearm and pull them from supine to sitting. What is the expected response? 

  1. Grasp of upper extremity and head in line with spine 

  2. Baby cries 

  3. Head lags behind as well as grasp and total flexion of upper extremity

  4. Total extension of upper extremity and head lags behind 

Head lags behind as well as grasp and total flexion of upper extremity

300

What is NOT a category that the Glasgow Coma Scale quantifies?

  • Eye opening

  • Motor response to commands

  • Verbal response 

  • Emotions related to stimuli (graded agitated, aggression, calm, etc.)

Emotions related to stimuli (graded agitated, aggression, calm, etc.)

300

To prevent pressure ulcers, a therapist is to encourage position changes ____ for patients in bed and ____ for patients in wheelchairs. 

  • 4 hours, 30 minutes 

  • 2 hours, 15-20 minutes

  • 3 hours, 1 hour

  • 1 hours, 10 minutes 

2 hours, 15-20 minutes

300

Which of the following CVAs would most likely result in “locked-in” syndrome?

  1. Middle Cerebral 

  2. Anterior Cerebral 

  3. Posterior Cerebral 

  4. Vertebral-Basilar 

Vertebral-Basilar

300

Where is right subscapular pain referred from?

  1. Gallbladder

  2. Kidney

  3. Spleen 

  4. Liver

Gallbladder

300

Place the following developmental milestones in order from earliest reached to latest reached: sits unsupported, rolls supine to prone, holds head up in prone, creeps on hands and knees up stairs


  1. Holds head up in prone, rolls supine to prone, sits unsupported, creeps on hands and knees upstairs

  2. Sits unsupported, creeps on hands and knees upstairs, holds head up in prone, rolls supine to prone

  3. Rolls supine to prone, holds head up in prone, sits unsupported, creeps on hands and knees up stairs

  4. Holds head up in prone, rolls supine to prone, creeps on hands and knees up stairs, sits unsupported 

Holds head up in prone, rolls supine to prone, sits unsupported, creeps on hands and knees upstairs

400

Name this level of alertness/arousal: the patient responds to strong and noxious stimuli only, returning to an unconscious state when stimuli is stopped

  • Lethargic

  • Obtunded

  • Stupor

  • Coma

Stupor

400

After a SCI, the most common cause of death is related to respiratory dysfunction. What is NOT true about the effects an injury has on respiration?

  • Tidal volume and capacity are reduced 

  • Though inspiration is weakened, forced expiration remains the same

  • Atelectasis, pneumonia, and insufficiency are most common complications 

  • Percussion or vibration techniques can be used to clear secretions 

Though inspiration is weakened, forced expiration remains the same

400

Which of the following is NOT a common characteristic of PCA syndrome?

  1. Choreoathetosis

  2. Homonymous hemianopsia

  3. Thalamic pain

  4. Ataxia

Ataxia

400

You have performed sensory testing for neuropathic pain. Your findings might show which of the following distributions?

  1. Dermatomal pattern

  2. Cutaneous nerve pattern

  3. Central nervous system pattern

  4. All of the above

All of the above

400

You are evaluating a child with Erb’s Palsy, a brachial plexus injury to C5 and C6. Which of the following would you NOT expect to see from this population? 

  1. Waiter’s tip

  2. Weakness in scapular stabilizers 

  3. Claw hand

  4. Weakness in elbow flexion 

Claw hand

500

You are working with a patient with a TBI who is experiencing increased agitation and overall confusion when trying to teach them rolling techniques. What is the BEST course of action for continuing the session?

  • Begin to “dumb down” the language and tasks so that it would make more sense for their mental capacity 

  • Orient the patient to the situation, personnel and themselves while remaining calm and “in control”

  • Elongate and continue the session until the patient can complete the requested tasks

  • Keep the patient in their room and continue to work one on one without aides or other PTs nearby 

Orient the patient to the situation, personnel and themselves while remaining calm and “in control”

500

A C7 SCI patient is experiencing a decrease in blood pressure and an increase in heart rate upon transferring from supine to sit. They are experiencing diaphoresis and dizziness. What is the most likely cause and what should be done?

  • Autonomic dysreflexia, lie patient back down and seek cause

  • Orthostatic hypotension, continue to monitor vitals and provide stocking or binder as necessary

  • Pulmonary embolism, consult the medical team ASAP

  • BPPV, begin asking vestibular-based questions to see if performing Dix-Hallpike is warranted for further evaluation 

Orthostatic hypotension, continue to monitor vitals and provide stocking or binder as necessary

500

A patient presents to the clinic following a recent stroke. They demonstrate greater motor deficits in their lower extremities than upper and are suffering from urinary incontinence. Where did the stroke most likely occur?

  1. Middle Cerebral 

  2. Anterior Cerebral 

  3. Posterior Cerebral 

  4. Vertebral-Basilar 

Anterior Cerebral

500

A patient complaining of widespread pain with fatigue, disrupted sleep, and difficulty concentrating may have what condition associated with nociplastic pain?

  1. Osteoarthritis

  2. Polyneuropathy

  3. Fibromyalgia

  4. Bell's Palsy

Fibromyalgia

500

There are four main syndromes related to Cerebral palsy. Which of the following is NOT one of the four syndromes?

  1. Spastic

  2. Gestational 

  3. Athetoid 

  4. Mixed forms 

Gestational

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