Vestibular/Cerebellar
Which of the following structures is responsible for the sensation felt while moving up or down in an elevator?
The Otoliths
Which of the following medications are commonly used to treat nerve pain?
a.Gabapentin (Neurontin)
b.Celebrex (Celecoxib)
c.Gablofen (Baclofen)
d.Furosemide (Lasix)
a.Gabapentin (Neurontin)
Damage to which tract MOST likely to result in integumentary damage?
DC-ML
A patient with a supracondylar fracture of the humerus has radial nerve damage. What are some problems that the physical therapist assistant expect this patient to demonstrate?
impaired sensation of the dorsum of the hand (digits 1, 2, 3,.5 of 4)
weakness of the wrist/finger extensors
A patient post stroke is having trouble with identifying an object by touch with eyes closed. What is this name of this deficits, and what lobe was most likely affected by the CVA?
Parietal lobe- Astereognosis
What is the term for difficulty performing rapid alternating movement?
dysdiadochokinesia
A patient with multiple sclerosis has been on prednisolone for the past 4 weeks and this is the third time that the patient has received this medication for an MS exacerbation. What are the possible adverse effects of this medication?
Muscle wasting and osteoporosis
What would you expect to see in a patient with an anterior spinal cord injury?
Loss of motor function, loss of pain and temperature sense with preservation of proprioception/light touch/vibration
This lower motor neuron disease disrupts function of the acetylcholine receptors
Myasthenia Gravis
What is the name of the neuroglial cell that produces myelin in the central nervous system?
Oligodendrocytes ( CNS) - MS
Schwann (PNS) - GBS, CMT
This is the term for generalized muscle weakness due to cerebellar pathology
Asthenia
A physical therapist assistant treats a patient for lumbar pain after a motor vehicle accident. The patient reports a new onset of burning pain, and a linear blistery rash is observed. What should the PTA do NEXT?
Refer back to the physician to be evaluated for possible shingles
What demographic is MOST at risk for a spinal cord injury?
Males, ages 20-30
What is the most common moderately invasive medical intervention for pain relief for patients with Carpal Tunnel Syndrome?
injection of corticosteroids
What is the cervical position in a patient with right sided torticollis?
Right side-bend, left rotation and flexion
Which of the following is the term for the inability to associate muscles firing during a complex movement due to a cerebellar pathology?
Asynergia
A patient with a status post tibial fracture has his cast removed. The patient 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
A physical therapist assistant attempts to assess the integrity of the C5 spinal level. Which deep tendon reflex would provide the assistant with the MOST useful information?
Biceps Brachii & Brachioradialis Tendon
What is the name of the foot deformity seen in patients with Charcot-Marie-Tooth disease
Pes Cavus
A patient diagnosed with a right anterior cerebral artery stroke would MOST likely present with a functional impairment in what location?
Left lower extremity > upper extremity
A patient with vestibular deficits presents with abnormal saccades and double vision. This is consistent with what type of vestibular dysfunction
Central signs/ Central system dysfunction
A physical therapist assistant arrives at a patient’s home for treatment, and it’s been four days since the patient’s last visit. The primary patient diagnosis is right knee arthritis with secondary chronic obstructive pulmonary disease, hypertension, 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?
congestive heart failure
During sensory testing, a patient with an incomplete T7 SCI is unable to differentiate between sharp object and dull objects below T7, but is able to detect light touch. Which of the following spinal cord tracts is MOST likely damaged and where is the lesion located in the SC?
Spinothalamic Tracts (B sides)
Central cord lesion affected the anterior white commissure (where the spinothalamic tracts decussate)
A patient with a 10mm herniated disc is being treated by a PTA in prone. The patient is unable to flex their R knee, which nerve root is most likely affected?
The R S2 Nerve Root
When testing a patient's hearing, the patient is able to accurately identify when a sound is played, but is unable to identify exactly what the sound is. Damage to which part of the nervous system could explain this presentation?
Temporal Lobe