NM1 Exam 2

Description

USA - NM1 Quiz on NM1 Exam 2, created by Ben Williams on 12/07/2017.
Ben Williams
Quiz by Ben Williams, updated more than 1 year ago
Ben Williams
Created by Ben Williams over 7 years ago
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Resource summary

Question 1

Question
What angle should the ankle be at in initial contact?
Answer
  • 0-Degrees
  • 30-Degrees
  • 45-Degrees
  • 90-Degrees

Question 2

Question
If an unexpected obstacle popped up out of the floor what type of postural control would a patient use?
Answer
  • Adaptive
  • Anticipatory
  • Intrinsic
  • Extrinsic

Question 3

Question
Which strategy occurs in response to a small perturbation on a firm support surface?
Answer
  • Ankle Strategy
  • Hip Strategy
  • Stepping Strategy

Question 4

Question
Which order do the muscles fire in an ankle strategy?
Answer
  • Distal to Proximal
  • Proximal to Distal

Question 5

Question
Which of the following represents the proper order of activation for the ANKLE strategy used in response to a FORWARD-induced sway (aka forward-sway, anterior sway, made to move forward)?
Answer
  • Gastrocnemius -> Hamstrings -> Paraspinals
  • Paraspinals -> Hamstrings -> Gastroncnemius
  • Gastrocnemius -> Quadriceps - > Paraspinals
  • Paraspinals -> Quadriceps -> Gastroncnemius
  • Gastrocnemius -> Quadriceps - > Abdominals
  • Abdominals -> Quadriceps -> Gastroncnemius
  • Gastrocnemius -> Hamstrings -> Abdominals
  • Abdominals -> Hamstrings -> Gastroncnemius

Question 6

Question
Which of the following represents the proper order of activation for the ANKLE strategy used in response to a BACKWARD-induced sway (aka backward-sway, posterior-sway, made to move backward)?
Answer
  • Tibialis Anterior -> Quadriceps -> Abdominals
  • Abdominals -> Quadriceps -> Tibialis Anterior
  • Tibialis Anterior -> Hamstrings -> Abdominals
  • Abdominals -> Hamstrings -> Tibialis Anterior
  • Gastrocnemius -> Quadriceps -> Abdominals
  • Abdominals -> Quadriceps -> Gastrocnemius
  • Gastrocnemius -> Hamstrings -> Abdominals
  • Abdominals -> Hamstrings -> Gastrocnemius

Question 7

Question
Which strategy occurs in response to larger or faster perturbations, or when the support surface is compliant (i.e. soft), or very narrow (i.e. a balance beam).
Answer
  • Ankle Strategy
  • Hip Strategy
  • Stepping Strategy

Question 8

Question
Which direction do the muscles fire in a hip strategy?
Answer
  • proximal to distal
  • distal to proximal

Question 9

Question
Which of the following represents the proper order of activation for the HIP strategy used in response to a BACKWARD-induced sway (aka backward-sway, posterior-sway, made to move backward)?
Answer
  • Paraspinals -> Hamstrings
  • Hamstrings -> Paraspinals
  • Paraspinals -> Quadriceps
  • Quadriceps -> Paraspinals
  • Paraspinals -> Gluteals
  • Gluteals -> Quadriceps
  • Hamstrings -> Gluteals

Question 10

Question
Which of the following represents the proper order of activation for the HIP strategy used in response to a FORWARD-induced sway (aka forward-sway, anterior sway, made to move forward)?
Answer
  • Abdominals -> Quadriceps
  • Quadriceps -> Abdominals
  • Abdominals -> Hamstrings
  • Hamstrings -> Abdominals

Question 11

Question
Which postural strategy utilizes UE movements
Answer
  • Ankle Strategy
  • Hip Strategy
  • Stepping Strategy
  • All of the Above
  • None of the Above

Question 12

Question
If the necessary musculature for a given strategy is significantly weak (weak ankle or trunk musculature), a stepping strategy may be employed instead.
Answer
  • True
  • False

Question 13

Question
If someone were standing on a foam-pad and they were pushed forward what muscles would they recruit to prevent LOB? Which strategy is this?
Answer
  • Abdominals -> Quadriceps
  • Hip Strategy
  • Ankle Strategy
  • Quadriceps -> Abdominals
  • Stepping Strategy
  • Gastrocnemius -> Hamstrings -> Paraspinals
  • Paraspinals -> Hamstrings -> Gastrocnemius
  • Paraspinals -> Hamstrings
  • Tibialis Anterior -> Quadriceps -> Abdominals

Question 14

Question
If you were to nudge a patient on his sternum in a posterior direction on a firm surface what postural strategy do you think he might use? What muscles would be activated (in order of activation) to prevent a LOB?
Answer
  • Ankle Strategy - Posterior Sway
  • Tibialis Anterior -> Quadriceps -> Abdominals
  • Abdominals -> Quadriceps
  • Gastrocnemius -> Hamstrings -> Paraspinals
  • Paraspinals -> Hamstrings
  • Abdominals -> Quadriceps -> Tibialis Anterior
  • Quadriceps -> Abdominals
  • Paraspinals -> Hamstrings -> Gastrocnemius

Question 15

Question
If you were to ask a patient to stand on a piece of foam what sensory system(s) would be providing inaccurate information for postural control? What system(s) would be providing accurate information?
Answer
  • Inaccurate: Somatosensory
  • Accurate: Vestibular
  • Inaccurate: Vestibular
  • Inaccurate: Visual
  • Accurate: Visual
  • Accurate: Somatosensory

Question 16

Question
Which test(s) would you use to test somatosensation, vision, and the vestibular system?
Answer
  • Sensory Organization Test (SOT)
  • Clinical Test for Sensory Interaction in Balance (CTSIB)
  • Berg Balance Test
  • Timed-Up-and-Go (TUG)

Question 17

Question
Which system do young children typically rely upon for balance?
Answer
  • Vision
  • somatosensation
  • vestibular

Question 18

Question
Which of the following conditions is most likely to have scaling difficulties with the postural synergies?
Answer
  • Parkinson's Disease
  • Lesion of Cerebellum
  • Traumatic Brain Injury
  • Stroke
  • Multiple Sclerosis

Question 19

Question
Which of the following conditions is most likely to demonstrate coactivation of the postural synergies?
Answer
  • Parkinson's Disease
  • Lesion of Cerebellum
  • Multiple Sclerosis
  • Stroke
  • Traumatic Brain Injury

Question 20

Question
Which of the following tests assess anticipatory postural control?
Answer
  • TUG
  • Berg Balance
  • Romberg
  • Functional Reach Test
  • Dynamic Balance Test
  • Timed 10-meter Walk Test
  • 6-min Walk Test
  • Action Research Arm Test (ARAT)
  • Box and Block Test
  • Wolf Motor Function Test (WMFT)

Question 21

Question
If an individual has an inferior shoulder subluxation, what is the position of the humerus, humeral head, and scapula?
Answer

Question 22

Question
Select the Intrinsic Causes of Shoulder Subluxation.
Answer
  • Trunk – Joint Malalignment
  • Imbalance of Muscle Activation
  • Weakness
  • Tone Abnormalities
  • Soft Tissue Extensibility
  • Positioning
  • Handling
  • Assistive Devices

Question 23

Question
Which of the following are in agreement with Fitts' Law?
Answer
  • Assuming a static distance, if target size decreases, the time to reach it increases.
  • Assuming a static distance, if target size increases, the time to reach it increases.
  • Assuming a static target size, if distance increases, the time to reach it increases.
  • Assuming a static target size, if distance decreases, the time to reach it increases.
  • Movement time is a function of the distance to the target and the accuracy needed to hit the target.
  • There is a positive correlation between movement precision, movement distance, and movement time.
  • There is a negative correlation between movement precision, movement distance, and movement time.

Question 24

Question
What are the 2 requirements for a successful grasp?
Answer
  • Hand must be adapted to the shape, size, and use of the object.
  • Finger movements must be timed so that they close around the object at the appropriate moment.
  • Subject must be strong enough to lift the object.
  • Subject must be able to see the object in order to grasp it successfully.

Question 25

Question
Moving the arm into shoulder flexion or abduction without proper scapulohumeral rhythm, may cause which of the following?
Answer
  • Shoulder Subluxation
  • Shoulder Impingement

Question 26

Question
Without proper scapulohumeral rhythm, which of the following motions are likely to cause shoulder impingement?
Answer
  • Shoulder Flexion
  • Shoulder AB-Duction
  • Shoulder Extension
  • Shoulder AD-Duction
  • Shoulder Internal Rotation
  • Shoulder External Rotation

Question 27

Question
[blank_start]Action Research Arm[blank_end] Test - Assesses upper limb functioning using observational methods [blank_start]Box and Block[blank_end] Test - Assesses unilateral gross manual dexterity [blank_start]Wolf Motor Function[blank_end] Test - Quantitative measure of upper extremity motor ability through timed and functional tasks.
Answer
  • Action Research Arm
  • Box and Block
  • Wolf Motor Function
  • Box and Block
  • Wolf Motor Function
  • Action Research Arm
  • Wolf Motor Function
  • Action Research Arm
  • Box and Block

Question 28

Question
What neurological diagnosis do you think is likely to have motor adaptation problems?
Answer
  • Stroke
  • Multiple Sclerosis
  • Parkinson's Disease
  • Traumatic Brain Injury
  • Lesion of the Cerebellum

Question 29

Question
Hypermetric scaling is likely to result from which of the following?
Answer
  • Lesion of the Cerebellum
  • Traumatic Brain Injury
  • Parkinson's Disease
  • Multiple Sclerosis
  • Stroke

Question 30

Question
What neurologic condition will result in delayed initiation of reaching tasks?
Answer
  • Parkinson's Disease
  • Traumatic Brain Injury
  • Lesion of the Cerebellum
  • Multiple Sclerosis
  • Stroke

Question 31

Question
In a reach-and-grasp task, which of the following elements is most important for the accuracy of the movement?
Answer
  • Visual Feedback
  • Proprioceptive Feedback
  • Somatosensory Feedback
  • Speed of Movement
  • Distance to Object

Question 32

Question
Which of the following may cause shoulder pain?
Answer
  • Loss of scapulohumeral rhythm
  • Inadequate external rotation of the humerus during flexion and abduction leading to impingement
  • Lack of the downward gliding movement of the head of the humerus in the glenoid fossa resulting in impingement
  • Inferior Shoulder Subluxation

Question 33

Question
[blank_start]Progression[blank_end]: Rhythmic patterns of muscle activation advance the body in the desired direction. Also includes the ability to initiate, terminate and guide movement in a desired direction. [blank_start]Stability[blank_end]: The ability to maintain upright posture against gravity and against perturbations (expected and unexpected) during gait. [blank_start]Adaptation[blank_end]: The ability to alter the gait pattern to meet the demands of the environment (negotiating obstacles, uneven terrain, and altering speed and direction).
Answer
  • Progression
  • Stability
  • Adaptation
  • Stability
  • Adaptation
  • Progression
  • Adaptation
  • Progression
  • Stability

Question 34

Question
[blank_start]Step Length[blank_end] - The distance from initial contact of one foot to initial contact of the other foot. [blank_start]Stride Length[blank_end] - The distance covered from initial contact of one foot to the following initial contact by the same foot. [blank_start]Step Width[blank_end] - Horizontal distance between the middle heel of one foot and the middle heel of the opposite foot [blank_start]Cadence[blank_end] - The number of steps per unit of time (112.5 per minute or 1.9 steps/second) [blank_start]Gait Velocity[blank_end] - The average horizontal speed of the body.
Answer
  • Step Length
  • Stride Length
  • Step Width
  • Stride Length
  • Step Width
  • Step Length
  • Step Width
  • Step Length
  • Stride Length
  • Cadence
  • Gait Velocity
  • Gait Velocity
  • Cadence

Question 35

Question
[blank_start]Temporal Cortex[blank_end] - ID what an object is [blank_start]Parietal Lobe[blank_end] - ID where an object is [blank_start]Cerebellum and Basal Ganglia[blank_end] - Modify and Refine Movement [blank_start]Motor Cortex[blank_end] - Activates motor pathways according to movement plan [blank_start]Cerebellum[blank_end] - Error Detection/Correction during movement
Answer
  • Temporal Cortex
  • Parietal Lobe
  • Cerebellum and Basal Ganglia
  • Motor Cortex
  • Cerebellum
  • Parietal Lobe
  • Cerebellum
  • Temporal Cortex
  • Cerebellum and Basal Ganglia
  • Motor Cortex
  • Cerebellum and Basal Ganglia
  • Motor Cortex
  • Cerebellum
  • Parietal Lobe
  • Temporal Cortex
  • Motor Cortex
  • Temporal Cortex
  • Cerebellum
  • Cerebellum and Basal Ganglia
  • Parietal Lobe
  • Cerebellum
  • Parietal Lobe
  • Temporal Cortex
  • Cerebellum and Basal Ganglia
  • Motor Cortex

Question 36

Question
While moving both arms towards targets of identical size and distance, one arm had to mover over a hurdle, but the other did not. Movement time increased for both arms. Why?
Answer
  • Temporal Assimilation
  • Spatial Assimilation
  • Bimanual Timing

Question 37

Question
While moving both arms towards targets of identical size and distance, one arm had to move over a hurdle, but the other did not. The movement trajectory increased for the arm moving over the hurdle, but so did the trajectory for the other arm. Why?
Answer
  • Bimanual Timing
  • Spatial Assimilation
  • Temporal Assimilation

Question 38

Question
Limbs like to time movement together, either in-phase or out-of-phase. Why?
Answer
  • Bimanual Timing
  • Spatial Assimilation
  • Temporal Assimilation

Question 39

Question
According the Sensory Organization test (SOT/ CTSIB) which of the following conditions isolates the vestibular system:
Answer
  • Standing, platform fixed, eyes blindfolded
  • Standing, platform fixed, visual box surrounding subject is fixed, eyes open
  • Standing, platform tilts, eyes blindfolded
  • Standing, platform tilts, visual box surrounding subject is fixed, eyes open

Question 40

Question
You are standing in soft sand with your feet together when your friend unexpectedly pushes you forward? To prevent a loss of balance you respond with the following muscle activation pattern (in order of recruitment):
Answer
  • Abdominals, quadriceps
  • Abdominals, quadriceps, tibialis anterior
  • Gastrocnemius, hamstrings, paraspinals
  • Hamstrings, paraspinals

Question 41

Question
Individuals with co-activation of the postural synergies most likely have a lesion in which area of the central nervous system:
Answer
  • Basal Ganglia
  • Cerebellum
  • Dorsal Columns
  • Internal Capsule

Question 42

Question
You are standing in the dark on a pillow, in order to maintain postural stability your CNS is primarily relying on your:
Answer
  • Limbic system
  • Somatosensory system
  • Vestibular system
  • Visual system

Question 43

Question
You are walking through the forest when you unexpectedly trip on a tree root requiring you to employ a postural strategy to prevent you from falling down? This is an example of:
Answer
  • Feedback control
  • Feedforward control
  • Self-initiated control

Question 44

Question
While walking with your patient, she encounters a freshly mopped floor? Prior to stepping onto the wet surface, she slows her walking and begins taking short, shuffling steps? Which of the following best describes your observations?
Answer
  • Her hip flexors are fatigued and her step length is therefore reduced
  • She is using adaptive, feed-back strategies to modify her gait
  • She is using anticipatory strategies to modify her gait
  • She is using her central pattern generator to adapt her walking to the environment

Question 45

Question
A Trendelenberg gait pattern is the _________gait pattern due to ________.
Answer
  • Compensatory; hip adductor tightness
  • Compensatory; hip extensor tightness
  • Resultant; hip abductor weakness
  • Resultant; hip flexor weakness

Question 46

Question
Which of the following best explains why the pelvis rotates forward during gait?
Answer
  • To minimize medial-lateral displacement
  • To minimize the knee extension at initial contact
  • To minimize vertical displacement and energy expenditure
  • To prevent knee buckling and minimize the required ankle DF at initial contact

Question 47

Question
During stance, individuals with hip extensor weakness compensate by:
Answer
  • Circumducting the leg during the swing phase
  • Leaning their trunk forward (anteriorly)
  • Using a posterior trunk lean to minimize muscle activation
  • Vaulting to minimize use of the involved leg

Question 48

Question
Which muscle group controls the knee from the end of the loading response to midstance (i.e. from 15 degrees of flexion to 0 degrees of flexion)?
Answer
  • Co-contraction of knee flexors/ extensors
  • Concentric knee extensors
  • Eccentric knee extensors
  • Eccentric knee flexors

Question 49

Question
Which of the following is the correct order of events for a normal reach and grasp?
Answer
  • Eye movement to locate object, head turning, arm transport, hand pre-shaping, grasp
  • Eye movement to locate object, head turning, hand pre-shaping during arm transport, grasp
  • Head turning to locate object, eye movement & vision to identify what and where, hand pre-shaping, arm transport, grasp
  • Head turning, eye movement & vision to identify what and where, hand pre-shaping during arm transport, grasp

Question 50

Question
Your patient's right arm is weaker than her left arm. During bimanual tasks you observe that the right arm is able to move faster (more like the left arm) than when the arm is moved individually? This is known as:
Answer
  • Movement assimilation
  • Spatial assimilation
  • Temporal assimilation
  • Trajectory assimilation

Question 51

Question
During examination of UE control, you observe your patient reach for an object. The patient exhibits slow movement and movement decomposition to reach the object. When asked to reach quickly, the patient over-shoots the object. Strength testing reveals good to normal UE strength. Sensation is intact. Where is this lesion?
Answer
  • Basal ganglia
  • Cerebellum
  • Corticospinal tracts
  • Peripheral nerve

Question 52

Question
Which of the following is true regarding shoulder subluxation?
Answer
  • Pain is one of the first symptoms of a subluxed shoulder
  • Shoulder subluxation can be caused by weakness and abnormalities of tone
  • After stroke, shoulder subluxation can be caused by a tear in the labrum
  • Shoulder subluxation is rare and takes months to develop

Question 53

Question
Which of the following is true regarding examination and treatment of shoulder dysfunction?
Answer
  • An inferior subluxation is measured in centimeters to objectively document the amount of subluxation
  • It is important to examine trunk posture in persons with shoulder dysfunction
  • Patients with subluxation should immobilize their shoulder to prevent further dysfunction
  • Slings should not be used when gait training with persons with shoulder dysfunction
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