17624999
Descripción
Test por Alberto Alejandro, actualizado hace más de 1 año
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Creado por Alberto Alejandro
hace más de 5 años
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Pregunta 1
Pregunta
Which of the following is not a symptom of autonomic dysreflexia?
Respuesta
-
Tachycardia.
-
Vasoconstriction below the level of the lesion.
-
Vasodilation above the level of the injury.
-
Severe and pounding headache.
Pregunta 2
Pregunta
Which of the following is not a characteristic of spinal shock?
Respuesta
-
Areflexia.
-
Loss of bowl and bladder function.
-
Decreased arterial blood pressure.
-
Rigidity.
Pregunta 3
Pregunta
When is the risk for deep vein thrombosis greatest in patients with SCI?
Respuesta
-
4-6 months after the injury.
-
2-3 months after the injury.
-
2-3 weeks after the injury.
-
1-2 months after the injury.
Pregunta 4
Pregunta
When a patient with SCI is learning to ambulate for the first time in the parallel bars, which of the following is the correct gait pattern that should be instructed by the therapist?
Respuesta
-
Swing to gait pattern.
-
4-point gait pattern.
-
Swing through gait patterns.
-
Reciprocal gait pattern.
Pregunta 5
Pregunta
What type of ambulation orthosis is usually prescribed for patients with poor trunk control?
Respuesta
-
Reciprocating gait orthosis.
-
Knee, ankle, foot orthosis.
-
Scott-Craig ankle foot orthosis.
-
ARGO system orthosis.
Pregunta 6
Pregunta
What is the most common type of injury to the spinal cord in the cervical region?
Respuesta
-
One that involves only flexion.
-
One that involves only extension.
-
One that involves flexion and rotation.
-
One that involves extension and rotation.
Pregunta 7
Pregunta
What is the most common type of incomplete spinal cord injury?
Respuesta
-
Anterior cord syndrome.
-
Central cord syndrome.
-
Posterior cord syndrome.
-
Brown-Sequard syndrome.
Pregunta 8
Pregunta
What is the highest SCI injury level that can achieve functional community ambulation?
Respuesta
-
L3.
-
T12.
-
L2.
-
T11.
Pregunta 9
Pregunta
What is the highest level of transfer possible for a patient with C6 tetraplegia?
Respuesta
-
Sliding board with assistance from the family.
-
Standing pivot.
-
Independent with a sliding board.
-
Use of Hoyer lift.
Pregunta 10
Pregunta
What is the desired amount of passive hamstring length needed to maintain long sitting and to dress the lower extremities in a patient with SCI?
Respuesta
-
110 degrees.
-
120 degrees.
-
100 degrees.
-
90 degrees.
Pregunta 11
Pregunta
What is the best place for the therapist to stand when attempting to teach a patient how t wheelie in a wheelchair?
Respuesta
-
To the right side of the wheelchair.
-
Behind the wheelchair.
-
In front of the wheelchair.
-
To the left side of the wheelchair.
Pregunta 12
Pregunta
What is another name for spinal cord injuries at or below L1?
Respuesta
-
Cauda equina injuries.
-
Paraplegic spinal cord injuries.
-
Complete spinal cord injury.
-
Incomplete spinal cord injuries.
Pregunta 13
Pregunta
Usually what is one of the first reflexes to return as spinal shock subsides?
Respuesta
-
Protective reflexes.
-
Sacral reflexes.
-
Deep tendon reflexes.
-
Spastic reflexes.
Pregunta 14
Pregunta
Individuals with injury above ____ will generally exhibit maximal heart rates of 130 beats per minute or less with exercise.
Respuesta
-
T7
-
T6
-
T4
-
T5
Pregunta 15
Pregunta
How often should patients with C& tetraplegia be instructed to lie prone?
Respuesta
-
Never.
-
30-40 minutes a day.
-
20-30 minutes a day.
-
10-20 minutes a day.
Pregunta 16
Pregunta
Which of the following is the approximate normal range of Intracranial pressure (ICP)?
Respuesta
-
10-15 mm Hg
-
5-10 mm Hg
-
15-20 mm Hg
-
20-25 mm Hg
Pregunta 17
Pregunta
What is the highest level on the Rancho Los Amigos scale of cognitive function?
Respuesta
-
Level IX.
-
Level V.
-
Level X.
-
Level VII.
Pregunta 18
Pregunta
In acute rehabilitation of a TBI, how many sources of sensory input should the therapist use at one time?
Respuesta
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3.
-
4.
-
1.
-
2.
Pregunta 19
Pregunta
If an individual suffers a grade 1 concussion, how long does it usually take symptoms to resolves?
Respuesta
-
10 minutes.
-
5 minutes.
-
15 minutes.
-
20 minutes.
Pregunta 20
Pregunta
What type of deficits of a TBI are frequently the most enduring and socially disabling?
Respuesta
-
Sensory deficits.
-
Cognitive deficits.
-
Motor deficits.
-
Behavioral deficits.
Pregunta 21
Pregunta
What is the proper position for an individual after seizure if they remain unconscious?
Respuesta
-
Sitting.
-
Prone.
-
Side lying.
-
Supine.
Pregunta 22
Pregunta
With locked-in syndrome, which of the following muscles of the body will continue to have active movement?
Respuesta
-
Eyes.
-
Arms.
-
Feet.
-
Neck.
Pregunta 23
Pregunta
What is the most common cause of traumatic brain injury (TBI)?
Respuesta
-
Falls.
-
Assault.
-
Struck by an object.
-
Motor vehicle accidents.
Pregunta 24
Pregunta
Why are side lying and semi prone positions more desirable in the acute treatment of a TBI?
Respuesta
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These positions offer decreased ICP.
-
These positions cause less chance for pressure ulcers.
-
These decrease the input of the labyrinthine reflex.
-
These positions offer easier care by nursing staff.
Pregunta 25
Pregunta
What is the most common joint affected by heterotopic ossification in individuals with TBI?
Respuesta
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Wrist.
-
Knee.
-
Hip.
-
Shoulder.
Pregunta 26
Pregunta
If a patient with a TBI has a sympathetic nervous system response to a crisis situation, which of the following will become depressed?
Respuesta
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Heart rate.
-
Blood pressure.
-
Cognitive skills.
-
Respiration rate.
Pregunta 27
Pregunta
In the acute setting, how often should the patient’s position be changed to avoid skin breakdown?
Respuesta
-
Every 2 hours.
-
Every 4 hours.
-
Every 15 minutes.
-
Every hour.
Pregunta 28
Pregunta
According to the 2008 Physical Activity Guidelines for Adults with Disabilities, which of the following is the correct exercise prescription?
Respuesta
-
150 minutes of moderate intensity exercise per week and general strengthening program. 2 times a week.
-
180 minutes of moderate intensity exercise per week and general strengthening program 2 times a week.
-
120 minutes of moderate intensity exercise per week and general strengthening program 3 times a week.
-
150 minutes of maximal intensity exercise per week and general strengthening program 5 times a week.
Pregunta 29
Pregunta
What is the lowest score on the Glasgow Coma Scale?
Respuesta
-
0.
-
5.
-
1.
-
3.
Pregunta 30
Pregunta
A cerebrovascular accident (CVA) within what lobe of the brain can cause inattention or neglect?
Respuesta
-
Frontal.
-
Temporal.
-
Occipital
-
Parietal.
Pregunta 31
Pregunta
Hemorrhagic strokes account for ____ of all stroke deaths.
Respuesta
-
10%
-
25%
-
30%
-
20%
Pregunta 32
Pregunta
If a therapist is attempting to ambulate a patient with pusher’s syndrome, where should the clinician position himself?
Respuesta
-
The patient’s univolved side.
-
On the patient’s involved side.
-
In front of the patients.
-
Behind the patient.
Pregunta 33
Pregunta
If spasticity develops in the shoulder, what is the common anatomic presentation of the scapula?
Respuesta
-
Adduction and upward rotation.
-
Abduction and downward rotation.
-
Adduction and downward rotation.
-
Abduction and upward rotation.
Pregunta 34
Pregunta
In sitting, excessive flexion of the head biases the patient toward _____?
Respuesta
-
thoracic kyphosis and posterior tilting of the pelvis.
-
thoracic lordosis and posterior tilting of the pelvis.
-
thoracic lordosis and anterior tilting of the pelvis.
-
thoracic kyphosis and anterior tilting of the pelvis.
Pregunta 35
Pregunta
What areas should be targeted first early in treatment when the goal is to improve functional mobility after a CVA?
Respuesta
-
Shoulder to elbow.
-
Wrist and ankle.
-
Hip and shoulder.
-
Knee and hip.
Pregunta 36
Pregunta
What is the first movement that a patient should make if the goal is to roll in bed?
Respuesta
-
Cross the uninvolved leg over the involved leg.
-
Reach and hold on the bed rails.
-
Reach across the body with the uninvolved upper extremity.
-
Turning the head to the side toward the roll.
Pregunta 37
Pregunta
What is the maximum score on the Berg Balance Test?
Respuesta
-
62.
-
56.
-
45
-
35.
Pregunta 38
Pregunta
What is the most common transfer from wheelchair to bed?
Respuesta
-
Stand pivot.
-
Hoyer lift.
-
Sliding boards.
-
Two man carry.
Pregunta 39
Pregunta
What specific muscle strengthening exercise is a patient performing if they are in tall kneeling and transition to heel sitting?
Respuesta
-
Concentric control of the hamstrings.
-
Eccentric control of the quadriceps.
-
Concentric control of he quadriceps.
-
Eccentric of the hamstrings.
Pregunta 40
Pregunta
When the patient has sustained a CVA, what is the most common orthosis prescribed?
Respuesta
-
KAFO.
-
Supramalleolar orthosis.
-
HKAFO.
-
AFO.
Pregunta 41
Pregunta
Which of the following is a condition in which the patient has difficulty articulating words as a result of weakness due to CVA?
Respuesta
-
Wernicke’s aphasia.
-
Dysarthria.
-
Broca’s aphasia
-
Global aphasia.
Pregunta 42
Pregunta
Which of the following is a side effect of dantrolene sodium?
Respuesta
-
Lethargy.
-
Seizures.
-
Emotional lability.
-
Cognitive changes.
Pregunta 43
Pregunta
Which of the following is correct placement of the upper extremity if the individual is in supine after a CVA?
Respuesta
-
Externally rotated, abducted approximately 30 degrees, and extend with the forearm supinated.
-
Internally rotated, abducted approximately 30 degrees, and extended with forearm pronated.
-
Externally rotated, abducted approximately 15 degrees, and extended with forearm pronated.
-
Externally rotated, abducted approximately 50 degrees, and extended with forearm supinated.
Pregunta 44
Pregunta
Which of the following is the correct procedure and progression of ambulation with a cane?
Respuesta
-
The advances the cane first with the uninvolved hand, the uninvolved lower extremity next, and then the involved lower extremity.
-
The patient advances the involved lower extremity first, the can with the uninvolved hand next, and the uninvolved lower extremity.
-
The patient advances the cane first with the uninvolved and, the uninvolved lower extremity next, and the involved lower extremity last.
-
The patient places the uninvolved lower extremity first, the cane with the uninvolved hand next, then the involved lower extremity.
Pregunta 45
Pregunta
Which PNF technique is most appropriate and effective when addressing decreased length in two joint muscles and when pain is not a significant factor?
Respuesta
-
Hold relax
-
Hold-relax active
-
Rhythmic stabilization
-
Contract relax
Pregunta 46
Pregunta
Bridging is an example of what stage of motor control?
Respuesta
-
First stage
-
Third stage
-
Second stage
-
Fourth stage
Pregunta 47
Pregunta
Typically resistance to upper extremity extension and adduction produces overflow to what muscle group?
Respuesta
-
Trunk flexors
-
Cervical flexors
-
Cervical extensors
-
Trunk extensors
Pregunta 48
Pregunta
What is the first posture in the developmental sequence in which the center of gravity is a significant distance from the supporting surface?
Respuesta
-
Half kneeling
-
Kneeling
-
Quadruped
-
Prone to elbows
Pregunta 49
Pregunta
In standing what type of activities are targeted at acquiring the skills needed to walk?
Respuesta
-
Mobility
-
Skilled
-
Controlled mobility
-
stability
Pregunta 50
Pregunta
What is the focus of the PNF techniques agonistic reversals?
Respuesta
-
Increasing muscle tone
-
Functional stability
-
Increased range of motion
-
Isometric strength
Pregunta 51
Pregunta
What is the best position for the patient to be positioned in to perform scapular and pelvic PNF patterns?
Respuesta
-
Side lying
-
Sitting
-
Standing
-
Supine
Pregunta 52
Pregunta
Which lower extremity patter is appropriate to utilize when attempting to teach a patient how to gain the ability to positions the legs into hook lying position independently?
Respuesta
-
Lower extremity D2 extension with knee extension
-
Lower extremity D2 flexion with knee flexion
-
Lower extremity D1 flexion with knee flexion
-
Lower extremity D1 extension with knee extension
Pregunta 53
Pregunta
Which upper extremity PNF pattern mimics the patient bringing a scarf over the opposite shoulder?
Respuesta
-
D1 extension
-
D2 flexion
-
D1 flexion
-
D2 extension
Pregunta 54
Pregunta
All PNF patterns consist of a combination of motion occurring in how many planes?
Respuesta
-
2
-
4
-
1
-
3
Pregunta 55
Pregunta
How many directions of movement are emphasized when using hold-relax-active movement patterns?
Respuesta
-
1
-
4
-
3
-
2
Pregunta 56
Pregunta
What type of grip is preferred when using proprioceptive neuromuscular facilitation (PNF) to control movement and provide optimal resistance regarding rotation?
Respuesta
-
Hook grip
-
Spherical grip
-
Lumbrical grip
-
Cylindrical grip
Pregunta 57
Pregunta
What scapular pattern is associated with D2 upper extremity flexion?
Respuesta
-
Anterior elevation
-
Anterior depression
-
Posterior depression
-
Posterior elevation
Pregunta 58
Pregunta
What is the position of the foot in lower extremity D2 flexion?
Respuesta
-
Dorsiflexed and inverted
-
Dorsiflexed and everted
-
Plantarflexed and inverted
-
Plantarflexed and everted
Pregunta 59
Pregunta
Which of the following is an indication to use a facilitatory stretch?
Respuesta
-
Pain
-
Hypermobility
-
Fracture
-
Flaccidity
Pregunta 60
Pregunta
What is often the first sign of Parkinson disease?
Respuesta
-
Bradykinesia.
-
Rigidity.
-
Tremor.
-
Postural instability.
Pregunta 61
Pregunta
Which of the following is a viral infection that attacks some of the anterior horn cells in the spinal cord?
Respuesta
-
Guillain-Barre syndrome.
-
Multiple sclerosis.
-
ALS.
-
Polio.
Pregunta 62
Pregunta
Which of the following individuals is most likely to receive the diagnosis of multiple sclerosis (MS)?
Respuesta
-
15-year-old male.
-
15-year-old female.
-
30-year-old female.
-
3o-year-old male.
Pregunta 63
Pregunta
Parkinson disease is a disorder of which of the following neurotransmitters?
Respuesta
-
Acetylcholine.
-
Serotonin.
-
Epinephrine.
-
Dopamine.
Pregunta 64
Pregunta
Which of the following is the usual cause of death in patients with ALS?
Respuesta
-
Respiratory failure.
-
Cardiac failure.
-
Kidney failure.
-
Infection.
Pregunta 65
Pregunta
Which of the following medications is injected daily for MS?
Respuesta
-
Avonex.
-
Copaxone.
-
Dexamethasone.
-
Betaseron.
Pregunta 66
Pregunta
Why can’t dopamine be given in the pharmacological management of Parkinson disease?
Respuesta
-
Dopamine will cause depression.
-
Dopamine cannot cross the blood brain barrier.
-
Dopamine will cause rigidity to worsen.
-
Patients will develop a resistance to dopamine.
Pregunta 67
Pregunta
If the patient has Stage 5 Parkinson disease, according to the Hoehn and Yahr classification of disability scale, what is their functional capability?
Respuesta
-
Is a community ambulator.
-
Uses a walker at all times.
-
Bedbound or wheelchair bound.
-
Uses a cane at all times.
Pregunta 68
Pregunta
Which of the following is not a symptom of post-polio syndrome (PPS)?
Respuesta
-
Pain.
-
Intolerance to heat.
-
New muscle weakness.
-
Excessive fatigue.
Pregunta 69
Pregunta
What is the most frequently reported symptom of MS?
Respuesta
-
Paresthesia.
-
Pain.
-
Fatigue.
-
Difficulty walking.
Pregunta 70
Pregunta
The majority of MS cases are
Respuesta
-
Progressive relapsing.
-
Primary progressive.
-
Secondary progressive.
-
Relapsing-remitting.
Pregunta 71
Pregunta
What is the cardinal sign of Amyotrophic lateral sclerosis (ALS)?
Respuesta
-
Pain.
-
Muscle weakness.
-
Paresthesia.
-
Poor cognition.
Pregunta 72
Pregunta
Which of the following is correct temperature range for therapeutic pools that will be used in the treatment of patients with MS?
Respuesta
-
70-75 degrees F.
-
80-85 degrees F.
-
85-90 degrees F.
-
75-80 degrees F.
Pregunta 73
Pregunta
What is usually the first sign of MS?
Respuesta
-
Fatigue.
-
Visual problems.
-
Paresthesia.
-
Weakness.
Pregunta 74
Pregunta
Which of the following is not one of the four primary symptoms of Parkinson disease?
Respuesta
-
Bradykinesias.
-
Postural instability.
-
Flaccidity.
-
Tremor.
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