The following quiz will test your knowledge of Neuromuscular Rehabilitation including assessment, treatment, and differential diagnosis. Rationale will be provided upon completion of the quiz for each question’s correct answer. If you have any questions or concerns feel free to fill out the comment box at the end of the quiz. Good luck!

1. During an examination of cranial nerve integrity a Physical Therapist asks their patient to say “ah” and examines the patient’s soft palate. The therapist notices that the soft palette elevates asymmetrically. Which of the following is the most likely cause of this abnormality?

 
 
 
 

2. A physical therapist is currently evaluating a 58 y/o male patient who experienced an obstruction of the right middle cerebral artery which resulted in an ischemic cerebrovascular accident 2 months ago. The astute physical therapist decides to perform a Performance-Oriented Mobility Assessment in order to assess functional balance and gait. The patient scores a 17 which places him at what risk for falls?

 
 
 
 

3. A physical therapist performs an evaluation of a 76 y/o male patient with recent Right CVA. It is determined during the evaluation that the patient is experiencing left hemiparesis and sensory loss with greater LLE involvement than LUE. Which of the following vascular structures is most likely involved?

 
 
 
 

4. You are treating a patient who is currently displaying a stage IV Rancho Los Amigos functional level. During the exam the patient becomes aggressive after 5 minutes of treatment and begins to swing his upper extremity towards the therapist. The patient has displayed these behaviors more often recently and does not appear to be in danger of harming himself. Which of the following is the BEST method for continuing treatment?

 
 
 
 

5. After entering a patient’s room, you observe that the patient is having difficulty answering your questions. His speech appears to be slow and the patient is having difficulty forming his words. When asked if he is able to sit up on the edge of the bed the patient immediately attempts to transfer to a sitting position. This leads you to suspect which of the following?

 
 
 
 

6. Which neurological syndrome results in scattered demyelinating lesions throughout the CNS and is described as having a variable course of symptoms and fluctuating periods of severity?

 
 
 
 

7. You are treating a patient s/p CVA who is having difficulty ascending the steps into his home. He is able to place his right foot on the step above, but is unable to transfer his body weight entirely to his RLE due to LE weakness. Which of the following would be the most appropriate exercise to improve the patient’s stair climbing ability?

 
 
 
 

8. You are treating a patient s/p severe infection and subsequent gentamicin antibiotic course. This patient was referred to you by her neurologist and presents to your clinic with complaints of a spinning sensation when she turns her head. Which of the following would be most appropriate?

 

 
 
 
 

9. Which of the following gait abnormalities is most consistent with Parkinson’s Disease?

 
 
 
 

10. Ipsilateral weakness and loss of vibration/proprioception sense below the lesion is indicative of which spinal cord syndrome?

 
 
 
 


 

5 thoughts on “Neuromuscular Practice Quiz

  • December 14, 2015 at 11:52 am
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    This quiz was helpful! Thank you!

    Reply
  • December 23, 2015 at 9:19 am
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    Nice questions

    Reply
  • September 5, 2018 at 7:07 pm
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    Awesome questions and rationale provided.it boosts my confidence andwering questions

    Reply

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