Question 1

Which of the following pharmaceutical interventions may be administered orally or via intrathecal catheter?

Accepted Answer

A) Kepra 
B) Baclofen 
C) Zanaflex 
D) Botox 
A) Kepra 
B) Baclofen 
C) Zanaflex 
D) Botox B

Question 2

Early stage Parkinson disease is highly correlated with this type of hypertonia.

Accepted Answer

A) Lead pipe 
B) Cogwheel 
C) Decorticate 
D) Decerebrate 
A) Lead pipe 
B) Cogwheel 
C) Decorticate 
D) Decerebrate B

Question 3

A patient presents with decerebrate rigidity.The lesion most likely responsible for this abnormal posturing is located within the __________.

Accepted Answer

A) Cortico-spinal tract 
B) Brainstem (extrapyramidal spinal cord tracts) 
C) Peripheral nerve 
D) Cauda equina 
A) Cortico-spinal tract 
B) Brainstem (extrapyramidal spinal cord tracts) 
C) Peripheral nerve 
D) Cauda equina B

Question 4

A patient presents with a slight increase in muscle tone,manifested by a catch,followed by minimal resistance throughout the remainder (less than half) of the range of motion (ROM).The corresponding score on the Modified Ashworth Scale is as follows:

Accepted Answer

A) 0 
B) 1 
C) 1+ 
D) 2 
A) 0 
B) 1 
C) 1+ 
D) 2

Question 5

When applying motor level stimulation to address spasticity of the following settings which is the most important?

Accepted Answer

A) Appropriate ramp up time 
B) Maximum treatment time of 5 minutes 
C) A continuous duty cycle 
D) Amplitude that is below motor threshold 
A) Appropriate ramp up time 
B) Maximum treatment time of 5 minutes 
C) A continuous duty cycle 
D) Amplitude that is below motor threshold

Question 6

Aquatic therapy has demonstrated effectiveness as a means of therapeutic exercise for individuals with hypertonicity.The main principle that allows for a therapeutic effect is which of the following?

Accepted Answer

A) Multidirectional resistive forces 
B) A water temperature of 77° to 80° Fahrenheit 
C) Water tension 
D) Buoyancy 
A) Multidirectional resistive forces 
B) A water temperature of 77° to 80° Fahrenheit 
C) Water tension 
D) Buoyancy

Question 7

Which of the following therapeutic inhibition techniques is least effective to reduce hypertonicity of the upper extremity:

Accepted Answer

A) Sustained long-axis traction 
B) Sustained cold application 
C) Sustained heat application 
D) Sustained stretching of the muscles,followed by agonist contraction 
A) Sustained long-axis traction 
B) Sustained cold application 
C) Sustained heat application 
D) Sustained stretching of the muscles,followed by agonist contraction

Question 8

Spasticity is defined as which of the following:

Accepted Answer

A) An increase in muscle tone present with velocity dependent movement. 
B) An increase in muscle tone present without velocity dependent movement . 
C) A decrease in muscle tone present with velocity dependent movement 
D) a decrease in muscle tone present with velocity dependent movement 
A) An increase in muscle tone present with velocity dependent movement. 
B) An increase in muscle tone present without velocity dependent movement . 
C) A decrease in muscle tone present with velocity dependent movement 
D) a decrease in muscle tone present with velocity dependent movement

Question 9

Hypertonicity in the biceps and the flexor digitorum profundus (FDP) may result in which of the following contractures and subsequent functional limitations?

Accepted Answer

A) Elbow extension and wrist extension and the inability to feed oneself 
B) Elbow extension and wrist flexion and the inability to transfer from one surface to another 
C) Elbow flexion and wrist extension and the in ability to hold a grooming object to perform self-care 
D) Elbow flexion and wrist flexion and in ability to reach and grasp an object with a lumbrical grip 
A) Elbow extension and wrist extension and the inability to feed oneself 
B) Elbow extension and wrist flexion and the inability to transfer from one surface to another 
C) Elbow flexion and wrist extension and the in ability to hold a grooming object to perform self-care 
D) Elbow flexion and wrist flexion and in ability to reach and grasp an object with a lumbrical grip

Exam 19: Intervention Related to Hypertonia: Spastic and Rigid

Which of the following pharmaceutical interventions may be administered orally or via intrathecal catheter?

Early stage Parkinson disease is highly correlated with this type of hypertonia.

A patient presents with decerebrate rigidity.The lesion most likely responsible for this abnormal posturing is located within the __________.

A patient presents with a slight increase in muscle tone,manifested by a catch,followed by minimal resistance throughout the remainder (less than half) of the range of motion (ROM).The corresponding score on the Modified Ashworth Scale is as follows:

When applying motor level stimulation to address spasticity of the following settings which is the most important?

Aquatic therapy has demonstrated effectiveness as a means of therapeutic exercise for individuals with hypertonicity.The main principle that allows for a therapeutic effect is which of the following?

Which of the following therapeutic inhibition techniques is least effective to reduce hypertonicity of the upper extremity:

Spasticity is defined as which of the following:

Hypertonicity in the biceps and the flexor digitorum profundus (FDP) may result in which of the following contractures and subsequent functional limitations?

Foundations for Making Clinical Decisions in Neuromuscular Rehabilitation

Making Clinical Decisions: a Path to Optimal Therapeutic Plan and Outcomes

The Neurological Examination and Evaluation: an Overview

Screening of Attention, cognition, perception, and Communication

Examination and Evaluation of Sensory Systems

Examination and Evaluation of Neuromotor Systems

Examination and Evaluation of Cranial Nerves

Examination and Evaluation of Vestibular Function

Examination of Balance and Equilibrium

Examination and Evaluation of Functional Status and Movement Patterns

Examination and Evaluation of Cardiovascularpulmonary Systems in Neuromuscular Disorders

Diagnostic Testing in Neurology: Lab Tests, imaging, and Nervemuscle Studies With Implications for Therapists

Development of Neuromotor Skills: Lifespan Approach

Concepts and Principals of Neurological Rehabilitation

General Approaches to Neurological Rehabilitation

Health Promotion and Wellness in Neurology

Assistive Technology in Intervention: Focus on Wheelchairs,assistive Devices,and Orthoses

Intervention for Flaccidity and Hypotonia

Intervention for Involuntary Contractions and Movement

Intervention for Ataxiaincoordination

Interventions for Weakness in Neuromotor Disorders

Intervention for Limited Passive Range of Motion

Therapeutic Intervention for Impaired Motor Controlstability

Intervention for Impaired Motor Controlmovement

Therapeutic Interventions for Complete Paralysis

Intervention for Sensory Impairment

Intervention for Chronic Pain

Intervention for Vestibular Impairment

Interventions for Balance Impairment

Overcoming Challenges of Impaired Perception, cognition, and Communication Aphasia or Dysarthria

Intervention for Cardiovascular and Pulmonary Impairments in Neurological Populations

Functional Activity Intervention in Upper Extremity Tasks

Functional Activity Intervention in Horizontal Bed Mobility to Quadruped Skills

Functional Activity Intervention in Sitting

Functional Intervention in Sit-To-Stand, stand-To-Sit, and Standing

Functional Activity Intervention in Upright Mobility

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