Deck 6: Examination and Evaluation of Neuromotor Systems

Question 1

A patient demonstrates considerable velocity-dependent increase in muscle tone (spasticity) of the knee extensors,and in fact passive movement into knee flexion is "difficult".Which of the following grades of the Modified Ashworth Scale would best fit this patient?

A)1
B)2
C)3
D)4

Answer 1

C

Question 2

Which of the following muscle groups GENERALLY would be most likely affected with paresis following cerebrovascular accident (CVA)?

A)Scapular retractors
B)Hip flexors
C)Trunk rotators
D)Finger extensors

Answer 2

D

Question 3

A patient displays great toe extension with or without splaying of toes following noxious stimulation of the dorsolateral aspect of the foot (inferior to the malleolus).This presentation is associated with which of the following signs?

A)Babinski
B)Chaddock
C)Oppenheim
D)Clasped-knife

Answer 3

B

Question 4

A patient presents to physical therapy with a tremor,during postural activities,that diminishes when the limb is supported proximally.Which of the following tests could be most helpful for assessing whether the tremor is related to cerebellar impairment?

A)Finger-to-nose test
B)Scapula locator method test
C)Electromyography
D)Fatigue Severity Scale

Question 5

Foot-tapping,hand-flapping "pancake" (rapid alternation between pronation and supination),repetitive hand-patting,or rapid fist open-close alternation each test for…

A)Intention tremor
B)Dysmetria
C)Dysdiadochokinesia
D)Dyssynergia

Question 6

Lesions of the extrapyramidal system commonly are associated with which of the following manifestations?

A)Preserved automatic movements
B)Contralateral paresis
C)Dystonia
D)Flaccidity

Question 7

Which of the following medications can produce side effects that mimic extrapyramidal symptoms?

A)Baclofen
B)Diuretics
C)Antipsychotics
D)Tricyclics

Question 8

Which of the following motor deficits are associated with a cerebrovascular accident (CVA) related to the anterior cerebral artery?

A)Contralateral ankle dorsiflexors
B)Ipsilateral knee extensors
C)Contralateral muscles of mastication
D)Ipsilateral shoulder flexors

Question 9

Which of the following is associated with ataxia observed during intentional upper extremity movement?

A)Resting tremor
B)Intentional movement decomposition
C)Myotomal weakness
D)Astasia

Question 10

Which of the following muscle groups would MOST likely be flaccid or have a manual muscle test (MMT) grade ≤3/5 with a spinal cord lesion at L4?

A)Ankle dorsiflexors
B)Hip flexors
C)Knee extensors
D)Great toe extensors

Question 11

A patient 3 months post-cerebrovascular accident is now able to release their grasp.Which of the following assessments specifically address this function?

A)Fugl-Meyer Assessment
B)Motricity Index
C)Modified Ashworth Scale
D)Modified Tardieu Scale