Question 1

If a patient has impaired memory and attention,what might be an effective strategy for the therapist when performing the examination and subsequent interventions?

Accepted Answer

A)  Work with the patient in a closed,quiet environment to minimize distractions.
B)  Treat the patient with another patient so they can assist each other.
C)  Provide the patient with detailed instructions and directions to assist his memory.
D)  Work with the patient in the physical therapy gym. A

Question 2

What is an appropriate method of examining if motor learning has occurred in a patient with motor deficits?

Accepted Answer

A)  Manual muscle testing of the impaired extremity
B)  Active-assisted ROM of the impaired extremity
C)  Measuring performance on a retention test
D)  Using the Modified Ashworth Scale C

Question 3

If a patient has normal tone,how would the limb feel during passive motion testing?

Accepted Answer

A)  Stiff and rigid
B)  Heavy and unresponsive
C)  Responsive and light
D)  Tight and firm C

Question 4

How should peripheral vision be examined?

Accepted Answer

A)  Instruct the patient while in a sitting position to visually track an object from right to left with increasing speed.
B)  Instruct the patient to read a Snellen eye chart from a distance of 20 feet.
C)  Instruct the patient to move across the busy gym area while observing ability to navigate safely,avoiding obstacles.
D)  Instruct the patient to look at the therapist's nose while the therapist slowly brings a pencil into the patient's field of view from the right or left.

Question 5

The therapist observes that the patient is able to maintain his center of mass over the base of support in a standing position without upper extremity support.What type of motor task is this patient demonstrating?

Accepted Answer

A)  Mobility
B)  Static postural control
C)  Dynamic postural control
D)  Skill

Question 6

Which of the following could a therapist use to document changes in motor performance?

Accepted Answer

A)  The patient's perceptions
B)  The number and type of errors
C)  Changes in strength
D)  Respiratory and heart rate

Question 7

After gently pushing on a patient's sternum in standing,the therapist observes the patient shifting her center of mass forward at the ankles.How would the therapist document this finding?

Accepted Answer

A)  The patient demonstrates normal postural sway with gentle perturbations in standing.
B)  The patient has good standing balance after perturbations.
C)  The patient demonstrates an ankle strategy with gentle perturbations in standing.
D)  The patient is able to maintain balance in standing with gentle perturbations.

Question 8

What score on the Berg Balance test has been shown to be useful in evaluating risk of falling in older adults?

Accepted Answer

A)  56
B)  24
C)  45
D)  60

Question 9

What statement best characterizes spasticity?

Accepted Answer

A)  Clinical presentation includes large involuntary movements.
B)  Stretch reflexes are dampened or absent.
C)  Resistance to passive stretch is velocity-dependent.
D)  Clinical presentation includes uniform resistance to movement.

Question 10

A patient who presents with a positive Babinski sign would demonstrate what type of response to a stroking stimulus on the sole of the foot along the lateral border?

Accepted Answer

A)  Dorsiflexion of the foot and great toe
B)  Plantar flexion of the foot and great toe
C)  Dorsiflexion of the big toe and fanning of the other four toes
D)  Extension of the big toe and the other four toes of the foot

Question 11

When might the therapist expect the patient to demonstrate a hip strategy for balance while in a standing position?

Accepted Answer

A)  With very large perturbations to stop from falling
B)  With very small perturbations
C)  With large perturbations while standing with a wide base of support
D)  With large perturbations while standing with a narrow base of support

Question 12

What would be a positive finding on the Romberg Test?

Accepted Answer

A)  The patient is unable to maintain balance on an unstable surface.
B)  The patient is unable to maintain balance on one foot.
C)  The patient is unable to maintain balance with eyes closed.
D)  The patient is unable to maintain balance while turning the head from side to side.

Question 13

On Tuesday afternoon the patient practiced transfers from the wheelchair to the mat with assistance from the therapist and progressed from minimal assist to stand-by assist.On Wednesday morning the therapist asks the patient to perform a transfer from the wheelchair to the toilet.What type of assessment of motor learning is the therapist using?

Accepted Answer

A)  A performance test
B)  A transfer test
C)  A retention test
D)  A reliability test

Question 14

Which statement best describes dynamical systems theory?

Accepted Answer

A)  Control occurs in a hierarchical manner with higher levels of the CNS controlling lower levels.
B)  Units of the CNS are organized around demands of specific tasks.
C)  Motor elements are activated in response to specific sensory stimulation.
D)  The input from higher levels are given more weight when determining the motor response.

Question 15

On Tuesday afternoon the patient practiced transfers from the wheelchair to the mat with assistance from the therapist and progressed from minimal assist to stand-by assist.On Wednesday morning the therapist asks the patient to perform the same transfer.What type of assessment of motor learning is the therapist using?

Accepted Answer

A)  A performance test
B)  A transfer test
C)  A retention test
D)  A reliability test

Question 16

When deciding if manual muscle testing is appropriate in a patient with an upper motor neuron lesion,what should the therapist consider first?

Accepted Answer

A)  Amount of spasticity and abnormal synergy present
B)  The severity of the upper motor neuron lesion
C)  Previous strength as reported by the patient
D)  The patient's ability to move the extremity

Question 17

A patient who presents with significant deficits in lower extremity somatosensation will have to depend on what systems to maintain balance?

Accepted Answer

A)  Auditory and proprioception
B)  Visual and auditory
C)  Auditory and vestibular
D)  Visual and vestibular

Question 18

What does the Modified Ashworth Scale measure?

Accepted Answer

A)  Clonus
B)  Spasticity
C)  Reflexes
D)  Strength

Question 19

During a movement sequence the sensory system sends information to the central nervous system to monitor the task and provide for correction of movement.This type of control is

Accepted Answer

A)  feedforward control.
B)  synergistic units.
C)  feedback control.
D)  coordinative structures.

Question 20

Deep tendon reflexes in a patient with an upper motor neuron lesion are

Accepted Answer

A)  increased.
B)  decreased.
C)  not changed.
D)  dependent on location of the lesion.

Exam 8: Examination of Motor Function: Motor Control and Motor Learning