CNS CNS Neurorehabilitation and Recovery 2

Question 1

Which gait deviation is most commonly seen in patients with foot drop following peroneal nerve injury?

Accepted Answer

Steppage gait

Answer

Steppage gait occurs when the patient excessively flexes the hip and knee to lift a dropped foot off the ground during the swing phase.

Question 2

During spasticity management in a CNS patient, which intervention is considered FIRST-LINE before procedural options?

Accepted Answer

Stretching, positioning, and oral antispasticity agents

Answer

Conservative management including stretching, positioning, and oral medications such as baclofen or tizanidine should precede more invasive interventions.

Question 3

A patient recovering from spinal cord injury at C5 asks about realistic functional goals. Which expectation is MOST appropriate for a complete C5 injury?

Accepted Answer

Ability to feed self with adaptive equipment and drive a power wheelchair

Answer

C5 SCI typically preserves shoulder abduction and elbow flexion, allowing self-feeding with adaptive equipment and power wheelchair use.

Question 4

Which neurological complication is associated with inappropriate calcium deposits forming around joints after spinal cord injury or traumatic brain injury?

Accepted Answer

Heterotopic ossification

Answer

Heterotopic ossification is the formation of bone in soft tissues around joints and is a known complication of SCI and TBI that limits joint range of motion.

Question 5

A CNS specialist notes that a patient with Parkinson's disease has improved walking speed when visual cues (lines on the floor) are used. This technique exploits which mechanism?

Accepted Answer

External cueing to bypass defective basal ganglia timing

Answer

External rhythmic or visual cues bypass the defective internal timing circuitry of the basal ganglia, enabling more regular stride initiation.

CNS - Certified Neuro Specialist Practice Test

CNS - Certified Neuro Specialist Practice Test

CNS CNS Neurorehabilitation and Recovery 2