CNS CNS Neurorehabilitation and Recovery

Question 1

Which principle of neuroplasticity most directly supports the use of repetitive task-specific training in stroke rehabilitation?

Accepted Answer

Specificity

Answer

The specificity principle states that training effects are most pronounced in the exact skills and tasks practiced during rehabilitation.

Question 2

A CNS specialist is evaluating a patient 3 months post-traumatic brain injury who has difficulty initiating movement despite intact motor strength. Which deficit is most likely?

Accepted Answer

Akinesia

Answer

Akinesia refers to the impairment of the ability to initiate voluntary movement and is common following TBI or basal ganglia injury.

Question 3

Which outcome measure is most appropriate for assessing functional independence across multiple activities of daily living in a neurological rehabilitation setting?

Accepted Answer

Functional Independence Measure (FIM)

Answer

The FIM assesses 18 items covering motor and cognitive domains of functional independence and is widely used in inpatient neurorehabilitation.

Question 4

Constraint-induced movement therapy (CIMT) is most effective for which patient population?

Accepted Answer

Chronic stroke patients with mild-to-moderate upper extremity paresis

Answer

CIMT forces use of the affected limb by restraining the unaffected limb, and evidence supports its use in stroke survivors with residual upper extremity motor function.

Question 5

A patient with multiple sclerosis reports fatigue that worsens throughout the day and interferes with rehabilitation. Which energy conservation strategy is BEST to recommend?

Accepted Answer

Schedule demanding tasks in the early morning when energy is highest

Answer

In MS-related fatigue, scheduling high-demand tasks during peak energy periods (typically morning) is a core energy conservation strategy.

CNS - Certified Neuro Specialist Practice Test

CNS - Certified Neuro Specialist Practice Test

CNS CNS Neurorehabilitation and Recovery