DPT Neurological Rehabilitation 2

Question 1

A patient with Parkinson's disease demonstrates festinating gait. Which intervention BEST addresses this motor pattern?

Accepted Answer

Rhythmic auditory stimulation using a metronome

Answer

Strengthening of hip flexors with resistance bands

Answer

Passive stretching of the Achilles tendon

Answer

Balance training on an unstable foam surface

Question 2

Which outcome measure is MOST appropriate for assessing upper extremity function after stroke in a patient with moderate spasticity?

Accepted Answer

Fugl-Meyer Assessment Upper Extremity

Answer

DASH (Disabilities of the Arm, Shoulder and Hand)

Answer

Box and Block Test

Answer

Grip strength dynamometry

Question 3

A patient with C5 ASIA A spinal cord injury wants to perform pressure relief independently. Which technique is MOST realistic for this level?

Accepted Answer

Lateral weight shift using head-hips relationship

Answer

Standard push-up pressure relief from wheelchair

Answer

Forward lean pressure relief independently

Answer

Standing pivot transfer for full pressure relief

Question 4

During assessment of a patient with cerebellar ataxia, which finding is MOST characteristic of dysmetria?

Accepted Answer

Overshoot and correction during finger-to-nose testing

Answer

Cogwheel rigidity during passive elbow movement

Answer

Resting tremor that diminishes with intentional movement

Answer

Spastic catch at end range of passive motion

Question 5

Which neuroplasticity principle supports the use of high-repetition, task-specific practice in neurological rehabilitation?

Accepted Answer

Use it or lose it — synaptic connections strengthen with repeated activation

Answer

Massed practice is always superior to distributed practice

Answer

Cortical maps are fixed after the critical developmental period

Answer

Motor learning only occurs during the acute phase post-injury

Question 6

A patient post-TBI demonstrates difficulty following two-step commands but can follow simple one-step instructions. At which Rancho Los Amigos level is this patient MOST likely functioning?

Accepted Answer

Level VI — Confused/Appropriate

Answer

Level IV — Confused/Agitated

Answer

Level III — Localized Response

Answer

Level VII — Automatic/Appropriate

Question 7

Which gait deviation is MOST commonly observed in patients with foot drop following a common peroneal nerve injury?

Accepted Answer

Steppage gait with exaggerated hip and knee flexion

Answer

Trendelenburg gait with contralateral pelvic drop

Answer

Antalgic gait with shortened stance phase

Answer

Scissor gait with hip adductor hypertonicity