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

Rhythmic auditory stimulation provides external temporal cues that help override the disrupted internal timing mechanisms causing festination in Parkinson's disease.

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

The Fugl-Meyer Assessment Upper Extremity is specifically designed to measure post-stroke motor impairment and synergy patterns, making it most appropriate for this population.

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

At C5 ASIA A, patients lack wrist extension and hand function needed for push-ups, but can perform lateral weight shifts using the head-hips relationship with shoulder musculature.

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

Dysmetria is characterized by errors in movement endpoint accuracy, typically seen as overshoot (past-pointing) followed by corrective oscillations during the finger-to-nose test.

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

High-repetition task-specific practice drives synaptic strengthening through long-term potentiation, supporting the neuroplasticity principle that repeated use reinforces neural pathways.

(DPT) Board Certified Doctor of Physical Therapy Practice Test

(DPT) Board Certified Doctor of Physical Therapy Practice Test

DPT Neurological Rehabilitation 2