DPT Neurological Rehabilitation 3

Question 1

A patient with multiple sclerosis reports extreme fatigue after a short physical therapy session. Which principle should PRIMARILY guide your session planning?

Accepted Answer

Schedule sessions during cooler times and incorporate frequent rest breaks

Answer

Maximize session intensity to improve aerobic conditioning rapidly

Answer

Avoid all exercise as it worsens MS fatigue permanently

Answer

Use passive modalities only to prevent exacerbation

Question 2

Which intervention has the STRONGEST evidence for improving walking speed and endurance in patients with chronic stroke?

Accepted Answer

Body-weight supported treadmill training with progressive overload

Answer

Passive range of motion exercises for the lower extremities

Answer

Electrical stimulation to antagonist muscles only

Answer

Stretching and positioning programs alone

Question 3

A patient with Guillain-Barré syndrome is in the recovery phase with 3/5 strength in bilateral lower extremities. Which precaution is MOST important during exercise?

Accepted Answer

Avoid overwork fatigue as it can worsen denervated muscle recovery

Answer

Perform maximum resistance exercise to accelerate nerve regeneration

Answer

Focus exclusively on sensory re-education before motor training

Answer

Restrict all active exercise until strength reaches 5/5

Question 4

When treating a patient with hemispatial neglect following right hemisphere stroke, which cueing strategy has the BEST evidence?

Accepted Answer

Visual scanning training toward the neglected left side

Answer

Patching the right eye to force left visual field use

Answer

Strengthening the left upper extremity to increase awareness

Answer

Verbal reminders to look left given by the caregiver

Question 5

Which classification correctly describes an ASIA B spinal cord injury?

Accepted Answer

Sensory incomplete — sensory but not motor function preserved below the lesion level

Answer

Motor incomplete — motor function preserved below level with more than half key muscles graded ≥3

Answer

Complete — no motor or sensory function preserved in S4-S5

Answer

Motor incomplete — more than half of key muscles below level grade ≥3

Question 6

A patient recovering from a brainstem stroke presents with ipsilateral facial weakness and contralateral limb weakness. This pattern is MOST consistent with which type of syndrome?

Accepted Answer

Crossed (alternating) hemiplegia syndrome

Answer

Locked-in syndrome

Answer

Lateral medullary (Wallenberg) syndrome

Answer

Weber syndrome only

Question 7

Which assessment tool is MOST appropriate for measuring balance and fall risk in community-dwelling patients with Parkinson's disease?

Accepted Answer

Mini-BESTest (Balance Evaluation Systems Test)

Answer

Pediatric Balance Scale

Answer

Functional Gait Assessment for vestibular only

Answer

Romberg test exclusively