NCS Stroke Rehabilitation 5

Question 1

Broca's aphasia following stroke is MOST associated with lesions in which brain region?

Accepted Answer

Left posterior inferior frontal gyrus (Broca's area)

Answer

Left posterior superior temporal gyrus (Wernicke's area)

Answer

Right middle temporal gyrus

Answer

Left angular gyrus

Question 2

Which cognitive impairment after stroke is MOST likely to affect a patient's ability to learn new procedural tasks in rehabilitation?

Accepted Answer

Impaired procedural (implicit) memory

Answer

Mild anterograde memory impairment

Answer

Severe declarative (explicit) memory deficit

Answer

Reduced processing speed

Question 3

A patient with left hemisphere stroke is MOST likely to exhibit which behavioral characteristic during rehabilitation?

Accepted Answer

Depression, anxiety, and cautious behavior

Answer

Impulsivity and poor safety awareness

Answer

Anosognosia for hemiplegia

Answer

Spatial disorientation in familiar environments

Question 4

According to evidence-based guidelines, what is the recommended minimum weekly intensity of upper extremity task-specific training to drive neuroplastic gains in chronic stroke survivors?

Accepted Answer

3-5 hours per week with high repetition

Answer

1-2 hours per week

Answer

30 minutes per week

Answer

Only 15 minutes daily of passive stretching

Question 5

Which discharge setting is MOST appropriate for a stroke survivor who is functionally independent in ADLs with mild gait impairment but lacks safe home environment support?

Accepted Answer

Assisted living facility with outpatient therapy

Answer

Skilled nursing facility for long-term care

Answer

Inpatient acute rehabilitation hospital

Answer

Home with home health physical therapy

Question 6

A physical therapist is documenting outcomes for a patient returning to driving post-stroke. Which assessment domain is MOST critical to evaluate before recommending a driving evaluation?

Accepted Answer

Reaction time, visual processing, and cognitive function

Answer

Grip strength of the affected hand

Answer

Aerobic capacity via 6-minute walk test

Answer

Lower extremity spasticity grade

Question 7

When providing caregiver education after stroke, which approach is MOST consistent with current evidence for preventing learned non-use in the affected upper extremity?

Accepted Answer

Instruct the caregiver to allow and encourage use of the affected limb even if slower

Answer

Encourage the caregiver to perform all ADL tasks for the patient to conserve energy

Answer

Have the caregiver apply a resting hand splint during all waking hours

Answer

Advise the caregiver to minimize movement of the affected limb to prevent shoulder pain