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

Broca's aphasia is caused by damage to the left posterior inferior frontal gyrus (Broca's area, Brodmann areas 44/45), producing non-fluent speech with intact comprehension.

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

Procedural memory underlies skill acquisition; impairment in this system would most directly interfere with learning new motor tasks like transfers or adaptive equipment use.

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

Left hemisphere stroke is more commonly associated with depression, anxiety, and overly cautious or catastrophic behavioral responses compared to right hemisphere stroke.

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

Evidence supports high-intensity, high-repetition upper extremity training of at least 3-5 hours per week to drive meaningful use-dependent cortical reorganization in chronic stroke.

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

An assisted living facility provides a supervised environment with safety support while the patient continues to progress with outpatient therapy given functional ADL independence.

(NCS) Neurologic Clinical Specialist Practice Test

(NCS) Neurologic Clinical Specialist Practice Test

NCS Stroke Rehabilitation 5