Neurologists Exam Neurologists Exam Neurological Rehabilitation & Functional Recovery 2 — Questions and Answers
Question 1: Which type of therapy uses repetitive task practice and functional movements to drive cortical reorganization after stroke?
- Task-oriented training (Correct answer)
- Passive range of motion
- Hot pack application
- TENS only
Correct answer: Task-oriented training
Task-oriented training harnesses neuroplasticity by repetitively practicing meaningful functional activities to retrain the motor cortex.
Question 2: A patient with traumatic brain injury has difficulty forming new memories but retains old ones. This pattern is called:
- Anterograde amnesia (Correct answer)
- Retrograde amnesia
- Transient global amnesia
- Procedural memory loss
Correct answer: Anterograde amnesia
Anterograde amnesia is the inability to form new memories after a brain injury, while memories before the injury remain intact.
Question 3: Spasticity after spinal cord injury is best initially managed with which pharmacological agent in the US?
- Baclofen (Correct answer)
- Levodopa
- Memantine
- Donepezil
Correct answer: Baclofen
Baclofen is a GABA-B agonist that reduces hyperexcitability of spinal motor neurons and is first-line for spasticity management.
Question 4: Which gait abnormality, characterized by high stepping and foot slap, results from footdrop due to common peroneal nerve damage?
- Steppage gait (Correct answer)
- Trendelenburg gait
- Scissors gait
- Antalgic gait
Correct answer: Steppage gait
Steppage gait results from footdrop causing the patient to excessively flex the hip and knee to clear the foot during walking.
Question 5: Which cognitive rehabilitation strategy involves breaking complex tasks into simpler component steps for TBI patients?
- Chaining (Correct answer)
- Errorless learning
- Spaced retrieval
- Dual-task training
Correct answer: Chaining
Chaining (forward or backward) breaks multi-step tasks into manageable links, allowing TBI patients to relearn ADLs systematically.
Question 6: Electrical stimulation of peripheral nerves to reduce pain and improve motor function in neurological rehabilitation is called:
- Transcutaneous electrical nerve stimulation (TENS) (Correct answer)
- Transcranial magnetic stimulation (TMS)
- Deep brain stimulation (DBS)
- Vagus nerve stimulation (VNS)
Correct answer: Transcutaneous electrical nerve stimulation (TENS)
TENS delivers low-level electrical current through skin electrodes to modulate pain signals and facilitate motor nerve activity.
Which type of therapy uses repetitive task practice and functional movements to drive cortical reorganization after stroke?