NPTE-PT NPTE-PT Test Neuromuscular and Nervous Systems Questions and Answers 3

Question 1

A patient with an upper motor neuron lesion would most likely demonstrate which of the following signs?

Accepted Answer

Positive Babinski sign

Answer

A positive Babinski sign (extensor plantar response) is a hallmark of upper motor neuron dysfunction.

Question 2

Which tract is primarily responsible for carrying proprioceptive information from the lower extremities to the cerebral cortex?

Accepted Answer

Dorsal column-medial lemniscal pathway

Answer

The dorsal column-medial lemniscal pathway transmits proprioception, vibration, and discriminative touch from the body to the somatosensory cortex.

Question 3

A patient with Guillain-Barré syndrome typically presents with which pattern of weakness?

Accepted Answer

Ascending bilateral weakness starting in the distal lower extremities

Answer

Guillain-Barré syndrome classically presents with ascending, symmetric weakness beginning in the feet and legs.

Question 4

Which cranial nerve is tested by assessing the gag reflex?

Accepted Answer

Glossopharyngeal (CN IX) and Vagus (CN X)

Answer

The gag reflex tests the sensory component via CN IX and the motor component via CN X.

Question 5

A physical therapist observes that a patient with a stroke can initiate shoulder flexion only within a mass flexion synergy pattern. According to Brunnstrom's stages of motor recovery, this patient is in which stage?

Accepted Answer

Stage 3

Answer

Brunnstrom Stage 3 is characterized by voluntary movement that occurs only within synergy patterns.

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NPTE-PT NPTE-PT Test Neuromuscular and Nervous Systems Questions and Answers 3