Occupational Therapist Test Occupational Therapist Test Neurological Rehabilitation 1 — Questions and Answers
Question 1: What is the term for involuntary, rhythmic muscle contractions and relaxations triggered by sustained stretch, often seen after stroke?
- Ataxia
- Clonus (Correct answer)
- Apraxia
- Dysphagia
Correct answer: Clonus
Clonus is a series of involuntary rhythmic muscle contractions caused by hyperexcitability of the stretch reflex following upper motor neuron lesions.
Question 2: Which standardized assessment is considered the gold standard for measuring functional independence in ADLs after neurological injury?
- COPM
- FIM (Correct answer)
- MMSE
- AMPS
Correct answer: FIM
The Functional Independence Measure (FIM) is the most widely used tool for assessing independence in self-care, mobility, and cognition following neurological injury.
Question 3: The Neurodevelopmental Treatment (Bobath/NDT) approach to stroke rehabilitation primarily focuses on:
- Strengthening through progressive resistance
- Inhibiting abnormal tone and facilitating normal movement patterns (Correct answer)
- Compensatory strategy training only
- Cognitive retraining exclusively
Correct answer: Inhibiting abnormal tone and facilitating normal movement patterns
NDT focuses on inhibiting abnormal muscle tone and facilitating normal postural alignment and movement patterns through handling techniques.
Question 4: A client with a right hemisphere stroke is most likely to demonstrate:
- Broca's aphasia
- Left-sided unilateral neglect (Correct answer)
- Right-sided neglect
- Anomia
Correct answer: Left-sided unilateral neglect
Right hemisphere stroke commonly causes left unilateral neglect, where the client fails to attend to the contralateral (left) side of space.
Question 5: Which Brunnstrom recovery stage indicates that a patient can perform relatively isolated joint movements outside of synergy patterns?
- Stage 2
- Stage 4
- Stage 5 (Correct answer)
- Stage 3
Correct answer: Stage 5
Brunnstrom Stage 5 is characterized by movement combinations out of synergy, allowing more isolated joint control in the extremities.
Question 6: Constraint-Induced Movement Therapy (CIMT) is most appropriate for clients who have:
- Complete paralysis of the affected arm
- Hemiplegia with some residual active wrist and finger extension (Correct answer)
- Bilateral upper extremity weakness
- Cerebellar ataxia
Correct answer: Hemiplegia with some residual active wrist and finger extension
CIMT requires a minimum of 10° active wrist extension and 10° active finger extension in the affected hand to qualify, and constrains the unaffected limb to drive use of the affected side.
Occupational Therapist Test Occupational Therapist Test Neurological Rehabilitation 1
What is the term for involuntary, rhythmic muscle contractions and relaxations triggered by sustained stretch, often seen after stroke?