OT Neurological Rehabilitation 2 — Questions and Answers
Question 1: Which type of visual field loss is most commonly associated with occipital lobe stroke?
- Homonymous hemianopia (Correct answer)
- Bitemporal hemianopia
- Central scotoma
- Monocular blindness
Correct answer: Homonymous hemianopia
Occipital lobe damage typically causes homonymous hemianopia, a loss of the same visual field half in both eyes.
Question 2: A client with spinal cord injury at C6 would MOST likely retain which functional ability?
- Independent wheelchair propulsion with tenodesis grip (Correct answer)
- Full hand grasp for writing
- Independent ambulation with ankle-foot orthoses
- Full bladder and bowel control
Correct answer: Independent wheelchair propulsion with tenodesis grip
C6 SCI preserves wrist extension, enabling tenodesis grip for functional tasks and wheelchair propulsion.
Question 3: Which cognitive perceptual deficit causes a client to be unable to recognize familiar faces after a right hemisphere stroke?
- Prosopagnosia (Correct answer)
- Simultanagnosia
- Topographical disorientation
- Agraphia
Correct answer: Prosopagnosia
Prosopagnosia is the inability to recognize familiar faces and is associated with right hemisphere damage.
Question 4: When using the Neurodevelopmental Treatment (NDT) approach, the OT's primary goal is to:
- Inhibit abnormal tone and facilitate normal movement patterns (Correct answer)
- Strengthen weak muscles through resistive exercise
- Compensate for deficits using adaptive equipment
- Improve endurance through aerobic conditioning
Correct answer: Inhibit abnormal tone and facilitate normal movement patterns
NDT focuses on inhibiting abnormal tone patterns and facilitating more normal, coordinated movement.
Question 5: A client post-TBI demonstrates confabulation. The OT should:
- Gently redirect without arguing and use memory aids (Correct answer)
- Confront the client to promote insight
- Avoid all memory-dependent activities
- Provide written corrections of all inaccurate statements
Correct answer: Gently redirect without arguing and use memory aids
Gently redirecting and using memory aids supports safety and function without causing distress or power struggles.
Question 6: Which splint is most appropriate for a client with median nerve injury at the wrist?
- Thumb spica splint (Correct answer)
- Resting hand splint with wrist in neutral
- Anti-spasticity splint
- Dynamic finger extension splint
Correct answer: Thumb spica splint
Median nerve injury at the wrist affects thumb opposition and intrinsic muscles, and a thumb spica splint maintains the thumb web space.
OT Neurological Rehabilitation 2
Which type of visual field loss is most commonly associated with occipital lobe stroke?