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Neurological Rehabilitation MCQs
DPT Professional Review: Physical Therapy Essentials · DPT / Allied Health · 55 practice questions
- Stroke syndromes and aphasia
- Spinal cord injury - key muscles
- Autonomic dysreflexia
- Outcome measures
- Stroke syndromes
- Aphasia
- Neurological conditions - distinguishing features
- UMN vs LMN lesions
1. A stroke patient speaks fluently with normal rhythm and intonation, but the sentences are full of paraphasic errors and nonsensical words. When asked to point to objects on command, the patient cannot follow the instructions. Which type of aphasia and lesion location best fits this presentation?
- AWernicke's aphasia, temporal lobe
- BBroca's aphasia, frontal lobe
- CBroca's aphasia, temporal lobe
- DWernicke's aphasia, frontal lobe
Show answer
A. Wernicke's aphasia, temporal lobe Wernicke's aphasia is fluent but with poor comprehension and localizes to the temporal lobe, unlike Broca's aphasia which is nonfluent with intact comprehension and localizes to the frontal lobe.
2. An elderly rehabilitation patient completes a balance test scoring 38 out of 56, and separately takes 15 seconds to stand from a chair, walk 3 meters, turn, and sit back down. What is the most appropriate interpretation of these two results together?
- ABoth results indicate low fall risk
- BThe balance score indicates fall risk but the timed test is normal
- CThe timed test indicates fall risk but the balance score is normal
- DBoth results indicate increased fall risk
Show answer
D. Both results indicate increased fall risk A Berg Balance Scale score below 45 indicates fall risk, and a Timed Up and Go of about 12 seconds or more also indicates fall risk. Both values here meet those thresholds, indicating increased fall risk on both measures.
3. A 58-year-old man presents with weakness of the right leg. Examination shows increased muscle tone, brisk reflexes, and an upgoing plantar response on the right. Which of the following findings would suggest a lower motor neuron lesion instead?
- ASpasticity
- BHyperreflexia
- CPositive Babinski sign
- DFasciculations
Show answer
D. Fasciculations LMN lesions cause flaccidity, atrophy, fasciculations, and hyporeflexia, in contrast to the spasticity, hyperreflexia, and positive Babinski of UMN lesions described in the text.
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