Question 1

You are working with a patient with a decreased level of consciousness.You observe that your patient is difficult to arouse, and once aroused is confused.You would describe this behavior as:&#10;A)Stupor&#10;B)Obtunded&#10;C)Lethargic&#10;D)Comatose

Accepted Answer

The patient's behavior of being difficult to arouse and confused is consistent with the definition of obtunded, which is a state of decreased level of consciousness characterized by reduced alertness, confusion, and delayed responses to stimuli. Stupor refers to a state of deep unconsciousness or unresponsiveness, lethargic refers to a state of drowsiness or sluggishness, and comatose refers to a state of prolonged unconsciousness with no response to painful stimuli or verbal commands.

Question 2

A typical pattern for a patient with spasticity and an upper motor neuron lesion is:&#10;A)Pelvis protraction, hip adduction, external rotation, and knee flexion&#10;B)Pelvic retraction, hip abduction, internal rotation, and knee extension&#10;C)Pelvic protraction, hip adduction, external rotation, and knee extension&#10;D)Pelvic retraction, hip adduction, internal rotation, and knee extension

Accepted Answer

Spasticity from an upper motor neuron lesion often results in pelvic retraction, hip adduction, internal rotation, and knee extension due to increased tone in specific muscle groups.

Question 3

You are working with a patient with a closed head injury and the speech therapist suggests that you work on activities that challenge the patient to work on divided attention.Which of the following activities accomplishes this?

A)Have your patient stay on task in the gym for 10 minutes.
B)Have your patient exercise the arms first, and then the legs.
C)Have your patient recite multiplication tables while walking.
D)Have your patient recall five named items after 20 minutes.

C

Accepted Answer

Reciting multiplication tables requires cognitive effort and attention, and walking requires physical effort and attention. Therefore, doing both tasks at the same time challenges the patient's ability to divide their attention between two tasks. A, B, and D do not necessarily require divided attention.

Question 4

Your supervising PT asks you to work on dynamic postural control with your patient.Which of the following would NOT be an appropriate choice for an activity?&#10;A)Seated patient maintains balance while you provide perturbations.&#10;B)Seated patient plays catch and throw with a ball.&#10;C)Patient in quadruped position weightshifts from side to side.&#10;D)Patient in quadruped position lifts a leg to kick at a balloon.

Accepted Answer

Activities B, C, and D all involve dynamic movements that challenge the patient's postural control by requiring them to adjust their position in response to external forces or movements. Activity A, while involving perturbations, is performed in a seated position, which does not challenge dynamic postural control to the same extent as the activities that require the patient to actively move and balance their body in space.

Question 5

Your patient's medical chart indicates that he has an analytic or objective learning style.You will be teaching him his total hip precautions.Which of the following strategies should you use?&#10;A)Start with real-life examples.&#10;B)Start with facts and progress in a structured order.&#10;C)Start with an actual demonstration.&#10;D)Provide a written handout; no verbal instruction is necessary.Chapter 5 - PTA: Examination of Motor Function: Motor Control and Motor Learning

Accepted Answer

Analytic or objective learners prefer to begin with facts and progress in a structured order. Therefore, starting with facts and progressing in a structured order is the best strategy to use when teaching a patient with an analytic or objective learning style his total hip precautions.

Deck 5: Pta: Examination of Motor Function: Motor Control and Motor Learning