Question 1

Your patient with diabetes needs education regarding skin protection.You choose strategies such as daily skin inspection and not going barefoot.These are examples of which approach for the patient with impaired sensation?

A)Cortical sensation approach
B)Sensory integration approach
C)Compensatory approach
D)Sensory integrity approach

C

Accepted Answer

The strategies of daily skin inspection and avoiding going barefoot are examples of the compensatory approach, which involves teaching the patient techniques for adapting to their impaired sensation and reducing the risk of further injury. The cortical sensation and sensory integration approaches both aim to improve sensory processing and integration in the brain, while the sensory integrity approach focuses on restoring and improving sensation through sensory re-education and other interventions. In this case, the compensatory approach is the most appropriate choice for the patient with diabetes.

Question 2

Peripheral neuropathy (e.g., diabetes) often shows early signs presenting as:&#10;A)Scattered, unpredictable patterns of sensory involvement&#10;B)Diffuse sensory involvement below the lesion&#10;C)Involvement of hands and feet (glove and stocking distribution)&#10;D)Abnormal zones of preservation that show partial innervation

Accepted Answer

Peripheral neuropathy can first present as involvement of hands and feet with a glove and stocking distribution.

Question 3

You see a patient in the ICU and note the following behavior: The patient appears drowsy and falls asleep unless constantly stimulated.You document that your patient is:&#10;A)Alert&#10;B)Obtunded&#10;C)Lethargic&#10;D)Comatose

Accepted Answer

Lethargic describes a state where the patient appears drowsy and can fall asleep easily if not stimulated, which matches the behavior noted in the question.

Question 4

While reading the physical therapist's evaluation of your patient, you note suspect damage to the 7th cranial nerve.You may expect to see which of the following?&#10;A)Partial paralysis of the facial muscles&#10;B)Impaired vision&#10;C)Weakness of the upper trapezius muscles&#10;D)Impaired hearing

Accepted Answer

Damage to the 7th cranial nerve, also known as the facial nerve, can cause partial paralysis of the facial muscles. This can result in drooping of the face and difficulty making facial expressions. Impaired vision, weakness of the upper trapezius muscles, and impaired hearing are not typically associated with damage to the 7th cranial nerve.

Question 5

Any of the following pathologies could present with sensory impairment EXCEPT:&#10;A)Peripheral nerve injury&#10;B)Multiple sclerosis&#10;C)Diabetes&#10;D)Parkinson's disease

Accepted Answer

Parkinson's disease primarily affects motor function and does not typically result in sensory impairment. However, it may lead to secondary issues such as decreased sensation due to motor deficits.

Question 6

You are assisting a PT in a sensory evaluation.The PT asks the patient to duplicate the position of an extremity with the contralateral extremity.This therapist is assessing which type of sensation?&#10;A)Vibration perception&#10;B)Proprioceptive awareness&#10;C)Pressure perception&#10;D)Stereognosis perception

Accepted Answer

Proprioceptive awareness refers to the ability to perceive the position and movement of our body parts. By asking the patient to duplicate the position of an extremity with the contralateral extremity, the therapist is assessing the patient's proprioceptive awareness.

Deck 3: Pta: Examination of Sensory Function