PT Neurology Questions Bank PDF 2023/2024 Midterm Questions

Midterm Questions Midterm Questions (2024) 1. Left hemiplegia in right handed patient may be compined with: (‫)متكرر‬ A. Slurred speech B. Broca's aphasia C. Jorgi apahsia D. Staccato speech 2. Cortical hemiplegia combined with: A. Contralateral UMNL facial nerve B. LMNL facial nerve C. LMNL...

Midterm Questions Midterm Questions (2024) 1. Left hemiplegia in right handed patient may be compined with: (‫)متكرر‬ A. Slurred speech B. Broca's aphasia C. Jorgi apahsia D. Staccato speech 2. Cortical hemiplegia combined with: A. Contralateral UMNL facial nerve B. LMNL facial nerve C. LMNL trigeminal nerve D. Ipsilateral UMNL facial nerve 3. Preferred PNF pattern for Tensor fascia lata (TFL) is: A. Flexion abduction internal rotation B. Flexion adduction external rotation C. Extension adduction external rotation D. B. Flexion abduction external rotation 4. In contralateral limb synkinesis resist hip flexion in the non Affected side increase tone in: A. Contralateral hip flexion B. Contralateral hip extension C. Ipsilateral dorsiflexion D. None of the above 5. Regarding testing of trunk control can be done by patient Lying on bed at all of this except: A. Roll to weak side B. Roll to strong side C. Sit up from standing D. Sit up from lying 6. In the flaccid stage of hemiplegia there's: A. Areflexia B. Hyperreflexia C. Hypertonia D. Normal 7. Resistance applied to strong muscles group lead to increase firing in these group and impulses spreads to all motor unit sharing in this pattern forming facilitation of these muscles which may be weak within the pattern, this called A. Successive induction B. Irradiation C. Reciprocal innervation D. Time of emphasis 8. It describes the facilitation of antagonist muscle in the end range of agonist muscle A. Successive induction B. Irradiation C. Reciprocal innervation D. Time of emphasis 9. It represents the neural circuit connections that permit coordination between antagonistic muscle groups A. Successive induction B. Irradiation C. Reciprocal innervation D. Time of emphasis 10. The change in this normal timing to stress on specific targeted weak muscle group A. Successive induction B. Irradiation C. Reciprocal innervation D. Time of emphasis 11. Patient may need small pillow under affected side pelvis to realign lower trunk and pelvis: A. True B. False 12. Which pathway transmit Pain and temperature: (‫)محذوف‬ A. Lateral spinothalamic tract B. Spino cerebellar tract C. Lateral pyramidal tract D. All of the above 13. All of the following are from modifiable risk factors of stroke, except: A. Smoking B. Obesity C. Heart diseases D. High cholesterol level 14........... Can be used as an inhibitory technique for abnormal tone: A. Vibrating 10hz B. Brief ice application C. Quick stretch D. Irregular approximation 15. Quick stretch is regarded as: A. Facilitation technique B. Inhibitory technique C. Functional training technique D. None of the above 16. In symmetrical tonic neck reflex, neck extension increase tone in: A. Upper limb flexors and lower limb extensors B. Upper limb extensors and lower limb extensors C. Upper limb extensors and lower limb flexors D. Upper limb flexors and lower limb flexors 17. All motor nuclei are bilaterally supllied, except: A. Occulomotor nerve nucleus B. Facial nerve nucleus C. Trigeminal nerve nucleus D. Accessory nerve nucleus Midterm Questions (2023) 1. Tonic lumbar reflex combination movement ‫ايه الحركات اللي كانت بتحصل‬ ‫ فيها‬p80 2. Definition of irradiation p28 3. Successive induction definition 4. Aswarth scale grade 1+ p73 5. PNF for tensor fascia lata , pronator teres , flexor carpi radialis 6. Hemiplegic gaits 7. Supine position instructions short note p96 8. Distal key point of bobath approach short note p123 Quizzes Questions (2023 & 2024) Lec 6 (Ataxia) 1. Vertigo is a sign of: A. Vestibular ataxia C. Sensory ataxia B. Cerebellar ataxia D. None of the above 2. From characteristics of sensory ataxia A. Hyperreflexia B. Hyporeflexia C. Hypertonia D. Vertigo 3. Staccato speech is present in A. Sensory ataxia B. Vestibular ataxia C. Archicerebellar ataxia D. Neocerebellar ataxia 4. Dysdiadocokinesia best be treated by: A. Slow reversal hold(stabilizing reversal) PNF B. Resisted training C. Slow reversal (dynamic reversal) PNF D. Accuracy training 5. Limb holding treated by all of this, except: A. Weight bearing B. Rhythmic stabilization PNF technique C. Slow reversal PNF technique D. Approximation 6. Which type of ataxia that treated with visual occuled: A. Vestibular ataxia B. Sensory ataxia C. Neocerebellar ataxia D. None of the above 7. What's the type of reflex in cerebellar ataxia: A. Bendular reflex B. Hyporeflexia C. Hyperreflexia D. None of the above 8. Athenia is associated with which type of ataxia: A. Vestibular ataxia B. Sensory ataxia C. Archicerebellar ataxia D. Neocerebellar ataxia 9. Romberg test is positive with which type of ataxia: A. Vestibular ataxia B. Sensory ataxia C. Archicerebellar ataxia D. Neocerebellar ataxia Lec 7 (Head & trunk PNF) 1. Trunk PNF patterns have: A. 2 component of movement B. One component of movement C. 3 component of movement D. None of the above 2. Upper trunk extension with rotation to the left best used for: A. Right multifidus B. Left rotators C. Right internal oblique D. Left internal oblique 3. Head PNF flexion with rotation to the right can be used to facilitate: A. Left sternomastoid B. Right orbicularis occuli C. Right zygomaticus D. All of the above 4. Best PNF used for distal weakness as in motor polyneuropathy: A. Replication (repeated contraction) B. Relaxation technique C. Rhythmic initiation D. Slow reversal 5. Best PNF used with ataxia patients: A. Dynamic reversal B. Rhythmic initiation C. Repeated contraction D. None of the above 6. Orbicularis occuli ------> Flexion 7. Orbicularis oris ------> Extension Lec 8,9 (Parkinson disease and treatment) 1. Extrapyramidal system has diverse centers all over the CNS: a. true b. false 2. Basal ganglia exert its action through direct connection to spinal cord AHC: a. true b. false 3- Basal ganglia include caudate And putamen and red nucleus a. true B. false 4- Static tremor in Parkinson disease increase by movement and anxiety A. true B.false 5. Extra pyramidal tracts include all the following except: a. Rubrospinal tract b. Vestibulospinal tract c. Tectospinal tract d. Cerebellospinal tract 6. Function of extrapyramidal system includes: a. Regulation of background posture b. Control of associated movements c. Scaling of automatic motor activity d. Facilitate initiation of voluntary movement. e. Control of emotional movement. f. All of the above 7. ___ responsible for crude limb control: a. Tectospinal b. Vestibulospinal c. Reticulospinal d. Rubrospinal 8. Regarding Parkinson disease tone assessment may reveal all the following except: a. Lead pipe rigidity b. Cogwheel rigidity c. Spasticity d. None of the above 9. Counter rotation may be used with Parkinson patients to improve: a. Rigidity b. Bradykinesia c. Tremor d. Coordination 10. To decrease tremor in Parkinson patient we may use: a. Weighted calf b. Heavy tools c. Weight bearing d. All of the above 11. To improve bradykinesia in Parkinson patients we may use all the following except: a. Repeated rhythmic movement b. Large scale movement c. Aerobic training d. PNF 12. Auditory cues for gait training in Parkinson include: a. Vibrating insole b. Metronome c. Stationary floor marks d. Laser light line 13. Regarding basal ganglia function: a. Indirect pathway inhibited by dopamine b. Direct pathway activated by dopamine c. Indirect pathway facilitate the movement d. Direct pathway facilitates the movement 14. Cardinal signs of Parkinson disease include all of the following except: a. Postural instability b. Bradyphrenia c. Rigidity d. Static tremor 15. Advice for difficult swallowing (dysphagia) includes: a. Sitting upright b. Chin in c. Swallow twice d. All of the above 16. Benefits of hydrotherapy in Parkinson include: a. Provides cardiopulmonary training b. Provides positive environment c. Improves functional participation d. All of the above 17. For monotonous speech: a. Focused on speaking LOUD b. Speak small sentences c. Take deep breath before speaking d. All of the above 18. Somatosensory sensory cues for gait training include: a. Vibrating insole b. Metronome c. Stationary floor marks d. Laser light line 19. regarding Extrapyramidal tracts all are true execpt A. the final pathways of Extrapyramidal system B. All originate in brainstem C. terminate in spinal cord D. Through interneuron to the posterior horn cells. 20. Function of extra pyramidal system includ A. Facilitate initiation of voluntary movement. B. Regulation of postural muscle tone. C. Control of emotional movement. D. All of the above 21. To decrease tremor in Parkinson patient we may use: a. Weighted calf b. Light tools c. Rhythmic stabilization d. All of the above 22. Advice for difficult swallowing (dysphagia) includes: a. Sitting upright b. Don't use straw c. Swallow once d. All of the above 23. Advice for difficult swallowing (dysphagia) includes: a. Sitting reclined position b. Don't use straw c. Swallow twice d. All of the above 24. Benefits of hydrotherapy in Parkinson include: a. Improve circulation b. Provides warm environment c. Improves functional participation d. All of the above 25. For monotonous speech: a. Focused on speaking LOUD b. Speak large sentences c. Take shallow breath before speaking d. All of the above 26. Somatosensory sensory cues for gait training include: A. Metronome B. Stationary floor marks C. Laser light line D. None of the above 27. Group therapy is preferred in Parkinson patients A. True B. False 28. All of the following is a major goal in treatment of Parkinson's disease except A. Coordination B. strength and power C. Trunk mobility D. Posture correction 29. Using obstacles in Parkinson's Disease is used for A. Short step B. Shuffling C. festinition D. non of the above 30. Which one of the following PNF techniques is used with Parkinson's disease A. Rhythmic initiation B. Slow reversal hold C. Rhythmic stabilization D. Repeated contraction= 31. Parkinson tremor is static and rythmic and starts in one limb and then progresses to other limbs: A. True B. False Lec 10 (Myopathy) 1. Long term goal in treatment of muscular dystrophy: A. Correct posture B. Prevention and minimizing respiratory complications C. Strength weak muscles D. All of the above 2. Stretching is the method for correcting contractures in myopathy patients and is preferred to be A. Self stretching B. Submaximal stretching C. No excessive load D. All of the above 3. Winging of scapula in myopathy patients is due to weakness of: A. Rhomboids muscles B. Pectoralis major C. Serratus anterior D. Abdominal muscles 4. Gait correction is an important goal in treatment of muscular dystrophy patients to prevent all compensation: A. True B. False 5. Which type of myopathy affects pharyngeal muscles: A. Myotonic B. Distal myopathy C. facioscapulohumeral myopathy D. Limb girdle myopathy 6. Gower's sign in myopathy patients is due to weakness of: A. Hip extensors B. Pectoralis major C. Serratus anterior D. Abdominal muscles 7. Belly abdomen in myopathy patients is due to weakness of: A. Rhomboids muscles B. Pectoralis major C. Serratus anterior D. Abdominal muscles Important Notes (2023) 1. Orbicularis occuli ------> Flexion // Orbicularis oris ------> Extension 2. TTT for neuropathy sensory proplem: sensory reeducation ‫ قال انه ممكن يجيب عالج ال‬hyperthesia ‫ شورت نوت‬p203 3. TTT for neuropathy weakness p204 4. Tremors in trunk = truncal ataxia: tutbataion 5. (5 components in coordination test) p143* ‫ممكن شورت نوت‬ 6. Pnf to enhance proximial stability 7. how to treat disdiadokinesia p152 8. How to treat tremors in ataxia p152 9. Hyporeflexia is associated with sensory ataxia p139 10. Hypotonia is associated with cerebellar ataxi p139 11. Easy fatigability is associated with limb ataxia p139 (athenia) 12. Cerbellar ataxia reflex: bendular p139 13. Vestibular ataxia associated with vertigo p137 14. Vestibular ataxia gait : drunken gait p145 15. stamping gait is associated with patients with sensory ataxia and sensory polyneuropathy 16. Gaits of polyneuropathy p202 17. With one test differentiate between lesion above pons or below pons 18. Most common pnf specific technique used with ataxia p56 19. Most common pnf specific technique for polyneuropathy p204 20. Pnf pattern for left internal oblique 21. Pnf of sartorius ‫هي فيها لغبطه و ممكن ميجيبهاش‬ 22. Combined technique for ataxia improve.. p59 23. Scalenes capitis pnf 24. Pnf pattern for eye brows elevation in left facial palsy patient : extension rotation to left 25. Stages of hemiplegia p67 26. Hand reactions p83 27. Facilitatory and inhibitory techniques p101,102