Scorebuilders Q&A

A physical therapist performs a cranial nerve assessment on a patient who sustained a brainstem stroke. When testing the pupillary light reflex, the therapist shines a light into the patient's right eye and notes that neither pupil constricts. Shining the light into the left eye results in constriction of both pupils. Which cranial nerve is MOST likely impaired?

Option 1- Left cranial nerve II
Option 2- Right cranial nerve II
Option 3- Left cranial nerve III
Option 4- Right cranial nerve III

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A physical therapist reviews the medical chart of a patient who has been taking prednisone daily for 20 months to manage an autoimmune condition. The patient presents with central adiposity, hypertension, proximal muscle weakness, and purple abdominal striae. Which of the following BEST describes the physiologic mechanism responsible for this clinical presentation?

Option 1- Excess aldosterone secretion
Option 2- Excess growth hormone secretion
Option 3- Chronic insulin resistance
Option 4- Sustained cortisol elevation

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A physical therapist performs an examination on a patient who sustained a hyperextension injury to the cervical spine. The patient exhibits significant motor weakness in both upper extremities, with relatively intact motor strength and sensation in the lower extremities. Which incomplete spinal cord injury syndrome is MOST consistent with this presentation?

Option 1- Brown-Sequard syndrome
Option 2- Central cord syndrome
Option 3- Anterior cord syndrome
Option 4- Cauda equina syndrome

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A physical therapist is selecting an ankle-foot orthosis for a patient status post stroke who exhibits severe knee hyperextension - also known as genu recurvatum - during the midstance phase of gait. Which of the following orthotic modifications is MOST appropriate to address this issue?

Option 1- Setting the ankle-foot orthosis in 5 degrees of plantarflexion
Option 2- Setting the ankle-foot orthosis in 5 degrees of dorsiflexion
Option 3- Allowing free dorsiflexion and free plantarflexion
Option 4- Utilizing a posterior leaf spring ankle-foot orthosis

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A physical therapist monitors a patient with a T2 spinal cord injury who is participating in a sitting tolerance activity. The patient suddenly becomes restless and the physical therapist notices a marked elevation in blood pressure alongside profuse sweating on the patient's face and neck. Which of the following conditions is the MOST likely explanation for the patient's clinical presentation?

Option 1- Autonomic dysreflexia secondary to a blocked urinary drainage system
Option 2- Orthostatic hypotension secondary to prolonged upright positioning
Option 3- Pulmonary embolism secondary to deep vein thrombosis
Option 4- Spinal shock secondary to an acute inflammatory response

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A physical therapist reviews the medical record of a patient who was recently diagnosed with multiple sclerosis. Which of the following clinical findings is MOST likely to be documented during the initial physical therapy examination?

Option 1- Asymmetrical resting tremor that decreases with voluntary movement
Option 2- Bilateral visual disturbances accompanied by a delayed pupillary light reflex
Option 3- Progressive symmetrical distal muscle weakness and diminished deep tendon reflexes
Option 4- Significant cogwheel rigidity during passive upper extremity range of motion

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A physical therapist reviews the medical record of a patient who sustained a cerebrovascular accident. The documentation notes that the patient exhibits Broca's expressive aphasia. Which structural area of the brain is MOST likely affected?

Option 1- Left parietal lobe
Option 2- Left frontal lobe
Option 3- Right parietal lobe
Option 4- Right occipital lobe

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A physical therapist examines a patient who had a recent stroke. The patient exhibits significant difficulty planning and executing purposeful movements despite having normal muscle strength, coordination, and sensation. Which of the following terms is MOST consistent with this presentation?

Option 1- Ideomotor apraxia
Option 2- Dysdiadochokinesia
Option 3- Astereognosis
Option 4- Visual agnosia

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A patient recently diagnosed with Cushing's syndrome is referred to physical therapy for generalized deconditioning. Which clinical finding would MOST likely be observed during the physical therapy examination?

Option 1- Distal muscle atrophy and hyporeflexia in the lower extremities
Option 2- Hypotension and resting bradycardia
Option 3- Proximal muscle weakness and thin, easily bruised skin
Option 4- Spastic paraparesis and bilateral clonus at the ankles

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A physical therapist is preparing to initiate manual lymphatic drainage on a patient with left upper extremity lymphedema secondary to breast cancer. Which finding from the chart review is a contraindication to this treatment?

Option 1- The patient has hypertension with a resting blood pressure of 158/96 mm Hg
Option 2- The patient has an active cellulitis infection with visible erythema
Option 3- The patient had a deep vein thrombosis in the right leg six months ago
Option 4- The patient has peripheral arterial disease affecting the left upper extremity

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