Stroke Rehabilitation Exam
Answer Key
Course Introduction
Stroke Rehabilitation focuses on the comprehensive management and recovery strategies for individuals who have experienced a cerebrovascular accident (stroke). The course covers the pathophysiology of stroke, assessment techniques for physical, cognitive, and psychosocial impairments, and evidence-based interventions aimed at maximizing functional independence. Students will learn about interdisciplinary approaches, including physical therapy, occupational therapy, speech therapy, and patient education, as well as the integration of assistive technologies and community reintegration strategies. Emphasis is placed on individualized care planning, the prevention of stroke recurrence, and support for patients and their families throughout the rehabilitation process.
Recommended Textbook
Stroke Rehabilitation A Function Based Approach 3rd Edition by Glen Gillen
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27 Chapters
188 Verified Questions
188 Flashcards
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Chapter 1: Pathophysiology,Medical Management,and
Acute Rehabilitation of Stroke Survivors
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9 Verified Questions
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Sample Questions
Q1) The cause of a hemorrhagic stroke is:
A) hypertensive bleed.
B) lobar intracerebral bleed.
C) arteriovenous malformation.
D) all of the above.
Answer: D
Q2) The most common source of a cardiac embolus is the:
A) left atrium.
B) left ventricle.
C) right atrium.
D) right ventricle.
Answer: A
Q3) The most important risk factor for deep vein thrombosis (DVT)is:
A) stasis.
B) obesity.
C) edema.
D) age.
Answer: A
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Chapter 2: Psychological Aspects of Stroke Rehabilitation
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Sample Questions
Q1) Medication may prevent but not treat post-stroke depression.
A)True
B)False
Answer: False
Q2) The most common reported psychiatric condition after stroke is:
A) depression.
B) anxiety.
C) withdrawal.
D) organic mental disorder.
Answer: A
Q3) Cognitive and behavioral efforts to manage specific external and/or internal demands that are appraised as taxing or exceeding the resources of the person are known as:
A) coping.
B) adjustment.
C) cognitive appraisal.
D) regaining mastery.
Answer: A
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4
Chapter 3: Improving Participation and Quality of Life through Occupation
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Sample Questions
Q1) All of the following assessments measure participation except:
A) Functional Independence Measure (FIM).
B) Activity Card Sort.
C) Community Integration Questionnaire.
D) Canadian Occupational Performance Measure.
Answer: A
Q2) All of the following assessments measure quality of life except:
A) SF-36.
B) Stroke Impact Scale.
C) Reintegration to Normal Living.
D) Assessment of Motor and Process Skills (AMPS).
Answer: D
Q3) The use of a client-centered approach is most consistent with which approach to assessment?
A) Beginning with the assessment of psychomotor skills
B) Beginning with the objective assessment of impairments
C) Bottom-up approach
D) Top-down approach
Answer: D
Page 5
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Chapter 4: Task-Oriented Approach to Stroke
6 Verified Questions
6 Flashcards
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Sample Questions
Q1) Summary feedback is better than immediate feedback.
A)True
B)False
Q2) The task-oriented approach begins with assessments focused on:
A) assessment of motor control.
B) activity of daily living (ADL).
C) inquiry into role performance.
D) all of the above.
Q3) An example of an intervention to decrease the degrees of freedom is:
A) splinting a joint.
B) adapting a task so that few joints are involved.
C) using an assistive device so that a person does require the use of dexterity.
D) all of the above.
Q4) An assessment that would be appropriate to use in the second step of the task-oriented evaluation framework would be:
A) Role Checklist.
B) Canadian Occupational Performance Measure.
C) Functional Independence Measure.
D) both b and c.
6
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Chapter 5: Activity-Based Intervention in Stroke Rehabilitation
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Sample Questions
Q1) _____ tasks require that patients make adaptive decisions about unpredictable events,because objects are in random motion during task performance.
A) Open
B) Closed
C) Variable motionless
D) None of the above
Q2) Using a random practice schedule is an example of _____ contextual interference.
A) low
B) high
C) stable
D) none of the above
Q3) In terms of World Health Organization classification,the motor and cognitive residuals of stroke are considered:
A) impairments.
B) activity limitations.
C) participation restrictions.
D) societal limitations.
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Page 7
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Sample Questions
Q1) Based on the available evidence,it may be concluded that:
A) task-oriented approaches are superior to traditional techniques.
B) NDT and CIT have similar outcomes.
C) NDT seems to be superior to task-oriented approaches.
D) none of the above.
Q2) To use CIT,clients must possess:
A) proximal control.
B) isolated wrist/digit extension.
C) trunk stability.
D) intact sensation.
Q3) The outcomes of CIT have been measured by the:
A) Ashworth scale.
B) Motor Activity Log (MAL).
C) Fugl-Meyer Assessment.
D) Barthel Index.
Q4) Constraint induced therapy (CIT)is focused on:
A) progressive resistive exercise.
B) normalization of tone.
C) massed practice and grading of functional activities.
D) resisted diagonal patterns.
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Chapter 7: Trunk Control: Supporting Functional Independence
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Sample Questions
Q1) Lifting a hip while seated to perform lower extremity dressing requires:
A) a balance of flexion and extension control.
B) concentric shortening of the trunk.
C) lateral weight shifting ability.
D) all of the above.
Q2) Crossing the involved leg during lower extremity dressing predominately requires control of the back extensors to prevent posterior falls.
A)True
B)False
Q3) The section of the spine that permits the greatest range of trunk flexion is the _____ spine.
A) cervical
B) thoracic
C) lumbar
D) sacral
Q4) Trunk rotation toward the left is controlled by the:
A) rectus abdominis.
B) left external oblique and right internal oblique.
C) right external oblique and left internal oblique.
D) right and left external oblique.
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Chapter 8: Overview of Balance Impairments: Functional Implications
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Sample Questions
Q1) Symptoms of cerebellar involvement include:
A) unsteady gait.
B) falls.
C) nystagmus.
D) all of the above.
Q2) The postural control strategy that is most effective at maintaining stability when the support surface is short in relation to foot length is:
A) ankle strategy.
B) hip strategy.
C) stepping strategy.
D) equilibrium reaction.
Q3) Standing in line at the bank without support requires efficient use of which type of postural control strategy?
A) Lateral weight shift
B) Ankle strategy
C) Hip strategy
D) Stepping strategy
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Page 10
Chapter 9: Vestibular Rehabilitation and Stroke
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Sample Questions
Q1) When the base of support is expanded in the direction of center of mass movement,what type of postural control strategy is used?
A) Stepping strategy
B) Hip strategy
C) Ankle strategy
D) None of the above
Q2) Symptoms of cerebellar involvement include:
A) unsteady gait.
B) falls.
C) nystagmus.
D) all of the above.
Q3) Surface dependent patients are most likely to lose their balance when performing which task?
A) Carrying coffee from a linoleum floor kitchen to a carpeted den
B) Cooking in low lighting
C) Riding on an escalator
D) Walking in a crowded mall
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Chapter 10: Upper Extremity Function and Management
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13 Verified Questions
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Sample Questions
Q1) Learned nonuse may be worsened by:
A) early splinting.
B) sling dependency.
C) neglect.
D) all of the above.
Q2) All of the following activities inherently consider shoulder biomechanics except:
A) polishing a table, hand over hand.
B) reaching to the floor.
C) cradling the affected extremity and forward flexing to 90 degrees.
D) clasping the hands and reaching overhead.
Q3) A flexed elbow during an attempted overhead reach may be due to:
A) an attempt to shorten the lever arm for successful task completion.
B) soft tissue shortening.
C) triceps weakness.
D) all of the above.
Q4) A sling can reduce a subluxation.
A)True
B)False
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Chapter 11: Rehabilitation Technologies to Promote Upper
Limb Recovery after Stroke
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4 Verified Questions
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Sample Questions
Q1) At this point in time,robotic interventions most clearly positively impact which level of function based on the International Classification of Functioning,Disability,and Health (ICF)?
A) Impairment
B) Activity limitations
C) Participation restrictions
D) All of the above
Q2) Which device is classified as a neuroprosthesis?
A) Saeboflex
B) Autocite
C) Myomo e100
D) NESS H200 Hand Rehabilitation System
Q3) The MIT-MANUS is classified as what type of robotic system?
A) Active system
B) Passive system
C) Interactive system
D) None of the above
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Page 13
Chapter 12: Edema Control
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Sample Questions
Q1) In terms of volumetric evaluation,_____ mL is considered a significant change.
A) 9
B) 10
C) 11
D) 12
Q2) Manual Edema Mobilization (MEM)begins with:
A) pump points.
B) U strokes.
C) terminus massage.
D) diaphragmatic breathing.
Q3) Chip bags are used:
A) for compression.
B) to soften and stimulate lymphatic uptake because of the tissue pressure differentiation they cause.
C) to improve sensory awareness.
Q4) Edema reduction techniques should be used with swelling from cardiac problems such as chronic heart disease or congestive heart failure.
A)True
B)False
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Chapter 13: Splinting Applications
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Sample Questions
Q1) Extreme ulnar deviation results in:
A) a biomechanical block of wrist extension.
B) shortening of the ulnar deviators.
C) shifting of both rows of carnal bones.
D) all of the above.
Q2) In terms of biomechanical considerations,the firm cone should be placed with the small end in the _____ side of the palm.
A) radial
B) ulnar
Q3) Proper palmar support implies that the:
A) third metacarpal head is superior to the other metacarpal heads.
B) splint progresses beyond the distal palmar crease.
C) first metacarpal is supported.
D) all of the above.
Q4) The collateral ligaments are lengthened by:
A) digit extension.
B) digit flexion.
C) application of resting splints.
D) thumb opposition.
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Chapter 15: Gait Awareness
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Sample Questions
Q1) During the stance phase,initial contact should be:
A) forefoot.
B) flat foot.
C) heel strike.
D) none of the above.
Q2) Observation of gait should take place in the _____ plane.
A) sagittal
B) frontal
C) both a and b
D) none of the above
Q3) The stance phase makes up what percentage of the gait cycle?
A) 20%
B) 40%
C) 50%
D) 60%
Q4) The number of steps per unit of time is termed:
A) step time.
B) cadence.
C) rate.
D) speed.
Page 16
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Chapter 16: Managing Visual and Visuospatial Impairments to Optimize Function
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6 Verified Questions
6 Flashcards
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Sample Questions
Q1) Threading a needle successfully requires intact:
A) depth perception.
B) color perception.
C) divergence.
D) saccades.
Q2) Interventions for those living with decreased visual acuity include:
A) increasing illumination.
B) increasing contrast.
C) increasing size.
D) all of the above.
Q3) The skill used to change the focus of the eye so objects can be seen at different distances is:
A) acuity.
B) ocular range of motion.
C) accommodation.
D) vergence.
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Chapter 17: How Therapists Think: Exploring Therapists
Reasoning When Working with Patients Who Have
Cognitive and Perceptual Problems Following Stroke
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7 Verified Questions
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Sample Questions
Q1) A patient has difficulty orienting his shirt to his body.He continually puts the shirt on upside down or backwards.The deficit blocking independence is:
A) motor apraxia.
B) ideational apraxia.
C) spatial relations dysfunction.
D) visual agnosia.
Q2) Parietal lobe dysfunction may result in:
A) impaired sensory reception from the contralateral side.
B) tactile agnosia.
C) body scheme disorders.
D) all of the above.
Q3) The term that best refers to a denial of a paretic extremity as one's own is:
A) anosognosia.
B) neglect.
C) confabulation.
D) body scheme disorder.
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Chapter 18: Impact of Neurobehavioral Deficits on Activities of Daily Living
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Sample Questions
Q1) While dressing,a patient attempts to dress the therapist's arm instead of her own.This impairment is termed:
A) somatagnosia.
B) body neglect.
C) spatial relations dysfunction.
D) confusion.
Q2) The term that best refers to a denial of a paretic extremity as one's own is:
A) anosognosia.
B) neglect.
C) confabulation.
D) body scheme disorder.
Q3) While performing a grooming evaluation,a patient is noted to smear the toothpaste over her hands and face.This deficit is termed:
A) ideational apraxia.
B) motor apraxia.
C) somatognosia.
D) spatial relations deficit.
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Page 19
Chapter 19: Treatment of Cognitive-Perceptual Deficits: A
Function-Based Approach
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Sample Questions
Q1) The ability to maintain focus during morning self-care is called:
A) selective attention.
B) sustained attention.
C) alternating attention.
D) inattention.
Q2) Which treatment approach uses repetitive practice of certain activities to increase task independence?
A) Functional approach
B) Remedial approach
Q3) Which of the following is considered a behavior modification technique?
A) Shaping
B) Prompting
C) Guiding
D) Both a and b
Q4) The remedial approach to treatment focuses on:
A) component skills.
B) the cause of dysfunction.
C) tabletop activities.
D) all of the above.
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Chapter 20: Managing Speech and Language Deficits after Stroke
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Sample Questions
Q1) To enhance comprehension after stroke,the following strategy(ies)is/are recommended:
A) slow the rate of speech.
B) reduce distractions.
C) write down important words or instructions.
D) all of the above.
Q2) Wernicke aphasia is described by all of the following except:
A) ease of speech initiation.
B) jargon.
C) awareness of errors.
D) neologisms.
Q3) In the early stages,a patient with Wernicke aphasia may be unaware of his language disorder,deny that he has had a stroke,and confabulate the reason for the hospitalization.
A)True
B)False
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21
Chapter 21: Enhancing Performance of Activities of Daily Living
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Sample Questions
Q1) Using gardening as an intervention focused on improving endurance would be considered:
A) adaptive occupation.
B) education program.
C) acquisitional occupation.
D) restorative occupation.
Q2) The Canadian Occupational Performance Measure (COPM)embraces which type of treatment philosophy?
A) Remediation
B) Adaptive
C) Client-centered
D) None of the above
Q3) Retraining handwriting after stroke would be categorized as:
A) adaptive occupation.
B) education program.
C) acquisitional occupation.
D) restorative occupation.
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Page 22
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Sample Questions
Q1) A stereoscopic vision tester tests all of the following except:
A) color vision.
B) depth perception.
C) road sign recognition.
D) field of vision.
Q2) People with homonymous hemianopsia:
A) can drive without any modifications.
B) can drive with adapted hand controls.
C) can drive if their visual acuity is at least 20/40.
D) cannot drive.
Q3) Drivers who have had strokes are liable when they:
A) drive and the driving specialist and their doctor have advised them to quit.
B) follow the directions of a therapist and still have an accident.
C) drive when their doctor says it is all right.
D) have given their medical caregivers permission to report their successful outcome of a clinical and driving assessment to their liability insurer.
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23
Chapter 24: Dysphagia Management
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Sample Questions
Q1) Auscultation is used:
A) during eating to listen to breath sounds after a person swallows.
B) to record changes in the heart rate when someone aspirates.
C) to monitor blood pressure when someone eats.
D) never. It is not an effective tool to use to monitor swallowing.
Q2) If individuals have dysphagia,they:
A) cannot ever eat because they will aspirate.
B) can eat or drink anything and should be suctioned if they cough.
C) should be fed only with a syringe while they are lying down.
D) should eat foods prepared at consistencies they can swallow without aspirating the food.
Q3) During the swallow,the vocal cords should:
A) close off the airway to protect it.
B) open to allow the food into the esophagus.
C) abduct.
D) only open when the person begins talking.
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Chapter 25: Sexual Function and Intimacy
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Sample Questions
Q1) During your initial evaluation,you say to your client,"People who have had strokes sometimes have concerns or questions about how they will be affected sexually.Do you have any concerns or questions in this area?" Using the Permission,Limited Information,Specific Suggestions and Intensive Therapy (PLISSIT)model,this would be an example of:
A) permission.
B) limited information.
C) specific suggestions.
D) intensive therapy.
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Chapter 26: Seating and Wheeled Mobility Prescription
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Sample Questions
Q1) A posterior pelvic tilt may be due to:
A) tight hamstrings.
B) slung-out upholstery.
C) weak back extensors.
D) all of the above.
Q2) Mag wheels do not require maintenance.
A)True
B)False
Q3) The trunk malalignment consistent with a posterior pelvic tilt is:
A) hyperlordosis.
B) scoliosis.
C) kyphosis.
D) both a and b.
Q4) If a therapist can correct an observed malalignment with his or her hands and it stays in position,the deformity is considered:
A) flexible.
B) fixed.
C) bony.
D) soft tissue.
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Chapter 27: Home Evaluation and Modifications
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Sample Questions
Q1) A patient with right hemiparesis is going home using a wheelchair.The entrance to the building has three steps at the entry.Which of the following would you do?
A) Suggest the patient move to an accessible building.
B) Do not do anything concerning the situation and only concentrate on the interior accessibility.
C) Suggest that the patient/family speak with the landlord and social worker to request that a ramp be installed to improve accessibility.
D) Train the family to pop the chair down the steps.
Q2) A patient who has left hemiparesis and ambulates with a walker,using a left ankle-foot orthosis,will go home and use his own double bed.He can only transfer from the left side of the bed.Which of the following would you do?
A) Suggest he rearrange the room so he can transfer from the right (uninvolved side).
B) Suggest he get a hospital bed and turn it so he can enter from the right side.
C) Suggest he sleep in the living room, because it is closer to the bathroom.
D) Suggest he move to a nursing home.
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27
Chapter
One-Handed Techniques
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Sample Questions
Q1) One example of energy conservation in the kitchen is:
A) moving a pot of water by sliding it along a countertop.
B) cooking with transparent pots.
C) using insulated kitchen mitts.
D) cooking from scratch whenever possible.
Q2) A bidet/sitz bath allows a person to:
A) clean the genitourinary region and the perianal region when she cannot hold a handheld shower.
B) clean the entire body without a handheld apparatus.
C) immerse in a tub when dependent in transfers.
D) clean his mouth without using the hands.
Q3) To improve accessibility in a bedroom,two simple solutions are:
A) replace the bed with a hospital bed and place wall-to-wall carpeting in the room.
B) raise the leg height of the bed with wood blocks and remove all scatter rugs.
C) replace the bed with a hospital bed and dispose of the bedroom furniture.
D) recommend that the bedroom is completely remodeled and new accessible furniture replace the items normally found in the room.
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Page 28
Chapter 29: Leisure Participation after Stroke
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Q1) Which of the following statements is(are)true regarding leisure participation after stroke?
A) Limitations to participation included physical impairments, cognitive impairments, transportation issues, and cost.
B) Most of the subjects reported a change in activity and interest patterns after stroke.
C) Further research is needed to confirm the finding that specialized occupational therapy can be effective in raising leisure activity and to show whether this translates into improved psychological well-being.
D) All of the above are true.
Q2) Potential tools used to address leisure participation include:
A) Canadian Occupational Performance Measure.
B) Activity Card Sort.
C) Nottingham Leisure Questionnaire.
D) all of the above.
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