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CVA - PTA Exam
Sample questions for CVA - PTA exam
18
Health Care
Graduate
05/20/2009

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Cards

Term
Your patient, who is post-CVA, can voluntarily move the involved UE, but only into synergistic patterns. According to Brunnstrom, what stage of recovery is indicated?
Definition
Stage 3
Term
What are the components of the UE Flexion synergy at the shoulder?
Definition
shoulder abduction and external rotation
Term
In which LE synergy is the ankle everted?
Definition
Neither- it is inverted in both the flexion and extension synergy
Term
Which synergy is dominant in the LE?
Definition
LE- extension synergy
Term
the UE?
Definition
UE- flexion synergy
Term
Your patient, who is post-CVA, has lost the nasal half of the visual field in one eye, and the outer half in the other eye. What is this called?
Definition
homonymous hemianopsia
Term
Your patient is 6 months post CVA. You have the patient use the involved UE, doing repetitive activity, for several hours each day. What is this therapeutic technique called?
Definition
Constraint Induced Therapy
Term
Using Raimiste's phenomenon, you resist abduction in the uninvolved LE. What is the expected response in the involved LE?
Definition
abduction
Term
Your patient cannot voluntarily move the hemiplegic UE, however, you note a small amount of biceps tone when he coughs. What is this called?
Definition
An associated reaction
Term
Which artery is most commonly involved in CVA?
Definition
Middle cerebral artery
Term
What is most common, an ischemic or hemorrhagic stroke?
Definition
ischemic
Term
Name 3 modifiable risk factors for stroke
Definition
Diet, elevated cholesterol, exercise, diabetes, hypertension, obesity, smoking
Term
Name 2 non-modifiable risk factors for stroke
Definition
age, gender, race
Term
Why is early recognition and treatment for stroke crucial
Definition
In the case of an ischemic stroke, early detection can lead to use of tPA or other "clot busters", minimizing sequelae
Term
When positioning your patient, who is post CVA in supine, how should you position the UE?
Definition
scapular protraction, elevation of the UE, fingers extended with neutral wrist
Term
Why is bridging a good exercise for a patient post-CVA?
Definition
It is out-of-synergy motion; promotes weight bearing through the involved LE;
Term
Why is weight bearing on the involved UE (in sitting, modified plantigrade, quadriped) a beneficial activity?
Definition
Prolonged stretch to finger and wrist flexors, out-of-synergy motion
Term
Your patient is ambulatory with an AFO and quad cane, but strongly hyerextends the involved knee. What modification of the AFO would improve this?
Definition
Set the AFO in slight (5 degrees) of dorsiflexion
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