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Test Bank For Physical Rehabilitation 5th Edition Osullivan
Test Bank For Physical Rehabilitation 5th Edition Osullivan
4. According to Bear et al, the highest level of the central elements of the motor system is
concerned with strategy. What does this include?
A) The goal of the movement and the strategy to best achieve that goal
B) The correct sequence of the muscle contractions to achieve smooth movement
C) Activation of the motor neurons to generate and adjustment movement
D) Feedback through the sensory system to control posture during movement
5. According to Bear et al, the lowest level of the central elements of the motor system is
concerned with execution. What does this include?
A) The goal of the movement and the strategy to best achieve that goal
B) The correct sequence of the muscle contractions to achieve smooth movement
C) Activation of the motor neurons to generate and adjustment movement
D) Feedback through the sensory system to control posture during movement
6. According to Bear et al, the middle level of the central elements of the motor system is
concerned with strategy. What does this include?
A) The goal of the movement and the strategy to best achieve that goal
B) The correct sequence of the muscle contractions to achieve smooth movement
C) Activation of the motor neurons to generate and adjustment movement
D) Feedback through the sensory system to control posture during movement
7. What does the theory that suggests that the cerebellum acts as a comparator and error-
correcting mechanism say?
A) The cerebellum determines which neurons will fire in which sequence.
B) The cerebellum acts to transmit information to execute movement.
C) The cerebellum manages all sensory information transmitted from the periphery.
D) The cerebellum acts to compare actual movement with the intended movement.
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Chapter 7: Examination of Coordination
10. The patient demonstrates difficulty performing rapid alternating movements such as
alternating forearm pronation and supination. What is the appropriate term to describe this
impairment?
A) Dysmetria
B) Dyssynergia
C) Dysdiadochokinesia
D) Hypotonia
11. While observing the patient eating in the dining room, the physical therapist notes that
the patient has difficulty both reaching for a cup and bringing food to the mouth. The patient
often does not reach out far enough to touch the cup and misses the mouth with the fork. After
several attempts, the patient is often able to accomplish the task. What is the appropriate term to
describe this functional limitation?
A) Dysmetria
B) Dyssynergia
C) Dysdiadochokinesia
D) Nystagmus
12. A patient has difficulty during gait, presenting with an irregular stepping pattern with the
lower extremities often moving forward in an uncoordinated manner, poor postural control, and
upper extremities held away from the body. Damage to what area of the brain is most likely to
cause this gait pattern?
A) Cerebral cortex area 4
B) Basal ganglia
C) Dorsal column
D) Cerebellum
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Chapter 7: Examination of Coordination
13. While examining the patient, the therapist notes that when asked to look to the left or
right the patient has difficulty doing so, and the eyes move back and forth in a quick, rhythmic
manner. What is the appropriate term to describe this impairment?
A) Dysmetria
B) Nystagmus
C) Dysdiadochokinesia
D) Dyssynergia
14. The physical therapist observes that when attempting to perform a reaching task, the
patient presents with a tremor of the upper extremity. Damage to what area of the brain is most
likely to cause this tremor?
A) Cerebral cortex area 4
B) Basal ganglia
C) Dorsal column
D) Cerebellum
15. Individuals with Parkinson's disease present with what common characteristics of basal
ganglion pathology?
A) Rigidity and nystagmus
B) Ataxia and dystonia
C) Akinesia and bradykinesia
D) Dysmetria and chorea
16. A patient exhibits slow, involuntary, writhing and twisting movements especially in the
upper extremity. What is the appropriate term to describe this impairment?
A) Bradykinesia
B) Athetosis
C) Dystonia
D) Hemiballismus
17. The therapist observes that the patient has difficulty initiating gait and uses a shuffling
gait pattern. What is the appropriate term to describe these functional limitations?
A) Bradykinesia
B) Athetosis
C) Dystonia
D) Hemiballismus
18. In a patient's medical record it indicates that the patient has a positive Romberg sign.
What should the therapist expect to observe?
A) The patient will have difficulty initiating movement for gait and bed mobility.
B) The patient will be unable to maintain standing balance with feet together and eyes
closed.
C) The patient will demonstrate increased resistance to passive range of motion.
D) The patient will be unable to alternately touch the index finger to the nose.
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Chapter 7: Examination of Coordination
19. What is a common compensation strategy for impaired gait secondary to dorsal column--
medial lemniscal pathology and impaired proprioception?
A) The patient will look at the feet while walking.
B) The patient will increase the speed of gait.
C) The patient walks with a very narrow base of support.
D) The patient will close the eyes while walking.
20. What types of impairments might be expected as individuals age that could impact
coordinated movement?
A) Increased range of motion of the proximal joints causing instability
B) Decreased neural control of the descending tracts for motor function
C) Loss of memory and dementia causing inability to attend to tasks
D) Slowed reaction time especially in tasks involving speed and accuracy
23. The ability to change positions while maintaining postural stability, such as when
moving from supine to sitting, is an example of what basic motor task requirement?
A) Mobility
B) Stability
C) Controlled mobility
D) Static dynamic control
24. The ability to maintain a steady position in a weightbearing position, such as standing, is
an example of what basic motor task requirement?
A) Mobility
B) Stability
C) Controlled mobility
D) Static dynamic control
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Chapter 7: Examination of Coordination
25. Initial movement within a functional pattern is an example of what basic motor task
requirement?
A) Mobility
B) Stability
C) Controlled mobility
D) Static dynamic control
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Test Bank for Physical Rehabilitation, 5th Edition : OSullivan
Answer Key
1. B
2. D
3. C
4. A
5. C
6. B
7. D
8. B
9. B
10. C
11. A
12. D
13. B
14. D
15. C
16. B
17. A
18. B
19. A
20. D
21. A
22. A
23. C
24. B
25. A
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