Question 1

Which of the following cutaneous receptors is found in high density in the fingertips and respond to low-intensity touch?

Accepted Answer

A) Free nerve endings 
B) Merkel's discs 
C) Ruffini endings 
D) Pacinian corpuscles 
A) Free nerve endings 
B) Merkel's discs 
C) Ruffini endings 
D) Pacinian corpuscles B

Question 2

What should the therapist examine first during a sensory examination,superficial (exteroceptive),deep (proprioceptive),or combined (cortical)sensations?

Accepted Answer

A) Superficial sensations because these must be sufficiently intact in order to allow for testing of combined (cortical)sensations. 
B) Deep sensations because these indicate most significantly a patient's ability to participate in motor activities. 
C) Combined (cortical)sensations to allow for the most efficient examination and determine immediately areas of deficiency. 
D) There is no specific order for examination,so the therapist can choose based on time,equipment,and patient awareness. 
A) Superficial sensations because these must be sufficiently intact in order to allow for testing of combined (cortical)sensations. 
B) Deep sensations because these indicate most significantly a patient's ability to participate in motor activities. 
C) Combined (cortical)sensations to allow for the most efficient examination and determine immediately areas of deficiency. 
D) There is no specific order for examination,so the therapist can choose based on time,equipment,and patient awareness. A

Question 3

How would a therapist examine kinesthesia?

Accepted Answer

A) The therapist will place the patient's joint in a position and ask the patient to duplicate the position with the opposite joint. 
B) The therapist will randomly touch the patient's skin with a tool and ask the patient to differentiate sharp and dull touch. 
C) The therapist will lightly touch the patient with a piece of cotton or soft brush and ask the patient to indicate when something is felt. 
D) The therapist will move the patient's joint within a small range and ask the patient to describe the direction and range of movement. 
A) The therapist will place the patient's joint in a position and ask the patient to duplicate the position with the opposite joint. 
B) The therapist will randomly touch the patient's skin with a tool and ask the patient to differentiate sharp and dull touch. 
C) The therapist will lightly touch the patient with a piece of cotton or soft brush and ask the patient to indicate when something is felt. 
D) The therapist will move the patient's joint within a small range and ask the patient to describe the direction and range of movement. D

Question 4

Asking a patient to interpret the phrase "A rolling stone gathers no moss" would be an example of what cognitive process?

Accepted Answer

A) Proverb interpretation 
B) Calculation ability 
C) Fund of knowledge 
D) Ability to attend 
A) Proverb interpretation 
B) Calculation ability 
C) Fund of knowledge 
D) Ability to attend

Question 5

What is one of the most important reasons for performing a sensory examination?

Accepted Answer

A) To determine the pattern of sensory involvement. 
B) To decide what motor exams are required. 
C) To examine the integrity of the central nervous system. 
D) To make decisions about the accuracy of the history. 
A) To determine the pattern of sensory involvement. 
B) To decide what motor exams are required. 
C) To examine the integrity of the central nervous system. 
D) To make decisions about the accuracy of the history.

Question 6

Which type of receptors is responsible for the perception of pain?

Accepted Answer

A) Mechanoreceptors 
B) Chemoreceptors 
C) Nociceptors 
D) Thermoreceptors 
A) Mechanoreceptors 
B) Chemoreceptors 
C) Nociceptors 
D) Thermoreceptors

Question 7

What types of changes do the muscle spindles sense in order to assist in discrimination of position and movement?

Accepted Answer

A) Changes in velocity and tension 
B) Changes in tension and muscle length 
C) Changes in pressure and muscle length 
D) Changes in muscle length and velocity 
A) Changes in velocity and tension 
B) Changes in tension and muscle length 
C) Changes in pressure and muscle length 
D) Changes in muscle length and velocity

Question 8

What is a change in the sensory system that occurs with aging?

Accepted Answer

A) Increased myelin around the peripheral nerves 
B) Lower sensory nerve conduction velocities. 
C) Increased rate of response to sensory input. 
D) Decreased postural sway in standing. 
A) Increased myelin around the peripheral nerves 
B) Lower sensory nerve conduction velocities. 
C) Increased rate of response to sensory input. 
D) Decreased postural sway in standing.

Question 9

What question could you ask a patient to determine fund of knowledge?

Accepted Answer

A) Will you please calculate the following problem 3 + 4 + 2 + 5 =? 
B) Can you please spell "garden" backwards? 
C) Who is the current vice president of the United States? 
D) What is the name of this hospital and how long have you been here? 
A) Will you please calculate the following problem 3 + 4 + 2 + 5 =? 
B) Can you please spell "garden" backwards? 
C) Who is the current vice president of the United States? 
D) What is the name of this hospital and how long have you been here?

Question 10

The patient appears drowsy and falls asleep without constant stimulation from the therapist.Even when the patient is awake,difficulty is experienced on focusing and paying attention to questions posed by the therapist.What would be the best description of the patient's level of arousal?

Accepted Answer

A) Alert 
B) Lethargic 
C) Obtunded 
D) Stupor 
A) Alert 
B) Lethargic 
C) Obtunded 
D) Stupor

Question 11

What structures stimulate the proprioceptors?

Accepted Answer

A) Skin and mucous membranes 
B) Muscles and ligaments 
C) Organs and mucous membranes 
D) Skin and muscles 
A) Skin and mucous membranes 
B) Muscles and ligaments 
C) Organs and mucous membranes 
D) Skin and muscles

Question 12

What would be an indicator of normal memory function when examining a patient's short-term memory?

Accepted Answer

A) The patient should be able to recall date and place of birth,parents' names,and the number of siblings. 
B) After reading it out loud twice to the therapist,the patient should be able to repeat back a 100-word passage with only 5 errors. 
C) The patient should be able to recall a list of 7 numbers 5 minutes later and at least 2 from the list 30 minutes later. 
D) The patient should be able to recall a list of 20 words 5 minutes later and at least 10 from the list 30 minutes later. 
A) The patient should be able to recall date and place of birth,parents' names,and the number of siblings. 
B) After reading it out loud twice to the therapist,the patient should be able to repeat back a 100-word passage with only 5 errors. 
C) The patient should be able to recall a list of 7 numbers 5 minutes later and at least 2 from the list 30 minutes later. 
D) The patient should be able to recall a list of 20 words 5 minutes later and at least 10 from the list 30 minutes later.

Question 13

How do the Golgi tendon organs help to prevent structural damage to muscles in cases of extreme stretch?

Accepted Answer

A) They stimulate the nociceptors which cause severe pain for the individual. 
B) They inhibit contraction of the agonist and facilitate the antagonist. 
C) They facilitate contraction of the agonist to prohibit further stretch. 
D) They stimulate the free nerve endings which cause cocontraction around the area. 
A) They stimulate the nociceptors which cause severe pain for the individual. 
B) They inhibit contraction of the agonist and facilitate the antagonist. 
C) They facilitate contraction of the agonist to prohibit further stretch. 
D) They stimulate the free nerve endings which cause cocontraction around the area.

Question 14

Which of the following would be considered a compensatory approach to interventions for a patient with sensory impairments?

Accepted Answer

A) Guided practice with augmented feedback to supplement sensation. 
B) Having the patient walk at home without shoes to increase sensory input. 
C) Regular skin checks of areas where there is impaired sensation. 
D) Thermal stimulation of the impaired extremity in a whirlpool bath. 
A) Guided practice with augmented feedback to supplement sensation. 
B) Having the patient walk at home without shoes to increase sensory input. 
C) Regular skin checks of areas where there is impaired sensation. 
D) Thermal stimulation of the impaired extremity in a whirlpool bath.

Question 15

Which of the following are important in signaling continuous skin deformation such as that experienced during tension or a stretch?

Accepted Answer

A) Free nerve endings 
B) Merkel discs 
C) Ruffini endings 
D) Pacinian corpuscles 
A) Free nerve endings 
B) Merkel discs 
C) Ruffini endings 
D) Pacinian corpuscles

Question 16

When might examination using graphesthesia be an appropriate procedure?

Accepted Answer

A) The patient has speech impairments. 
B) The patient is unable to grasp an object. 
C) The patient prefers a test using numbers. 
D) The patient is visually impaired. 
A) The patient has speech impairments. 
B) The patient is unable to grasp an object. 
C) The patient prefers a test using numbers. 
D) The patient is visually impaired.

Question 17

Feedback control uses sensory information in what way?

Accepted Answer

A) In advance of movement. 
B) To prepare for movement. 
C) During the movement. 
D) To prevent movement. 
A) In advance of movement. 
B) To prepare for movement. 
C) During the movement. 
D) To prevent movement.

Question 18

During a sensory screening examination what should the therapist do?

Accepted Answer

A) Examine the patient's visual acuity,hearing acuity,and light touch. 
B) Examine very small areas of the body,especially on the extremities. 
C) Use the most highly sensitive types of examinations for the trunk. 
D) Select modalities from each of the general categories of sensation. 
A) Examine the patient's visual acuity,hearing acuity,and light touch. 
B) Examine very small areas of the body,especially on the extremities. 
C) Use the most highly sensitive types of examinations for the trunk. 
D) Select modalities from each of the general categories of sensation.

Question 19

The patient is difficult to arouse from sleep and is often confused when awake.The therapist must constantly tap the arm to get the patient's attention,but even then the patient is unable to participate in the therapy session.What would be the best description of the patient's level of arousal?

Accepted Answer

A) Alert 
B) Lethargic 
C) Obtunded 
D) Stupor 
A) Alert 
B) Lethargic 
C) Obtunded 
D) Stupor

Question 20

Which of the following is an example of the type of sensation typically perceived by the exteroceptors?

Accepted Answer

A) Temperature 
B) Kinesthesia 
C) Stereognosis 
D) Localization 
A) Temperature 
B) Kinesthesia 
C) Stereognosis 
D) Localization

Exam 5: Examination of Sensory Function

Which of the following cutaneous receptors is found in high density in the fingertips and respond to low-intensity touch?

What should the therapist examine first during a sensory examination,superficial (exteroceptive),deep (proprioceptive),or combined (cortical)sensations?

How would a therapist examine kinesthesia?

Asking a patient to interpret the phrase "A rolling stone gathers no moss" would be an example of what cognitive process?

What is one of the most important reasons for performing a sensory examination?

Which type of receptors is responsible for the perception of pain?

What types of changes do the muscle spindles sense in order to assist in discrimination of position and movement?

What is a change in the sensory system that occurs with aging?

What question could you ask a patient to determine fund of knowledge?

The patient appears drowsy and falls asleep without constant stimulation from the therapist.Even when the patient is awake,difficulty is experienced on focusing and paying attention to questions posed by the therapist.What would be the best description of the patient's level of arousal?

What structures stimulate the proprioceptors?

What would be an indicator of normal memory function when examining a patient's short-term memory?

How do the Golgi tendon organs help to prevent structural damage to muscles in cases of extreme stretch?

Which of the following would be considered a compensatory approach to interventions for a patient with sensory impairments?

Which of the following are important in signaling continuous skin deformation such as that experienced during tension or a stretch?

When might examination using graphesthesia be an appropriate procedure?

Feedback control uses sensory information in what way?

During a sensory screening examination what should the therapist do?

The patient is difficult to arouse from sleep and is often confused when awake.The therapist must constantly tap the arm to get the patient's attention,but even then the patient is unable to participate in the therapy session.What would be the best description of the patient's level of arousal?

Which of the following is an example of the type of sensation typically perceived by the exteroceptors?

Clinical Decision Making

Influence of Psychosocial Factors on Rehabilitation

Influence of Values on Patient Care: Foundation for Decision Making

Vital Signs

Musculoskeletal Examination

Examination of Coordination

Examination of Motor Function: Motor Control and Motor Learning

Electromyography and Nerve Conduction Velocity Tests

Examination of Gait

Examination of Functional Status and Activity Level

Examination of the Environment

Strategies to Improve Motor Function

Locomotor Training

Chronic Pulmonary Dysfunction

Heart Disease

Vascular,lymphatic,and Integumentary Disorders

Stroke

Multiple Sclerosis

Amyotrophic Lateral Sclerosis

Parkinsons Disease

Traumatic Brain Injury

Traumatic Spinal Cord Injury

Vestibular Disorders

Amputation

Arthritis

Burns

Chronic Pain

Cognitive and Perceptual Dysfunction

Neurogenic Disorders of Speech and Language

Orthotics

Prosthetics

The Prescriptive Wheelchair

Filters