Question 1

Which of the following peripheral neuropathies involves the motor endplate?

Accepted Answer

A)  neurapraxia 
B)  diabetes mellitus 
C)  Guillain-Barré syndrome 
D)  botulism 
A)  neurapraxia 
B)  diabetes mellitus 
C)  Guillain-Barré syndrome 
D)  botulism D

Question 2

Disruption of which cranial nerve will result in Bell's palsy?

Accepted Answer

A)  trochlear 
B)  trigeminal 
C)  facial 
D)  vagus 
A)  trochlear 
B)  trigeminal 
C)  facial 
D)  vagus C

Question 3

Why does demyelination occur in Guillain-Barré syndrome?

Accepted Answer

A)  Schwann cells die too fast for the body to replenish them. 
B)  Macrophages strip myelin from the nerves. 
C)  There is a lack of acetylcholine at the presynaptic junction. 
D)  There is a lack of blood flow to the outermost covering of nerves. 
A)  Schwann cells die too fast for the body to replenish them. 
B)  Macrophages strip myelin from the nerves. 
C)  There is a lack of acetylcholine at the presynaptic junction. 
D)  There is a lack of blood flow to the outermost covering of nerves. B

Question 4

Which of the following is the least common symptom of a paraneoplastic neuropathy?

Accepted Answer

A)  weakness 
B)  burning and aching 
C)  numbness 
D)  paresthesia 
A)  weakness 
B)  burning and aching 
C)  numbness 
D)  paresthesia

Question 5

Which of the following is correct advice for a PTA to give a patient with a diagnosis of post-polio syndrome that is beginning an outpatient physical therapy intervention program?

Accepted Answer

A)  The patient should exercise to the point of fatigue at the first visit. 
B)  The patient should stop exercise if pain or weakness increases. 
C)  The patient should focus on lower extremity aggressive exercise. 
D)  Functional exercises should be of maximal intensity. 
A)  The patient should exercise to the point of fatigue at the first visit. 
B)  The patient should stop exercise if pain or weakness increases. 
C)  The patient should focus on lower extremity aggressive exercise. 
D)  Functional exercises should be of maximal intensity.

Question 6

At what stage of the complex regional pain syndrome (CRPS)is the skin thin,shiny,cyanotic,and dry?

Accepted Answer

A)  acute 
B)  dystrophic 
C)  atrophic 
D)  subacute 
A)  acute 
B)  dystrophic 
C)  atrophic 
D)  subacute

Question 7

What is the prognosis for reinnervation of muscle after a neurotmesis injury where there has been no return of function for 1 year?

Accepted Answer

A)  poor 
B)  fair 
C)  good 
D)  excellent 
A)  poor 
B)  fair 
C)  good 
D)  excellent

Question 8

Which of the following is a true statement regarding neuropathy?

Accepted Answer

A)  There is hypertonia of muscles involved. 
B)  Motor symptoms tend to occur first distally. 
C)  Deep tendon reflexes are increased. 
D)  The most proximal deep tendon reflexes will be affected first. 
A)  There is hypertonia of muscles involved. 
B)  Motor symptoms tend to occur first distally. 
C)  Deep tendon reflexes are increased. 
D)  The most proximal deep tendon reflexes will be affected first.

Question 9

Which of the following is a common clinical manifestation of ulnar nerve palsy?

Accepted Answer

A)  flattening of the thenar eminence 
B)  claw hand deformity 
C)  ulnar deviation of the hand when the wrist is flexed 
D)  impaired sensation along the thumb and first digit 
A)  flattening of the thenar eminence 
B)  claw hand deformity 
C)  ulnar deviation of the hand when the wrist is flexed 
D)  impaired sensation along the thumb and first digit

Question 10

A patient presents to outpatient physical therapy with a diagnosis of thoracic outlet syndrome (TOS).Which of the following treatments would be inappropriate for this individual?

Accepted Answer

A)  forceful stretching to mobilize the first rib 
B)  postural and breathing exercises 
C)  strengthening exercises for the shoulder girdle musculature 
D)  moist heat to the upper trapezius 
A)  forceful stretching to mobilize the first rib 
B)  postural and breathing exercises 
C)  strengthening exercises for the shoulder girdle musculature 
D)  moist heat to the upper trapezius

Question 11

Which of the following is not a normal aging effect on the peripheral nervous system?

Accepted Answer

A)  The perineurium will thicken. 
B)  The epineurium will thicken. 
C)  The size and number of fascicles will decrease. 
D)  The endoneurium will become fibrosed. 
A)  The perineurium will thicken. 
B)  The epineurium will thicken. 
C)  The size and number of fascicles will decrease. 
D)  The endoneurium will become fibrosed.

Question 12

Which of the following sensations has the slowest nerve conduction velocity?

Accepted Answer

A)  proprioception 
B)  pressure 
C)  temperature 
D)  pain 
A)  proprioception 
B)  pressure 
C)  temperature 
D)  pain

Question 13

Which layer of connective tissue surrounding peripheral nerves is responsible for maintaining the blood-nerve barrier?

Accepted Answer

A)  endoneurium 
B)  perineurium 
C)  epineurium 
D)  axolemma 
A)  endoneurium 
B)  perineurium 
C)  epineurium 
D)  axolemma

Question 14

Which of the following will show a complete interference pattern with maximal contraction on electromyogram (EMG)?

Accepted Answer

A)  normal innervation 
B)  segmental demyelination 
C)  axonal degeneration 
D)  myopathy 
A)  normal innervation 
B)  segmental demyelination 
C)  axonal degeneration 
D)  myopathy

Question 15

Lower motor neuron involvement occurs with trauma to several sites.Damage to which of the following sites will not produce lower motor neuron symptoms?

Accepted Answer

A)  cerebellum 
B)  cell body of alpha motor neuron located in the spinal cord or brainstem 
C)  motor endplate of the axon 
D)  muscle fibers innervated by the motor nerve axon 
A)  cerebellum 
B)  cell body of alpha motor neuron located in the spinal cord or brainstem 
C)  motor endplate of the axon 
D)  muscle fibers innervated by the motor nerve axon

Question 16

Which test is considered the gold standard for carpal tunnel syndrome?

Accepted Answer

A)  Phalen's test 
B)  Tinel's test 
C)  nerve conduction velocity testing 
D)  carpal compression test 
A)  Phalen's test 
B)  Tinel's test 
C)  nerve conduction velocity testing 
D)  carpal compression test

Question 17

Prolonged compression of a nerve that produces an area of infarction and necrosis is defined as which of the following?

Accepted Answer

A)  neurapraxia 
B)  myelinopathy 
C)  axonotmesis 
D)  neurotmesis 
A)  neurapraxia 
B)  myelinopathy 
C)  axonotmesis 
D)  neurotmesis

Question 18

Which of the following disorders is not common with Charcot-Marie-Tooth (CMT)disease?

Accepted Answer

A)  distally symmetric muscle weakness 
B)  increased deep tendon reflexes 
C)  high arch deformities 
D)  hammer toes 
A)  distally symmetric muscle weakness 
B)  increased deep tendon reflexes 
C)  high arch deformities 
D)  hammer toes

Question 19

Which of the following diabetic neuropathies is considered rapidly reversible?

Accepted Answer

A)  acute sensory neuropathy 
B)  chronic sensorimotor 
C)  autonomic 
D)  hyperglycemic neuropathy 
A)  acute sensory neuropathy 
B)  chronic sensorimotor 
C)  autonomic 
D)  hyperglycemic neuropathy

Question 20

The medication amiodarone is toxic to peripheral nerves.What is this medication prescribed for?

Accepted Answer

A)  cancer 
B)  irregular heartbeat 
C)  skin diseases 
D)  seizures and pain 
A)  cancer 
B)  irregular heartbeat 
C)  skin diseases 
D)  seizures and pain

Exam 25: The Peripheral Nervous System

Which of the following peripheral neuropathies involves the motor endplate?

Disruption of which cranial nerve will result in Bell's palsy?

Why does demyelination occur in Guillain-Barré syndrome?

Which of the following is the least common symptom of a paraneoplastic neuropathy?

Which of the following is correct advice for a PTA to give a patient with a diagnosis of post-polio syndrome that is beginning an outpatient physical therapy intervention program?

At what stage of the complex regional pain syndrome (CRPS)is the skin thin,shiny,cyanotic,and dry?

What is the prognosis for reinnervation of muscle after a neurotmesis injury where there has been no return of function for 1 year?

Which of the following is a true statement regarding neuropathy?

Which of the following is a common clinical manifestation of ulnar nerve palsy?

A patient presents to outpatient physical therapy with a diagnosis of thoracic outlet syndrome (TOS).Which of the following treatments would be inappropriate for this individual?

Which of the following is not a normal aging effect on the peripheral nervous system?

Which of the following sensations has the slowest nerve conduction velocity?

Which layer of connective tissue surrounding peripheral nerves is responsible for maintaining the blood-nerve barrier?

Which of the following will show a complete interference pattern with maximal contraction on electromyogram (EMG)?

Lower motor neuron involvement occurs with trauma to several sites.Damage to which of the following sites will not produce lower motor neuron symptoms?

Which test is considered the gold standard for carpal tunnel syndrome?

Prolonged compression of a nerve that produces an area of infarction and necrosis is defined as which of the following?

Which of the following disorders is not common with Charcot-Marie-Tooth (CMT)disease?

Which of the following diabetic neuropathies is considered rapidly reversible?

The medication amiodarone is toxic to peripheral nerves.What is this medication prescribed for?

Introduction to Concepts of Pathology

Problems Affecting Multiple Systems

Injury, Inflammation, and Healing

The Immune System

Infectious Disease

Oncology

The Integumentary System

The Endocrine and Metabolic Systems

The Cardiovascular System

The Hematologic System

The Respiratory System

The Hepatic, Pancreatic, and Biliary Systems

Introduction to Pathology of the Musculoskeletal System

Genetic and Developmental Disorders

Infectious Diseases of the Musculoskeletal System

Musculoskeletal Neoplasms

Bone, Joint, and Soft Tissue Diseases and Disorders

Introduction to Central Nervous System Disorders

Infectious Disorders of the Central Nervous System

Degenerative Diseases of the Central Nervous System

Stroke

Traumatic Brain Injury

Traumatic Spinal Cord Injury

Cerebral Palsy

Behavioral, Social, and Environmental Factors Contributing to Disease and Dysfunction

The Psychosocial-Spiritual Impact on Health Care

Environmental and Occupational Medicine

The Gastrointestinal System

The Renal and Urologic Systems

Central Nervous System Neoplasms

Epilepsy

Headache

The Male Genital or Reproductive System

The Female Genital or Reproductive System

Vestibular Disorders

Laboratory Tests and Values

Filters