Quiz 21: Parkinsons Disease
Psychology
Q 1Q 1
The four cardinal signs of Parkinson's disease are
A)rigidity,sensory loss,akinesia,micrographia.
B)bradykinesia,tremor,festinating gait,paresthesia
C)rigidity,festinating gait,incontinence,sensory loss
D)bradykinesia,rigidity,tremor,postural instability
Free
Multiple Choice
D
Q 2Q 2
Which of the following is not a potential cause of secondary parkinsonism?
A)Vitamin C deficiency
B)Disorders of calcium metabolism
C)Industrial poisons and chemicals (such as manganese)
D)Drugs
Free
Multiple Choice
A
Q 3Q 3
Which of the following is not true concerning rigidity in patient's with PD?
A)It occurs in both agonist and antagonist muscles.
B)It increases proportionally to the speed of a movement.
C)It occurs as the first symptom of PD in the majority of people.
D)It is fairly constant regardless of task.
Free
Multiple Choice
A
Q 4Q 4
Tremors in patients with PD
A)are often the first symptom.
B)are present even during sleep significantly increasing morning fatigue.
C)are typically present at rest and diminish with voluntary movement.
D)are easily controlled with cognitive techniques.
Free
Multiple Choice
Q 5Q 5
Which of the following terms refers to the slowness and difficulty maintaining movement that commonly occurs in patients with PD?
A)Akinesia
B)Hypokinesia
C)Rigidity
D)Bradykinesia
Free
Multiple Choice
Q 6Q 6
Two distinct clinical subgroups have been identified in patients with PD.These two groups are those whose dominant symptoms include
A)postural instability/gait disturbances and primary rigidity.
B)primary rigidity and cognitive impairments.
C)cognitive impairment and tremor.
D)tremor and postural instability/gait disturbances.
Free
Multiple Choice
Q 7Q 7
L-dopa is the mainstay of symptomatic treatment for PD.One of its adverse side effects that physical therapists must be aware of when treating patients taking this drug is
A)sensory loss.
B)blurred vision.
C)orthostatic hypotension.
D)muscle spasm and cramping.
Free
Multiple Choice
Q 8Q 8
A therapist is treating a patient with bradykinesia.The most appropriate examination strategy to document the effects of this impairment on the patient's function is
A)time how long it takes him to complete a task.
B)document his level of independence when completing a task.
C)complete a manual muscle test.
D)assess functional performance both with and without manual guidance.
Free
Multiple Choice
Q 9Q 9
Locomotor training in patients with PD should focus on
A)increasing stride length using floor markers.
B)narrowing the base of support using line walking.
C)working on toe and then heel walking with light touchdown support.
D)paced walking using low beat music.
Free
Multiple Choice
Q 10Q 10
Which of the following proprioceptive neuromuscular facilitation techniques would be most appropriate to improve mobility and reduce the effects of rigidity in patients with PD?
A)Alternating isometrics
B)Rhythmic initiation
C)Rhythmic stabilization
D)Hold-relax-active movement
Free
Multiple Choice
Q 11Q 11
A patient is sweating profusely during a PT session,although the intervention that day is not very demanding,and the gym is cool.The sweating is most likely the result of
A)cardiovascular involvement.
B)autonomic nervous system dysfunction.
C)increased effort to overcome the effects of rigidity.
D)an anxiety disorder.
Free
Multiple Choice
Q 12Q 12
When examining standing balance in a patient with early PD it is important to
A)begin with standing on a wobble board.
B)utilize the Berg Balance scale,basic items.
C)increase the attentional demands with dual tasking.
D)time static holding in the posture.
Free
Multiple Choice
Q 13Q 13
In patients with PD
A)visual and auditory cues can be used to improve gait.
B)visual cues should be used but auditory cues should not; most elderly patients suffer from hearing loss.
C)auditory cues should be used but not visual; visual cues often cause episodes of freezing.
D)neither auditory nor visual cues should be used because they increase the attentional demands of the activity.
Free
Multiple Choice
Q 14Q 14
To compensate for motor learning deficits in patients with PD,the physical therapist should
A)incorporate only one or two repetitions of each activity because patients with PD have cognitive deficits.
B)break down complex movement sequences into component parts using parts to whole practice.
C)use random practice of complex tasks and activities.
D)practice dual tasking to improve functional performance.
Free
Multiple Choice
Q 15Q 15
The use of external cues in patients with PD
A)is thought to facilitate movement by utilizing different brain areas and more conscious motor control pathways.
B)is thought to increases the production of dopamine thus temporarily improving symptoms of the disease
C)is most appropriate in patients with severe cognitive deficits and dementia.
D)is most appropriate with dual task training.
Free
Multiple Choice