adult rehab - chp. 23 practice questions

evaluation of sensation and intervention for sensory dysfunction

a client has decreased feeling in the median nerve distribution. what is one functional loss one may experience?

a. difficulty extending one’s elbow to don a shirt

b. difficulty buttoning

c. difficulty simultaneously extending the wrist and closing the fingers to grasp items such as a cup

d. difficulty holding a car steering wheel to drive 

b. difficulty buttoning

a person with CNS injury with brain involvement with or without spinal cord injury is more likely to have deficits in:

a. pressure threshold

b. two point discrimination

c. sensory feedback

d. hypersensitivity

c. sensory feedback

the concept of neuroplasticity depends on:

a. the proper combination of medication and healthy living behaviors

b. fixed nerve cells in the central nervous system regaining their function after injury

c. specific sensory testing of specialized end organs

d. reorganization of neurons within the cortex

d. reorganization of neurons within the cortex

a person with allodynia may be experiencing increased activity in their: 

a. nociceptors

b. efferents 

c. chemoreceptors

d. thermoreceptors

a. nociceptors

according to the american spinal injury association (ASIA), persons with SCI are classified according to their “sensory level” which is:

a. the most cephalic intact dermatome for both pin prick and light touch

b. the most caudal intact dermatome for both pin prick and light touch

c. the most cephalic intact dermatome for both stereognosis and proprioception

d. the most caudal intact dermatome for both stereognosis and proprioception

b. the most caudal intact dermatome for both pin prick and light touch

neuropathy may indicate pathology in the nervous system and involvement of sensation carried in the:

a. large unmyelinated fibers

b. small myelinated fibers

c. small unmyelinated fibers

d. large myelinated fibers

c. small unmyelinated fibers

a client has excessive pain, sweating, and temperature changes. you notice some dark hair growth. these symptoms are indicators that the client is experiencing: 

a. damaged peripheral nerves

b. disuse of the hand

c. intact sudomotor function but absent thermoregulation 

d. complex regional pain syndrome (CRPS) 

d. complex regional pain syndrome (CRPS)

you receive orders to administer sensory testing after peripheral nerve repair. the most useful test to identify change over time in this case is:

a. hot/cold discrimination

b. monofilament testing

c. 2 point discrimination

d. sharp/dull discrimination

c. 2 point discrimination

a client is being tested using the monofilaments for touch pressure. the examiner should:

a. begin with the smallest available filament

b. begin with the largest available filament

c. always begin with a 2 point discrimination and then progress to monofilaments

d. ask the client: “can you feel this?”

a. begin with the smallest available filament

you notice that a patient is grasping their glasses case very hard to the point where their finger pads are blanching. this may be an indicator of: 

a. complex regional pain syndrome (CRPS) 

b. radial nerve damage

c. hyperalgesia

d. proprioceptive deficits 

d. proprioceptive deficits 

______ are candidates for discriminative sensory re-education

a. those who require re-education to compensate for the dangers with sensory loss

b. very old adults as they have greater capacity for neural regeneration 

c. those who are motivated and able to concentrate 

d. those with central nervous system damage 

c. those who are motivated and able to concentrate