BRAINSTORMING JUNE 2023

1. A person with some type of blindness denies her condition. What is probably her
diagnosis?
a. Munchausen's syndrome
b. Patrick’s syndrome
c. Anton’s syndrome
d. Central achromatopsia

2. Field workers exposed to a plant toxin develop painful fluid filled blisters.
Analysis of the blister fluid reveals high concentrations of a peptide. Which of
the following is a peptide that causes increased capillary permeability and
edema?
a. Bradykinin
b. Captopril
c. Angiotensin II
d. Histamine

3. Likely causative agent in poisoning/intoxication from improperly canned food

a. Staphylococcus aureus
b. Clostridium perfringens
c. Clostridium botulinum
d. Vibrio cholera

4. The patient bumped her toe on table which caused excessive extension of the 1st
metatarsophalangeal joint. This condition is called:
a. Claw foot
b. Hallux rigidus
c. Turf toe
d. Mallet toe

5. Medical Procedure to release a tendon from surrounding adhesions

a. Tendon Graft
b. Tenolysis
c. Tendon Repair
d. Tendon transfer

6. Patient is catching balance by taking fast short steps

a. Steppage gait
b. Shuffling gait
c. Ataxic gait

7. How to avoid biceps substituting for shoulder abduction

a. Fully extend elbow
b. Fully flex elbow
c. Slightly flex elbow

8. What is spared in posterior interosseous nerve (PIN) injury?

a. EDC
b. ECU
c. ECRL
d. ECRB

9. Ollier's disease:
a. A genetic disease in which bones fracture easily, often with no obvious
cause or minimal injury
b. A rare inherited disorder whereby the bones harden, becoming denser.
c. A condition that causes benign growths, or enchondromas, to develop in
the bone cartilage
d. A condition that leads to weakened bone due to lack of vitamin D
10. Why is Vitamin D essential for children with Rickets?
a. Vitamin D increases osteoclastic activity
b. Vitamin D is needed for calcium to be absorbed in the GIT
c. Vitamin D helps in formation of collagen
d. Vitamin D makes protein for blood clotting and building of bones

11. Vitamin essential for fracture repair:

a. Vitamin A
b. Vitamin B1
c. Vitamin B12
d. Vitamin C

12. In doing this test, patient shows nystagmus, light headedness, dizziness, and
visual disturbances when fully in supine and head and neck rotation to right or
left
a. Barre Louie Sign
b. DeBoyd Test
c. Bakody's Sign
d. Static Vertebral Artery Test
13. Forearm supination is measured with the moving arm of the goniometer placed on
this side of the hand.
a. Dorsal
b. Volar
c. Lateral
d. Medial
14. During the opening of a patient's mouth, a palpable and audible click is
discovered in the left temporomandibular joint. The physician informs the
therapist that the patient has an anteriorly dislocated disk. This click most
likely signifies that:
a. The condyle is sliding anteriorly to obtain normal relationship with the
disk
b. The condyle is sliding posteriorly to obtain normal relationship with the
disk
c. The condyle is sliding anteriorly and losing normal relationship with the
disk
d. The condyle is sliding posteriorly and losing normal relationship with
the disk

15. Skin changes associated with aging has the greatest effect on wound healing.
a. Reduction of sensation
b. Decrease elasticity
c. Changes in pigmentation
d. Decrease epidermal proliferation

16. The client was told to put his knees on the chair and bent forward to reach the
floor. What does this special test measure or indicate?
a. Malingering
b. Spondylosis
c. Spondylisthesis

17. Initiated by IV disc degeneration:

a. spondylolisthesis
b. spondylosis
c. spondylolysis
d. spondylitis

18. UE Prosthesis in children (in months):

a. 6
b. 8
c. 10
d. 12
19. ABG question: Normal pH, decreased PaCO2, HCO3=24
a. Respiratory acidosis
b. Respiratory alkalosis
c. Metabolic acidosis
d. Metabolic alkalosis

20. Tiny purple spots of bleeding under the skin or in the mucous membranes.
a. ecchymosis
b. purpura
c. petechiae

21. Pregnant woman exercising supine at bed. What will you advice to prevent vena
cava compression?
a. Advice to do exercise side lying
b. Use pillows on sides
c. Put feet on pillow 12 inches higher
d. Lift on leg

22. Nerve affected in wrist slashing/anterior wrist laceration?

a. median nerve
b. ulnar nerve
c. radial nerve
d. axillary nerve

23. A patient is difficult to arouse and falls asleep without constant stimulation
from the therapist. Even when the patient is aroused, he has difficulty
interacting with the physical therapist. What would be the BEST description of
the patient's level of arousal?
a. Stupor
b. Lethargic
c. Obtunded
d. Alert

24. Bacteriostatic agents:

a. inhibit bacterial cell division
b. inhibit young bacterial cell growth
c. kills bacteria
d. always target the cell membrane of bacteria

25. Which of the following is a side effect of carbamazepine?

a. Thirst/dry mouth
b. Polyuria
c. Cleared vision
d. Insomnia

26. Antiobiotics that inhibit cell wall synthesis

a. Beta-lactam antibiotics
b. Aminoglycosides
c. Erythromycin
d. Tetracyclines

27. This is a surgical procedure used to remove fatty deposits/plaques from the
carotid artery.
a. Endarterectomy
b. Balloon angioplasty
c. CABG
d. Intra-carotid bypass

28. What condition contributes to L ventricular hypertrophy of the heart:

a. Aorta stenosis
b. Pulmonary stenosis
c. Mitral stenosis
29. The discovery of this drug began the era of antibiotics and has been recognized
as one of the greatest advances in therapeutic medicine.
a. opium
b. warfarin
c. penicillin
d. naloxone

30. Produced by Pancreas that digests carbohydrates

a. Lipase
b. Insulin
c. Glucagon
d. Amylase

31. Gabapentin function:

a. muscle relaxant for pain
b. anti-inflammatory for pain
c. anti-seizure for neuropathic pain
d. anti-rheumatic for inflammation

32. Pain medication recommended for peptic ulcer:

a. Ibuprofen
b. Ketorolac
c. Aspirin
d. Declofenac

33. All of the following are pressure prone areas when sitting in the wheelchair,
except:
a. Elbow
b. Heel
c. Scapula
d. Ischium

34. What reflex results in increased leg extensor tones when the client bounces on
the sole of his feet several times?
a. Moro
b. Body Righting
c. Negative Support Reaction
d. Positive Support Reaction

35. What branch of the median nerve is spared in CTS because it does not pass
through the carpal tunnel?
a. palmar cutaneous branch
b. motor branch
c. anterior interosseous nerve
d. sensory branch

36. Contraindication to THR:

a. Sepsis/ Systemic disease
b. Progressive nerve disorder
c. Fast degenerative bone disease

37. CRPS can be caused by the following, except:

a. CVA
b. MI
c. Major surgery
d. PNI
e. NOTA

38. Shoulder-hand syndrome typically occurs how long post-stroke?

a. 1-6 years
b. 1-2 years
c. 1-6 months
d. 15-24 months
39. A person with PTSD is unable to remember a traumatic event or has no memory of
the event for a few hours to a few days. What kind of dissociative amnesia is
this?
a. selective
b. localized
c. generalized
d. systematized

40. "Too many toes"

a. pronation
b. supination
c. excessive DF
d. excessive PF

41. Patchy mushy necrosis of tissue debris:

a. caseation
b. liquefaction
c. hematogenous spread
d. dissolution

42. Commonly subluxed cervical vertebrae:

a. C1-2
b. C6-7
c. C5-6
d. C4-5

43. Severe HA with stiff neck, photosensitivity, and abrupt onset of symptoms:
a. Subarachnoid Hemorrhage
b. Viral Encephalitis
c. Migraine

44. Dupuytren’s contracture involves flexion contractures of the _______________

digits of the hand, MP, and proximal interphalangeal (PIP) joints.:
a. 2nd and 3rd
b. 3rd and 4th
c. 4th and 5th
d. 1st and 2nd

45. An elderly patient suffered a cerebral thrombosis 4 days ago and presents with
the following symptoms: decreased pain and temperature sensation of the
ipsilateral face, nystagmus, vertigo, nausea, dysphagia, ipsilateral Horner’s
syndrome, and contralateral loss of pain and temperature sensation of the body.
The MOST LIKELY site of the thrombosis is the:
a. Anterior cerebral artery
b. Posterior inferior cerebellar artery
c. Internal carotid artery
d. Posterior cerebral artery

46. The correct sequence for a positive Landau reflex response is

a. First the back extends, then the neck flexes with leg in extension
b. First the head, then the back and legs extend
c. Simultaneous neck and back in flexion with legs in extension
d. First the legs will extend, then neck extension with back flexion

47. Which of the following can be measured by spirometry?

a. FRC
b. RV
c. TV
d. ERV
48. The most common movement disorder:
a. chorea
b. tremor
c. myoclonus
d. essential tremor

49. Emphysema breathing pattern:

a. cheyne-stokes
b. kussmaul
c. tachypnea
d. biot's

50. Inferior facet facing laterally

a. S1
b. L1
c. T1

51. Orthosis with best cosmesis

a. STEN foot
b. Seattle
c. SAFE foot
d. Carbon copy II

52. Atonic bladder, except:

a. L1
b. S2
c. S3
d. cauda equina

53. Primary neurotransmitter of peripheral nervous system

a. Dopamine
b. Acetylcholine
c. Serotonin
d. Noradrenaline

54. Which finding should you expect when assessing a child with positive galeazzi
sign?
a. raised iliac crest
b. pelvic downward tilt on weigh bearing
c. knees are flexed to 90 degrees, one knee higher
d. involved leg flexed to 90 degrees, audible click with external rotation

55. Which organ receives the most cardiac output at rest?

a. Heart
b. Viscera
c. Kidney
d. Liver

56. Most abundant extracellular cation

a. Sodium
b. Potassium
c. Proteins
d. Bicarbonate
e. Chloride

57. An emergent condition classically presenting with pleuritic pain and mediastinal
shift:
a. lung abscess
b. lung tumor
c. pneumothorax
d. endometriosis
58. Blue or purple skin discoloration that occurs as a result of rupture of blood
vessels under the skin
a. ecchymosis
b. purpura
c. petechiae

59. What nerve root exits between L5 and S1

a. L4
b. L5
c. S1
d. S2

60. Most common structural kyphosis in adolescents and adults

a. Pott's disease
b. Scoliosis
c. Scheuermann
d. Sacroiliitis

61. A therapist receives a referral for a client who is one week status post head
injury. In the client’s medical record it notes that the client demonstrates
decorticate posturing. This type of posturing is characterized by ____?
a. upper extremity extension and lower extremity flexion
b. upper extremity flexion and lower extremity flexion
c. upper extremity extension and lower extremity extension
d. upper extremity flexion and lower extremity extension

62. Gross Motor Function Classification System that requires wheelchair for
household mobility is level
a. level I
b. level II
c. level III
d. level IV
e. level V

63. Used for patients with excessive foot pronation

a. metatarsal pad
b. rocker bottom
c. thomas heel
d. cushion heel

64. "Broken hip" among elderly; common site is femoral ________:

a. shaft
b. neck
c. body
d. head

65. Teenage girl becomes embarrassed infront of her friends due to her weight. She
develops fear of eating large quantities of food, affects functionality and
ability to eat out with friends, and develops severe weight loss.
a. Body dysmorphic disorder
b. Anorexia nervosa
c. Avoidant disorder
d. Bulimia nervosa

66. type of diffusion/transport for Glucose

a. Facilitated Diffusion
b. Primary Transport
c. Secondary Transport
67. Prothrombin time delay/lack, normal clotting time, normal bleeding time, lack of
clotting factor IX
a. Hemophilia A
b. Hemophilia B

68. The nature of the training experience dictates the nature of the plasticity.
a. Specificity
b. Salience matters
c. Use it or lose it
d. Intensity matters

69. True about schizoaffective disorder

a. Higher in men
b. Higher in women
c. Equal in men and women
d. Depends on seasonality of birth

70. Child approaches strangers in the clinic during treatment; child also has
developmental delay and is malnourished
a. Autism spectrum disorder
b. Bipolar disorder
c. Attention deficit hyperactivity disorder
d. Disinhibited social engagement disorder

71. The child is asked to write what was dictated to him. What skill is this?
a. Visual-motor
b. Spatial relations
c. Position in space
d. Form constancy

72. Your male patient has gout flare ups after eating purine-rich fods in a party.
What drug is taken to avoid resurgence of symptoms of gout as this is considered
prophylaxis for gout?
a. Glucocorticoids
b. Low dose colchicine
c. Allopurinol
d. NSAIDs

73. Enthesopathy, except:

a. scleroderma
b. reiters syndrome
c. gout arthritis
d. psoriatic arthritis

74. A child developed polyarthritis which was preceded by a sore throat and fever.
Lab results reveals that the patient is positive for anti-streptolysin O.
a. Juvenile rheumatoid arthritis
b. Rheumatic fever
c. Dermatomyositis
d. Rheumatoid arthritis

75. A 45 year-old aunt presents with pain and swelling in both wrists and knees for
three months, complains of morning stiffness
a. OA
b. RA

76. Rheumatoid arthritis: Limited in ability to perform usual self-care, vocational,

and avocational activities
a. class I
b. class II
c. class III
d. class IV
77. Does not have subcutaneous nodules:
a. Dermatomyositis
b. Gout
c. Rheumatoid arthritis
d. Systemic lupus erythematosus
78. True about cortisol:
a. Highest at night lowest in morning
b. Highest in morning lowest at night
c. Same throughout the day
d. Peaks in the afternoon and lowest at night

79. “Free association”

a. Sigmund Freud
b. Carl Jung
c. Alfred Adler
d. Erik Erikson

80. Which is NOT a sign of shunt malfunction?

a. irritability
b. vomiting
c. headache
d. hypotonia

81. What personality d/o affects adl and iadl

a. Paranoid
b. Histrionic
c. Schizotypal

82. A drug was introduced/administered to the bone marrow via syringe/injection.

What procedure is this?
a. intramuscular
b. interosseous
c. intravenous

83. You are trying to facilitate extensor activity of wrist and fingers by
simultaneously abducting their paretic arm. What do you call this associated
reaction?
a. raimiste's
b. soque's
c. homolateral synkinesis
d. motor irradiation

84. Drugs for tuberculosis, except:

a. Rifampicin
b. Isoniazid
c. Pyrazinamide
d. Clindamycin

85. Thrombocytopenia test

a. WBC
b. Platelet Count
c. RBC
d. Thyroxine (T4) test

86. A 70-year-old woman is brought by her family to the emergency department because
she is unable to speak. She obeys commands, except that she is unable to repeat
when asked to do so and she cannot write. Where is the lesion?
a. Dominant inferior frontal gyrus
b. Dominant middle frontal gyrus
c. Dominant superior frontal gyrus
d. Dominant superior temporal gyrus
87. Anomic aphasia is most likely to occur with a lesion in which region?
a. Frontal operculum
b. Angular gyrus
c. Inferior temporal gyrus
d. Supplementary motor area

88. Devoid of choroid plexus

a. Lateral ventricle
b. 3rd ventricle
c. Sylvian Aqueduct
d. 4th ventricle

89. Parkinson's Disease

a. Nigrostriatum
b. Corticospinal
c. Rubrospinal
d. Reticulospinal

90. Patient has difficulty articulating and has mild difficulty with complex syntax.
a. Broca
b. Global
c. Wernicke
d. Transcortical motor

91. Cranial nerve affected by Benedikt syndrome

a. CN II
b. CN III
c. CN IV
d. CN VI

92. El Escorial classification for possible ALS:

a. Upper and lower motor manifestations in 1 region
b. Upper and lower motor manifestations in 2 regions
c. Upper and lower motor manifestations in 3 regions
d. Upper and lower motor manifestations in 4 regions

93. -Spasticity of LE, hyperreflexia, loss of position sense

Choices: Myelopathy, Radiculopathy, UMNL, LMNL
-Spasticity, hyperreflexia, myoclonus
Choices: Myelopathy, Radiculopathy, UMNL, LMNL
-Hypotonicity, fasciculations, areflexia
Choices: Myelopathy, Radiculopathy, UMNL, LMNL

94. Cutting which structure causes blindness in the temporal fields of the left and
right eyes?
a. Optic nerve
b. Optic chiasm
c. Optic tract
d. Geniculocalcarine tract

95. Which is not part of the hippocampal function?

a. Paraventricular nuclei
b. Ammon's horn
c. Dentate gyrus
d. Subiculum

96. What nerve root is affected in impaired triceps tendon reflex

a. C5
b. C8
c. T1
d. T2
97. What is difficult to do if there is a lesion in the posterior brainstem?
a. Difficulty looking vertical and inward
b. Difficulty looking towards the nose
c. Difficulty moving the eye outward from midline
d. Inability to voluntarily open the eyelid

98. Compute the total motor index where L4 and above are good, L5-L6 are poor,
everything below are absent

99. Compute total sensory index where L4 and above are intact and everything below
are absent

100. What muscle does the lateral plantar nerve innervate?

a. FHB
b. Abd Hallucis
c. Interossei
d. Lumbricals