1.

Gaze stabilization, VOR and nystagmus response to rotation are mediated through connections from
vestibular nuclei involve
a. lateral vestibulo-spinal tract
b. medial longitudinal fasciculus
c. reciprocal connection with inferior parietal cortex
d. reciprocal connection with cerebellum
2. Poor sense of upright causing problem with orientation in space is controlled by
a. Lateral vestibulo-spinal tract
b. Medial longitudinal fasciculus
c. Reciprocal projection with inferior parietal cortex via thalamus
d. Diffuse interconnection with reticular system
3. A female Dr Zara in the ward comes to see you and is concerned that Miss Sara keeps getting up and
falling over at night. She is slightly weak on one side. She is not sure why this is happening
because patient is quite safe during the day. What do you do? (What subjective assessment,
objective assessment and outcome measures will you undertake?).
a. Will ask questions of visual acuity during night
b. Static and Dynamic component of VOR and CTSIB(Clinical Test Sensory Interaction of Balance)
in objective examination
c. BBS
d. A&B
4. Mr Zohaib who had Ischemic stroke 4 months back ,he was diagnosed internal capsule infarct
and after 12 weeks comprehensive rehab patient is able to walk independently, now you are
going to test his functional performances .Which one of the following is the most reliable test for
this patient in the following .
a. Tandem walk
b. Braiden walk
c. Get up and go test
d. Stepping test
5. A 19 years old cricket player came to physical therapy department for PT treatment , was
diagnosed and treated for dislocation of his Lt shoulder .On examination you assessed that
Two months back he had received severe injury at his abducted shoulder ,there is wasting
of deltoid muscle girth and decreased sensation on the effected side of arm. Which nerve
is/are damaged.
a. Axillary nerve injury
b. Radial nerve injury
c. A and B
d. Median nerve
6. A Physical Therapist is reviewing a hospital record prior to the examining a patient for the
first time .the suspected diagnosis. On the neurologist note, the therapist finds the
following ;DTR right quadriceps is 3+ ,left quadriceps is 4+ .The therapist conclude that
a. The right DTR is normal , the left is abnormal
b. The left DTR is normal ,the right is abnormal
c. Both are abnormal
 d. None of the above
7. The order of 5 points GCS for an unconscious patient is
a. Death , persistent vegetative state , lower severe disability , moderate disability , good recovery
b. Good recovery , persistent vegetative state , lower severe disability , moderate disability, Death
c. persistent vegetative state , Death ,lower severe disability , moderate disability , good recovery
d. None of the above
8. Regarding the severity of TBI patient if you are assessing a patient with the following findings GCS = 13-15 ,
Duration of comma = <20min , Duration of PTA = , <1hr .What will be your possible findings
a. Patient has mild TBI
b. Patient has moderate TBI
c. Patient has severe TBI
d. None of the above
9. A patient of cerebral ataxia is referred to you by a neurologist .what are the factors on which Coordination
depends?
a. Somatosensory, visual & vestibular
b. Fully intact neuromuscular system
c. Both A&B
d. None
10. During assessment gait cycle of 65 years old stroke patient, you noticed that patient are taking short steps from right
leg .What muscle weakness/shortness can cause for this?
a. Gluteus maximus of right leg
b. Hamstrings of right side
c. Gluteus maximus of left leg
d. Hamstrings of left side
e. B& C
11. A middle-aged man expresses to you that he is concerned that he cannot taste anything on
the posterior portion of his tongue. What nerve innervates this portion of the tongue?
a. Glossopharyngeal nerve
b. Trigeminal nerve
c. Hypoglossal nerve
d. Facial nerve
12. It suggests that the CNS does not operate in a strictly descending manner, no higher levels
with which to control the operation of the lower levels, there is a mutable relationship
between the various levels so that each level will alternate between command and
subordinate roles in relation to the other levels.
a. patrick,s theory
b. Systems approach
c. Hierarchical Theory
d. Reflex theory
13. You are assessing a 45 years old patient of hemorrhagic stroke is referred to by a GP,
during vision assessment you find out that the patient has homonomous
hemionpsia ,Which of the following will not the implication of homonomous hemionpsia
a. Reading from mid line while something given to read
b. Neglect his half side of the body
c. Left food in half side the plate
d. Bangs himself against the objects
14. You are examining a 45 years right hemiplegic patient for static and dynamic balance ,
patient showed normal signs with internal perturbations , now you are going to find out
the patient’s response on external perturbations, which of the following will be the ideal
outcome measure scale to find it ?
a. Berg balance scale
b. Fakuda test
c. Pastor, Day and Marsden test
d. tandom walk
15. You are treating 54 rears old patient Mr Kashif in stroke ICU who had HX left MCA
infarct two day back , during your objective examinations you observed that has flicker
to trace movements shoulder girdle and shoulder . For initial upper limb recovery all of
the following could be the part of your treatment plan except
a. PNF
b. BOBATH
c. MRP
d. CIMT
16. A patient with a neurological deficit is referred to you for treatment, you performed the
manual muscle testing , analyzed the joint motion , and advised strengthening and
endurance training regardless of shortness of muscles and synergies to the weak
limbs .Patient was performing isotonic activities .This technique of treatment is known as
a. Bobath,s techniques
b. Traditional approach
c. PNF techniques
d. Motor Re learning Programme ( task specific approach )
17. Treatment included inhibition of increased tone by positioning, reflex inhibiting patterns and
key points of control / Facilitate normal postural reflex mechanism and normal isolated
movement. Use mainly automatic movements/ developmental sequence used/ sensory
stimuli used to elicit responses .statement is true for
a. Bobath,s techniques
b. Traditional approach
c. PNF techniques
d. Motor Re learning Programme ( task specific approach )
18. Largest diameter. Thick myelin sheaths. Conduct impulses at high speeds (> 300
mph).Mostly somatic sensory ad motor fibers serving skin, skeletal muscles, and joints.
Statement is true for
a. Type A Fibers
b. Type B Fibers
c. Type C Fibers
d. Type D Fibers
19. You are going to assess right MCA stroke patient one the second day following
stroke ,_______________muscle activity search for upper limb and lower limb return of
movement
a. Serratus anterior, hip extensors
b. Shoulder flexors, hip flexors
c. Elbow flexors, hip flesors
d. Serratus anterior, hip flexors

20. A 65 years old patient who had hemorrhagic stroke 7 weeks ago ,is hospitalized in ICU ,
you are going to train him for sit to stand , If you train the patient for extension phase of sit
to stand .whih of the following muscles acts concentrically in extension phase of sit to
stand ,except
a. Trunk and hip flexor
b. Quads
c. Ankle dosri flexors
d. A & B
21. You are examining a 67 years old CVA patient for his lower limb synergy, during passive
range of motions; there is mild resistance in the beginning of range less than half .How
will you mark this spasticity on Ashworth’s scale?
a. 1
b. 2
c. 3
d. 4
22. You are treating a 34 years old patient of TBI for his trunkal and pelvis stability , how will
you progress your treatment ?
a. Rhythmic initiation ,Rhythmic stabilization ,Control
b. Control , Rhythmic initiation, Rhythmic stabilization
c. Rhythmic stabilization Control , Rhythmic initiation
d. None of the above
23. Need to learn what is needed in order to perform a skill. Must identify the subroutines
involved and their correct sequence. Exploratory stage. Beginner will make many errors.
This stage usually takes a short time. Statement is true for
a. Associative Stage
b. Autonomous Stage
c. Cognitive Stage
d. None of the above
24. Practice phase, Refine accuracy of performing the skill, Amount of practice will depend on
the complexity of the skill, the therapist ability, past experience and motivation. Errors will
decrease Performer can recognize errors and make adjustments. This stage usually takes a
long time. Statement is true for
a. Associative Stage
b. Autonomous Stage
c. Cognitive Stage
d. None of the above
25. It is the ability of the CNS to change & adapt in response to environmental cues, experience,
behavior, injury or disease. Neurons possess the ability to alter their structure and function
in response to a variety of internal & external pressures, including behavioral
training .statement is true for
a. Motor control
b. Neural Plasticity
c. Knowledge
d. None of the above
26. You are working as a physiotherapist in stroke ICU , mainly dealing with stroke patients . DMS directs you
design a suitable outcome measurement scale to find out the progress of patients .what will be the most suitable
scale for these patients.
a. COVS Scale
b. MAS Scale
c. Berg Balance scale
d. Barthel index
27. You are working as a physiotherapist in neurosurgery Ward and you are dealing with majority SCI and TBI
patients , DMS directs you design a suitable outcome measurement scale to find out the progress of
patients .what will be the most suitable scale for these patients
a. COVS Scale
b. MAS Scale
c. Berg Balance scale
d. Barthel index

28. .A 58 years stage 2 Parkinson patient came to your clinic you assessed him for balance,
you performed functional balance test , Mean measurement is 27 cm , this reading shows
that he has
a. Good balance
b. Fair balance
c. Potential faller
d. This test has no reliability for balance
29. You are treating a 54 years old patient of Rt MCA stroke , after 3 weeks of comprehensive rehab patients is
able to walk with support now you are going to examine his high mental function test , All are the high mental
functions test except
a. Get up and go test
b. Bridal walk
c. Fakuda test
d. Active range of motion
30. You are examining a 65 years right hemiplegic patient for static and dynamic balance , patient showed normal
signs with internal perturbations , now you are going to find out the patient’s response on external
perturbations, which of the following will be the ideal outcome measure scale to find it .
a. Berg balance scale
b. Pastor, Day and Marsden test
c. Fakuda test
d. None of the above
31. You are assessing a 75 years old patient of ischemic stroke for upper limb function , while a glass reaching to
his mouth he flexes his elbow pronation in full range , how will you categorize this movement in your
assessment
a. Normal range of motion
 b. Half range normal half synergy
c. Synergy
d. A&B
32. You are treating a 75 years old CVA patient in ICU, how will observe that leads you to believe the patient has
little return of movement?
a. Any movement against the synergy
b. Tone
c. Synergy
d. None of the above

33. A patient with a neurological deficit is referred to you for treatment, you performed the
manual muscle testing , analyzed the joint motion , and advised strengthening and endurance
training regardless of shortness of muscles and synergies to the weak limb .Patient was
performing isotonic activities .This technique of treatment is known as
a. Traditional approach
b. Bobath,s techniques
c. PNF techniques
d. Motor Re learning Programme ( task specific approach )
34. All of the following equipments are using in traditional approach of treatment except.
a. Weights
b. Pulleys
c. Suspension therapy
d. FES
35. A neurological patient is referred to you for physical Therapy, you applied optimal resistance
and performed movements in spiral and diagonal patterns .Movements is started from
passive, active assisted, active and active resisted exercises.
a. Traditional approach
b. Bobath,s techniques
c. PNF techniques
d. Motor Re learning Programme ( task specific approach )
36. All of the following are the weakness of traditional approach except
a. Manual muscle testing
b. Strength training for short and weak muscles both simultaneously.
c. Isotonic activities targeting agonist and antagonist
d. Little emphasis on short muscle or synergy
37. All of the following are the strengths PNF except
a. Goal targeted activities
b. Spiral and diagonal movements
c. Isotonic and isometric activities both
d. Does not incorporates its techniques with functional activities.
38. Treatment included inhibition of increased tone by positioning, reflex inhibiting pattern and
key points of control / Facilitate normal postural reflex mechanism and normal isolated
movement. Use mainly automatic movements/ developmental sequence used/ sensory stimuli
used to elicit responses .statement is true for
a. Traditional approach
b. Bobath,s techniques
c. PNF techniques
d. Motor Re learning Programme (task specific approach)
39. All of the following are the strengths of bobath,s technique except
a. Reflex inhibiting patterns
b. Key points of control
c. Facilitation of movements
d. Waiting for body tone to develop , doesn’t utilizes flickers to trace movements (any
movements against synergy) for enhancement for normal functional movements.
40. Mobility , Stability control mobility and Skill. Involves superficial cutaneous stimulation
using stroking, brushing, tapping & icing or vibration to evoke voluntary muscle activation.
Statement is true for
a. Rood approach
b. Bobath,s approach
c. PNF approach
d. None of the above
41. At the child birth, there are some primitive reflexes, with the passages of time majority of
these convert into voluntary movements, and after any neurological insult these primitive
reflexes re-emerge as pathological reflexes .This theory is known as
a. patrick,s theory
b. Systems approach
c. Hierarchical Theory
d. Reflex theory
42. CNS structures involved with movement can be grouped into HIGHER, MIDDLE, and
LOWER levels. Higher centers regulate and control the middle and lower centers. Damage
to the CNS results to disruption of the normal coordinated function of these levels
a. patrick,s theory
b. Systems approach
c. Hierarchical Theory
d. Reflex theory
43. It suggests that the CNS does not operate in a strictly descending manner, no higher levels
with which to control the operation of the lower levels, there is a mutable relationship
between the various levels so that each level will alternate between command and
subordinate roles in relation to the other levels.
a. patrick,s theory
b. Systems approach
c. Hierarchical Theory
d. Reflex theory
44. You are treating 3 years old baby of floppy type of cerebral palsy , during objective
examination you found poor trunkal control . The poor trunkal control is due to
a. Hypo bombardment of vestibelo-spinal tracts
 b. Over activation of rubro spinal tracts
c. A&B
d. None of the above
45. A physical therapist receives a referral for a patient with neurapraxia involving the ulner
nerve secondary to elbow fracture .Based on knowledge of this condition .the therapist
expects that :
a. Regeneration is likely in 8 to 10 months
b. Nerve dysfunction will be rapidly reversed, generally in 3 to six weeks
c. Regeneration is likely after 1-1/2 years
d. None of the above

46. You are assessing a 45 years old hemorrhagic stroke patient is referred to by a GP, during
vision assessment you find out that the patient has homonomous hemionpsia ,all of the
following can be the implications of homonomous hemionpsia except
a. Reading from mid line while something given to read
b. Neglect his half side of the body
c. Left food in half side the plate
d. Bangs himself against the objects
47. A patient with a neurological deficit is referred to you for treatment, you performed the
manual muscle testing , analyzed the joint motion , and advised strengthening and endurance
training regardless of shortness of muscles and synergies to the weak limbs .Patient was
performing isotonic activities .This technique of treatment is known as
a. Bobath,s techniques
b. Traditional approach
c. PNF techniques
d. Motor Re learning Programme ( task specific approach )
48. While training a patient of Parkinson disease for step climbing , if patient is unable to place
his foot on step what muscles needs to be trained
a. Hip flexors
b. Hip extensors
c. A&D
d. Knee flexors
49. All of the following are Principles of treatment IN Bobath techniques except
a. Facilitate the patient’s progress throughout the recovery stages
b. Use of postural and attitudinal reflexes to increase and decrease tone of muscles
c. Analysis of task train the missing components and incorporate it with functional
movements
d. Stimulation of skin over the muscle produces contraction
50. You are treating a patient of CVA in stroke ICU , for his upper limb function and normal
reach training what essential components we usually add to prevent synergy at shoulder
girdle at the beginning of the training ?
 A. Depression
B. Elevation
C. Protraction
D. A&C
51. The word formation are of the brain which lies most inferiorly in the secondary motor area
is
a. Wernike area
b. Brocas area
c. Gustatory area
d. Primitive motor cortex
52. Associated with reasoning, planning, parts of speech, movement, emotions, and problem
solving
a. Frontal Lobe
b. Parietal Lobe
c. Occipital Lobe
d. Temporal Lobe
53. Associated with movement, orientation, recognition, perception of stimuli
a. Frontal Lobe
b. Parietal Lobe
c. Occipital Lobe
d. Temporal Lobe

54. A patient with slight impaired balance is asked to walk on a straight line while holding a
glass of water. Which particular component of the balance training is being challenged?
a. Sensory
b. Vestibular
c. Cognitive
d. Proprioceptive
55. A destabilizing force may yield an initial ankle strategy that quickly progresses to
a. Hip Strategy
b. Stepping Strategy
c. High-arm guard position
d. Increased truncal sway.
56. “Oscillatory movement during voluntary motion, increases as the limb nears target,
diminished or absent at rest” is usually present in
a. Middle Cerebral Artery syndrome
b. Posterior Inferior Cerebellar Artery syndrome
c. Lateral Inferior Cerebellar Artery syndrome
d. Obsessive Compulsive Disorder
57. A patient diagnosed with cerebral palsy at infancy, comes to your clinic. While examining
the patient you noticed an increased tone in the limbs, which reduces during activity. The
patient may have developed
a. Hypertonia
b. Dystonia
c. Athetosis
d. Chorea
58. A medical chart of a 65 year-old woman showed that she was brought to the emergency
department, with onset of sudden movements of her left arm. She was a diagnosed case of
Hypertension. The examination revealed hemiballismus. What vascular lesion can be found
on MRI.
a. Left substantia nigra
b. Left subthalamic nucleus
c. Right motor cortex
d. Right subthalamic nucleus
e. Right substantia nigra
59. Apraxia generally involves:
a. A disconnection between brain & spinal cord
b. It is a sensiro-motor impairment
c. A failure to understand instructions
d. Limb impairment
60. Anticipatory postural control can be evaluated by asking the patient to perform following
task(s)
a. Stand for 30 seconds while keeping your feed together
b. Catch a weighted ball
c. Bridging
d. All of the above
e. None of the above
61. The most consistently reported region of damage in apraxia is:
a. Left frontal and parietal lesions
b. Right temporal lesions
c. Right frontal and parietal lesions
d. Left temporal regions
62. Drinking or eating while sitting in a chair and maintaining Trunk stability is an example of
a. Closed Environment
b. Open Environment
c. Inter-trial variability
d. None of the above
63. Travel sickness illustrates the connections between
a. Vestibular system Cerebellar systemDizziness center in medulla
b. Vestibular system Cerebellar systemvomiting center in medulla
c. Vestibular systemCerebral systemvestibulospinal tract
d. Vestibular system  Cerebral system substantia nigra
64. If a person with ideomotor apraxia is asked to mime brushing teeth, he/she will:
a. Use the hand as a brush rather than using a hand to hold an imaginary brush
b. Complete this normally
c. Be able to mime with one hand only
d. Not understand what is meant by 'brushing'
65. A patient has difficulty in taking his affected (weak) lower limb into swing phase. The
physical therapist is interested to organize the initial practice into “BLOCKED
PRACTICE”. To encourage this practice, All the exercises should be based on
a. Serial or random practice order of related task
b. Mental practice of the related task
c. Verbal practice of the related task
d. Repeated practice of the related task
66. The inability to undertake a series of movements involving a planning component, and the
commission of errors that include inappropriate object use, is called
a. Ideomotor apraxia
b. Ideational apraxia
c. Buccofacial apraxia
d. Limb apraxia
67. Assessment to oculomotor nerve involves
a. Pupillary light reflex / Pupil size / squint
b. Pupillary light reflex / corneal reflex /Pupil size / squint /
c. Pupillary light reflex / Pupil size
d. Pupillary light reflex / squint
68. Autonmous Stage can be best explained through the following statement
a. The patient performs movement more consistently with fewer errors, execute
movement in a well-organized manner
b. Suggesting ways the patient can vary the original exercise or task and use the task
in more challenging situations
c. The patient refines the movement in the exercise or functional task, detects &
self-corrects movement errors
d. None of the above
69. A lesion of medulla involving hypoglossal & ambiguis nuclei will result in impaired
swallowing, chewing and speaking. This is called
a. Brainstem Palsy
b. Bulbar Palsy
c. Pontine Syndrome
d. PICA syndrome
70. Functional reach test is performed to assess
a. Risk of fall / Limit of stability /Perturbation
b. Risk of fall / Limit of stability
c. Risk of fall / Perturbation
d. Risk of fall only