Reasoning & Answer Explanations)
A 4-year-old child who has an L1 myelomeningocele has developed scoliosis over the past 2
years. The curve currently measures 25°. Which of the following recommendations is MOST
appropriate for scoliosis management?
1. Continue to monitor the scoliosis, with no intervention at this time.
2. Begin a home program of stretching exercises for trunk rotators.
3. Refer to an orthopedic surgeon for evaluation for spinal fusion.
4. Fit the child with a thoracolumbosacral orthosis. - correct answer ✔✔4
Which of the following strategies for transfer training is MOST likely to be successful for a
patient who has apraxia?
1. Give frequent and detailed verbal commands.
2. Provide the patient with written instructions.
3. Teach one component of the transfer at a time.
4. Have the patient practice transfers in a variety of settings and contexts. - correct answer ✔✔3
A patient sustained a T10 complete spinal cord injury. Which of the following wheelchair-to-bed
transfer techniques is MOST appropriate for the patient?
1. Sit pivot
2. Sliding board
3. Standing pivot
4. Mechanical lift - correct answer ✔✔1
Which of the following activities would be MOST appropriate to practice to assist a 20-year-old
patient who has Duchenne muscular dystrophy in maintaining independence?
1. Stair training using both handrails
, 2. Gait training using a rolling walker
3. Transfer training using a slide board
4. Power wheelchair training over various surfaces - correct answer ✔✔4
Which of the following functions is MOST likely to be impaired in a patient who has a pontine
infarct?
1. Jaw movement
2. Eyelid elevation
3. Tongue movement
4. Pharyngeal swallowing - correct answer ✔✔1
A patient's left eye is adducted at rest. During examination of extraocular eye movements, the
patient is unable to move the left eye laterally. These findings MOST likely result from a lesion of
which of the following nerves?
1. Oculomotor (CN III)
2. Trochlear (CN IV)
3. Trigeminal (CN V)
4. Abducent (CN VI) - correct answer ✔✔4
If the test shown in the photograph has positive findings, which of the following muscles is
MOST likely affected?
1. Adductor pollicis
2. Pronator quadratus
3. Flexor pollicis longus
4. Abductor pollicis longus - correct answer ✔✔1
Which of the following findings BEST describes an injury in the acute stage?