BPT2015 | BPT2015 Physiotherapy Exam 3
Version 1 | Questions with Correct Answers and
Expert Explanation for Each Question | Rajiv
Gandhi University of Health Sciences
1. Which artery is most commonly involved in a stroke leading to hemiplegia with
upper limb involvement greater than lower limb involvement?
A. Middle Cerebral Artery
B. Anterior Cerebral Artery
C. Posterior Cerebral Artery
D. Basilar Artery
Correct Answer: A
Expert Explanation: The Middle Cerebral Artery is the most common site for
ischemic stroke in clinical neurology. This condition typically results in contralateral
motor and sensory deficits. The upper extremity and face are generally more
affected than the lower extremity in these cases. Physiotherapists focus on restoring
functional movement patterns through targeted neuroplasticity exercises.
Identifying the specific vascular territory helps clinicians predict recovery outcomes
and functional limitations.
2. What are the three components assessed in the Glasgow Coma Scale (GCS)?
A. Vision, Hearing, Speech
,B. Balance, Coordination, Reflexes
C. Heart rate, Breathing, Consciousness
D. Eye opening, Motor response, Verbal response
Correct Answer: D
Expert Explanation: The Glasgow Coma Scale is a standardized tool used to assess
the level of consciousness after brain injury. It evaluates three specific categories
including eye-opening, motor response, and verbal response. Each category is
assigned a numerical score to determine the severity of the neurological
impairment. A total score of 8 or less typically indicates a severe brain injury or
coma state. Consistent use of this scale allows multidisciplinary teams to track
neurological changes over time.
3. Which of the following is a classic symptom of Autonomic Dysreflexia in patients
with Spinal Cord Injury?
A. Hypotension
B. Dry skin
C. Tachycardia
D. Severe Hypertension
Correct Answer: D
,Expert Explanation: Autonomic Dysreflexia is a medical emergency that occurs in
individuals with spinal cord injuries at or above T6. It is characterized by a sudden
and dangerous rise in blood pressure. Common triggers include a full bladder, bowel
impaction, or other noxious stimuli below the level of the lesion. Patients often
experience a pounding headache and profuse sweating above the injury site.
Immediate intervention is required to remove the trigger and lower the patient’s
blood pressure.
4. In motor control, the ‘Reflex Theory’ suggests that movement is the result of:
A. Hierarchical commands from the brain
B. Environmental constraints and dynamics
C. Internal motor programs and schemas
D. A series of chained reflexes triggered by stimuli
Correct Answer: D
Expert Explanation: The Reflex Theory was one of the earliest models used to
explain motor control mechanisms. It proposes that complex movements are simply
a chain of individual reflexes occurring in sequence. In this view, a sensory stimulus
is necessary to trigger a specific motor output. While this theory explains some basic
movements, it fails to account for spontaneous or rapid actions. Modern
, physiotherapy has shifted toward more integrated systems theories of motor
control.
5. What is the maximum possible score on the Berg Balance Scale?
A. 56
B. 42
C. 28
D. 100
Correct Answer: A
Expert Explanation: The Berg Balance Scale is a widely used clinical tool for
assessing static and dynamic balance. It consists of 14 functional tasks that are
common in everyday life activities. Each task is scored on a five-point scale ranging
from zero to four. A maximum score of 56 indicates that the patient has excellent
balance and a low fall risk. Physiotherapists use these scores to determine the
appropriate level of assistance and safety precautions needed.
6. The finger-to-nose test is primarily used to assess which of the following?
A. Muscle strength
B. Tactile sensation
C. Coordination
Version 1 | Questions with Correct Answers and
Expert Explanation for Each Question | Rajiv
Gandhi University of Health Sciences
1. Which artery is most commonly involved in a stroke leading to hemiplegia with
upper limb involvement greater than lower limb involvement?
A. Middle Cerebral Artery
B. Anterior Cerebral Artery
C. Posterior Cerebral Artery
D. Basilar Artery
Correct Answer: A
Expert Explanation: The Middle Cerebral Artery is the most common site for
ischemic stroke in clinical neurology. This condition typically results in contralateral
motor and sensory deficits. The upper extremity and face are generally more
affected than the lower extremity in these cases. Physiotherapists focus on restoring
functional movement patterns through targeted neuroplasticity exercises.
Identifying the specific vascular territory helps clinicians predict recovery outcomes
and functional limitations.
2. What are the three components assessed in the Glasgow Coma Scale (GCS)?
A. Vision, Hearing, Speech
,B. Balance, Coordination, Reflexes
C. Heart rate, Breathing, Consciousness
D. Eye opening, Motor response, Verbal response
Correct Answer: D
Expert Explanation: The Glasgow Coma Scale is a standardized tool used to assess
the level of consciousness after brain injury. It evaluates three specific categories
including eye-opening, motor response, and verbal response. Each category is
assigned a numerical score to determine the severity of the neurological
impairment. A total score of 8 or less typically indicates a severe brain injury or
coma state. Consistent use of this scale allows multidisciplinary teams to track
neurological changes over time.
3. Which of the following is a classic symptom of Autonomic Dysreflexia in patients
with Spinal Cord Injury?
A. Hypotension
B. Dry skin
C. Tachycardia
D. Severe Hypertension
Correct Answer: D
,Expert Explanation: Autonomic Dysreflexia is a medical emergency that occurs in
individuals with spinal cord injuries at or above T6. It is characterized by a sudden
and dangerous rise in blood pressure. Common triggers include a full bladder, bowel
impaction, or other noxious stimuli below the level of the lesion. Patients often
experience a pounding headache and profuse sweating above the injury site.
Immediate intervention is required to remove the trigger and lower the patient’s
blood pressure.
4. In motor control, the ‘Reflex Theory’ suggests that movement is the result of:
A. Hierarchical commands from the brain
B. Environmental constraints and dynamics
C. Internal motor programs and schemas
D. A series of chained reflexes triggered by stimuli
Correct Answer: D
Expert Explanation: The Reflex Theory was one of the earliest models used to
explain motor control mechanisms. It proposes that complex movements are simply
a chain of individual reflexes occurring in sequence. In this view, a sensory stimulus
is necessary to trigger a specific motor output. While this theory explains some basic
movements, it fails to account for spontaneous or rapid actions. Modern
, physiotherapy has shifted toward more integrated systems theories of motor
control.
5. What is the maximum possible score on the Berg Balance Scale?
A. 56
B. 42
C. 28
D. 100
Correct Answer: A
Expert Explanation: The Berg Balance Scale is a widely used clinical tool for
assessing static and dynamic balance. It consists of 14 functional tasks that are
common in everyday life activities. Each task is scored on a five-point scale ranging
from zero to four. A maximum score of 56 indicates that the patient has excellent
balance and a low fall risk. Physiotherapists use these scores to determine the
appropriate level of assistance and safety precautions needed.
6. The finger-to-nose test is primarily used to assess which of the following?
A. Muscle strength
B. Tactile sensation
C. Coordination
