2013 400986 & 400987 Neurological Physiotherapy_practice Exam Questions

8/9/2019 2013 400986 & 400987 Neurological Physiotherapy_practice Exam Questions

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400986 Neurological Physiotherapy: Practice ExamQuestions

The written exam will comprise 2 sections:

Section A: Short Answer (5 questions, approx. 45 minutes to complete)

Section BC: Case Studies (2 cases, approx. 60 minutes to complete)

All of the material covered in the lectures, practicals and independent learning tasks will be

examinable. Below are some examples of the format and content of the exam questions.


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Section A : Example Short Answer Questions

1. The picture below shows a person with a right hemiplegia lying in bed.

a. Discuss the advantages and/ or disadvantages of this position for a patient with a right

hemiplegia.

b. Discuss the importance of appropriate positioning for patients with limited mobility due

to neurological impairments.

2.

3.

4.

You and your supervisor are treating a patient who has recently suffered a severe

traumatic brain injury. Your supervisor has chosen to mobilise the patient using a tilt

table. List and explain three (3) benefits of the use of a tilt table with this patient.

Discuss the factors that you should consider when deciding between using an activity-

based versus an impairment-based approach for the assessment of a neurological

patient.

You are seeing a new patient with stroke for the first time. Discuss the assessment items

that would be most important in your risk assessment to assist you in deciding between

using a hoist or a pivot transfer to get this patient out of bed.


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Section C: Example Case Study

Jane is a 35 year old woman who sustained a (L) subdural haematoma in a Motor Vehicle Accident 6

weeks ago. One of her main problems is that she has difficulty using her (R) upper limb in functional

activities. The picture below shows how Jane attempts to bring a cup to her mouth.

1) Based on the picture, identify three (3) abnormalities that you observe about the way Jane

brings the cup to her mouth. Using the table below, suggest three (3) likely contributing

factors for each of your observations.

Observation (abnormality)

1.

2.

3.

Likely Contributing Factor

i.

ii.

iii.

i.

ii.

iii.

i.

ii.

iii.


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2. Jane is also experiencing difficulty with her walking. She is currently able to walk 20m, but her

main problem is that her (R) knee hyperextends from the mid- to late-stance phase of gait.

a) Suggest four (4) likely contributing factors for her knee hyperextension in gait.

(1).

(2)

.

(3)

.

(4)

.

b) Explain how each of the contributing factors you suggested in (a) could cause Jane's

knee to hyperextend during stance phase of gait.

(1).

(2)

.

(3)

.

(4)

.

3. Based on the information provided, write one functional problem for Jane.

4. Suggest one short term goal (STG) and one long term goal (LTG) for the functional problem

you have identified in (a).

STG:

LTG:

2013 400986 & 400987 Neurological Physiotherapy_practice Exam Questions

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