SARDAR PA TEL UNIVERSITY

fmAL YEAR B PHYSIOTHERAPY

P--- EXAMINATION
Seat No.

Seat No. (in words) _ _ _ _ __ _ __ _

• Mon Day, Date Amwst 08. 20II

Time 11.00 am to 2.00 pm

subject: Phvsiotherapv in Candidate ' s Sign _ _ _ _ _ _ _ _ _ __

Neurological Conditions

Supervisor's Sign _ _ _ _ _ _ _ _ _ __

SECTION
,_--- I - MCO Marks: 20

Instructions
• Encircle the appropriate Answer
• Each question carries one mark
• No negative marks for wrong answers
• No marks will be given if you overwrite, strike or put white ink on the answer once marked

1. Spasticity is defined as
a. A velocity dependent decrease in tone
J,. A velocity dependent increase in tone
c. A non velocity dependent increase in tone
d. A non velocity dependent decrease in tone

2. Cerebral palsy is a lesion which is

a. Static
b. . Progressive
pZ". Slowly progressive
d. Rapidly progressive

Nerve roots involved with thoracic outlet syndrome are

a. C5 C6
b. C6 C7
c. C7 CB
~ C8T1

j
 4. In ATNR reflex which of the following staiement is true?
w;r·
a. Face side upper limbs are flexed and occiput side lower limbs are extended
b. Upper and lower limbs on face side are flexed and those on occiput side are extend
/ . Upper and lower !imbs on face side are extended and those on occiput side are Ile--Xed
ed
d. Both upper limbs are flexed and lower limbs are extended

;<~· , --i,;_... -=.-.rt.::,.~ ,....,..,...,.,

I I U ~ - -· ~ -: ~ ~ ./ ;!
-
6 pTc.SC:OBJ
' .
iVI

a Wr':5.! droo

c. Finger drop
Mallet finger
\~ \

6. · DMD is a condition which is

a. Autosomal recessive
b. Autosomal dominant
-c/"X linked recessive
d. X linked dominant

7. Guillain Barre Syndrome is a

a. Metabolic neuropathy
b. Qegenerative neuropathy
~Inflammatory neuropathy
d. Nutritional neuropathy

8. Physiotherapy principle in DMD is

a. ·stretching and strengthening
b. Prescription of orthotics
Combination of a & b
d. Prolong ambulation

9. Akinesia can be treated by using

a. Hold and relax
j(
Rhythmic initiation
c. Slow reversals
d. Contract - relax

10. Inability to register and integrate stimuli from one side of the body is known as
a. Right Left discrimination
b. ,Anosoanosia
_:;r{ Unilatevral neglect
d. Homonymouus hemianopsia
 The condition essential for motor learning is
j j.
a. Passive movement
b. Passive stretching
,L Practice
d. Mobilization

Cred.e's maneuver is suitable for ,---: )

12
~/ Automatic bladder Cs. (? c.i) h '--
Autonomous bladder
c. Sensory bladder
d. None of the above

Examination of tone consists of

13-
a. J alpation
rJY." Passive motion testing
c. Active motion testing
Jj. All of the above

Contra lateral hemiparesis involving mainly the Upper limb and face is a sign of
14.
a. Anterior Cerebral Artery Syndrome
/ ~iddle Cerebral Artery Syndrome
c. Posterior Cerebral Artery Syndrome
d. Vertebral Artery Syndrome

Strategy used to reduce spasticity in a stroke is

a. Elongation of spastic muscles
b. Sustained stretch through positioning
. ~-/arly mobilization
\91 All of the above

16. Energy Conservation is 9 strategy used to manage

a. Spasticity
b. Rigidity
~atigue .
d. Motor imbalance

17. ~ g aid used in a paraplegia is

a. Walking frame
b. Elbow crutches
c. Axillary crutches
d. Walking stick
 18. Maximum score in berg balance scale is
a. 36
j
b. 46
/ 56
d. 66

19. Faiiure to sus12.in the benefits of strength training is known as

a. Overload piinciple
b. Specificity principle
c. Reversibility principle
d. Cross training

20. Bridging activity helps in the following Functional activity

a. Use of a bedpan
b. Lower limb dressing
c. Pressure relief
;!:-,.
All of the above
 OBJECTIVE TYPE QUESTIONS ~0------ -
PT IV\ ~~idlo~uJ Cev0fGo->1
Final Year BPt Examination Total M arks: 20
i: The "Card Test" tests the function of:

a: Median Nerve

-
b: .Ulnar nerve

c: Radial nerve
J

d: Axillary nerve

2: MND is also called as'

b: ALS

~ofabove

d : None of the above

3: The treatment plan for hemiplegia includes reinforcing normal movement through key poin ts of
control and avoiding all reflex movement patterns and associated react ions. The approa ch most closely
resembles:

Bobath

b : Kabat ·

c : Brunnstrom

d: Trendelnburg

4: The intermittent use of tone reducin~ lower extremity bivalve casting for children with cerebral pa lsy
hypothesizes that casting may:

a: Increase compensatory stabilizing efforts

b: Cause flexion of toes which inhibits the plantar grasp response

c: Facilitate trunk stability by reducing contractures of the foot

d: Inhibit the u~e of extensor thrust by preventing plantar flexion.

 .! 1

I !

5, A 63 yea,s old female status post stmke is meeoed fo, admission into a «habiJitation ho .
of
. the scoeen the theoapist utili,es a sta ndaodi,ed instoument to documentthe
. extent of Patieot•
5Pltaf · '~,
impaioments and disabilities. Which of the following stand aodi,ed instouments wou/d be most b'
to poov,.dean assessment of moto, function? '•
a : Barthel Index

J Functional Independence Measure

c : FugJ- Meyer Assessment

d : Rivermead Mobility Index

c, a ' 2= , '"''"""""''• " "'iJaterai neglect to left The physical therapist's sho~ teom goals fo, the
patient indude 0educing the patient's neglect. Which toeatment technique would not be effectiv, in
improving the patient's condition?

a : Have the patient participate in bilateral tasks to increase total body awareness

b, Place the patient's food on the right side of the toay so the patient can eat by himself

~ ve the patient obseove himself massaging his left uppe, extremity

d: Have the patient use a mirror while dressing

7: Hydrocephalus is

\,t lncr.ease in volume of CSF within the skull

' b: Increase in RBC within the skull

c: Decrease in volume of CSF within the skull

d: Two ofthe above

8: Knee jerk is,

~ endular

b: Vertical

c: Diagho_l

d: Two of the above

9; lesion in Wernick's area cause,

a: Impairment in upper limb function

b: Impairment of visual activity \
\
\ c: Impairment of speech

-i apraxia
 . erninal nerve is the
. -rrig
0.
. ,, nerve
o· 4

b: s'" Nerve

c: s'h Never
d: Sensory Nerve

11: Syn~ym of Ta bes dorsalis is,

.,;;;-
___-__ =-=-= J
b: Sensory ataxia

c: Hereditary ataxia

d: Two of the above

12: SMA-i'is seen during

~pi"o.l °M A-tni-fl "'J----
a: 0-1 year I\../" -

b: 5-1.0 years

c: 10-20 years

d: 20-30 years

-- -- -
13: As a result of Lt CVA of 83 years old patient has right hem iplegia and seveitglobal aphaxia. As h e r
therapist you could use:

a: Written communication, since the therapist is_unable to comprehend oral speech

~ I communication, since the patient is able to comp rehend but is non-fluent in speech

c: Visual representation or pictographs of what you wi sh to com m unicate.

d: Not communicate at all.

14: Which nerve is preferred for nerve grafting?

a: Ulnar
~Surat \;I
c: Peroneal

d: Radial
 lS: Use of Pivot prone position in a ch ild with seve1U:erebral palsy might help lead to the Iorio
accomplishment of "terr.''' eo,
1

a: Functional crawling

J ( Rolling from prone to supine

c: Improvement of rigidity reflex

d: Standing

16: To improve abduction and extern al rotati on of the shoulder the best diagonal PNF Patt
ern to
llse11
&,01 flcxion '

c: D2 extension

d: D1 extension

17: You are examining an eight year old girl with spastic diplegia. An indication that the asymmet .
. ncal
tonic neck reflex is integrated would be if child can,

f i urn her head.from side to .side with no.corresponding limb movement

b: Maintain gaze at both hands held in front

c: Ventroflex the neck while both shoulders flex.

' d; if she claps

18: Nystagmus

a: is produced when person rotates

b: is produced when visual scene moves

~ s produced when cerebellum is damaged

d: all of above.

- J
19· Electrical silence (i.g no EMG activity) at rest;
i
P ormal · .

b: Abnormal

c: Denervation

d: Occu~ in polymyositis

20: If there is damage to dorsal column pathway it leads to,

J ens_
o ry ataxia

b: Motor ataxia

c: Person is able to stand properly with eyes open

d: Only a and care correct

 No. Of Printed Pag es : ~+ 1

S~AR PATEL UNIVERSITY Candidate Seat No:

Candidate Signature:
f~J\L YEAR B.P.T. EXAMINATION Supervisor Signature:
. ~ 011day, 28th July 2014
fillle: 2.30 PM to 5.30 PM
subject: Physiotherapy in Neuromuscular Conditions TotaJ Marks: 80

SECTION I (MCQ's) 20 marks

rns.tructions:
1. Encircle the most appropriate answer

3. F.ach question =ry one mark

Section I

1. What is the temperiiture around nerve injury?

a. Warm

b. Cold

c. J onnal ·
./ None of above

2. Coma can be defined by GCS scale by the score of GCS as ?

a. 9-12

<8

c. 13-15

d. 15

3. Abulia can be seen in which stroke syndrome?

a. MCA syndrome

b. PCA syndrome

s..,-ACA syndrome /

d. Vertebrobasilar artery syndrome

4. Which sensation cannot be assessed in lower limb?

a. Kinesthesia

b. Stereog.·10sis.

~ bration

d. Proprioception
 5. Stocking and glove pattern of sensory deficit can be seen i n _ ?
a. ALS

b. PLS

~ GBS
d. Polio

6. TBI Which type of tremors can be seen in Parkinson's disease?

a. Postural

b. Initiative

c. None of above

d. a & b bor.h

7. Weber's syndrome can be See!! i!l whirh type J: stroke sy:-,.: £=?

b. PCA S}ndrome

c. ACA syndrome

l Venebrobasilar anery syndrome

8. Barognosis refers t o _ ?

a. Recognition of texture

b. Recognition of tactile stimulation

c. Recognition of pressure

¥Recognition of weight

9. Commonest type of spina bifida i s _ ?

Spina bifida occulta

b. Meningocele

c. Myelo meningocele

d. Lipo rneningocele

10. Which type of speech disorder is seen in Parkinson's disease?

Hypokinetic dysarthria

b. Hyperkinetic dysarthria

c. Spastic dysarthria

d. Rigid dysanhria

11. In MCA syndrome of stroke, which part of body is mainly affected?

a Lower limb

b. Upper trunk

c. Lower tmnk

j Upperlimb
 . the commonest complication after craniotomy?
wJtlch 1s
,2.
a. Viral meningitis

b. Encephalitis

c. Hydrocephalus

y Bacterial meningitis

11 Cardinal features of Parkinson's disease are_?

a. Rigidity

b. Tremors

C.

-
d_ -~ :._'-ic-.·: J
If p.;ticili bas los:, of p.:m enn Iemper:mre se.TJSations on me COIJ!Tc 1;,.""2.l =e or
1~. affected? . , which·· tract is
. . . . • ,.;,:; , bodv
a. Anterior spinothalamic tract
~ teral spinothalamic tract
c. Anterior corticospinal tract
d. Lateral corticospinal tract
.r
15. Atrophy of muscie and hyperreflexia seen in which type of MND?
f ALS
b. PLS

c. Progressive bulbar palsy

d Progressive muscular atrophy

16. For spasticity Which drug can be used orally in CP?

a. Botox

/41ofen
c. Diclofan

d. All of above

17. Uthoff's symptom can be seen in which condition?

,y Multiple sclerosis J
b. Motor neuron disease

c. Guillan barre syndrome

d. Myasthenia gravis

lB. Which autonomic syndrome can be se.en in lower brachia! plexus injury?
a.. Horner syndrome J
b. Hyper hydrosis

c. None of above

d. All of above
19. Toe most common manifestation of muscle weakness with myasthenia graVis is

a. Diaphragmatic weakness

b. Wrist drop

c. Foot drop

Ji. Ocular muscle wealrness

20. Which is typical sign present in Duchenne muscular dystrophy?

/ Gowersign

b. Lhermitte sign

c. Pinch sign

d. None of above
F SARDAR PATEL UNIVERSITY
FINAL YEAR BPT EXAMINATIQr!
PHYSIOTHERAPY IN NEUROLOGICAL CON DITIO NS
oa te .· 3rd January 2014 Max Marks: 80
ime: 3 Hours (10.30 am To 1.30 pm)
T SECTION I (MCQ) {20 Marks)
No, ____
1) Hemiplegia is :
-...Jl· Neuromuscular disease
b. Neurovascular disease
c. Musculoskeletal disorder
d. None
2) The ASIA impairment scale is used to assess
a. Assess the extent of injury
Assess t he sensation J)
c. Assess the mowr power
'IJiI none

a. Pons
b. Cerebral Cortex
v,ir Spinal Coro
d. Cerebellum
4) Brown-sequard syndrome results in
...;, lpsilateral motor loss and contralateral sensory loss
b. Paraplegia
C. Quadriplegia
d. None
5) The conus medullary injury results in
a. Spastic Paraplegia
b. Paraparesis
t;/. Flaccid Paralysis
d. No Paralysis

6) After the stage of flaccidity early movement returns in all except for
a. Spinal extensor
b. Shoulder elevators
~ Pelvic girdle elevator
d. Lower limb movements
7) The complete fracture in cervical region results in
a. Paraplegia
,>. Quadriplegia
c. Paraparesis
d. Monoparesis
8) Chore movements are
, / Involuntary movements present at rest
b. Voluntary movement
c. lncoordinated movement
d. None of above
9) Spastic cerebral palsy is due to lesion at
a. Basal ganglia
...)t!. Cerebral cortex
c. Cerebellum
d. All of above
10) In cerebral palsy, rolling is practiced to
a. Improve extension
b. Rotate head
yimpriJve weight shifting of both buttock
d. All of above

L
 11) Stereognosis is
a. Ability to hear . feeling and manipulation
\.¥- AbUity to recognize obJect by
c. I-Ability to move joint
d. All of above '
12) Stretch response is. not present in
/ Flaccid musdes
·b. · Spastic ::iuscles
C. All muscles
d. All of above
13) Coordination is assessed by
a. Passive movemef)t
b. · Muscle strength
~ rFfnger to nose test
d. None of above .
14) In anterior
. po 1Iomye
. 1 Is, the following are clinical features in acute phase except
i·t·
a. Pain
_Spir.2I rigidi:y
c. Respiratory illness
d. ' Contractu.re.and
.
Deformities
. .
15) Muscle tone is increased by
a. Heat ·
..i, Warmth
c. Chjll Climate.
d. Nqne
16) Primitive reflexes stimulated by
a. Position of limb .
J. Position of neck
t. . Position of spine
d. None of above
i7) lntentioMI tremor will be seen in , ·
a: Sleep
b. Rest
d, During voluntary movement
d. All of above
18) Gag i flex is-asse~s~d to know the lesion ~f
i :
, . -.j. 9 & 10 crc:m1 .
a,1.nerve .
!
b. 10 & 11 cranial nerve
c. 8 & 9 cranial nerve·
d. None of above
19) Claw hand is present iri
·k Ulnar nerve lesion
b. Median nerve lesion ·
c. ·Radial nerve lesion
d. None of above
20) N~ckynge i~ assessed to know
V- Meningeal irritation
· b. . Muscle spasm
c. Cervical spine pa~hology
d. All of above
 SARDAR PATEL UNIVERSITY
FINAL YEAR BPT EXAMINATION .
Physiotherapy in Neurological Condition
Objective Questions
V No. _ _ _
reares Ponsible for movement planning is _ __
l) A _ Primary motor conex fL A O
~- Pre motor conex f"T '-le 9\
c. Broca's area
d Basal ganglia .. .
)S~le that differentiates contractures from spast1c1ty is
a. Break test
...y Modiiied Ashwonh scale
c. Ashwonh Scale
ct T2;di:c~ S-~ :c .-,
l) · iesion of motor conex has poorest ·
a. Primary conex ,
t Vinternal Capsule
c. Pre motor conex .

d. s,pplorneota,y motor'°""
A""'""
11nobility, "''""'Y
or
strength,
a. Aphasia
rno,erno,t
sensation, whoreandoo,CQmprehension
coordination '""'" ""'" , ' "'°"'"' ""-~ d
ty "1'
ltetho""""" ohdoq"'t<
. .
-Jr. Apraxia
c. · Ataxia
d. Dyslexia
I) Merkel ·s disc is responsible for
a. Touch- pressure ----
.;,. ,Two point discrimination
c. Touch temperature
d. Stereognosis · .

61 Which omoog thopractice

a. Distributed followiog praoio, «>oditioo is ''"''"'''"' of Con•rniot '"'""" mo,emont therapy?
b. Massed p'ractice \.._-;..-
c.~o practice -
<l)Compensatory practice of unaffected limb
7) Facilitation of extensor lone against gravity occurs by
a. Vestibulo spinal tract ---
)r. Reticulo spinal tract
c. Conicospinal tract
d. Rubrospinal tract

I)in patients
Wlioh ofwith
the stroke?
foll ow iog appco,oh doe, oot oomidec •,a•ioity a, • moj o, ;mpa; cmeot oootributiog to disabi lity
a. Bobath' s approach
b. Rood's approach
c. Motor Relearning program
.9 Brunnstrom's approach .
) - - - is not a feature of rnyasthenia gravis?
a. Muscle fatigability
b. Muscle weakness
S.---}asciculation ·
10 d. ~uscle wasting .

· Ia.lo,l-lerniballismus
Dyskioe,;, whioh res:mbles fiagmeos of'"'''"'" mo,omont ;, - -
..b: Athetosis L./""' '
J
I'

c. Chorea
ll d. Dystonia

r t
.
)aCrocodile
.2nd tear is ;i complication of - cranial nerve palsy.
b. 4th

I
.

C. 5th

-,,,t 7th
 12) ___ is not a brain stem reflex.
··..;(. Crossed extension
b. ATNR
c. STNR
d. Positive supporting · ' .
I3) In mild head injury, Glassgow coma scale 1s - - -
a. 3-6
b. 6-8
C. 9-12
.,..d'. 13-15
14) _ _ _ _ is inhibitory in NOT?
a. Active weight shifting
b. Tapping
.;,,: Passive weight shifting
d. , Joint traction - Approximation
i 5) Nonnally child can bridge hips at _ __
- / Less than 3 months
- :?-: :'.,,:::1:hs
c. _
, - '1 rn 0n_ms
d. I0-12 months .
16) · spinal cord injury among the following will not have an effective cough?
.,y- Lesion below Tl ·
b. Lesion below T6
I c. Lesion below T9
!- d. Conus medullaris lesion
17) Ape thumb deformity occurs due to involvement of ___ nerve.
Median
h. Radial
c. lllnar
d. Musculoskeletal
18) Latency of F wave for lower llmb is _ __
a. I0-12msec
b. 12-25 m sec
~/ 25-42 m sec
o/V' 42r 55 m sec
19) ~ebral irritation occurs in __ _ .
,-/4,. Cerebral compression .
I
I •
b. Concussion
c. Moderate contusion
I d. Severe contusion

I
iI
i
[
20) l,P, myopathy patients, ____ type of exercise is appropriate?
$. Low load, tess rep~tition
I b. High load. High Repetition
I c. High load. low Repetition
i
' d. Low load. High Repetition
 ,

'' drest were\1 .

,n bJM No of printed pages: 4 ( 3 ... 1)

R PATEL UNIVERSITY
Candidate seat no:
1
classes is:
Jfletric Mea ar B.Physiotherapy Examination Candidate signature:

/08/ 2018 Supervisor signa ture :

ranes such 1

ly and Lay 1"i""e: 2.00- 4.00

IOU are USin! '
;:: ~rtEi t,,"EERtNG
I

Section I

~arks 10_
· bns:

,, !otted 20 min

tions are compulsory

the most appropriate answer

litive marking
p :5 0
-~ of compression fracture of thor~cic or lumbar vertebra which of the following spinal_
1ould be: preferred _

,ectively,
ace
d race

sacral frame
bears sam .
's amputation Is at

moral level
non-obese ,

i
etatarsal level
:lation
nd of tibia and fibula near ankle

f the above

L j
3. What type of splint is given in oeQuervain's tenosynovitis

a. Cock up splint

b. Knuckle binder

c. Aeroplane splint

~mbspica

4. Hemipelvectomv is removal of

:=-.- ;:::c;-t : ~ >=c!m ir ....: ,,.-' ,n§: hio

B. Entire hip

C. Both pelvic bones

D. Entire hip including pubis and lschium

5. Which corr~ction is given in the condition_where foot in abduction and v-:ilgus

A. Medial wedge arch support •

B: Metatarsal bar

C. Lateral wedge arch support

D, Scooped heel arch support

6. Bilateral Above knee amputees for early mobilization may be given

A. Pylon

B. Stubbies

C. Bilateral above knee prosthesis

D. None of the above

7. Which splint is given for posterior interosseus nerve palsy

. a. Knuckle binder

~ o r t opponence

c. Thumb spica

d. Dynamic cock up
 I

S- SAcH Foot is a
1
,. solid ankl /
,r e cush ion heel Foot 1'._/

~- Stationary Ankle Flexible Endoskeleton Foot

c. St ationary Ankle Foot Endoskeleton

d. None of the above

9- Which of the f!)ll owing orthosis is given in ERB'S palsy

S. Cock up

c. Hinge elbow brace

o. somi brace '
10. Golfer's elbow is inflammation of

Medial epicondyle
a·7 lk--7
b. Lateral epicondyle

c. Olecranon of the elbow

d. Radio-ulnar joint

(~