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1) A 54 year-old man has moderate right spastic hemiplegia one week after a stroke. He has weak voluntary movement at the shoulder, hip and knee. What is the highest level of mobility he most likely will achieve?

One answer only.

   1. Independence in manual wheelchair use

   2. Independent ambulation for a short distance with a brace for the ankle

   3. Independence in the use of a power wheelchair

   4. Independence in ambulation without an assistive device

   5. Contact guard assistance for household ambulation

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2) The risk factor most frequently associated with stroke is:

One answer only.

   1. Hypertension

   2. Hypercholesterolemia

   3. Recurrent deep venous thrombosis

   4. Intermittent sinus tachycardia

   5. Female gender

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3) A 73 year-old woman has a stroke resulting in mild left hemiparesis and left neglect. Where is the lesion most likely to be located?

One answer only.

   1. Right cerebellar peduncle

   2. Left frontal lobe

   3. Right thalamus

   4. Left internal capsule

   5. Right parietal lobe

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4) After a right parietal stroke, common neuropsychological features include:

One answer only.

   1. Impaired language comprehension

   2. Oral-motor apraxia

   3. Anosognosia

   4. Cortical Blindness

   5. Anomia

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5) Mortality is lowest following a:

One answer only.

   1. lacunar stroke

   2. embolic stroke

   3. hemorrhagic stroke

   4. thrombotic stroke

   5. TIA

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6) Aphasia is most likely to occur with what type of stroke?

One answer only.

   1. Lacunar

   2. Right cortical hemisphere

   3. Left cortical hemisphere

   4. Brain stem

   5. Bilateral occipital lobes

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7) Which of the following statements best describe fluent aphasia?

One answer only.

   1. Complete loss of speech and language

   2. Rate, rhythm and melody of speech are normal, but nonsense words or sound substitution errors occur

   3. Poorly articulated and effortful speech

   4. Normal understanding of the speech of others but impaired repetition of phrases

   5. Disorientation with respect to time an inability to follow demonstrations of motor acts

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8) The most significant risk factor for a thrombotic stroke is:

One answer only.

   1. family history

   2. smoking

   3. history of TIAs

   4. hypercholesterolemia

   5. hypertryglyceridemia

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9) A function of the dominant cerebral hemisphere is:

One answer only.

   1. ipsilateral motor control

   2. visual spatial orientation

   3. ipsilateral sensation

   4. a and c

   5. language

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10) All the following are characteristic of right parietal brain strokes except:

One answer only.

   1. poor recognition of facial expressions of emotion

   2. left homonymous hemianopsia

   3. aprosody of speech

   4. anomia

   5. anosognosia