1.

During subjective examination if patient till you that he has episodic dizziness, symptoms appears after
3 seconds and sustained for less than 1 minute. Further he explains the environment spins. This
subjective examination reveals that the patient has

a. Non vestibular symptoms central lesion

b. None vestibular peripheral lesion
c. Vestibular symptoms central lesion
d. Vestibular symptoms peripheral lesion

2.During subjective examination if patient till you that he has non -episodic dizziness, symptoms appears
once and sustained for minutes to hours. He is complaining of self-spinning and floating. This subjective
examination reveals that the patient has

a. Non vestibular symptoms central lesion

b. None vestibular peripheral lesion
c. Vestibular symptoms central lesion
d. Vestibular symptoms peripheral lesion

3.Young male (32) carpenter, with episodic dizziness while working with head extended and rotated,
particularly to the right when lying on his back. This makes it difficult to work under cabinets. Dizziness
interferes with work intermittently and suppressants are used as required. He also experiences dizziness
when rolling over in bed and now has problems while jogging .

a. Non vestibular symptoms central lesion

b. None vestibular peripheral lesion
c. Vestibular symptoms central lesion
d. Vestibular peripheral lesion involving utricle sacula and semicircular canal both

4.An old lady of 78 years old with several unexplained falls lead to admission, patient requires an
upgrade of balance and mobility to be discharged home.

a. Non vestibular symptoms central lesion

b. Degeneration of vestibular organs or nuclei ,The conflict resolving capability of the vestibular
organs has reduced
c. Vestibular peripheral lesion
d. None of the above

5.While performing Halpike dix manure in your objective examination of a 35 years old man towards
right side extension, right side rotation, you experience upward and out beating of the eye ball to the
right side .What does it means in canal involvement?

a. Posterior canal involvement right side

b. Posterior canal involvement left side
c. Anterior canal
d. Horizontal canal
6.While performing Halpike dix manure in your objective examination of a 43 years old lady towards
right side extension, right side rotation, you experience lateral beating of the eye ball towards the
nose .What does it means in canal involvement?

a. Posterior canal involvement left side

b. Posterior canal involvement right side
c. Horizontal canal right side
d. Horizontal canal left side

7.The manure by which we find out the involvement of semicircular canal of vestibular cochlear nerve in
the examination of the cranial nerve

a. Apley,s test
b. Halpike dix manure
c. VBI insuffiancy test
d. None

8 .A patient whose is referred to you by neurologist for his balance and gait disturbance during night or
wet surfaces , during subjective examination patients tells you that I cannot sustained my balance
during night and need support for walking , and has difficulty in walking on wet surfaces or on carpets.
What outcome measurement scale/scales are required for assessment of this patient ?

a. COVS Scale
b. CTSIB(Clinical Test Sensory Interaction of Balance)
c. Static and Dynamic component of VOR
d. both B&C

9.All of the following are Role of vestibular system except

a. Sense and perceive position and motion/Orientate to vertical

b. Instability eye/ head position
c. Control the centre of mass
d. To resolve the conflict of somatosensory and visual information

10.A 67 years old patient with vestibular shawanoma is referred to you by neurosurgeon for vestibular
rehabilitation after the surgical removal of vestibular nuclie , know as you know that you only option to
train the patients on substitution mechanism of vestibular system .All of the following are the
substitution mechanism for vestibular system except

a. COR
b. Central preprogramming
c. Visual tracking
d. VOR

11.A 37 years old traumatic brain injury patient is referred to your department for physical therapy
treatment, during objective examination you found the exaggerated extension pattern (positive tonic
labrinthyne reflex) in his body . This exaggerated body response is due to

a. Hyper bombardment of vestibelo-spinal tracts

 b. Hypo bombardment of cortico-spinal tracts
c. Hyper bombardment of rubro –spinal tracts
d. A&B

12.You are treating 3 years old baby of floppy type of cerebral palsy , during objective examination you
found poor trunkal control . The poor trunkal control is due to

a. Hypo bombardment of vestibelo-spinal tracts

b. Over activation of rubro spinal tracts
c. A&B
d. None of the above

13.You are examining a 67 years old CVA patient for his lower limb synergy, during passive range of
motions; there is uniform, constant resistance as limb is throughout the range .How will you mark this
spasticity on Ashworth’s scale.

a. 1
b. 2
c. 3
d. 4

14.If your goal is to train a patient following ischemic stroke, for improving control in terminal stance or
loading response which pelvic diagonal you will prefer:

A. Anterior elevation
B. Anterior depression
C. Posterior elevation
D. Posterior depression

15.A succession of weak stimuli (subliminal) occurring within a certain (short) period of time combine
(summate) to cause excitation is known as:

A. Temporal summation
B. Spatial summation
C. Irradiation
D. Successive induction

16.A physical therapist is treating a patient for pain and restricted ROM in neck, selecting a PNF
technique by contracting the agonist isometricaly followed by stretching of the antagonist, most likely
he is using a neurophysiologic phenomenon known as:

A. Reciprocal initiation
B. Reciprocal inhibition
C. Successive induction
D. Irradiation
17.If a physical therapist is treating a patient suffering from left side hemorrhagic stroke and his
therapeutic goals are to Improve coordination, sense of motion, normalize rate of motion by decreasing
it, teach the motion and help the patient to relax, to achieve the desired goals his treatment plan should
include the technique:

A. Rhythmic stabilization
B. Dynamic Reversals
C. Rhythmic Initiation
A. Stabilizing Reversals

18.Anterior elevation pelvic diagonal can be practice to train a patient following ischemic stroke in
following task:

A. Stair climbing
B. Stair descending
C. Walking
D. All of the above

19.A 34 years old Mr Zahid is referred by Neuro surgeon his incomplete spinal cord injury at L2-L3 level
(right side left side is normal motor control ) during his gait he execessively hyper extend his right
knee(genu recurvatum ) what is the problem of the patient and how will you treat this patient by
preparatory components of MRP .

A. Patient has poor co-contraction of Quads and hamstrings , can be trained by squatting down
without buckling and stepping up on effected leg of concentric activity of quads , stepping
down with for eccentric activity of quads , training of co-contraction of both muscles in
stepping forward and practice in gait cycle
B. Patient has poor co-contraction of G.maximus and Iliopsoas , can be trained by squatting
down without buckling and stepping up on effected leg of concentric activity of quads ,
stepping down with for eccentric activity of quads , training of co-contraction of both muscles
in stepping forward and practice in gait cycle
C. Only squatting is sufficient in this case
D. None of the above

20.A patient recovering from stroke is having difficulty bearing weight on the left .The patient is unable
to advance tibia forward and abbreviates the end of stance phase on the left going directly into swing
phase . The most likely cause of his problem is:

A. Weakness or contracture of hip extensors

B. Spasticity or contracture of the planter flexors
C. Spasticity of anterior tibialis muscle
D. Weakness or contracture of the dorsiflexors

21.A patient is referred to you by GP for physical therapy , during assessment you had found in spite
independent standing from sitting he is unable to sit smoothly and falls with a jerk , what is happening
to the patient and what will be your treatment regime regarding this patient on MRP
 A. Patient has lack of concentric control of G.Maximus, needs to be trained in practice the activity
B. Patient has lack of eccentric control of G.Maximus , needs to be trained in practice the activity
C. Patient has lack of eccentric control of G.Medius , needs to be trained in practice the activity
D. Weakness of quads

22.A patient with right hemiparesis has difficulty clearing the more effected foot during the swing phase
of gait .An appropriate physical therapy intervention for the right lower extremity might include :

A. Sitting on therapy ball , alternating lateral side step and back to neutral
B. Pushing backward while sitting on a rolling stool
C. Forward step –ups in standing using graduated height steps
D. Assumption of bridging

23.A patient with Parkinson’s disease demonstrates a highly stereotyped gait pattern characterized by
impoverished movement. The intervention that would be least appropriate to use with this patient is

A. Standing, using body –weight support from harness

B. Side stepping and cross stepping using light touch-down support of hands
C. Gait training using rolling walker
D. Rhythmic stepping using a motorized treadmill

24.You are treating a 65 years stroke patient for his standing, during standing patient with slight bended
posture and he is unable to extend his back to the last few degrees what will be your treatment plan for
this patient regarding the preparatory components of MRP?

A. Training the patient for outer range of hip and trunk extensors and incorporate this into
standing practice
B. Training the patient for outer range of hip and trunk flexors and incorporate this into standing
practice
C. Training the patient for inner range of hip and trunk extensors and incorporate this into
standing practice
D. None of the above

25.A 65 years old patient who had hemorrhagic stroke 7 weeks back, is hospitalized in ICU , you are
going to train him for sit to stand , If you train the patient for extension phase of sit to stand . All of the
following muscles will act eccentrically except

A. Trunk and hip flexor

B. Hamstrings
C. Ankle dosri flexors
D. Ankle planter flexors

26.While training a patient of CVA for step climbing , if patient is able to place his foot on step but
unable to climb on stairs what muscle/muscles needs to be trained

A. Ankle dorsi flexors

B. Hip extensors
 C. Knee flexors
D. A&B

27.During gait assessment of 65 years old Right MCA stroke patient, you noticed that patient are taking
short steps from right leg .What muscle weakness can cause for this ?

A. Gluteus maximus of right leg

B. Gluteus maximus of left leg
C. Tightness of right hamstrings
D. Tightness of left hamstrings
E. B &C

28.A 67 years old chronic MCA stroke is referred by a GP for physical therapy treatment. During objective
examination of upper limb functions you noticed following movements Scapula: retraction / elevation ,
Shoulder: abduction /ext rotation ,Elbow: flexion Forearm: supination , wrist and finger flexion
thumb adduction . What type of synergy this patient has

A. Upper limb extension synergy

B. Mixed synergy
C. Upper limb flexion synergy
D. None of the above

29.A patient whose is referred to you by neurologist for his balance and gait disturbance during night or
wet surfaces , during subjective examination patients tells you that I cannot sustained my balance
during night and need support for walking , and has difficulty in walking on wet surfaces or on carpets.
What outcome measurement scale/scales are required for assessment of this patient ?

A. COVS Scale
B. CTSIB(Clinical Test Sensory Interaction of Balance)
C. Static and Dynamic component of VOR
D. both B&C

30.You are assessing a 45 years old hemorrhagic stroke patient is referred to by a GP, during vision
assessment you find out that the patient has homonomous hemionpsia ,all of the following can be the
implications of homonomous hemionpsia except

A. Reading from mid line while something given to read

B. Neglect his half side of the body
C. Left food in half side the plate
D. Bangs himself against the objects

31.A patient with a neurological deficit is referred to you for treatment, you performed the manual
muscle testing , analyzed the joint motion , and advised strengthening and endurance training regardless
of shortness of muscles and synergies to the weak limbs .Patient was performing isotonic activities .This
technique of treatment is known as

A. Bobath,s techniques
 B. Traditional approach
C. PNF techniques
D. Motor Re learning Programme ( task specific approach )

32.You are treating a 71 years old CVA patient for his standing and stepping .Your target for treatment
is G.medius then What leg should be placed first while training G.medius on a step when patient is
standing towards the step ?

A. Intact leg only

B. Effected leg
C. Intact leg then side stepping on effected leg
D. A&D

33.During the objective examination of 45 years old incomplete spinal cord injury patient, you noticed at
terminal swing of his gait cycle he slaps his foot against the ground .At terminal swing phase of gait
cycle we usually require

A. Eccentric activity of hamstrings

B. Concentric activity of hamstrings
C. Concentric activity of quads
D. Isotonic activity

34.On standing on foam with broad base of support is the activation of _________ muscle.

A. Planter flexors
B. Dorsiflexors
C. A&B
D. None of the above

35.A patient who is recovering from a left CVA reports being thirsty and asks for a coke can. The
therapist gives the patient can with instructions to open the can. The patient is unable to
complete the task. Later , after the treatment session when patient is alone , the therapist
observe the patient is drinking from the can , having open the can . The therapist suspects the
patient may have primary deficit in:
a. Anosognosia
b. Heminomos hemi onopcia
c. Ideational dyspraxia
d. Ideomotor dyspraxia
36.A patient is unable to bring her foot up on the next step during a training session on stair
climbing .The therapist’s best course of action to promote learning of this task is to have the
patient
a. Practice marching in place in parallel bars
b. Practice standing up from half kneeling
c. Step up onto a low step
 d. Passive assistance of the therapist in step climbing
37. A 65 years old parkinsonism patient is referred to your department by a neurologist for
physical therapy treatment , during objective examination you found the patient with ,few
minimal impairments and activity limitations with independence maintained, movements
symptoms present but do not interfere with daily activities, movement symptoms , often
tremor ,occur on one side of the body ,changes noted in posture , walking ability , or facial
expression ,Parkinson medications effectively suppress movement symptoms . These are the
clinical features of
a. Early /mild PD
b. Middle moderate PD
c. Late /advanced PD
d. None of the above
38. A 74 years old lady Mrs Rahat of known Parkinsonism is referred to your department by a
neurologist for physical therapy treatment. during objective examination you found the patient
with Increasing number and severity of impairments ,minimal to moderate activity
limitations ,participation restrictions movements symptoms occur on both side of the body ,The
body moves more slowly against increasing stiffness , Gait impairments evident ;freezing
episodes may occur, Parkinson medications may cause side effects ,including dyskinesias
a. Early /mild PD
b. Middle moderate PD
c. Late /advanced PD
d. None of the above
39. A 76 years old parkinsonism patient is referred to your department by a neurologist for
physical therapy treatment , during objective examination you found the patient with
Numerous impairments with increase severity , severe activity limitations with dependence in
most activities, great difficulty walking ; typically –chair or bed most of the day ,assistance
needed with all ADL ,severe participation restrictions , Cognition problem may be
prominent ,including dementia , hallucinations and delusions
a. Early /mild PD
b. Middle moderate PD
c. Late /advanced PD
d. None of the above
Q.40 Hemi paresis ,Upper limb more involved than lower limb ,Hemi anesthesia
Hemi onoptia ,Aphasia Global /only expressive or /receptive ,Ideomotor dyspraxia
Ideational dyspraxia are the signs _________________________________ lesion.

A. PCA Lesion
B. ACA Lesion
C. Rt MCA Lesion
 D. Lt MCA Lesion

Q.41 Mr Hameed is a 65-year old right-handed male who experienced a cerebrovascular accident 15 days ago. CT
scan and MRI indicated ischemic stroke in the precentral gyrus and pre motor area. He has the signs
incontinence ,abolia ,akinetic mutism ,apathy ,hemiparesis with lower extremities more weaker than upper ,is the
lesion of__________________________________.

A. PCA
B. ACA
C. Rt MCA
D. Lt MCA

Q.42 Mr Hameed who is 32 years old young man had motor bike accident two months back and C1-C3 level
complete spinal cord injury .Maximum Prognosis for this patient will be

A. Motorised wheelchair controlled by sip and puff or chin movements will required
B. Assistance needed for dressing, and transitions from bed to chair and car may also need assistance
C. Ability to dress, eat, drive, do transfers, and do upper body washes
D. Manual wheelchair for everyday living

Q.43Mrs Iftikhar a 29 years female who had fallen from her roof 1 month back and had C7-C8 level incomplete
paraplegia. Maximum Prognosis for this patient will be

A. Motorised wheelchair controlled by sip and puff or chin movements will required
B. Assistance needed for dressing, and transitions from bed to chair and car may also need assistance
C. Ability to dress, eat, drive, do transfers, and do upper body washes
D. Manual wheelchair for everyday living

NEUROLOGICAL REHBAILITATION

44.A patient is complaining of generalized muscle weakness & lack of energy. A neuro physician documented it as
Asthenia. What are the possible clinical condition(s) that may present symptoms of asthenia?

a. Cerebellar Pathology

b. Chronic Obstructive Lung Disease

c. Tuberculosis / Cancer

d. All of the above

e. None of the above

45.A patient with slight impaired balance is asked to walk on a straight line while holding a glass of water. Which
particular component of the balance training is being challenged?

a. Sensory

b. Vestibular

c. Cognitive

d. Proprioceptive
46.Dysdiadochokinesia is a key sign in the following condition

a. Myasthenia Gravis

b. Multiple Sclerosis

c. Acute Axonal Motor Neuropathy

d. Guillain-Barre Syndrome

e. None of the above

4. A destabilizing force may yield an initial ankle strategy that quickly progresses to

a. Hip Strategy

b. Stepping Strategy

c. High-arm guard position

d. Increased truncal sway.

47.“Oscillatory movement during voluntary motion, increases as the limb nears target, diminished or absent at rest”
is usually present in

a. Middle Cerebral Artery syndrome

b. Posterior Inferior Cerebellar Artery syndrome

c. Lateral Inferior Cerebellar Artery syndrome

d. Obsessive Compulsive Disorder

48.A patient diagnosed with cerebral palsy at infancy, comes to your clinic. While examining the patient you noticed
an increased tone in the limbs, which reduces during activity. The patient may have developed

a. Hypertonia

b. Dystonia

c. Athetosis

d. Chorea

49.A medical chart of a 65 year-old woman showed that she was brought to the emergency department, with onset
of sudden movements of her left arm. She was a diagnosed case of Hypertension. The examination revealed
hemiballismus. What vascular lesion can be found on MRI.

a. Left substantia nigra

b. Left subthalamic nucleus

c. Right motor cortex

d. Right subthalamic nucleus

e. Right substantia nigra

50.Titubation ( staggering / stumbling ) are found in patients, diagnosed with

a. Parkinson’s Disease

b. Multiple Sclerosis

c. Cerebral Pathology

d. None of the above

51.Apraxia generally involves:

a. A disconnection between brain & spinal cord

b. It is a sensiro-motor impairment

c. A failure to understand instructions

d. Limb impairment

52.Anticipatory postural control can be evaluated by asking the patient to perform following task(s)

a. Stand for 30 seconds while keeping your feed together

b. Catch a weighted ball

c. Bridging

d. All of the above

e. None of the above

53.Predictable aspects of normal aging that may affect coordinated movements

a. Osteoarthritis

b. Decreased Flexibility / sensation

c. Decreased ROM / strength

d. All of the above

e. None of the above

54.The most consistently reported region of damage in apraxia is:

a. Left frontal and parietal lesions

b. Right temporal lesions

c. Right frontal and parietal lesions

d. Left temporal regions

55.Drinking or eating while sitting in a chair and maintaining Trunk stability is an example of

a. Closed Environment

b. Open Environment

c. Inter-trial variability

d. None of the above

56.Travel sickness illustrates the connections between

a. Vestibular system Cerebellar systemDizziness center in medulla

b. Vestibular system Cerebellar systemvomiting center in medulla

c. Vestibular systemCerebral systemvestibulospinal tract

d. Vestibular system  Cerebral system substantia nigra

57.If a person with ideomotor apraxia is asked to mime brushing teeth, he/she will:

a. Use the hand as a brush rather than using a hand to hold an imaginary brush

b. Complete this normally

c. Be able to mime with one hand only

d. Not understand what is meant by 'brushing'

58.The learner practices movements/refines spatial and temporal organization/decreases errors/Dependence on

visual feedback decreases/increases for use of proprioceptive feedback/ cognitive monitoring decreases.

a. Cognitive stage

b. Associated Stage

c. Autonomous Stage

d. High Skill Acquisition stage

59.Vascular Lesion of midbrain usually causes

a. Oculomotor nerve palsy

b. Pseudo parkinsonism

c. Ptosis

d. All of the above

e. None of the above

60A patient with 3 months old CVA history, is learning Sit to stand movement. The patient is not able to maintain
focus for a longer period. The best way to help the patient in understanding the task & making a cognitive map,
which of the following strategy (s) can be used

a. Select Appropriate Feedback

b. Verbalize Task Components

c. Stress controlled movement to avoid errors

d. All of the above

e. None

61.A patient has difficulty in taking his affected (weak) lower limb into swing phase. The physical therapist is
interested to organize the initial practice into “BLOCKED PRACTICE”. To encourage this practice, All the
exercises should be based on

a. Serial or random practice order of related task

b. Mental practice of the related task

c. Verbal practice of the related task

d. Repeated practice of the related task

62.Ascending or Descending stairs in a crowded stair-well / standing on a moving train are example of

a. Open Environment / Closed Environment

b. Open Environment /Open Environment

c. Closed Environment / Open Environment

d. Closed Environment / Closed Environment

63. The inability to undertake a series of movements involving a planning component, and
the commission of errors that include inappropriate object use, is called

a. Ideomotor apraxia

b. Ideational apraxia

c. Buccofacial apraxia

d. Limb apraxia

64.Knowledge of performance means

a. Intrinsic Feedback sensed during a task

b. Post task Feedback about the outcome

c. Random Feedback
d. None of the above

65.Assessment to oculomotor nerve involves

a. Pupillary light reflex / Pupil size / squint

b. Pupillary light reflex / corneal reflex /Pupil size / squint /

c. Pupillary light reflex / Pupil size

d. Pupillary light reflex / squint

66.Autonmous Stage can be best explained through the following statement

a. The patient performs movement more consistently with fewer errors, execute
movement in a well-organized manner

b. Suggesting ways the patient can vary the original exercise or task and use the task in
more challenging situations

c. The patient refines the movement in the exercise or functional task, detects & self-
corrects movement errors

d. None of the above

67. Damage to the hypoglossal nerve in the neck would cause

a. the protruded tongue to deviate to the side of the lesion

b. the protruded tongue to push to the opposite side of the lesion

c. the protruded tongue without deviating to sides

d. the protruded tongue rolls back into mouth

68.A lesion of medulla involving hypoglossal & ambiguis nuclei will result in impaired swallowing, chewing and
speaking. This is called

a. Brainstem Palsy

b. Bulbar Palsy

c. Pontine Syndrome

d. PICA syndrome

69.Nystagmus is a key sign that can be found in disorders of the

a. vestibular system

b. cerebellum

c. medial longitudinal fasciculus

d. All of the above

e. None of the above

70.Functional reach test is performed to assess

a. Risk of fall / Limit of stability /Perturbation

b. Risk of fall / Limit of stability

c. Risk of fall / Perturbation

d. Risk of fall only