Exam Preview for 4397: Exertion and Challenge at Just the Right Lev

Exertion and Challenge at Just the Right Level: Strategies for mTBI Rehabilitation Across the Lifespan

Please note: exam questions are subject to change.

1. Following mTBI what is the recommended guidance prior to returning to usual activity? Individuals should rest completely and avoid all forms of activity until their symptoms resolve. Individuals should reduce all forms of stimulation (light, sound, screen use) for 5 days in order to allow symptoms to resolve. Individuals should resume activity immediately after injury without concern. Individuals should have 1-2 days of relative rest before resuming activity gradually.
2. Exertion intolerance is a potential impairment that occurs after mTBI that occurs because of: Autonomic dysfunction that limits cardiovascular response Hormonal abnormalities associated with the brain injury Immaturity associated with childhood Post-injury inactivity that increases fear avoidance
3. Irritability can be characterized by the use of a generic self-report tool and calculating a Positive Symptom Distress Index. To calculate a Positive Symptom Distress Index you would do which of the following? Counting the total number of symptoms a patient reports, regardless of intensity of any symptom identified Having the patient rate their symptom distress on visual analog scale from 1 to 10 Total the symptom score divided by the positive symptom total (total symptom score/PST) Totaling the score for all symptoms reported and dividing by the number of symptoms on the self-report measure
4. In order to test balance for a 25-year-old who was previously active in a recreational sports league (flag football) post mTBI, which of the following tests would be most appropriate to guide intervention? 6 minute walk test High Level Mobility Assessment Test (HiMAT) Dynamic Gait Index Standing on one leg with eyes closed
5. The recommended sequence for addressing physical impairments that may be present after a concussive event according to the APTA CPG includes the following advice: Screen for and clear cervical impairments prior to vestibular testing Screen for and clear vestibular impairments prior to cervical testing Screen for and clear exercise intolerance impairments prior to vestibular testing Screen for and clear balance impairments prior to exercise intolerance testing