You are treating Juan (he/him) in outpatient PT about 3 months after he experienced a left hemisphere stroke impacting his right arm motor control. You do the quick Fugl-Meyer screen and find that he is able to flex his right shoulder forward with his elbow straight. When you ask him to abduct his shoulder out to the side, his elbow flexes and his forearm supinates. You ask him to repeat the shoulder abduction movement two more times with cues to keep his arm straight, but you continue to note elbow flexion and forearm supination. What do these screening results tell you? 

Which patient would be most appropriate for a ground reaction AFO?

While in the line of duty, Private Roads (she/her) experienced a blast injury with injuries affecting her head and neck. She is reporting some blurry vision. Her peripheral vision is reduced on the right side in both the upper and lower quadrants. Her resting gaze is stable and her H-test is smooth and accurate. During the pupillary light reflex test, neither eye constricts when you shine the light in the right eye, and both eyes constrict when you shine the light in the left eye. Which cranial nerve is involved?

Your newest patient, Nancy (she/her), was recently diagnosed with a stroke in the left cerebellar hemisphere. She presents with ataxic gait. Which of the following coordination deficits would you expect to see during your evaluation?   

According to the Orthotics Clinical Practice Guideline (2021), the potential benefits of using an AFO include all of the following, except:

Cognition/Communication: Betsaida greets you pleasantly and is able to tell you her name. She does not recall the date or that she is in the hospital.  She tells you that she cannot remember having a stroke but “that’s what they told me I have, so I guess it must be true.”  She asks you to repeat your name several times throughout the session. You decide to have Betsaida complete the Mini-Mental Status Examination (MMSE) so you can better understand her cognition. Her score indicates that she may have mild dementia. You are trying to help Betsaida recall the steps for getting from her bed to the bedside chair safely.  Give one example of how you could structure your treatment during your PT session to assist Betsaida’s learning and procedural memory. (1 pt)  

You are reviewing the medical chart of Ronnie, a patient who was referred for neuro PT after an acute infection in the midbrain. The chart indicates that Ronnie has Cranial Nerve IV palsy. Which of the following would you observe and/or expect Ronnie to report experiencing?

Herfindahl-Hirschman Index (HHI)

List the two main payment models (two main tracks) that physicians must choose from under MACRA’s Quality Payment Program. Select one of them and provide a brief description.

Pharmacy Benefit Manager (PBM)