The PTA is working with a patient diagnosed with a TBI who is confused and agitated.  The most appropriate treatment would include which of the following:

Eric Brown, age 23, sustained a massive TBI while competing in the Extreme Games on a skateboard.  His helmet was knocked off upon impact with the rim and he fell several feet head first.  He has been in a Tertiary Care Institution for 4 weeks and is now progressing from the Ranchos Los Amigos Level IV (confused-agitated) to Level V (confused-inappropriate).  Identify 2 appropriate patient/family education and 2 appropriate interventions include modifications as needed for each level.

The physical therapist’s initial examination indicates the patient has pusher syndrome.  Which of the following would not be an effective technique to include while working on sitting balance?

True/False Defend: A trans-ischemic attack is a precursor to a myocardial infarction or  to a cerebrovascular attack.

Mr. Scott Adams, age 56, attended the free medical screening at the local mall in Jackson, Al.  The results of the tests revealed: blood pressure 180/105 mm/Hg, blood sugar 233, weight 207 pounds.  PMH includes smoked a pack of cigarettes per day for 20 years but now is down to a pack a week or sometimes even less.  After working 8 hours per day as a log truck driver, he is too tired to exercise.  He eats at Mom’s Family Fried Chicken Diner at least twice a week.  His father died of coronary artery disease at the age of 65, his mother died of ovarian cancer at the age of 50.  Identify 2 modifiable risk factors and 2 non-modifiable risk factors from the above scenario.  PHM: Past Medical History  

Ms. Hudson sustained a posterior cerebral infarct.  Which of the following would the PTA anticipate being present prior to meeting the patient?      1. Ataxia      2. Less involvement of the L.E.s      3. Thalamic pain syndrome      4. Contralateral paresis      5. Homonymous hemianopia      6. Cortical Blindness  

According to Brunnstrom’s Stages of Recovery for stroke which of the following are true?

Joan Thomas, age 55, sustained a stroke involving the right side of her body.  She is presenting with a flexion synergy in the U.E. and an extension synergy in the L.E.  The PT has delegated positioning to the PTA to counteract the spasticity.  How would the PTA position the patient in supine?      1. Scapular retraction, shoulder internal rotation, elbow flexion and forearm pronation      2. Scapular protraction, shoulder external rotation, elbow extension and forearm supination      3. Pelvic retraction, hip and knee extension and ankle dorsiflexion      4. Pelvic protraction, hip and knee flexion and ankle dorsiflexion

Knee hyperextension during stance is a common gait deficit in patients who have sustained a CVA. This is common due to all of the following impairments EXCEPT:

       Identifications:                   Choose Five of the following key terms & write One paragraph (or bulleted list) identifying each term you choose. Only Choose Five. No credit will be awarded for attempting more than 5 terms. William Jennings BryanGreat Railroad Strike of 1877Eugene DebsKnights of LaborThe Dawes ActThe Dakota WarFrontier ThesisChief JosephBirth of a NationWilliam “Boss” TweedHenry GradyLost Cause MythWilliam McKinleyChinese Exclusion ActU.S.S. MaineGreat White FleetBull Moose PartyMuckrakersJane AddamsW.E.B. DuboisThe Zimmerman TelegramArchduke Franz FerdinandRMS LusitaniaThe Schlieffen Plan