STR 581 CAPSTONE FINAL EXAM PART 1 2026
COMPREHENSIVE ASSESSMENT SCRIPT
SOLVED QUESTIONS ANSWERS UPDATED
REVIEW SET
◉ What should an intervention for Rancho Level 5-6 look like?
Answer: - focus on functional training in meaningful environments
- behavior modification plan
- structure is helpful in level 5 but slowly decrease structure as we
transition to level 6
- Utilize environments that encourage purposeful activity (kitchen,
bathroom, bedroom)
- Help patient move through perseveration or confabulation (level V)
- Start integrating problem solving activities and topographical
orientation (level VI)
- CAN BEGIN 2 STEP COMMANDS AND MEMORY/ORIENTATION
QUESTIONS
◉ What should an intervention for Rancho Level 7-8 look like?
Answer: - PATIENTS ARE OFTEN DISCHARGED AT THIS LEVEL
- functional training in realistic environments with emphasis on
household, work, and community role
,- complex problem solving and dual task
- less structure
- longer treatment time (60 min)
- focus on patient autonomy and self efficacy
◉ What is the ABI Guideline for PT Interventions?
Answer: Physical activity interventions consisting of aerobic
exercise, balance, and functional task practice have been found to be
safe to perform with individuals with moderate to severe brain
injuries
- dosage and intensity should be MODERATE
◉ What are the 3 umbrella functions of the frontal lobe?
Answer: 1. restraint ex. judgement
2. initiative ex. motivation
3. order ex. memory
◉ What is a hyper-responsive reaction to stimuli?
Answer: AVOIDS/FEAR/CRIES
◉ What is a hypo-responsive reaction to stimuli?
Answer: - lacks wareness
, - grasps objects too loose or tight
◉ What are signs of overstimulation in a TBI patient?
Answer: Flushing of skin
Perspiration
Agitation
Eye closing
Decrease in arousal level
Increase in muscle tone
Increased RR
◉ What are the components of VOMS for concussion screening?
Answer: - smooth pursuit
- saccades
- convergence
- VOR
- VOR cancellation
◉ What are the 4 impairment domains for concussion that will
guide our intervention?
Answer: "CVAM"
COMPREHENSIVE ASSESSMENT SCRIPT
SOLVED QUESTIONS ANSWERS UPDATED
REVIEW SET
◉ What should an intervention for Rancho Level 5-6 look like?
Answer: - focus on functional training in meaningful environments
- behavior modification plan
- structure is helpful in level 5 but slowly decrease structure as we
transition to level 6
- Utilize environments that encourage purposeful activity (kitchen,
bathroom, bedroom)
- Help patient move through perseveration or confabulation (level V)
- Start integrating problem solving activities and topographical
orientation (level VI)
- CAN BEGIN 2 STEP COMMANDS AND MEMORY/ORIENTATION
QUESTIONS
◉ What should an intervention for Rancho Level 7-8 look like?
Answer: - PATIENTS ARE OFTEN DISCHARGED AT THIS LEVEL
- functional training in realistic environments with emphasis on
household, work, and community role
,- complex problem solving and dual task
- less structure
- longer treatment time (60 min)
- focus on patient autonomy and self efficacy
◉ What is the ABI Guideline for PT Interventions?
Answer: Physical activity interventions consisting of aerobic
exercise, balance, and functional task practice have been found to be
safe to perform with individuals with moderate to severe brain
injuries
- dosage and intensity should be MODERATE
◉ What are the 3 umbrella functions of the frontal lobe?
Answer: 1. restraint ex. judgement
2. initiative ex. motivation
3. order ex. memory
◉ What is a hyper-responsive reaction to stimuli?
Answer: AVOIDS/FEAR/CRIES
◉ What is a hypo-responsive reaction to stimuli?
Answer: - lacks wareness
, - grasps objects too loose or tight
◉ What are signs of overstimulation in a TBI patient?
Answer: Flushing of skin
Perspiration
Agitation
Eye closing
Decrease in arousal level
Increase in muscle tone
Increased RR
◉ What are the components of VOMS for concussion screening?
Answer: - smooth pursuit
- saccades
- convergence
- VOR
- VOR cancellation
◉ What are the 4 impairment domains for concussion that will
guide our intervention?
Answer: "CVAM"
