PCM III Practice Questions with Verified
Correct Answers
A 72-year-old patient presents with sudden-onset right-sided hemiplegia and expressive
aphasia. Imaging confirms occlusion of the left middle cerebral artery (MCA). What
type of stroke is most likely?
A. Hemorrhagic stroke
B. Transient ischemic attack (TIA)
C. Ischemic stroke due to thrombosis
D. Subarachnoid hemorrhage
C Ischemic stroke due to thrombosis
Which of the following best describes Wernicke's aphasia?
A. Nonfluent speech with preserved comprehension
B. Fluent speech with impaired comprehension
C. Global loss of speech and comprehension
D. Hesitant speech with intact repetition
B Fluent speech with impaired comprehension
A patient with a right hemisphere stroke exhibits left-sided neglect. Which intervention
is MOST appropriate?
A. High-intensity resistance training
B. Spatial cues and boundary markers
C. Verbal sequencing tasks
D. Avoidance of visual stimuli
B Spatial cues and boundary markers
,Which aerobic exercise prescription is recommended for a chronic stroke patient?
A. 1 day/week at 85% HR max
B. 3 days/week at 40-70% HRR
C. 7 days/week at 90% VO₂ max
D. 2 days/week at RPE 18-20
B 3 days/week at 40-70% HRR
A patient with Stage 3 CKD (GFR 40 mL/min) presents with edema and elevated BUN.
What is the hallmark of this stage?
A. Asymptomatic
B. Hypertension and anemia
C. Uremia
D. Azotemia and proteinuria
D Azotemia and proteinuria
Which symptom is characteristic of Stage 5 CKD (ESRD)?
A. Normal creatinine levels
B. Reversible kidney damage
C. Pruritus and nausea
D. Absence of hypertension
C Pruritus and nausea
Which outcome measure is MOST appropriate for a stroke patient with CKD?
A. Berg Balance Scale
B. 6-Minute Walk Test (6MWT)
C. Mini-Mental State Exam
D. Ashworth Scale
,B 6-Minute Walk Test (6MWT)
A patient with CKD reports symmetrical numbness in the hands and feet. This
suggests:
A. Renal osteodystrophy
B. Peripheral neuropathy
C. Pericarditis
D. Pulmonary edema
B Peripheral neuropathy
A patient with Broca's aphasia has damage to which brain region?
A. Right temporal lobe
B. Left frontal lobe
C. Brainstem
D. Occipital lobe
B Left frontal lobe
Which stroke type resolves within 24 hours but increases future stroke risk?
A. Hemorrhagic stroke
B. Ischemic stroke
C. Transient ischemic attack (TIA)
D. Subdural hematoma
C Transient ischemic attack (TIA)
A patient with global aphasia has severe communication deficits. The primary rehab
focus should be:
A. Restoring fluent speech
, B. Compensatory strategies (e.g., gestures)
C. High-intensity verbal drills
D. Isolated word repetition
B Compensatory strategies (e.g., gestures)
Hemorrhagic stroke is caused by:
A. Thrombus formation
B. Vessel rupture
C. Hypoperfusion
D. Embolism
B Vessel rupture
A patient with Stage 4 CKD (GFR 18 mL/min) likely has:
A. Hypotension
B. Normotension
C. Hypertension due to renin excess
D. Labile blood pressure
C Hypertension due to renin excess
Which is a contraindication to high-intensity resistance training in stroke patients?
A. Spasticity
B. Uncontrolled hypertension
C. Mild hemiparesis
D. Impaired balance
B Uncontrolled hypertension
Correct Answers
A 72-year-old patient presents with sudden-onset right-sided hemiplegia and expressive
aphasia. Imaging confirms occlusion of the left middle cerebral artery (MCA). What
type of stroke is most likely?
A. Hemorrhagic stroke
B. Transient ischemic attack (TIA)
C. Ischemic stroke due to thrombosis
D. Subarachnoid hemorrhage
C Ischemic stroke due to thrombosis
Which of the following best describes Wernicke's aphasia?
A. Nonfluent speech with preserved comprehension
B. Fluent speech with impaired comprehension
C. Global loss of speech and comprehension
D. Hesitant speech with intact repetition
B Fluent speech with impaired comprehension
A patient with a right hemisphere stroke exhibits left-sided neglect. Which intervention
is MOST appropriate?
A. High-intensity resistance training
B. Spatial cues and boundary markers
C. Verbal sequencing tasks
D. Avoidance of visual stimuli
B Spatial cues and boundary markers
,Which aerobic exercise prescription is recommended for a chronic stroke patient?
A. 1 day/week at 85% HR max
B. 3 days/week at 40-70% HRR
C. 7 days/week at 90% VO₂ max
D. 2 days/week at RPE 18-20
B 3 days/week at 40-70% HRR
A patient with Stage 3 CKD (GFR 40 mL/min) presents with edema and elevated BUN.
What is the hallmark of this stage?
A. Asymptomatic
B. Hypertension and anemia
C. Uremia
D. Azotemia and proteinuria
D Azotemia and proteinuria
Which symptom is characteristic of Stage 5 CKD (ESRD)?
A. Normal creatinine levels
B. Reversible kidney damage
C. Pruritus and nausea
D. Absence of hypertension
C Pruritus and nausea
Which outcome measure is MOST appropriate for a stroke patient with CKD?
A. Berg Balance Scale
B. 6-Minute Walk Test (6MWT)
C. Mini-Mental State Exam
D. Ashworth Scale
,B 6-Minute Walk Test (6MWT)
A patient with CKD reports symmetrical numbness in the hands and feet. This
suggests:
A. Renal osteodystrophy
B. Peripheral neuropathy
C. Pericarditis
D. Pulmonary edema
B Peripheral neuropathy
A patient with Broca's aphasia has damage to which brain region?
A. Right temporal lobe
B. Left frontal lobe
C. Brainstem
D. Occipital lobe
B Left frontal lobe
Which stroke type resolves within 24 hours but increases future stroke risk?
A. Hemorrhagic stroke
B. Ischemic stroke
C. Transient ischemic attack (TIA)
D. Subdural hematoma
C Transient ischemic attack (TIA)
A patient with global aphasia has severe communication deficits. The primary rehab
focus should be:
A. Restoring fluent speech
, B. Compensatory strategies (e.g., gestures)
C. High-intensity verbal drills
D. Isolated word repetition
B Compensatory strategies (e.g., gestures)
Hemorrhagic stroke is caused by:
A. Thrombus formation
B. Vessel rupture
C. Hypoperfusion
D. Embolism
B Vessel rupture
A patient with Stage 4 CKD (GFR 18 mL/min) likely has:
A. Hypotension
B. Normotension
C. Hypertension due to renin excess
D. Labile blood pressure
C Hypertension due to renin excess
Which is a contraindication to high-intensity resistance training in stroke patients?
A. Spasticity
B. Uncontrolled hypertension
C. Mild hemiparesis
D. Impaired balance
B Uncontrolled hypertension
