1. Which of the following is a common symptom of upper motor neuron (UMN) lesion?
(A) Flaccidity
(B) Spasticity
(C) Muscle wasting
(D) Fasciculations
2. Which gait pattern is typically seen in hemiplegic patients?
(A) Waddling gait
(B) High-stepping gait
(C) Circumduction gait
(D) Scissoring gait
3. The main goal of physiotherapy in stroke rehabilitation is:
(A) Muscle immobilization
(B) Restoration of function and independence
(C) Reducing bone density
(D) Avoiding exercise
4. Which exercise is most useful for improving balance in Parkinson’s disease?
(A) Resistance training
(B) Core stability exercises
(C) Aerobic jogging
(D) Passive stretching
5. The Ashworth scale is used to measure:
(A) Balance
(B) Muscle power
(C) Spasticity
(D) Sensation
6. Which technique is commonly used to reduce spasticity in cerebral palsy?
(A) Quick stretch
(B) Prolonged stretching
(C) Plyometric training
(D) Vibration
7. Which cranial nerve is tested using the “smile and puff cheeks” method?
(A) Trigeminal nerve
(B) Facial nerve
(C) Glossopharyngeal nerve
(D) Vagus nerve
8. Which therapy is beneficial for improving gait in multiple sclerosis?
(A) Hydrotherapy
(B) Heavy resistance training
(C) Immobilization
(D) Cryotherapy
9. What is the primary physiotherapy focus in Guillain-Barré syndrome during the recovery phase?
(A) Strengthening and endurance training
(B) Immobilization
(C) Only passive range of motion
(D) Avoiding exercise completely
10. Which test is used to assess coordination in neurological patients?
(A) Romberg test
(B) Drawer test
(C) Neer’s test
(D) Thomas test
11. Which type of muscle tone is characteristic of Parkinson’s disease?
(A) Spasticity
(B) Rigidity
(C) Flaccidity
(D) Hypotonia
12. Which gait is commonly associated with spastic cerebral palsy?
(A) Circumduction gait
(B) Scissoring gait
(C) Waddling gait
(D) Antalgic gait
13. Which of the following is a contraindication for vestibular rehabilitation therapy?
(A) Benign paroxysmal positional vertigo
(B) Acute vestibular neuritis with severe symptoms
(C) Chronic dizziness
(D) Balance training
14. Which exercise is most suitable for ataxic patients?
(A) Frenkel’s exercises
(B) Plyometric training
(C) Heavy squats
(D) Deep breathing
15. Which therapy is commonly used for improving motor function post-stroke?
(A) Constraint-induced movement therapy (CIMT)
(B) Immobilization
(C) Cryotherapy
(D) Passive splinting
16. Which cranial nerve controls eye abduction?
(A) Oculomotor nerve (III)
(B) Trochlear nerve (IV)
(C) Abducens nerve (VI)
(D) Trigeminal nerve (V)
17. The main physiotherapy approach for Parkinson’s disease emphasizes:
(A) Speed and mobility training
(B) Muscle immobilization
(C) Only passive ROM
(D) Avoidance of exercise
18. Which position is best for reducing flexor spasticity in hemiplegia?
(A) Sitting with arms crossed
(B) Supine with limb extended
(C) Fetal position
(D) Head down tilt
19. Which neurological condition commonly presents with foot drop?
(A) Stroke
(B) Peroneal nerve injury
(C) Parkinson’s disease
(D) Multiple sclerosis
20. Which of the following is the primary goal of physiotherapy in spinal cord injury rehabilitation?
(A) Pain induction
(B) Functional independence and mobility training
(C) Permanent immobilization
(D) Muscle atrophy
21. Which test is used for balance assessment in elderly neurological patients?
(A) Berg Balance Scale
(B) Lachman’s test
(C) Neer’s test
(D) Thomas test
22. Which exercise is recommended for improving hand function post-stroke?
(A) Mirror therapy
(B) Plyometric push-ups
(C) High resistance training
(D) Immobilization
23. Which condition is best treated with vestibular rehabilitation exercises?
(A) Tennis elbow
(B) Benign paroxysmal positional vertigo (BPPV)
(C) Shoulder impingement
(D) Sciatica
24. Which of the following is an example of a lower motor neuron lesion?
(A) Stroke
(B) Spinal cord transection
(C) Poliomyelitis
(D) Multiple sclerosis
25. Which therapy is used for recovery of motor function after traumatic brain injury?
(A) Neurodevelopmental therapy (Bobath approach)
(B) Immobilization
(C) Shortwave diathermy
(D) Hydrocollator packs only
26. The Babinski sign indicates a lesion of:
(A) Lower motor neuron
(B) Upper motor neuron
(C) Peripheral nerve
(D) Cerebellum
27. Which gait training device is commonly used for spinal cord injury patients?
(A) Crutches
(B) Walker with body-weight support treadmill
(C) Cane only
(D) None
28. Which of the following is NOT a feature of cerebellar lesion?
(A) Ataxia
(B) Dysmetria
(C) Hypotonia
(D) Spasticity
29. The Glasgow Coma Scale is primarily used to assess:
(A) Reflexes
(B) Cognitive and consciousness level
(C) Muscle tone
(D) Balance
30. Which technique is most useful for motor relearning in hemiplegia?
(A) PNF (Proprioceptive Neuromuscular Facilitation)
(B) Immobilization
(C) Cryotherapy
(D) Splinting only
31. Which cranial nerve controls tongue movements?
(A) Facial nerve
(B) Glossopharyngeal nerve
(C) Hypoglossal nerve
(D) Vagus nerve
32. Which of the following is a common complication of prolonged immobility in neurological patients?
(A) Osteoporosis
(B) Pressure ulcers
(C) Joint stiffness
(D) All of the above
33. Which therapy is most beneficial in reducing freezing episodes in Parkinson’s disease?
(A) Cueing strategies
(B) Immobilization
(C) Cryotherapy
(D) Traction
34. Which side should a stroke patient use a cane?
(A) Same side as weakness
(B) Opposite side of weakness
(C) Both sides alternately
(D) It does not matter
35. Which exercise improves trunk control in spinal cord injury patients?
(A) Bridging exercises
(B) Plyometric jumps
(C) Squats
(D) Biceps curls
36. Which muscle group is commonly weak in post-polio syndrome?
(A) Quadriceps
(B) Deltoids
(C) Hamstrings
(D) Any previously affected muscles
37. The finger-to-nose test assesses:
(A) Sensation
(B) Coordination
(C) Reflexes
(D) Muscle tone
38. Which of the following is the best initial management for acute Bell’s palsy?
(A) Electrical stimulation
(B) Facial exercises and eye protection
(C) Immobilization
(D) Cryotherapy only
39. Which training helps improve walking in Parkinson’s disease patients?
(A) Treadmill training with visual and auditory cues
(B) Immobilization
(C) Only stretching
(D) Plyometric training
40. Which of the following is NOT a sign of UMN lesion?
(A) Hyperreflexia
(B) Muscle wasting
(C) Spasticity
(D) Positive Babinski sign
41. Which type of exercises are emphasized in multiple sclerosis rehabilitation?
(A) Fatigue management and low-intensity aerobic exercise
(B) Plyometric training
(C) Heavy resistance training only
(D) Immobilization
42. Which therapy approach focuses on reflex-inhibiting postures?
(A) Bobath approach
(B) PNF technique
(C) Frenkel’s exercises
(D) Maitland technique
43. Which neurological condition often requires ankle-foot orthosis (AFO)?
(A) Parkinson’s disease
(B) Stroke with foot drop
(C) Cerebellar ataxia
(D) Bell’s palsy
44. Which is the primary benefit of hydrotherapy in neurological rehabilitation?
(A) Muscle atrophy prevention
(B) Buoyancy reduces weight-bearing stress and aids movement
(C) Bone strengthening
(D) Increased rigidity
45. Which cranial nerve lesion causes difficulty in swallowing?
(A) Trigeminal
(B) Glossopharyngeal
(C) Facial
(D) Accessory
46. Which motor learning principle is emphasized in neurorehabilitation?
(A) Repetition and task-specific training
(B) Immobilization
(C) Random inactivity
(D) Passive rest only
47. Which type of therapy is often combined with robotics in neurophysiotherapy?
(A) Virtual reality training
(B) Immobilization
(C) Cryotherapy
(D) Heat therapy
48. Which of the following is an early sign of multiple sclerosis?
(A) Blurred vision and fatigue
(B) Spasticity
(C) Kyphosis
(D) Osteoporosis
49. Which exercise helps in improving hand function in hemiplegic patients?
(A) Constraint-induced movement therapy
(B) Passive ROM only
(C) Immobilization
(D) Plyometric training
50. The ultimate goal of neurological physiotherapy is:
(A) Symptom suppression only
(B) Independence in daily activities and functional recovery
(C) Permanent immobilization
(D) Avoiding physical activity