Rehabilitation knowledge past years test questions (62)-2021 Tianjin Medical Healthcare

1. Modified Barthel Index rating of basic self-care of life scored as: ()

A.100

B.60 or more

C.60 to 40

D.40 to 20

E.20 or less

2. Functional independence is assessed with a score of 72 to 89 being rated as: ()

A. Substantially independent

B. Conditionally independent

C. Mildly dependent

D. Moderately dependent

E. Heavily dependent

3. The patient puts the limb that needs to be trained in a gravity-resistant position and performs the movement that is: ()

A. Assisted movement

B. Active exercise

C. Resistance exercise

D. Isokinetic exercise

E. Electrostimulation exercise

4. Multiple-choice rehabilitation functional assessment studies include:()

A. Muscle strength assessment

B. Gait analysis

C. Electromyography

D. Lumbar spine imaging

E .electrocardiogram exercise test

5. Multiple choice rehabilitation clinics, including: ()

A. Rehabilitation of bone and joint diseases

B. Rehabilitation of neurologic diseases

C. Rehabilitation of liver disease

D. Rehabilitation of chronic diseases

E. Rehabilitation of geriatric diseases

6. Multiple choice disability does not include: ()

A. Limb motor dysfunction

B. Majority dependence in daily life

C. Gallbladder removal

D. Blindness in one eye

E. Mental retardation accompanied by low social adaptability

Reference Answer and Explanation

1.Reference Answer B. Explanation: ()

1. (1)The question is about the knowledge of Rehabilitation Functional Assessment-Chapter 14, Assessment of Activities of Daily Living-Section 2, Methods of Assessment of Activities of Daily Living-Modified Barthel Index. (2) In the Modified Barthel Index, a score of greater than 60 means that the person is basically self-sufficient. 41 to 59 means that the person is moderately dysfunctional and needs help in daily living. 21 to 40 means that the person is severely dysfunctional and is obviously dependent on life. 20 means that the person is completely dependent on life (B is right, ACDE is wrong). To sum up, the answer to this question is B.

2. Reference answer C. Analysis: (1) The question is about the knowledge of rehabilitation function assessment - Chapter 14, assessment of activities of daily living - Section 1, methods of assessment of activities of daily living - FIM assessment. (2) The FIM has a maximum score of 126 (motor function score of 91 and cognitive function score of 35) and a minimum score of 18. 126 = complete independence; 108 to 125 = basic independence; 90 to 107 = conditional independence or very mild dependence; 72 to 89 = mild dependence; 54 to 71 = moderate dependence; 36 to 53 = severe dependence; 19 to 35 = Extremely Heavily Dependent; 18 points = Totally Dependent (C is right, ABDE is wrong). In summary, the answer to this question is C.

3. Answer B. Analysis: (1) The question is about the knowledge of physiotherapy-Chapter 6, muscle training techniques-Section 2, basic principles and clinical application of muscle training-methods of muscle training. (2) When the muscle strength is level 3 or higher, have the patient place the limb to be trained in an anti-gravity position for active movement (B is correct, ACDE is incorrect). In summary, the answer to this question is B.

4. Reference answer ABCE.解析：(1)该题考查是康复医学概论(教材)-第一章概述-第三节康复医学的内容-康复功能評定学的知识点。 (2) Rehabilitation functional assessment science refers to the process of making objective, qualitative or (and) quantitative descriptions of the functional status and its level of the sick, injured, or disabled person on the basis of a clinical examination and making reasonable interpretations of the results, also known as functional assessment. It mainly includes: motor function assessment (e.g. muscle strength, muscle tone, joint range of motion, gait analysis, balance and coordination function, sensory function, cardiopulmonary exercise test, etc.), biomechanical assessment, daily living activities and social function assessment, higher brain function assessment, neurophysiological function examination (e.g. electromyography, evoked potentials, low-frequency electrodiagnostics, etc.), assessment of special problems of the Department of Rehabilitation Medicine, and environmental assessment, Pre-employment assessment (ABCE is right, D is wrong). To sum up, the answer to this question is ABCE.

5.Reference answer ABDE. (2) Clinical Rehabilitation: Rehabilitation should be involved in all stages of systemic disease in all clinical disciplines. The earlier the rehabilitation intervention, the better the outcome. At present, the formation of a number of clinical rehabilitation subspecialties, such as musculoskeletal rehabilitation, neurological rehabilitation, rehabilitation of medical and surgical disorders.

Musculoskeletal rehabilitation is the study of human musculoskeletal disorders of clinical management, functional assessment and rehabilitation treatment of specialties. The major diseases involved include fracture, sports trauma, amputation, joint replacement, osteoarthritis, rheumatoid arthritis, cervical spondylosis, low back pain, scoliosis, osteoporosis, soft tissue injuries and burns.

Neurological rehabilitation studies the clinical features, functional assessment, rehabilitation treatment and functional outcomes of peripheral and central nervous system disorders in humans. Diseases of cranial brain damage include stroke, traumatic brain injury, cerebral palsy, multiple sclerosis, Parkinson's disease, Alzheimer's disease and so on. Diseases that damage the spinal cord include spinal cord injury and myelitis. Diseases that damage peripheral nerves include spinal neuropathy, plexus and nerve trunk injuries, and others.

Rehabilitation of medical and surgical disorders studies the clinical characteristics, rehabilitation assessment and treatment of diseases of the medical system, such as cardiopulmonary diseases, essential hypertension, diabetes, tumors, etc., and diseases of the surgical system, such as varicose veins of the lower extremities, mastitis, prostatitis, etc. (ABDE is right, C is wrong). To sum up, the answer to this question is ABDE.

6. Reference answer BC. Analysis: (1) The question is about the knowledge of the Introduction to Rehabilitation Medicine - Chapter 2 Disability - Section 2 Disability Classification - China Disability Classification Standards. (2) Disability refers to the state of long-term, continuous or permanent physical and mental dysfunction of the human body due to abnormalities and/or loss of human anatomical structure and physiological function caused by various physical, mental, physical and psychological illnesses or injuries, as well as congenital anomalies, and such dysfunction affects to varying degrees the ability to engage in physical activities, daily life, work, study and social interaction. In 1986, the State Council approved the Standard for Five Types of Disability, which includes visual disability, hearing and speech disability, intellectual disability, physical disability, and psychiatric disability, but does not include visceral disability, and most of the dependence in daily life is not a categorization criterion for disability (BC is wrong, ADE is right). To summarize, the answer to this question is BC.