A client presents with a lesion in the Somatomotor Network (SMN). Based on this lesion, which of the following clinical presentations is most likely?

Which of the following is TRUE about the direct pathway of the basal ganglia?

You are playing baseball. You hear the crack of the bat and see the ball coming to you in right field. You catch ball in your glove and throw to second base to keep the first base runner from advancing. What brain region is responsible for the integration of all the incoming sensory information including auditory, visual, touch, and proprioceptive information?

A client has damage to this brain structure. Which function would be most directly impaired, and what observable challenges might you expect during activity performance?  

Your client recently fell and presents with gradual onset of headache and confusion over the past 24–48 hours. Imaging reveals bleeding beneath the outermost meningeal layer. How would this type of hemorrhage be classified?

Your client experienced a recent traumatic brain injury. She does not respond to commands (e.g., “squeeze my hand”) or stimuli (e.g., favorite music), but she maintains regular breathing and heart rate. Which of the following structures is most likely still intact?

Which of the following is the most likely outcome of damage to this structure, and how might it affect activity performance?

NOTICE: This case will be used for the following 3 questions of your exam.Your client was stabbed and sustained a completed laceration of the brachial plexus at the blue “X” indicated on the figure below. b. List all the joint actions that would be affected at the shoulder, elbow, and forearm AND list whether each action would be completely or partially impaired. (Example:  1. Joint Action: Partially/Completely Impaired)  

When assessing grip and pinch strength, it may be more beneficial to compare your client’s dominant and nondominant hand, rather than compare their score to the norms. 

Questions 17-19 are based upon the following case study about Robby.  CASE: Robby is a 19-year-old male who works at a steel manufacturing plant. At work Robby experienced a severe laceration from a machine across the distal portion of his right (dominant side) volar forearm. The laceration was about ¼ inch deep and nearly four inches wide. In the hospital, the surgeons were able to perform tendon and muscle repair. At this point it is unclear if any nerves were damaged due to the laceration. After spending 8 weeks in a partial cast (no movement allowed), Robby has his first outpatient therapy evaluation with you today. Now the doctor has ordered full range of motion and strengthening as tolerated. However, his movement is somewhat limited and stiff due to immobilization and repair. Because of his manual labor job and active lifestyle, he has muscular forearms and larger hands.    Which movement is likely to be weak and/or absent at this point in recovery?