First/Given and Last/Family Name
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As used in WebDCU Example: Jane Doe
Today M-D-Y
Q01 When scoring the Motor Activity Log, the patient is instructed to answer based on their best estimate of what they think they can do, rather than based on their actual performance.
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True
False
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Q02 When scoring the Motor Activity Log, the patient is asked to give answers based on their activity over the
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Depends on when the patient first returned home from the hospital
Previous 30 days of activity
Previous 3 days of activity
Previous 1 day of activity
Previous 7 days of activity
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Q03 When scoring the Motor Activity Log, if the patient is unsure of the best response for a given question, the patient's caregiver is permitted to help
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On no more than 3 of the 14 questions
As much as is needed, within reason
Not at all
With discussion, but not to generate the final score
Only if language translation is an issue
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Q04 When scoring the Motor Activity Log, a printout of the 6-level scale is placed in front of patient during testing. The examiner reads the question, and then
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The examiner then reads aloud the 6 choices, for at least the first 5 questions, and the patient picks one of these choices to create a score for that question
The examiner is silent, and the patient must read the form to themselves in order to create a score for that question
The caregiver is permitted to read the 6 choices to the patient, as needed
1 & 3 are correct
All of the choices are true
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Q05 When scoring the Motor Activity Log, patient responses
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Range from 0-5
Can include half scores (such as 2.5 or 3.5) as well as whole numbers
Can be provided by the caregiver ("proxy response")
1 & 2 are correct
All of the choices are true
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Q06 Which of the following characteristics is correct for testing the 10-meter walk test?
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The course should be flat without bumps and level without an incline
The course should be straight without turns
The entire testing area, including all components, should be 10-meters long (10-meter walk test)
1 & 2 are correct
All of the choices are true
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Q07 Which of the following is incorrect regarding testing the 10-meter walk test?
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Physical assistance from one person is permitted, but not from two people
Patients may wear normal supportive foot apparel
Patients may not use an assistive device such as a walker
Patients may wear any orthotic that they normally wear
The testing area should be free from distractions or traffic
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Q08 Which of the following is true regarding testing the 10-meter walk test?
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All of the choices are true
No study team member is permitted to advance either of the patient's legs
If safety is a concern, the patient is considered non-ambulatory and labeled as not testable
A study team member is not permitted to walk aside the patient
Physical assistance from two people is permitted during testing when safety is a concern
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Q09 Which of the following is correct when starting the 10-meter walk test?
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The patient stands next to the 0-meter chair, waiting for the "Ready and Go" signal
The patient stands at the 2-meter line, waiting for the "Ready and Go" signal
The patient stands at the 0-meter line during instructions
The patient stands behind the 0-meter chair, waiting for the "Ready and Go" signal
The patient is seated during instructions
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Q10 Which of the following is true during 10-meter walk testing?
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The patient starts at the 0-meter line and walks to the 14-meter chair
The patient is sitting when the examiner says "Ready and Go"
The examiner should instruct the patient to walk to the 10-meter finish line
The examiner should talk to the patient as they walk
The examiner should instruct the patient to walk from the near tape marker to the far tape marker
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Q11 If a patient is present but cannot walk or needs help from two persons to be safe or cannot advance their own legs during 10-meter walk testing, they are considered non-ambulatory and their score is marked as
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Untestable
300.00 seconds
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Q12 During 10-meter walk testing, which of the following is not part of the instructions given to the patient before they start walking?
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When the patient is standing at the 0-meter mark, remind them that they are going to walk to the far chair
When the patient is seated, tell them that they are going to walk to the far chair
When the patient is standing at the 0-meter mark, remind them that you will be saying "Ready and Go"
When the patient is seated, instruct them to walk as fast as they can to achieve their best score
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Q13 During 10-meter walk testing, patient safety is paramount. In this context, which of the following is true?
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Once a patient has reached day 90 post-stroke, falling is no longer a risk
The study coordinator may perform gait testing on all patients 90 days after stroke
The study coordinator may perform gait testing only if the patient has been specifically cleared to walk independently by an OT or PT
If an OT or PT has not previously cleared the patient to walk independently, then an OT or PT should assist the study coordinator with performing the gait testing to ensure patient safety
3 & 4 are correct
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Q14 Which of these is true during 10-meter walk testing, after the examiner says "Ready and Go"?
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Round off the time to nearest tenth of a second, i.e., 30.2 sec is an acceptable answer but 30 sec and 30.21 sec are not
Start the stopwatch the moment any part of the patient's foot first crosses the 0-meter line, and stop the stopwatch the movement any part of the patient's foot crosses 14-meter line
The amount of rest between the two trials is fixed at 30 seconds
Start the stopwatch the moment any part of the patient's foot first crosses the 2-meter line, and stop the stopwatch the moment any part of the patient's foot crosses the 12-meter line
Start the stopwatch the moment that the patient stands from the 0-meter chair, and stop the stopwatch the moment the patient reaches the 14-meter chair
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Q15 During 10-meter walk testing, it is critical to distinguish [A] patients who can be assessed from [B] patients in whom gait evaluation cannot take place. Which of the following is true in this context?
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Patients in whom gait evaluation cannot take place, leave both boxes for # seconds blank and then record the reason for not testing under 'General comments'
Patients who are assessed but are unable to walk get a score of 300.00 sec
All of the choices are true
All patients who are assessed get a score, up to 300.00 sec
Patients who are assessed and are unable to walk safely get a score of 300.00 sec
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Q16 For the five health-related EQ-5D questions that are scored along a 5-level scale, which of these is true?
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The patient's responses reflect health-related quality of life for the patient's entire household, rather than simply for the patient
Input from a caregiver is encouraged to generate the most accurate score
The examiner hands the form to the patient, who proceeds to mark their responses to each question
The timeframe for responses is the patient's health on the day of testing
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Q17 For the EQ-5D visual analog scale measure, which of the following is true?
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The timeframe for responses is the day of testing
The form is placed along the patient's midline to avoid introducing a right-left bias
The examiner shows the form to the patient, who says aloud what their score is, and the examiner then marks the point on the scale that indicates the patient's response
1 & 2 are correct
All of the choices are true
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Q18 For scoring on the Geriatric Depression Scale, which of the following is not true?
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Input from a caregiver is not permitted
This scale is scored by having the examiner read the questions aloud; the form is not handed to the patient
The time frame for patients to report their responses is the day of testing
This scale is a patient-reported outcome, and so the patient's own assessment is scored rather than the score the examiner thinks they should have
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Q19 When testing the NeuroQoL-Anxiety-8Q scale, which of the following is true?
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Input from a caregiver is permitted
The time scale for responses should be over the past one week
Patients can select multiple answers to a given question
This scale can be administered by the examiner or handed to the patient to complete
The examiner can use either the paper case report forms supplied by VERIFY or an electronic version of the exact same scale available on the web
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Q20 Regarding the Star Cancellation Test, which is not true?
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Only the exact form provided by the study can be used-don't download any old version off the web
This is a test of unilateral spatial neglect
The test is to be completed by the patient only, with no help from the caregiver
The testing form can be placed on the patient's right or left side, depending on which side was weakened by stroke
The patient must cross out the small stars using the red Sharpie provided by the examiner
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Q21 Which of the following is true regarding scoring a patient's performance on the Star Cancellation Test?
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Count the number of all characters crossed off, including stars, words, and letters, separately on the left and on the right
Count the number of small stars crossed off, then subtract one point for each large star crossed off
Count the number of all stars (small and large) crossed off, separately on the left and on the right
Count the number of large stars crossed off, separately on the left and on the right
Count the number of small stars crossed off, separately on the left and on the right
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Q22 Which of the following is true regarding preparing the patient to take the Star Cancellation Test?
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The examiner reads the instructions then uses the red Sharpie to cross off as many small stars as is necessary to ensure that the patient understands the instructions
The examiner reads the instructions then uses the red Sharpie to cross off 1 small star right above the letter M
The examiner reads the instructions then uses the red Sharpie to cross off the 2 small stars right above the letter M
The examiner reads the instructions then uses the red Sharpie to cross off any 2 small stars
The examiner reads the instructions but does not make a mark on the testing form
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Q23 Which of the following is true when a patient is taking the Star Cancellation Test?
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The test is over when the patient says that they are done, or when the stopwatch hits 5 minutes
If the patient pauses or stops, the examiner can ask the patient if they are done or need more time
The examiner starts testing by saying "Ready, begin" and then starts the stopwatch
The time required to complete the test is not recorded
All of the choices are true
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Q24 Which of the following is true regarding the pain visual analog scale being scored in VERIFY?
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Care is taken to place the scale near the patient's stroke-affected arm
100 means no pain and 0 means worst pain you can imagine
Only pain in the shoulder on the stroke-affected side is being measured
Once the patient marks their score, the patient then writes down that score value, using a whole number from 0 to 100
As with any visual analog scale, the examiner marks the point on the scale that precisely reflects what the patient describes
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