CERTIFIED STROKE
REHABILITATION
SPECIALIST CSRS
PRACTICE TEST
COMPLETE
Question 1: A patient has contralateral leg weakness that is substantially greater than arm weakness after an ischemic stroke. Which vascular territory is most consistent with this pattern?
Choices:
1) Anterior cerebral artery 2) Middle cerebral artery 3) Posterior cerebral artery 4) Posterior inferior cerebellar artery
Correct Answer: Anterior cerebral artery
Explanation: The anterior cerebral artery supplies the medial frontal and parietal regions that contain much of the motor and sensory representation for the contralateral lower extremity, so leg-predominant de�cits are characteristic.Page 1
Question 2: A patient presents with right face and arm weakness plus non�uent speech with relatively preserved comprehension. Which lesion location is most likely?
Choices:
1) Right occipital cortex 2) Left inferior frontal region 3) Left cerebellar hemisphere 4) Right parietal association cortex
Correct Answer: Left inferior frontal region
Explanation: Non�uent expressive aphasia with right-sided weakness is most consistent with a dominant left frontal lesion involving Broca-region networks and nearby motor pathways.Question 3: Which �nding most strongly suggests a right parietal cortical stroke rather than an isolated subcortical motor stroke?
Choices:
1) Pure contralateral hemiparesis 2) Contralateral hemispatial neglect 3) Dysarthria without cortical signs 4) Proportional face-arm-leg weakness
Correct Answer: Contralateral hemispatial neglect
Explanation: Hemispatial neglect is a higher-order attentional-perceptual disorder commonly associated with right parietal network injury and is a cortical sign.Page 2
Question 4: A patient with a left occipital lobe infarct is most likely to demonstrate which primary visual �eld de�cit?
Choices:
1) Left homonymous hemianopia 2) Right homonymous hemianopia 3) Bitemporal hemianopia 4) Right monocular blindness
Correct Answer: Right homonymous hemianopia
Explanation: Visual information from the right visual �eld projects to the left occipital cortex. A left occipital lesion therefore commonly causes a right homonymous hemianopia.Question 5: Which structure is most directly associated with coordination, timing, and error correction of voluntary movement?
Choices:
1) Amygdala 2) Cerebellum 3) Hypothalamus 4) Primary auditory cortex
Correct Answer: Cerebellum
Explanation: The cerebellum integrates sensory and motor information to support
coordination, timing, adaptation, and correction of movement errors.Page 3