Free Practice Questions for CMMR Medicina de Rehabilitación

Rehabilitación Neurológica y Daño Cerebral

Clinical management of stroke (Brunnstrom motor recovery stages, shoulder subluxation, focal botulinum toxin and oral baclofen for spasticity), traumatic brain injury (Rancho Los Amigos cognitive functioning scale, Glasgow Coma Scale, post-traumatic amnesia duration), spinal cord injury (ASIA/ISNCSCI motor/sensory examination, autonomic dysreflexia recognition and emergent blood pressure control, neurogenic lower urinary tract dysfunction and clean intermittent catheterization, neurogenic bowel bowel-training programs), multiple sclerosis fatigue and spasticity rehabilitation, and Guillain-Barré syndrome respiratory monitoring and progressive mobilization

Rehabilitación Musculoesquelética y Ortopédica

Diagnostic evaluation and rehabilitation of rotator cuff tendinopathy and full-thickness tears, subacromial impingement, adhesive capsulitis freezing/frozen/thawing phases and distension arthrography, anterior cruciate ligament (ACL) reconstruction rehabilitation phases and open vs closed kinetic chain progression, meniscal repair vs meniscectomy protocols, knee and hip osteoarthritis Kellgren-Lawrence staging, viscosupplementation, unloader braces and therapeutic exercise, cervical radiculopathy spurling test and traction, lumbar disc herniation, spondylolisthesis Meyerding grading and flexion vs extension exercises, and fibromyalgia vs myofascial trigger points

Amputaciones, Prótesis, Ortesis y Biomecánica de la Marcha

Levels of lower extremity amputation (Syme, transtibial, transfemoral), postoperative residual limb shaping and contracture prevention, socket mechanics (patellar tendon-bearing vs total surface-bearing; ischial containment vs quadrilateral), foot components (SACH foot vs dynamic energy-storing feet), microprocessor knees vs stance-control knees, upper limb body-powered vs myoelectric prostheses, orthotic prescription (solid ankle-foot orthosis for severe spasticity/instability, hinged AFO for dynamic dorsiflexion assist, ground-reaction AFO for quadriceps weakness/crouch gait, KAFO with stance-control locks, TLSO and Jewett hyperextension spinal orthoses), and gait cycle analysis (Trendelenburg lurch, steppage gait, vaulting, circumduction)

Electrodiagnóstico y Neurofisiología Clínica

Principles and clinical utility of motor and sensory nerve conduction studies (onset latency, peak latency, CMAP and SNAP amplitude, motor and sensory conduction velocities, temperature correction), late responses (F-wave chronodispersion and latency in radiculopathy/polyneuropathy, H-reflex pathway and S1 radiculopathy), needle electromyography (insertional activity, spontaneous activity: fibrillations, positive sharp waves, complex repetitive discharges, fasciculation potentials; motor unit action potential MUAP duration, amplitude, and recruitment pattern), electrodiagnostic criteria for carpal tunnel syndrome, cubital tunnel syndrome vs Guyon canal entrapment, cervical/lumbosacral radiculopathy, brachial plexopathy vs radiculopathy, and amyotrophic lateral sclerosis (Awaji/revised El Escorial criteria)

Rehabilitación Pediátrica, Cardiopulmonar y Reumatológica

Cerebral palsy classification by motor type (spastic, dyskinetic, ataxic) and functional mobility using the Gross Motor Function Classification System (GMFCS levels I to V), hip surveillance protocols with migration percentage measurement, myelomeningocele functional ambulatory potential according to neurological level (thoracic, high-lumbar, low-lumbar, sacral), cardiac rehabilitation phases I (inpatient acute), II (outpatient monitored), III (supervised maintenance), and IV (community lifetime), exercise prescription using metabolic equivalents (METs) and the Karvonen target heart rate formula, pulmonary rehabilitation components in chronic obstructive pulmonary disease (COPD) including diaphragmatic and pursed-lip breathing and interval aerobic reconditioning, and rehabilitation strategies in rheumatoid arthritis and ankylosing spondylitis