#1 Flashcards
A patient reports numbness in the perineal region and mild urinary incontinence. These symptoms are MOST likely caused by which of the following conditions?
1.Sciatic neuropathy
2.Femoral artery occlusion
3.Lumbar spinal stenosis
4.Sacral nerve root impingement
- Sacral Nerve Root Impingement
When assessing normal standing posture, where should the gravity line fall?
1.Anterior to the lateral malleolus
2.Posterior to the lateral malleolus
3.Anterior to the greater trochanter
4.Posterior to the greater trochanter
- Anterior to the lateral malleolus
When monitoring the vital signs of a person who has mitral valve prolapse, which of the following findings is MOST likely to be observed?
1.Bradypnea
2.Bradycardia
3.Tachypnea
4.Tachycardia
- Tachycardia
For a patient who had a total shoulder arthroplasty 5 days ago, which of the following interventions would MOST effectively minimize joint adhesions?
1.Active range of motion in the scapular plane
2.Gentle muscle sets with the upper extremity immobilized in a sling
3.Passive range of motion in a pain-free range
4.Joint mobilization using small-amplitude oscillations into tissue resistance
- Passive ROM in a pain-free range
For a patient who had a total shoulder arthroplasty 5 days ago, which of the following interventions would MOST effectively minimize joint adhesions?
1.Active range of motion in the scapular plane
2.Gentle muscle sets with the upper extremity immobilized in a sling
3.Passive range of motion in a pain-free range
4.Joint mobilization using small-amplitude oscillations into tissue resistance
- Passive ROM in a pain-free range
The symptoms of polyuria, polydipsia, pruritus, and peripheral neuropathy are MOST consistent with which of the following disorders?
1.Type 2 diabetes
2.Lymphedema
3.Myocardial infarction
4.Chronic obstructive pulmonary disease
- Type 2 Diabetes
A patient who has a spinal cord injury demonstrates signs of autonomic dysreflexia. Which of the following actions is MOST appropriate to take?
1.Put an abdominal binder on the patient.
2.Place the patient in supine position.
3.Wrap the patient’s lower extremities.
4.Check the patient’s catheter tube.
- Check the patient’s catheter tube
For a patient who demonstrates an equinus gait, which of the following muscles should be tested for weakness?
1.Soleus
2.Gastrocnemius
3.Tibialis anterior
4.Tibialis posterior
- Tibialis Anterior
For a patient who demonstrates an equinus gait, which of the following muscles should be tested for weakness?
1.Soleus
2.Gastrocnemius
3.Tibialis anterior
4.Tibialis posterior
- Tibialis Anterior
Which of the following activities should be AVOIDED by a patient who is at risk of developing lymphedema?
1.Exercising in a hot environment
2.Exercising with light resistance
3.Exercising in a cool environment
4.Exercising while wearing compression garments
- Exercising in a hot environment
Which of the following laboratory reports is MOST useful in determining the effects of chronic diarrhea and vomiting?
1.Complete blood count
2.Renal function tests
3.Serum electrolytes
4.Serum enzymes
- Serum electrolytes
Compared with healthy individuals, a patient who has restrictive pulmonary disease is MOST likely to have which of the following changes in lung volumes or capacities?
1.Increased vital capacity and increased residual volume
2.Increased vital capacity and decreased total lung capacity
3.Decreased inspiratory reserve volume and decreased vital capacity
4.Decreased total lung capacity and increased functional residual capacity
3.Decreased inspiratory reserve volume and decreased vital capacity
A patient correctly demonstrated home exercises to strengthen quadriceps and hip flexors. This data should be included in which section of the documentation?
1.Subjective
2.Objective
3.Assessment
4.Plan
- Objective
Onset of bloody stools is an indication of which of the following conditions?
1.Acute appendicitis
2.Strangulated hernia
3.Celiac disease
4.Colorectal cancer
- Colorectal Cancer
The MOST important precaution for preventing a nosocomial infection is:
1.wearing a mask.
2.wearing gloves.
3.proper hand washing.
4.maintaining a sterile field.
- Proper hand washing
Four months after sustaining a fractured humerus, a patient has reached a plateau. Active and passive shoulder motions have improved but remain impaired. The patient reports pain and tenderness when the fracture site is palpated. The patient’s temperature is 98.6°F (37°C). What is the MOST likely cause of the patient’s lack of recent progress?
1.Infection of the fractured bone
2.Nonunion of the fracture
3.Heterotopic ossification
4.Compartment syndrome
2.Nonunion of the fracture
In a patient with unilateral hip impairment, a cane is ordinarily used on the:
1.uninvolved side to lessen the muscle force required of the abductors on the involved side.
2.involved side to lessen the muscle force required of the hip abductors on that side.
3.uninvolved side to lessen the muscle force required of the adductors on the involved side.
4.involved side to lessen the muscle force required of the hip abductors on the uninvolved side.
1.uninvolved side to lessen the muscle force required of the abductors on the involved side.
Which of the following areas is MOST susceptible to a pressure injury when a patient is in sidelying position?
1.Heels
2.Malleolus
3.Sacrum
4.Ischial tuberosity
- Malleolus
The Functional Independence Measure (FIM) and the Barthel Index have been shown to have high concurrent validity with each other as functional measures for patients who have had a stroke. Which of the following conclusions is MOST appropriate about use of the instruments to assess functional status in a patient with a stroke?
1.Either test could be used.
2.Both tests should be used.
3.Neither test should be used.
4.Another test should be used with either of the tests.
- Either test could be used.
A patient using a transtibial prosthesis excessively flexes the right knee during the early stance phase of the gait cycle. Which of the following causes is PRIMARILY responsible for this gait deviation?
1.Socket too far anterior
2.Socket too far posterior
3.Excessive foot inset
4.Excessive foot outset
- socket too far anterior
Transcutaneous electrical nerve stimulation is CONTRAINDICATED for use on a patient:
1.with a demand pacemaker.
2.with a history of stable angina.
3.with terminal cancer.
4.who is pregnant during labor.
- With a demand pacemaker.
A patient who has type 1 diabetes is riding a stationary bicycle when a hypoglycemic episode occurs. Which of the following clinical manifestations would be the expected physiological response?
1.Muscle weakness, nausea, and vomiting
2.Fruity, acetone-smelling breath and an increased respiratory rate
3.Onset of irritability, nervousness, or emotional lability
4.Polyuria, thirst, and dehydration
3.Onset of irritability, nervousness, or emotional lability
A patient reports a history of multiple falls when turning around from a kitchen table to place items into the refrigerator. Which of the following assessments would provide the MOST useful information about the patient’s impairment?
1.Berg Balance Scale
2.Functional Reach Test
3.Timed Walking Test
4.Sharpened Romberg Test
- Berg Balance Scale
