4p1et2G Flashcards
A patient is positioned in supine with the hips flexed to 90 degrees and the knees extended. As the patient lowers her extended legs toward the horizontal, there is an increase in lordosis of the low back. This finding is indicative of weakness of the: A. Hip flexors B. Back extensors C. Hip extensors D. Abdominals
D. Abdominals
A physical therapist attempts to select an appropriate intervention to treat a patient with a 10 degrees limitation in knee extension. Which of the following mobilization techniques would be indicated? A. Lateral glide of the patella B. Caudal glide of the patella C. Posterior glide of the tibia D. Anterior glide of the tibia
D. Anterior glide of the tibia
A patient with a right radial head fracture is examined in physical therapy. The patient’s involved elbow range of motion begins at 15 degrees of flexion and ends at 90 degrees of flexion. The physical therapist should record the patient’s elbow range of motion as: A. 0-15-90 B. 15-0-90 C. 15-90 D. 0-90
C. 15-90
A physical therapist attempts to improve patient’s lower extremity strength. Which proprioceptive neuromuscular facilitation technique would be the MOST appropriate to achieve the therapist’s goals? A. Contract-relax B. Repeated contractions C. Rhythmic stabilization D. Hold-relax
B. Repeated contractions
When performing range of motion exercises with a patient that sustained a head injury, a physical therapist notes that the patient lacks full elbow extension and classifies the end-feel as hard. The MOST likely cause is: A. Heterotopic ossification B. Spasticity of the biceps C. Anterior capsular tightness D. Triceps weakness
A. Heterotopic ossification
A physical therapist conducts a patient history for a female patient diagnosed with adhesive capsulitis of the shoulder. Given the capsular pattern of the shoulder, which functional limitation would the patient MOST likely have difficulty with? A. Reaching across her body B. Reaching into her back hip pocket C. Performing a push-up D. Combing her hair
D. Combing her hair
- A therapist supervising a physical therapy student observes the student performing an initial examination. During the examination, the patient appears to be uncomfortable with the student and asks to be treated by the supervising therapist. The most appropriate therapist action is to
A. attempt to convince the patient to accept the student
B. list the student’s academic accomplishments
C. inform the patient that the student is qualified to complete the examination
D. complete the examination for the student
D. complete the examination for the student
A patient in a rehabilitation hospital confides to her therapist that she has been physically abused by her husband in the past and is concerned about returning home following discharge. The most appropriate therapist action is to A. call adult protective services B. contact the patient’s case manager C. ask the patient to leave her husband D. contact the patient’s spouse
A. call adult protective services
- A physical therapist develops a problem list after examining a patient with a transtibial amputation. Which of the following would be the MOST appropriate entry in the patient problem list?
A. Donning and doffing prosthesis requires verbal cues
B. Donning and doffing prosthesis requires verbal cues and minimal assist of one
C. Dependence with donning and doffing prosthesis
D. Independent donning and doffing prosthesis in one week
C. Dependence with donning and doffing prosthesis
- A physical therapist treats a patient using high voltage galvanic stimulation. During treatment the therapist observes smoke rising from the machine and smells an unusual odor. The most appropriate immediate response is to
A. unplug the machine and label it “Defective – Do Not Use”
B. file an incident report
C. contact the appropriate service group
D. request an investigation by the biomedical instrumentation department
A. unplug the machine and label it “Defective – Do Not Use”
11. A therapist examines a patient rehabilitating from a traumatic brain injury. The therapist makes the following entry in the medical record. The patient is able to respond to simple commands fairly consistently, however has difficulty with increasingly complex commands or lack of any external structure. Responses are non-purposeful, random and fragmented. According to the Ranchos Los Amigos Cognitive Functioning Scale the patient is most representative of level A. III – localized responses B. IV – confused agitated C. V – confused inappropriate D. VI – confused appropriate
C. V – confused inappropriate
- A therapist examines a patient referred to physical therapy with olecranon bursitis. During the initial examination the therapist identifies diffuse swelling in the elbow joint. Which of the following joints would be affected with swelling in the elbow complex?
A. ulnohumeral joint
B. ulnohumeral and radiohumeral joints
C. radiohumeral and proximal radioulnar joints
D. ulnohumeral, radiohumeral and proximal radioulnar joints
D. ulnohumeral, radiohumeral and proximal radioulnar joints
13. A therapist attempts to assess the integrity of the L4 spinal level. Which deep tendon reflex would provide the therapist with the most useful information? A. lateral hamstrings B. medial hamstrings C. patellar reflex D. Achilles reflex
C. patellar reflex
- While performing high-level balance activities, a patient falls into a piece of equipment that causes a deep laceration to the calf. Immediate first aid includes direct pressure to the area and elevation, however, the bleeding does not stop. The therapist should continue to administer first aid by providing
A. heat to the laceration site
B. ice to the laceration site
C. pressure to the posterior tibial artery pressure point
D. pressure to the femoral artery pressure point
D. pressure to the femoral artery pressure point
A physical therapist observes that a patient has difficulty controlling the affected lower extremity during the loading response. This phase is characterized by:
A. Increased quadriceps activity and increased hamstring activity
B. Increased quadriceps activity and decrease hamstring activity
C. Decreased quadriceps activity and increased hamstring activity
D. Decreased quadriceps activity and decreased hamstring activity
B. Increased quadriceps activity and decrease hamstring activity
A physical therapist hypothesizes that a patient’s clinical presentation maybe associated with cubital tunnel syndrome. Which finding would be the MOST useful when distinguishing this condition from other common conditions affecting the elbow?
A. Visible edema in the posterior elbow
B. Medial-sided elbow pain
C. Paresthesias in the fourth and fifth fingers
D. Increased pain with weight bearing on the elbow
A. Paresthesias in the fourth and fifth fingers
- A physical therapist prepares to use soft tissue massage as part of a treatment plan for a patient with an adductor strain. The MOST appropriate therapist action prior to initiating treatment is:
A. utilize proper draping
B. explain the treatment procedure and obtain patient consent
C. ask another therapist to be present during the treatment session
D. describe the benefits of soft tissue massage on muscle strains
B. explain the treatment procedure and obtain patient consent
18. A physical therapist moves a patient from sidelying to supine after the patient was unable to maintain the manual muscle test position for the hip abductors. Assuming the patient is able to complete full range of motion in the horizontal plane, the MOST appropriate muscle grade is: A. fair B. fair minus C. poor D. poor minus
C. poor
19. An 86 year-old female is restricted to partial weight bearing on the left leg after a total hip replacement. Her upper extremity strength is 3+/5 and she resides alone. Which assistive device would be the most appropriate for the patient? A. Lofstrand crutches B. axillary crutches C. large base quad cane D. walker
D. walker
A physical therapist develops a chart detailing expected functional outcomes for a variety of spinal cord injuries. Which is the highest spinal cord injury at which independent transfers with a sliding board would be feasible? A. C4 B. C6 C. T1 D. T3
B. C6
A patient rehabilitating from a spinal cord injury has significant lower extremity spasticity which often results in the patient’s feet becoming dislodged from the wheelchair footrests. The MOST appropriate modification to address this problem is: A. Hydraulic reclining unit B. Elevating legrests C. Heel loops and/or toe loops D. Detachable swing-away legrests
C. Heel loops and/or toe loops
22. A physical therapist utilizes a manual assisted cough technique on a patient with a mid-thoracic spinal cord injury. When completing this technique with the patient in supine, the MOST appropriate location for the therapist’s hand placement is: A. Manubrium B. Epigastric area C. Xiphoid process D. Umbilical region
B. Epigastric area
23. A patient 72 hours status post stroke is referred to physical therapy. As part of the patient care program, the physical therapist makes positioning recommendations to the nursing staff. How often should the turning occur? A. Every thirty minutes B. Every two hours C. Every four hours D. Every six hours
B. Every two hours
A physical therapist completes a lower quarter screening examination on a patient with trochanteric bursitis. Assuming a normal end-feel, which of the following classifications would be the MOST consistent with hip extension? A. Soft B. Firm C. Hard D. Empty
B. Firm
25. A physician utilizes diagnostic imaging to show motion within a joint through x-ray. This type of imaging is best termed: A. Computed tomography B. Fluoroscopy C. Discography D. Radionuclide scanning
B. Fluoroscopy
26. A physical therapist reviews the medical record of a patient recently admitted to the intensive care unit. A note from the patient’s physician indicates an order for arterial blood gas analysis six times daily. Which type of indwelling line would be used to collect the necessary samples? A. Intravenous line B. Arterial line C. Central venous line D. Pulmonary artery line
B. Arterial line
A patient positioned in standing with their arm positioned at their side with 90 degrees of elbow flexion completes shoulder medial and lateral rotation exercises using a piece of elastic tubing. Which plane of the body is utilized with this activity? A. Coronal B. Frontal C. Sagittal D. Transverse
D. Transverse
A physical therapist completes a family training session with a patient rehabilitating from a spinal cord injury. During the training the patient asks a question regarding their functional ability following rehabilitation. The MOST appropriate therapist response is to:
A. Explain that it is difficult to predict since all patients progress differently
B. Provide information on the expected prognosis based on the nature and severity of the injury
C. Refer the patient to the director of rehabilitation
D. Refer the patient to the physiatrist
B. Provide information on the expected prognosis based on the nature and severity of the injury
A physical therapist uses a self-care assessment to examine change over time in rehabilitation programs. The assessment uses seven-point scale to examine 18 items. The collected information is based on observations of patient performance. This type of assessment MOST closely describes:
A. Functional Independence Measure
B. Functional Status Index
C. Physical Self-Maintenance Scale
D. Katz Index of Activities of Daily Living
A. Functional Independence Measure
A physical therapist working on a pulmonary rehabilitation unit works with a patient on therapeutic positioning. The patient has experienced a lengthy in patient hospitalization and was only recently referred to physical therapy. The patient has significant weakness of the diaphragm and is hypertensive. The MOST appropriate patient position to initiate treatment is: A. Prone B. Supine C. Trendelenburg D. Reverse trendelenburg
D. Reverse trendelenburg
A physical therapist works with a patient who is HIV positive and has been admitted to an acute care hospital for a course of intravenous antibiotics. The patient’s medical record states that he has a persistent cough producing bloody sputum for four weeks and that droplet precautions should be observed. The most likely rationale for this level of precaution is:
A. Decrease risk of exposing the immunocompromised patient to pneumonia
B. Decrease risk of exposing the immunocompromised patient to active tubercolosis
C. Decrease the risk of staff and visitor exposure to pneumonia
D. Decrease the risk of staff and visitor exposure to active tuberculosis
D. Decrease the risk of staff and visitor exposure to active tuberculosis
A physical therapist observes an intravenous line that is tangled around the patient’s bed rail. What type of medical asepsis is indicated prior to coming in contact with the intravenous line? A. Gloves B. Gloves, gown C. Gloves, gown, mask D. None
D. None
