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A- CI PT Apps > Day 1 > Flashcards

Day 1 Flashcards

1
Q

Your patient with Parkinson’s disease was prescribed levodopa. The side effects of the drug are the following EXCEPT:

A. arrhythmias
B. gastrointestinal distress
C. orthostatic hypotension
D. impaired visual accommodation

A

D. impaired visual accommodation

Ratio: SE of Levadopa are more commonly seen in the GIT & Cardiovascular system

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2
Q

In behavior therapy, this is a process where learning occurs when an individual engages in specific behaviors in order to receive certain consequences. Examples of this include positive reinforcement, extinction and punishment.

A. Operant conditioning
B. Roleplaying
C. Flooding
D. Modeling

A

A. Operant conditioning

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3
Q

A 29 - year old male with a history of schizophrenia, disorganized type, is referred for ambulation after a femoral fracture. Patient recently had an exacerbation of the condition. PT will expect this behavior from the patient.

A. Feelings of low self-esteem
B. Poor ability to perform tasks that need abstract problem solving
C. Sleep disturbance and flashbacks
D. Increased fear of crowd

A

B. Poor ability to perform tasks that need abstract problem solving

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4
Q

A 29 - year old male with a history of schizophrenia, disorganized type, is referred for ambulation after a femoral fracture. Patient recently had an exacerbation of the condition. PT will expect this behavior from the patient.

A. Feelings of low self-esteem
B. Poor ability to perform tasks that need abstract problem solving
C. Sleep disturbance and flashbacks
D. Increased fear of crowd

A

B. Poor ability to perform tasks that need abstract problem solving

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5
Q
  1. A patient with left sided CHF class II, is referred for physical therapy. During exercises, the patient can be expected to exhibit _________________.

a. Anorexia, nausea with abdominal pain and distension
b. Dyspnea with fatigue and muscular weakness
c. Severe, uncomfortable chest pain with shortness of breath
d. Weight gain with dependent edema

A

b. Dyspnea with fatigue and muscular weakness

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6
Q
  1. Pain in the calf aggravate by walking and elevation of the lower extremity is MOST LIKELY caused by _.

a. Arterial insufficiency
b. Sciatica
c. Venous insufficiency
d. Lymphedema

A

a. Arterial insufficiency

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7
Q
  1. Sudden muscle cramps brought on by exertion and relieved by rest describes this condition.

a. Embolic occlusion
b. Thrombophlebitis
c. Lymphedema
d. Claudication

A

d. Claudication

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8
Q
  1. Your patient is a 65-year-old female diagnosed with venous problem. The following therapeutic procedures are usually indicated to prevent progression of condition EXCEPT: __________.

a. Patient with problems in the lower extremities should be encouraged to walk, run, rise on toes
b. Electric stimulation is not recommended
c. Gentle massage can be given to move the stagnant blood and relieve the pressure
d. Intermittent pneumatic compression treatments are commonly given, often followed by exercises

A

b. Electric stimulation is (*NOT) recommended

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9
Q
  1. A PT is treating a 39-year-old female diagnosed with thoracic outlet syndrome. During exercise, the patient begins to complain of light headedness and dizziness. PT immediately takes the patient to a chair and monitors her vital signs. Her respiration rate is 11 breaths per minute, pulse rate 50 beats per minute and BP 120/85 mmHg. Which of the following statements is MOST accurate?

a. Pulse rate and respiration rate are below normal levels
b. The patient’s vital signs are within normal levels
c. Pulse rate and BP are above normal levels
d. BP and respiration rate are above normal levels

A

a. Pulse rate and respiration rate are below normal levels

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10
Q
  1. A 70-year-old patient with a history of hypertension and hyperlipidemia comes to therapy confused and has shortness of breath and generalized weakness. You will suspect that the patient _____________.

a. Is experiencing unstable angina
b. Is showing signs of early Alzheimer’s disease
c. Failed to take prescribed hypertension medication
d. Is showing early signs of myocardial infarction

A

d. Is showing early signs of myocardial infarction

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11
Q
  1. A PT employee of a rehabilitation center of a hospital evaluates a patient showing several signs and symptoms of anemia. Which of these questions would be the MOST useful to gather additional information in relation to anemia?

a. Does it hurt to take a deep breath?
b. Are you susceptible to bruising?
c. Do you frequently experience dizziness, headaches or blurred vision?
d. Do you experience heart palpations or shortness of breath at rest or with mild exertion?

A

d. Do you experience heart palpations or shortness of breath at rest or with mild exertion?

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12
Q
  1. A patient was referred to PT with fingertips that are rounded and bulbous. The nail plate is more convex than normal. These changes were considered by the PT as indicating __________.

a. Trauma to the nail bed
b. Inflammation of the proximal and lateral nail folds
c. Psoriasis
d. Chronic hypoxia from heart disease

A

d. Chronic hypoxia from heart disease

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13
Q
  1. Many of patients seen in physical therapy are susceptible to excessive heat exposure. Heat exhaustion
    occurs when a person is exposed to more heat than the thermoregulatory mechanisms are capable of
    controlling. Although it rarely occurs in pure forms, it can be categorized as any of the following
    EXCEPT ______________ heat exhaustion

a. Exercise induced (heat syncope)
b. Salt exhaustion
c. Protein depletion
d. Water-depletion

A

c. Protein depletion

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14
Q
  1. A patient with a left sided congestive heart failure, class II, is referred to PT. while exercising, patient
    may exhibit ____________.

a. Weight gain with dependent edema
b. Anorexia, nausea with abdominal pain and distension
c. Severe, uncomfortable chest pain with shortness of breath
d. Dyspnea with fatigue and muscular weakness

A

d. Dyspnea with fatigue and muscular weakness

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15
Q
  1. A traumatic brain injured patient reports to physical therapy feeling lethargic after being placed on
    phenobarbital. The primary purpose of the medication is to

a. prevent seizures
b. reduce spasticity
c. limit arrhythmias
d. decrease agitation

A

a. prevent seizures

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16
Q
  1. A post MI patient is about to begin phase 3 cardiac rehabilitation program. During the initial exercise
    session, the patient’s ECG responses are monitored via radio telemetry. PT noticed three PVCs
    occurring in a run with no P wave. PTS next strategy is

a. have the patient sit down and rest for a few minutes before resuming exercise
b. stop the exercise and notify the physician immediately
c. continue the exercise session, but monitor closely
d. modify the exercise prescription by decreasing the intensity

A

b. stop the exercise and notify the physician immediately

17
Q
  1. A 75-year-old frail female is being treated at home for general strengthening and mobility. The patient
    has a 5 year history of taking non-steroidal anti-inflammatory drugs (NSAIDs) such as aspirin for joint
    pain and recently added calcium channel. The possible adverse reactions/side effects include:

a. weight increase, hyperglycemia, hypotension
b. stomach pain, bruising, confusion
c. paresthesia, incoordination, bradycardia
d. increased sweating, fatigue, chest pain

A

b. stomach pain, bruising, confusion

18
Q
  1. To reduce inflammation of the tracheobronchial mucosa in asthma, COPD and sarcoidosis, steroids
    are often prescribed. Which of these is not a side effect of steroid therapy?

a. Increased susceptibility to notion
b. decrease in BP
c. tachycardia
d. osteoporosis

A

b. decrease (INCREASE) in BP

19
Q
  1. Patient is a 55-year-old female status post removal of lymph nodes in the axilla secondary to cancer.
    You apply mechanical intermittent compression and massage. For best results with massage, this
    technique is implemented this way

a. massage the distal segment first
b. massage the proximal segment first
c. massage the axillary region first
d. massage applied only every other day

A

b. massage the proximal segment first

20
Q
  1. The following are characteristics of an arterial ulcer, EXCEPT____________.

a. Location is usually in the toes, feet lateral malleolus, anterior tibial area
b. Pedal pulses are usually present
c. Has irregular, smooth edges
d. Painful especially if legs are elevated

A

b. Pedal pulses are usually present (this pertains to VENOUS INS.)

21
Q
  1. A patient in the clinical suddenly had an episode of syncope. PT attempts to rule out orthostatic
    hypotension as the cause of fainting. The BEST way to do this is by ______________.

a. Checking resting BP and HR in supine and sitting then repeating measurements after the
patient stands for 1 minute
b. Palpating the carotid arteries and taking HR using the supine position for BP measurement
c. Checking HR and blood pressure in supine after 5 minute of rest and then repeating in a semi-
Fowler position
d. Checking HR and BP at rest and after 3 and 5 minutes of cycle ergometer exercise

A

a. Checking resting BP and HR in supine and sitting then repeating measurements after the
patient stands for 1 minute

22
Q
  1. A 65-year-old female, 5 weeks post myocardial infarction is attending a cardiac rehab program. The
    PT adds a cooling period and patient asks why it is needed. PT’s answer should be _______

a. “it reduces chances of nausea and vertigo.”
b. “it minimizes occurrence of ventricular arrhythmias.”
c. “It allows PT to monitor vital signs after exercise.”
d. “it prevents pooling of the blood in the extremities.”

A

d. “it prevents pooling of the blood in the extremities.”

23
Q
  1. Your cardiac patient was given a rest period after symptoms of chest pain and sweating after a mild
    exercise. She took nitroglycerin sublingually as per instruction of her cardiologist. The onset of action
    from nitroglycerin in this case occurs after _________ minute/s.

a. 30
b. 10
c. 1
d. 5

A

c. 1

(the Q. was aking how fast the nitrates works in the body not the dosage interval)

24
Q
  1. A PT is treating a 35-year-old female with thoracic outlet syndrome. While exercising, the patient starts
    to complain of light headedness and felt dizzy. PT immediately sits the patient and monitored her vital
    signs. PT measures the patient’s respiration rate as 10 breaths per minute, pulse rate at 45 beats per
    minute, and blood pressure as 116/84 mmHg. Which of the following statements is MOST accurate?

a. blood pressure and respiration rate are above normal levels
b. pulse rate and respiration rate are below normal levels
c. patient’s vital signs are within normal limits
d. pulse rate and blood pressure are above normal levels

A

b. pulse rate and respiration rate are below normal levels

25
Q
  1. A 55-year-old who underwent recent modified radical mastectomy fox breast cancer is referred to PT.
    An important predictor for lymphedema after treatment for breast cancer is ___________.

a. A diet low in sodium
b. Mild strength loss in the affected extremity
c. Use of diuretics
d. Obesity

A

d. Obesity

26
Q
  1. A patient with stage II primary lymphedema of the left lower extremity is referred to PT for increased
    limb girth with evident skin folds. An essential component of lymphedema management is manual
    lymphatic drainage which includes _____________.

a. decongesting the proximal portion of the limb first and working distally
b. decongesting the distal portions of the limb first and working proximally
c. deep tissue friction massage for several minutes on fibrotic areas
d. decongesting the trunk after the limb segment

A

a. decongesting the proximal portion of the limb first and working distally

27
Q
  1. A 66-year-old female patient complains of difficulty of walking. During the rest period, the skin in the
    lower leg appears discolored. After walking for about 2 minutes, patient complains of pain in the leg.
    A marked pallor is also evident in the skin over the lower third of the extremity. These symptoms are
    synonymous with __________.

a. peripheral neuropathy
b. restless leg syndrome
c. neurogenic claudication
d. vascular claudication

A

d. vascular claudication

*Side Note. neurogenic claudication has (+) burning sensation

28
Q
  1. A patient has a 13-year-old history of peripheral vascular disease (PVD) affecting the left lower
    extremity. During auscultation of the popliteal artery, the PT would expect to find a/an ________.

a. Bruit
b. + Homan’s sign
c. + pulses
d. intense pain and cramping

A

a. Bruit

29
Q
  1. Which statement is NOT TRUE about blood pressure?
    a. Blood pressure response is higher during weight training than incorporate concentric and
    eccentric phase compared to isokinetic
    b. Blood pressure is directly related to cardiac output and peripheral vascular resistance and
    therefore is an effective non-invasive performance measure of the pumping mechanism of
    the heart
    c. Blood pressure tends to be lower when the Valsalva maneuver is applied
    d. Blood pressure increases during dynamic resistance exercise, such as free weights,
    machines or isokinetics and continues to increase as an exercise set progresses
A

c. Blood pressure tends to be lower (HIGHER) when the Valsalva maneuver is applied

30
Q
  1. Which statement is NOT TRUE about systolic blood pressure?
    a. If systolic pressure does not rise with increasing workload, it may indicate that the
    functional reserve capacity of the heart has been exceeded
    b. Systolic pressure increases with exertion in a linear progression, often at a rate of 10-14 mm
    Hg per metabolic equivalent
    c. Normally, systolic blood pressure in the legs is 10-20 percent higher than the pressure in
    the arms (brachial artery)
    d. Systolic pressure measures the force exerted against the arteries during the ejection cycle,
    while diastolic pressure measures the force exerted against the arteries during rest
A

b. Systolic pressure increases with exertion in a linear progression, often at a rate of 10-14 mmHg (**7-10 mmHg) per metabolic equivalent

31
Q
  1. A patient with asthma is on medication (albuterol) ventolin from the sympathomimetic group. The
    MOST important effect of this drug is _____________.

a. lowers airway resistance by reducing bronchospasm
b. lower bronchial construction and high blood pressure (BP) that accompanies exercise
c. increases heart rate (HR) and BP to enhance a training effect during aerobic activity
d. raises airway resistance and reduces secretion production

A

a. lowers airway resistance by reducing bronchospasm

32
Q
  1. The PRIMARY absolute cardiac contraindication to exercise testing is

a. untreated life-threatening cardiac arrhythmias
b. unstable angina with recent chest pain
c. advanced atrioventricular block
d. uncompensated congestive heart failure

A

b. unstable angina with recent chest pain

33
Q
  1. The PRIMARY absolute cardiac contraindication to exercise testing is

a. untreated life-threatening cardiac arrhythmias
b. unstable angina with recent chest pain
c. advanced atrioventricular block
d. uncompensated congestive heart failure

A

b. unstable angina with recent chest pain

34
Q
  1. The treatment of lower extremity edema with intermittent pneumatic compression is MOST
    appropriate in this condition.

a. acute thrombophlebitis
b. core pulmonale
c. post operative inguinal node dissection
d. portal hypertension

A

c. post operative inguinal node dissection

35
Q
  1. You are evaluating a 63-year-old housewife with peripheral vascular disease. She complains of intermittent claudication and frequently complains of getting tired. The MOST important treatment goal is to increase __________

a. mobility
b. lower extremity strength
c. collateral circulation
d. range of motion

A

c. collateral circulation

36
Q
  1. Bluish discoloration of the skin and nailbeds of fingers and toes along with palms. That and cold and mist all point to

a. liver disease
b. hypothyroidism
c. cyanosis
d. carotenemia

A

c. cyanosis

37
Q
  1. A PT discusses the importance of a proper diet with a patient diagnosed with a congestive heart failure. Which of the following substance would MOST likely be restricted in the patient’s diet?

a. sodium
b. low-density lipoprotein
c. high-density lipoprotein
d. triglycerides

A

a. sodium

38
Q
  1. A PT observes an electrocardiogram of a patient on beta-blockers. Which of the following electrocardiogram changes could be facilitated by beta-blockers?

a. premature ventricular contractions
b. sinus bradycardia
c. ST segment sagging
d. sinus tachycardia

A

b. sinus bradycardia

A- CI PT Apps (12 decks)

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