DAY 10 Flashcards
1
Q
- The body weight transmitted to a unilateral cane opposite the affected side is about _______ percent.
a. 20-25
b. 80
c. 40-45
d. 10-15
A
a. 20-25
2
Q
- A PT prepares to complete a sensory examination on a patient recovering from a lower extremity burn.
Which of the following would serve as the BEST predictor of altered sensation?
a. presence of skin graft
b. percentage of body surface affected
c. depth of burn injury
d. extent of hypertrophic scarring
A
c. depth of burn injury
3
Q
- A 66-year-old female is recovering from stroke and at 4 months is ambulating with a straight cane
inside the house. During therapy, PT asks patient to practice walking without assistive device.
Recurvatum is observed that worsens with continued walking. The BEST strategy for the PT is:
a. Put the patient on an exercise machine and work on increasing quadriceps torque
outpatient at higher loads and increasing speeds
b. Practice isolated small-range quadriceps eccentric control work in standind and continue
with the straight cane
c. Give the patient a small-based quad cane to improve stability, and have him/her practice
active ROM in supine
d. Give the patient a KAFO to control the hyperextension and a hemi walker
A
b. Practice isolated small-range quadriceps eccentric control work in standind and continue
with the straight cane
4
Q
- A PT chooses the Six-Minute Walk Test as a means of quantifying endurance for a patient rehabilitating
from a lengthy illness. Which variable would be most appropriate to measure when determining the
patient’s endurance level with this objective test?
a. Heart rate response
b. Perceived exertion
c. Elapsed time
d. Distance walked
A
d. Distance walked
5
Q
- A patient using a wheelchair is about to be discharged from the hospital. He asks his family to build a
ramp that will allow entry into the house. What is the MAXIMUM recommended grade for the ramp?
a. 10.4 percent
b. 8.3 percent
c. 9.3 percent
d. 6.5 percent
A
b. 8.3 percent
6
Q
- In designing a ramp for patients with wheelchair, for every inch of threshold height, there should be a
corresponding _____ inches of ramp length.
a. 12
b. 10
c. 15
d. 8
A
a. 12
7
Q
7.. A PT should have sustainable understanding of the normal development of the human body to treat
effectively and efficiently. Which of the following principles is NOT TRUE?
a. Early motor activity is influenced by spontaneous activity
b. Increasing motor ability is independent of motor learning
c. Early motor activity is influenced primarily by reflexes
d. Motor control develops from proximal to distal and from head to toe
A
b. Increasing motor ability is (*NOT) independent of motor learning
8
Q
- A medial or lateral whip during gait of an amputee can occur because of the following reasons, EXCEPT:
a. inadequate rotation of the knee
b. tight socket fit
c. improper alignment of toe break
d. valgus in the prosthetic knee
A
a. inadequate (*EXCESSIVE) rotation of the knee
9
Q
- A PT is working on a male inpatient on therapeutic positioning. Due to financial problems, he was referred
to PT only recently. The patient has developed significant weakness of the diaphragm and is
hypertensive. The MOST appropriate patient position to initiate treatment is
a. prone
b. Trendelenburg
c. reverse Trendelenburg
d. supine
A
c. reverse Trendelenburg
10
Q
- A PT should have adequate understanding of the normal development of the human body to treat
effectively and efficiently. Which of the following principles is INCORRECT?
a. early motor activity is influenced primarily by reflexes
b. motor control develops from proximal to distal and from head to toe
c. early motor activity is influenced by spontaneous activity
d. Increasing motor ability is independent of motor learning
A
d. Increasing motor ability is (*NOT) independent of motor learning
11
Q
- When comparing the gait cycle of young adults with the gait cycle of the older adults, the TRUE statement
is
a. The younger population has a short period of double support
b. The younger population has a shorter stride length
c. The younger population has a decrease in speed of ambulation
d. The younger population has a shorter step length
A
a. The younger population has a short period of double support
12
Q
- When utilizing the skinfold measurement procedure to check body composition, the following guidelines
are followed EXCEPT
a. Wait one to two seconds before reading the caliper
b. skinfold calipers should be positioned one centimeter away from the examiner’s fingers when
pinching the side, positioned perpendicular to the skinfold and centered between the base and
top of the fold
c. Take only one measurement at each site
d. Maintain pinching of the site during the reading of the caliper
A
c. Take only one (*MULTIPLE) measurement at each site
13
Q
- Which test of aerobic capacity is a reliable and valid functional capacity measure with reported minimal
detectable change scores in patients with heart failure?
a. Canadian Aerobic Fitness Step test
b. 6 Minute Walk Test
c. Bruce protocol treadmill test
d. Lower extremity ergometer test
A
b. 6 Minute Walk Test
14
Q
- When reduction of weight transmission through the lower limb is desired, the ideal weight bearing
device is _________.
a. Ischial ring
b. Quadrilateral socket
c. Patellar tendon bearing
d. Any of these
A
d. Any of these
15
Q
- In a normal gait, the stance phase usually takes up approximately _____ percent of the pattern.
a. 40
b. 20
c. 80
d. 60
A
d. 60
16
Q
- Herzberg’s Two Factor Motivation Theory includes which of the following?
a. responsibility and growth
b. advancement and promotion
c. longer work hours and increased work load
d. satisfies and dissatisfies
A
d. satisfies and dissatisfies
17
Q
- The parents of a child with cerebral palsy offers the PT a cash gift. He refuses but family insists saying it
is their way of saying thank you for the services he has rendered. The PT’S BEST response is to
__________.
a. accept money and use it to buy small needs for the PT department
b. accept money and use it to set up a feeding program
c. decline the gift
d. accept money and donate to charity
A
c. decline the gift
18
Q
- The parents of a child with cerebral palsy offers the PT a cash gift. He refuses but family insists saying it
is their way of saying thank you for the services he has rendered. The PT’S BEST response is ___.
a. accept money and use it to buy small needs for the PT department
b. accept money and use it to set up a feeding program
c. decline the gift
d. accept money and donate to charity
A
c. decline the gift
19
Q
- A study of a local community population was necessary to determine the need for a Senior’s Day care
center in the area. The PT performing the study divided the population by sex and selected a random
sample from each group. This is an example of what type of sampling?
a. stratified random sample
b. random cluster sample
c. systematic random sample
d. two stage cluster sample
A
a. stratified random sample
20
Q
- The following are contraindications of traction EXCEPT
a. vascular condition
b. patients with subacute state of degenerative joint disease
c. hypermobility
d. local and systemic disease affecting joints, ligaments, bones and muscles such as tumors and
infections
A
d. local and systemic disease affecting joints, ligaments, bones and muscles such as tumors and
infections
21
Q
- If a patient presents with the following symptoms: hoarse wheezes and altered breath sounds and may
be clubbing at the fingers, may be short of breath and fatigue and a large quantity if pus-filled sputum that
may also contain blood, you will entertain the presence of ________
a. chronic bronchitis
b. emphysema
c. asthma
d. bronchiectasis
A
d. bronchiectasis
22
Q
- World Health Organization defines this term as abnormalities of anatomical, physiology or psychologic
origin within specific organs or systems of the body.
a. functional limitation
b. handicap
c. functional disability
d. Impairment
A
d. Impairment
23
Q
22.A patient who sprained the left ankle 3 days ago reports pain (4/10) and worsening moderate swelling.
During this time, the strategy that would be BEST to use is ___________.
a. contrast baths followed by limb elevation
b. cold/intermittent compression combination with leg elevated
c. cold whirlpool followed by massage
d. intermittent compression followed by elevation
A
b. cold/intermittent compression combination with leg elevated
24
Q
- High level training for a patient recovering from traumatic brain injury (TBI) who is graded as Level VII in
the Rancho Los Amigos Cognitive Function Scale should concentrate on _____________.
a. Providing assistance as needed using guided movements during training
b. Involving the patient in decision making and monitoring for safety
c. Providing maximum supervision as needed to ensure successful performance and safety
d. Providing a high degree of environmental structure to ensure correct performance
A
b. Involving the patient in decision making and monitoring for safety
25
24. A PT treating a patient with lower extremity lymphedema with mechanical compression decides to shift
to aquatic therapy. Hydrostatic pressure exerted by the water is expected to .
a. Lower effusion and assist venous return
b. Increase resistance as speed of movement increases
c. Provide joint unloading and enhance ease of active movement
d. Raise cardiovascular demands at rest and with exercise
a. Lower effusion and assist venous return
26
25. This is associated with a pars interarticularis stress fracture or spondylolisthesis. The patient stands on
one leg and extends the spine while balancing on the leg. The test is repeated with the patient standing on the
opposite leg. A positive result is indicated by pain in the back.
a. Quadrant
b. segmental instability
c. Stork standing
d. Pheasant
c. Stork standing
27
26. To prevent the onset of pneumonia for a non-ambulating patient, PT can recommend
a. bedside sitting 2-3 times/day
b. chest tapping four times a day
c. starting spirometry and wheelchair mobility
d. nebulizer twice a day
a. bedside sitting 2-3 times/day
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27. Which PNF pattern has the patient "hold" in that part of the range where weakness exists?
a. contract - relax
b. slow reversal
c. rhythmic stabilization
d. approximation
c. rhythmic stabilization
29
28. A short-term goal for a patient with a neurological deficit is as follows: The patient will transfer from tall
kneeling to half kneeling with supervision. This activity is an example of
a. controlled mobility
b. skill
c. mobility
d. stability
a. controlled mobility
30
29. If a patient presents with the following symptoms: hoarse wheezes and altered breath sounds and may be
clubbing at the fingers, may be short of breath and fatigue and a large quantity of puss-filled sputum that
may also contain blood, you will entertain the presence of _________.
a. chronic bronchitis
b. emphysema
c. bronchiectasis
d. asthma
c. bronchiectasis
31
30. A patient with multiple sclerosis demonstrates a significant instability and hypertonicity in the hips. To
regain stability, the most appropriate strategy is ____________.
a. slow-reversal-hold to lock hip in prone position
b. slow-reversal-hold to lower trunk in sitting position
c. rhythmic stabilization at the hips with the patient on elbows and knees
d. rhythmic stabilization to trunk in sidelying position
c. rhythmic stabilization at the hips with the patient on elbows and knees
32
31. The organizational plan of a PT department usually has the following objectives EXCEPT
a. reflects the operation of the services
b. provides supervising functions within the program/services
c. provides the direction of services
d. describes the interrelationship within the overall organization
a. reflects the operation of the services(*CURRENT PERSONNEL FXN)
33
32. Professional negligence is commonly identified as .
a. An unnecessary risk taken by a practitioner
b. The unintended injury to person or property
c. “Res ipsa loquitor”
d. The intended injury to person or property
a. An unnecessary risk taken by a practitioner
