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APK CI > DAY 11 > Flashcards

DAY 11 Flashcards

1
Q

Which of these large vessels arise from the arch of the aorta?
I. Right carotid vein
II. Brachiocephalic trunk
III. Left common carotid artery
IV. Left subclavian artery
V. Right subclavian artery
a. III and IV only
b. II, III, and IV
c. II, III, and V
d. I, II, and III

A

b. II, III, and IV

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2
Q

The maximal heart rate (in beats per minute) during exercise allowable for a 70-year-old male is
_______.
a. 150
b. 190
c. 120
d. 70

A

a. 150

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3
Q

Following are changes in the mechanical properties of muscle fibers occurring in patients with
spasticity, EXCEPT:
a. Contraction times of hand muscles and gastrocnemius muscles are diminished
b. Increased muscle tone in the antigravity muscles
c. Structural changes such as the appearance of target fibers
d. Increased levels of muscle fiber atrophy
e. Predominance of type I fibers in the gastrocnemius muscle months after stroke, when
spasticity of cerebral origin has been established

A

a. Contraction times of hand muscles and gastrocnemius muscles are diminished

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4
Q

A client with cardiopulmonary pathology is referred to physical therapy. The therapist documents
the following clinical signs: pallor, cyanosis, and skin coolness. These clinical signs are most consistent
with
a. cor pulmonale.
b. atelectasis.
c. anemia.
d. diaphoresis

A

c. anemia.

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5
Q

A patient was rushed to the hospital and underwent emergency Coronary Artery Bypass Grafting
after complaining of persistent severe uncomfortable chest pain. This can be classified as _______
according to the angina scale:
a. 2+
b. 5+
c. 3+
d. 1+
e. 4+

A

c. 3+

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6
Q

The femoral artery is a branch of ______.
a. Descending aorta
b. External iliac
c. Inferior vena cava
d. Internal iliac

A

b. External iliac

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7
Q

The filum terminale is distally fixed at the ________.
a. S5 vertebra
b. Symphysis pubis
c. Sacral promontory
d. First coccygeal vertebra

A

d. First coccygeal vertebra

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8
Q

The human peripheral nervous system is composed of _________.
I. 10 pairs of cranial nerves
II. 12 pairs of cranial nerves
III. 31 pairs of spinal nerves
IV. 33 pairs of spinal nerves

a. I and III
b. I and IV
c. II and III
d. II and IV

A

c. II and III

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9
Q

While treating a patient with unilateral lower extremity weakness, the patient performs hip flexion in
supine with the therapist assisting the patient complete the full range of motion. This is BEST described
as ____________ exercise.
a. Active-assisted
b. Passive-assistive
c. Active-resistive
d. Resistive-assistive

A

a. Active-assisted

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10
Q

__________ is characterized by an inability to sustain a body part or parts in one position, often the
distal limbs, and the movements are slow and fluid.
a. Ballismus
b. Spasticity
c. Dystonia
d. Chorea
e. Athetosis

A

e. Athetosis

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11
Q

In this lifting technique, the individual squats in front of the object with feet and knees approximately
shoulder width apart. This should only be used when lifting small, light items or when insufficient space
is provided. This lift should be avoided by those with knee problems.
a. Deep squat
b. Golfer’s
c. Tripod
d. Diagonal
e. Power

A

a. Deep squat

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12
Q

A therapist examines the residual limb of a patient with a transtibial amputation following
ambulation activities with a patellar tendon bearing prosthesis. The therapist identifies excessive
redness over the patella. The most likely cause is
a. socket not properly aligned.
b. excessive withdrawal in sitting.
c. excessive number of residual limb socks.
d. settling due to limb shrinkage

A

d. settling due to limb shrinkage

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13
Q

What slow writhing movements of a wormlike character involving the extremities, trunk and neck is
a movement disorder resulting from pathological changes involving the cortex and basal ganglia?
a. Ataxia
b. Athetosis
c. Chorea
d. Hemichorea

A

b. Athetosis

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14
Q

A patient diagnosed with spasmodic torticollis conditions is an example of:
a. Asthenia
b. Asynergia
c. Dyssynergia
d. Dystonia

A

d. Dystonia

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15
Q

Painful sensation of the missing body part is termed ____.
a. Phantom pain
b. Reflex sympathetic dystrophy
c. Phantom sensation
d. Phantom disease

A

a. Phantom pain

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16
Q

A therapist performs palpation as part of a respiratory assessment with the patient in standing.
Which structure would be most appropriate to assess with the therapist positioned behind the patient?
a. Lower lobes
b. Upper lobes
c. Left middle lobe
d. Mediastinum
e. Right middle lobe

A

a. Lower lobes

17
Q

Congenital muscular torticollis is a musculoskeletal anomaly with the following characteristics EXCEPT: _____________
a. A surgical treatment approach is lengthening of the involved muscle
b. The children referred to PT before 1 year of age have better outcomes than those referred
later
c. The conservative treatment approach is a stretching program to lengthen the involved
muscle.
d. The restricted neck range of motion secondary to a spastic sternocleidomastoid

A

d. The restricted neck range of motion secondary to a spastic sternocleidomastoid

18
Q

A therapist instructs a client in ambulation activities using axillary crutches. What two points of
control should be used when guarding the client?
a. Elbow and hip
b. Shoulder and hip
c. Shoulder and thorax
d. Thorax and hip

A

b. Shoulder and hip

19
Q

The main determinant in the uptake of oxygen by the lungs is ________.
a. Ventilation: perfusion ratio.
b. Lung perfusion.
c. Dead space: total ventilation ratio.
d. Lung ventilation

A

a. Ventilation: perfusion ratio.

20
Q

A group of therapists conducts scoliosis screenings on adolescents. The most appropriate action
after identifying an adolescent with a moderate scoliotic curve is to
a. educate the adolescent as to the causes of scoliosis.
b. refer the adolescent for further orthopedic assessment.
c. instruct the adolescent in the importance of proper posture.
d. devise an exercise program for the adolescent.

A

b. refer the adolescent for further orthopedic assessment.

21
Q

Feedback information about the kinematic or kinetic components of the movement being attempted
by the patient is
a. Result Oriented.
b. Knowledge of Function.
c. Knowledge of Results.
d. Performance Oriented.
e. Knowledge of Performance

A

e. Knowledge of Performance

22
Q

Allograft rejection is a result of __________.
a. Provoked immunity
b. Destruction of the antigen by phagocytosis, a property of innate immunity
c. Histocompatibility complexes
d. Formation of antibodies and sensitized lymphocytes, either or both of which may destroy
the antigen, a property of acquired immunity

A

d. Formation of antibodies and sensitized lymphocytes, either or both of which may destroy
the antigen, a property of acquired immunity

23
Q

Following are changes in the mechanical properties of muscle fibers occurring in patients with
spasticity, EXCEPT:
a. Contraction times of hand muscles and gastrocnemius muscles are diminished
b. Increased muscle tone in the antigravity muscles
c. Structural changes such as the appearance of target fibers
d. Increased levels of muscle fiber atrophy
e. Predominance of type I fibers in the gastrocnemius muscle months after stroke, when
spasticity of cerebral origin has been established

A

a. Contraction times of hand muscles and gastrocnemius muscles are diminished

24
Q

If your patient cannot support weight on one leg but has good muscular strength and coordination,
which crutch-walking gait would you choose?
a. Swing-through three-point
b. Four-point
c. Three-point-and-one (partial-weight-bearing)
d. Three-point (non-weight-bearing)
e. Two-point

A

a. Swing-through three-point

25
Q

Which hip-repair surgical procedure is indicated for severe hip pain from degenerative joint disease
in elderly patients who are poor surgical risks and have little prospect of walking?
a. Double-cup arthroplasty
b. Muscle Release
c. Femoral Prosthesis
d. Arthrodesis
e. Displacement Osteotomy

A

d. Arthrodesis

26
Q

The objectives of stroke rehabilitation include the following EXCEPT
a. Reestablish a meaningful and gratifying life.
b. To achieve an acceptable level of functional independence
c. Facilitate neurological recovery, minimize disability
d. Successfully reintegrate back into home, family, and community

A

b. To achieve an acceptable level of functional independence

27
Q

The lining mucus of the airways is composed of
a. an upper non-viscous upper layer and a sticky lower layer
b. a homogeneous sticky fluid
c. an upper sticky layer and a lower non-viscous layer
d. a homogeneous clear, non-viscous fluid

A

c. an upper sticky layer and a lower non-viscous layer

28
Q

Mouth breathing results in this condition in the alveolar air.
a. Cleaner
b. Drier
c. Warmer
d. lower 02

A

d. lower 02

29
Q

For good prosthetic acceptance, a juvenile amputee should be fitted before the age of (in years)
__________.
a. Eight
b. Two
c. Four
d. Ten

A

c. Four

30
Q

When performing passive range of motion exercises to a quadriplegic in side lying, the MOST
effective hand placement for hip extension is one hand ________.
a. And forearm at the heel and knee, one hand stabilizing the thigh
b. At the heel, one hand supporting the mid thigh
c. And forearm supporting the leg at the knee, one stabilizing the pelvis
d. At the heel, one hand supporting the knee

A

c. And forearm supporting the leg at the knee, one stabilizing the pelvis

31
Q

In the neuropathic extremity, a poor indicator of inflammation is
a. Head and redness
b. Redness and edema
c. Edema or pain
d. Pain and disturbance of function
e. Edema or loss of function

A

d. Pain and disturbance of function

APK CI (8 decks)

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