DAY 11

Question 1

1. When planning to establish a PT clinic, it is BEST to first
   a. plan a marketing strategy
   b. research on the needs of the community
   c. plan a budget to determine how much business loan is required
   d. look for a location where to set up

Answer 1

b. research on the needs of the community

Question 2

2. A PT is increasing a patient’s functional mobility in a seated position. To manage the patient MOST
   effectively and efficiently, the following should be performed in what order?
   1 - weight shifting of the pelvis
   2 - isometric contractions of the lower extremity
   3 - trunk range of motion exercises
   4 - isotonic resistance of the quadriceps

a. 1, 2, 3, 4
b. 3, 2, 1, 4
c. 2, 3, 1, 4
d. 4, 3, 2, 1

Answer 2

b. 3, 2, 1, 4

Question 3

3. A PT is instructing a stroke patient with gait training, PT noted that learning is going well because
   errors are decreasing and overall endurance is improving. The BEST strategy to promote continued
   motor learning at this time in the patient’s rehabilitation is to
   a. intervene early whenever errors appear before bad habits become firmly entrenched
   b. have the patient practice walking in different environments
   c. provide continuous feedback after every walking trial
   d. have the patient continue to practice in the parallel bars until all errors are gone

Answer 3

b. have the patient practice walking in different environments

Question 4

4. The Rule of Nines assigns percentage of burn to an adult’s anterior leg as ________.
   a. 12.0
   b. 4.5
   c. 6.0
   d. 9.0

Answer 4

d. 9.0

Question 5

5. A PT examines a patient seated in a wheelchair and notices that it has inadequate seat width.
   The MOST LIKELY consequence to this is excessive pressure ____________.
   a. on the greater trochanters
   b. in the popliteal fossa
   c. under the distal high
   d. under the ischial tuberosities

Answer 5

a. on the greater trochanters

Question 6

6. A PT notices a bluish discoloration of the skin and nail beds of a 57-year-old male referred to
   PT for pulmonary rehabilitation. This finding indicates _____________.
   a. Hypokalemia
   b. Hyperoxemia
   c. Hyperoxia
   d. Hypoxemia

Answer 6

d. Hypoxemia

Question 7

7. Which of the following statements about developmental motor control is FALSE?
   a. Trunk control develops prior to distal extremity control.
   b. Isotonic control develops before isometric control.
   c. Gross motor control develops prior to fine motor control.
   d. Eccentric movement develops prior to concentric movement.

Answer 7

b. Isotonic control develops before isometric control.

Question 8

8. A PT is part of a health team that will examine applicants for flight attendants of an airline company.
   His task was to examine the posture of applicants. Which of these descriptions would NOT match a
   good posture?
   a. chest is slightly up and forward
   b. front of pelvis and thighs are in a straight line
   c. shoulder blades pulled back and separated about 2 inches from each other
   d. arms hang relaxed at the sides with palms of hand facing toward the body

Answer 8

c. shoulder blades pulled back and separated about 2 inches (*4 in / 10 cm) from each other

Question 9

9. PT is evaluating a 40-year-old male patient referred by a pulmonary specialist. Pt observes a pattern
   of breathing with periods of alternate deep breathing and apnea. Patient reports the same occurs at
   bedtime. This type of breathing or disorder in rate and rhythm is consistent with
   a. diaphragmatic
   b. Biot’s
   c. ataxic
   d. Cheyne-Stokes

Answer 9

d. Cheyne-Stokes

Question 10

10. The plumb line is a tool that consists of a weight suspended at the end of a string to determine
    vertically. Ideal positioning of selected body parts in relation to the plumb line is described below
    EXCEPT
    a. midway through the tip of the shoulder
    b. through the external auditory meatus
    c. through the axis of the odontoid process
    d. slightly anterior to the coronal suture

Answer 10

d. slightly anterior (*POSTERIOR) to the coronal suture

Question 11

11. A patient with a deep partial thickness burns over 30 degrees of the body is referred to PT from the
    Burn Unit. The expected healing process in this type of burn includes
    a. moderate edema with spontaneous healing and minimal grafting
    b. depressed skin area that heals with grafting and scarring
    c. marked edema with slow healing and extensive hypertrophic scarring
    d. blisters and minimal edema with spontaneous healing

Answer 11

c. marked edema with slow healing and extensive hypertrophic scarring

Question 12

12.A patient who sustained a CVA a month ago is starting to exhibit ability to produce movement patterns
outside the limb synergies. According to Brunnstrom, this is in the stage of recovery.
a. fourth
b. fifth
c. third
d. second

Answer 12

a. fourth

Question 13

13. Criteria that can be used to assess motor learning include all of the following EXCEPT
    a. ability to remember response-produced augmented feedback
    b. resistance to contextual change
    c. performance acquisition of a motor task
    d. retention-recall of a motor task after a period of no practice

Answer 13

a. ability to remember response-produced augmented feedback

Question 14

14. A PT teaches a patient in supine to posteriorly tilt pelvis. The patient has full active and passive range of
    motion in the upper extremity but cannot do full shoulder flexion while in posterior pelvic tilt position. What
    could be the BEST explanation for this?
    a. Latissimus dorsi tightness
    b. Capsular tightness
    c. Quadratus lumborum tightness
    d. Pectoralis minor tightness

Answer 14

a. Latissimus dorsi tightness

Question 15

15. While performing a finger to nose test a patient demonstrates hesitancy in getting started and is then
    unable to control the movement. The moving finger hits the side of the face and misses the nose completely.
    These findings are consistent with moderate impairment in ___________.
    a. Response orientation
    b. Dysmetria
    c. Dyssynergia
    d. Dysdiadochokinesia

Answer 15

b. Dysmetria

Question 16

16. A study was made to determine the need for a new wellness center in the community. The population was
    divided by sex and random sampling was selected from each group. This is an example of _____________
    sample.
    a. random cluster
    b. stratified random
    c. two stage cluster
    d. systematic random

Answer 16

b. stratified random

Question 17

17. The test for the presence peripheral arterial involvement in patient with calf musculature pain is ____.
    a. Percussion test
    b. Homan’s sign
    c. Claudication time
    d. blood pressure

Answer 17

c. Claudication time

Question 18

18. A 22-month-old child with Down syndrome and moderate developmental delay is being treated at an early
    intervention program. Daily training activities that should be considered include .
    a. Locomotor training using motorized treatment
    b. Holding and weight shifting in sitting and standing using tactile and verbal cueing
    c. Rolling activities
    d. Stimulation to postural extensors in sitting using rhythmic stabilization

Answer 18

b. Holding and weight shifting in sitting and standing using tactile and verbal cueing

Question 19

19. While performing a postural screening for chronic pain, the PT notices excessive internal rotation of the
    shoulders and winging of the scapula during overhead motion. Treatment should concentrate on
    strengthening of the:
    a. Upper trapezius and stretching of pectoral muscles
    b. Middle and lower trapezius and stretching of pectoral muscles
    c. Rhomboids and stretching of upper trapezius
    d. Pectoral muscles and stretching of upper trapezius

Answer 19

b. Middle and lower trapezius and stretching of pectoral muscles

Question 20

20. A patient has chronic pulmonary disease. A contraindication to starting extremity joint mobilization is

a. Reflex muscle guarding
b. Long term corticosteroid therapy
c. Concurrent inhalation therapy
d. Function chest wall immobility

Answer 20

b. Long term corticosteroid therapy

Question 21

21. A 68-year-old male patient with a 10-year history of diabetes complains of cramping, pain, fatigue of the
    left buttock after walking 500 feet or climbing stairs. Pain is relieved during rest. The skin of the involved
    leg is pale and slightly cold. These symptoms point to
    a. Raynaud’s phenomenon
    b. Spinal root impingement
    c. Peripheral arterial disease
    d. Peripheral nerve injury

Answer 21

c. Peripheral arterial disease

Question 22

22. A 68-year-old male patient has an irregular dark pigmented ulcer over the medial malleolus. Patient has an
    irregular dark pigmented ulcer over the medial malleolus. Patient did not complain of pain. These
    symptoms are consistent with an/a ___________.
    a. Arterial ulcer
    b. Diabetic ulcer
    c. Venous ulcer
    d. Arterial insufficiency

Answer 22

c. Venous ulcer

Question 23

23. A 65-year-old male with chronic obstructive pulmonary disease was referred to PT. Pulmonary testing
    reveals that forced Expiratory Volume in 1 second (FEVI) and vital capacity (VC) are within 60 percent of
    predicted values. What is the correct exercise prescription?
    a. exercise at 75-80 percent of the target heart rate, 7 times per week
    b. exercise at 75-80 percent of the target heart rate, 3 times per week
    c. begin exercise with levels of 1.5 METS and increase slowly, 7 times per week
    d. begin exercise with levels of 1.5 METS and exercise slowly, 3 times per week

Answer 23

c. begin exercise with levels of 1.5 METS and increase slowly, 7 times per week

Question 24

24. A female patient with a 10-year history of scleroderma is referred to PT to improve function and
    endurance. She was recently treated with corticosteroids for a bout of myositis. Evaluation shows limited
    ROM and fibrotic soft tissue with hyperesthesia. The MOST essential strategy in the beginning is

a. Treadmill walking with body weight support at intensity 40 percent HR max
b. Closed-chain and modified aerobic step exercises
c. Soft tissue mobilization and stretching
d. AROM exercises and walking in the pool

Answer 24

d. AROM exercises and walking in the pool

Question 25

25. A postpartum patient with stress incontinence is referred to the clinic for pelvic floor exercises. During
    the beginning of the exercise program, the BEST technique should include .
    a. Supine, squeeze the spincters and hold for 3 seconds
    b. Hooklying, bridge and hold for 5 seconds
    c. Supine, squeeze sphincters and hold for 10 seconds
    d. Sitting in toilet bowl, stop and hold the flow for 5 seconds

Answer 25

d. Sitting in toilet bowl, stop and hold the flow for 5 seconds

Question 26

26. The recommended time duration for endotracheal suctioning is _________ seconds.
    a. 10 - 15
    b. 1 – 5
    c. 5 – 10
    d. 15 – 20

Answer 26

a. 10 - 15

Question 27

27. A patient is not able to take in enough supply of nutrients by mouth because of the side effects of
    radiation therapy. Because of this, the physician ordered the implementation of tube feeding. What type of
    tube is MOST commonly used for short term feeding?
    a. Endotracheal
    b. Endobronchial
    c. Nasogastric
    d. Traecheostomy

Answer 27

c. Nasogastric

Question 28

28. Republic Act 5680 mandates that the Board of PT-OT should be composed of _________.
    a. A PT as Chairman, 2 Physiatrists and 2 OTS
    b. A PT as Chairman, 1 Physiatrist and 1 OT
    c. A Physiatrist as chairman, 1 PT and 1 OT
    d. A Physiatrist as Chairman, 2 PTS and 2 OTS

Answer 28

d. A Physiatrist as Chairman, 2 PTS and 2 OTS

Question 29

29. Schematic drawings on the construction of a PT department should include __________.
    a. All of these
    b. Actual size of each department section
    c. Arrangement of various major elements of the department depicting an orderly traffic flow in the
    department
    d. Very detailed arrangement of the fixed and non-fixed equipment

Answer 29

c. Arrangement of various major elements of the department depicting an orderly traffic flow in the
department

Question 30

30. In a PT clinic, departmental records and data are collected for all of the following reasons, EXCEPT:
    a. Organizational control
    b. Standards of practice
    c. Standards of work
    d. Department planning

Answer 30

b. Standards of practice

Question 31

31. A 75-year-old male patient with persistent balance difficulty and a history of recent falls (2 in the past
    month) is referred for evaluation and management. During the initial session, it is important to examine
    the
    a. level of dyspnea during functional transfers
    b. sensory losses and sensory organization of balance
    c. spinal musculoskeletal changes secondary to degenerative joint disease
    d. cardiovascular endurance during a 5-minute walking test

Answer 31

b. sensory losses and sensory organization of balance

Question 32

32. A 64-year-old female patient who underwent a minimally invasive total knee replacement was referred to
    PT. The referring physician stated in the chart that patient ha stage 1 Alzheimer’s disease. The PT will
    therefore NOT expect to find
    a. memory loss
    b. anxiety and irritability
    c. cannot concentrate
    d. profound communication deficits

Answer 32

d. profound communication deficits

Question 33

33. A PT participating in a study to check the fitness level of the senior population in a barangay in quezon
    city is using a simple random sample to draw a sample from the population. By selecting this type of
    sample, the PT ensures that .
    a. The sample will have proportional representation from all parts of the population
    b. Every member of the population has an equally opportunity of being chosen
    c. The sample size will be large
    d. The data collected from the sample will be normally distributed

Answer 33

b. Every member of the population has an equally opportunity of being chosen

Question 34

34. A PT wants to study whether a treatment was effective in reducing lower extremity edema in a group of
    patients with peripheral vascular edema. Volumetric measurements using a water displacement method
    is selected as the outcome measure. The data were compared to a control group receiving no treatment.
    Analysis of data is BEST done by utilizing _______________.
    a. chi square
    b. Pearson’s product moment
    c. ANOVA
    d. t-test

Answer 34

d. t-test

Question 35

35. PT was referred a patient with a pulmonary condition. She was to evaluate chest expansion using a tape
    measure. The 3 sites involved in the assessment are.
    i. 3rd intercostal space
    ii. under the axilla
    iii. nipple line or xiphisternal junction
    iv. 5th intercostal spine
    v. T10 rib area

a. If I, III, V are correct
b. If II, III, V are correct
c. If I, II, III are correct
d. If III, IV, V are correct

Answer 35

b. If II, III, V are correct