DAY 12

Question 1

1. A PT designs a research work that will examine body composition as a function of aerobic exercise
   and diet. Which method of data collection would provide the MOST Valid measurement of body
   composition?
   a. hydrostatic weighing
   b. bioelectrical impedance
   c. skinfold measurements
   d. anthropometric measurements

Answer 1

a. hydrostatic weighing

Question 2

2. PT wants to begin behavior modification techniques as part of a plan of care to help shape the
   behavioral response of a patient recovering from traumatic brain injury. The BEST form of
   intervention is to
   a. scold patient every time a wrong behavior happens
   b. encourage the staff to tell patient which behaviors are correct and which are not
   c. allow patient enough time for self-correction of the behavior
   d. use frequent reinforcements for all desired behaviors

Answer 2

d. use frequent reinforcements for all desired behaviors

Question 3

3. A 43 year old male worker suffered carbon monoxide poisoning in a chemical plant. He sustained
   permanent damage to the nervous system affecting the basal ganglia. The exercise program should
   be feared to neutralize expected impairment of
   a. motor planning with use of guided and cued movement
   b. motor paralysis with the use of full weights to increase strength
   c. muscular spasms and hyperreflexia with ice wrap application
   d. impaired sensory organization of balance using standing balance training

Answer 3

a. motor planning with use of guided and cued movement

Question 4

4. The maximum strength of a tetanic contraction of a muscle operating at a normal length is
   approximately _________ of a muscle.
   a. 3.5 kg/sq cm
   b. 5.5 kg/sq cm
   c. 1.5 kg/sq cm
   d. 2.5 kg/sq cm

Answer 4

a. 3.5 kg/sq cm

Question 5

5. In the modified Ashworth Scale for Grading Spasticity a grade 2 is described as
   a. slight increase in muscle tone, manifested by a catch, followed by minimal resistance
   throughout the remainder (less than half of the ROM)
   b. considerable increase in muscle tone, passive movement difficult
   c. slight increase in muscle tone, manifested by a catch and release or by minimal resistance
   at the end of the range of motion when the affected part(s) is moved in flexion or extension
   d. more marked increase in muscle tone through most of the ROM, but affected part(s) easily
   moves

Answer 5

d. more marked increase in muscle tone through most of the ROM, but affected part(s) easily
moves

Question 6

6. Which of the following is widely considered the MOST accurate body composition assessment?
   a. hydrostatic weighing
   b. eyeballing method
   c. electrical impedance
   d. anthropometric measurements

Answer 6

a. hydrostatic weighing

Question 7

7. A 28-year-old fast food delivery man figured in a bad vehicular accident that landed him in the
   intensive care unit. Patient is confused. His laboratory findings include: hematocrit -28 percent,
   hemoglobin – 10 g/100 mL and serum white blood cell count of 12,000/mm3. With these, the PT can
   say that
   a. all values are abnormal
   b. only hematocrit value is abnormal
   c. hematocrit and hemoglobin values are abnormal; WBC is normal
   d. only serum and WBC is abnormal

Answer 7

a. all values are abnormal

Question 8

8. A patient exhibiting symptoms of thalamic pain syndrome, cortical blindness and memory impairment.
   PT will suspect occlusion in the artery.
   a. vertebral basilar
   b. middle cerebral
   c. posterior cerebral
   d. anterior cerebral

Answer 8

c. posterior cerebral

Question 9

9. While evaluating a patient with cerebral palsy, the spastic diplegia type, PT will observe the
   following abnormalities, EXCEPT:
   a. ankle dorsiflexion
   b. scissoring gait pattern
   c. hips flexed and adducted
   d. knees flexed with valgus

Answer 9

a. ankle dorsiflexion

Question 10

10. A sports PT was invited to deliver a talk on plyometrics before athletes of a university-based athletic
    association. Which of the following does NOT refer to plyometric?
    a. A criteria to begin plyometric training usually includes 60-70 percent level of strength and
    75 percent range of motion
    b. It is appropriate only in the later stages of rehabilitation of active individuals who must
    achieve a high level of physical performance in specific high demand activities
    c. It Is characterized by a rapid eccentric contraction during which muscle elongates,
    followed immediately by a rapid reversal of movement with a resisted shortening
    contraction of the same muscle
    d. It is a system of high velocity resistance training

Answer 10

a. A criteria to begin plyometric training usually includes 60-70 (*80-85%)?percent level of strength and
75 percent (90-95%) range of motion

Question 11

11. A PT reviews a laboratory result of an inpatient who sustained burns over 25 percent of her body in
    a fire. Granting the patient exhibits hypovolemia, which of the following laboratory values would be
    MOST significantly affected?
    a. hematocrit
    b. prothrombin time
    c. erythrocyte sedimentation rate
    d. oxygen saturation rate

Answer 11

a. hematocrit

Question 12

12. Because of a traumatic brain injury, a patient is unable to bring foot up into the next step during stair
    climbing. The PT’s BEST strategy to promote learning the task is to have patient do
    a. step-ups into a low step while in parallel bars
    b. standing up from halt kneeling
    c. balancing of stairs while PT brings the foot up
    d. marching in place between parallel bars

Answer 12

a. step-ups into a low step while in parallel bars

Question 13

13. A patient with a left CVA demonstrates right hemiparesis and strong and dominant hemiplegia
    synergies in the lower extremity. The BEST strategy to break up these strategies is
    a. supine, PNF D2F with knee flexing and D2F with knee extending
    b. foot tapping in a sitting position
    c. bridging, pelvic elevation
    d. supine-lying hip extension with adduction

Answer 13

c. bridging, pelvic elevation

Question 14

14. A 2-year-old child with Down Syndrome and moderate developmental delay is treated in as early
    intervention program. Daily training activities that can be considered include
    a. rolling activities, initiating movement with stretch and tracking resistance
    b. stimulation to postural extensors in sitting using rhythmic stabilization
    c. locomotor training using body weight support
    d. holding and weight shifting in sitting and standing using tactile and verbal cueing

Answer 14

d. holding and weight shifting in sitting and standing using tactile and verbal cueing

Question 15

15. A 3-year-old child with spastic cerebral palsy and at a 6 month old gross developmental level is
    referred to the clinic. The plan of care would include
    a. visually tracking a black and white object held 9 inches from his/her face
    b. reaching for a black and white object while in the supine position
    c. reaching for a multi colored object while in an unsupported standing position
    d. reaching for a multi-colored object while in an unsupported, guarded sitting position

Answer 15

d. reaching for a multi-colored object while in an unsupported, guarded sitting position

Question 16

16. A PT has been invited to be resource speaker during a workshop for budding athletes on plyometrics.
    Among the exercises below, what can be included?
    a. Running downhill
    b. Skip and hop in all directions
    c. Walking backwards
    d. Lateral movement to stabilize knee

Answer 16

b. Skip and hop in all directions

Question 17

17. A PT is performing a cognitive function test on a patient status post stroke. As part of the test: PT
    examines the patient’s abstract ability. Which of these tasks is MOST appropriate?
    a. discuss how two objects are similar
    b. identify letters or numbers traced on the skin
    c. copy drawn figures of varying size and shape
    d. orientation to time, person and place

Answer 17

a. discuss how two objects are similar

Question 18

18. The following are characteristics of the right hemisphere of the brain EXCEPT
    a. process information in a holistic manner
    b. hand-eye coordination
    c. produce written and spoken language
    d. artistic abilities

Answer 18

c. produce written and spoken language

Question 19

19. A sports PT is tasked to prescreen athletes to identify who are susceptible to heat illness. Which of
    these elements would be MOST useful to the project?
    a. flexibility
    b. height
    c. percent body fat
    d. weight

Answer 19

c. percent body fat

Question 20

20. A 36-year-old fast food delivery crew got involved in a motorcycle accident. He sustained an injury to
    the posterior cord of the brachial plexus. Which muscle would not be affected by the injury?
    a. latissimus dorsi
    b. infraspinatus
    c. teres major
    d. subscapularis

Answer 20

b. infraspinatus

Question 21

21. A PT is treating a patient with a behavior pattern involving his speech. There is absence of
    spontaneous speech but prompt repetition of your words. The type of aphasia MOST LIKELY
    present in this patient is ____________.
    a. transcortical motor
    b. transcortical sensory
    c. conduction
    d. Wernicke’s

Answer 21

a. transcortical motor

Question 22

22. Choose a form of resistance seen during range of motion of a hypertonic joint where there is
    greatest resistance at the initiation of range that lessens with movement through the range of
    motion.
    a. Clasp-knife response
    b. Hemiballism
    c. Clonus
    d. Cogwheel rigidity

Answer 22

a. Clasp-knife response

Question 23

23. A patient who has been diabetic for more than 20 years have vascular insufficiency and diminished
    sensation of both feet with poor healing of a superficial skin lesion. It is essential that the patient
    understand the precautions and guidelines on foot care. Which of these is a CONTRAINDICATION to
    diabetic care?
    a. Wash feet daily and hydrate with moisturizing lotion
    b. Inspect skin daily for inflammation, swelling, redness, blisters or wounds
    c. Do daily hot soaks
    d. Wear flexible shoes that allow adequate room and change shoes frequently

Answer 23

c. Do daily hot soaks

Question 24

24. A physical training program applied over a sufficient period of time can lead to improved physical
    performance. The statement describing the effects of physical training that is NOT accurate is _____.
    a. prior training hastens the rate and increases the magnitude of training benefits gained from
    subsequent training programs
    b. training induces physiological changes in the skeletal muscles and the cardiorespiratory
    system
    c. the changes resulting from training are influenced by the frequency, duration and intensity
    of training
    d. training effects can be maintained by one or two days of exercise per week

Answer 24

a. prior training hastens the rate and increases the magnitude of training benefits gained from
subsequent training programs

Question 25

25. A CVA patient with extensor synergy will find difficulty ______________.
    a. going down stairs with affected leg first
    b. during the swing phase of gait
    c. standing on affected leg on midstance
    d. during circumduction

Answer 25

b. during the swing phase of gait

Question 26

26. A 68-year-old male with a 9-year history of Parkinson’s disease is referred to physical therapy.
    Patient demonstrates significant rigidity, decreased passive ROM in both upper extremities in the
    typical distribution and frequent episodes of akinesia. The exercise intervention that BEST
    addresses these problems is __________.
    a. quadruped position, upper extremity PNF D2 flexion and extension
    b. modified plantigrade, isometric holding, stressing upper extremity shoulder flexion
    c. resistance training, free weights for shoulder flexor at 80 percent of one repetition maximum
    d. sitting, PNF bilateral symmetrical upper extremity D2 flexion patterns, rhythmic initiation

Answer 26

d. sitting, PNF bilateral symmetrical upper extremity D2 flexion patterns, rhythmic initiation

Question 27

27. The following statements are TRUE about cardiovascular response to exercise in trained and
    sedentary patients EXCEPT
    a. trained patients will have a larger stroke volume during exercise
    b. the sedentary patient will reach aerobic threshold faster than the trained patient, if workload
    are equal
    c. cardiovascular response to increase workload will increase at the same rate for sedentary
    and for trained patients
    d. if exercise intensities are equal, the sedentary patient’s heart rate will increase faster than
    the trained patient’s heart rate

Answer 27

c. cardiovascular response to increase workload will increase at the same rate for sedentary
and for trained patients

Question 28

28. The following are considerations when treating a patient with bronchogenic carcinoma, EXCEPT:
    a. ecchymosis in patients with low platelet count
    b. possible fractures from thoracic bone metastasis
    c. pneumonia may develop because of a completely obstructed bronchus
    d. change in skin color

Answer 28

d. change in skin color

Question 29

29. A PT is performing a respiratory evaluation including the following test: respiratory rate, blood
    pressure, pulse and measurement of chest expansion. A normal measurement of difference between
    the rest period and full expansion over the xiphoid process is
    a. 1 ½ inches
    b. 1 inch
    c. 2 inches
    d. ½ inch

Answer 29

a. 1 ½ inches

Question 30

30. The following are Bobath’s concepts of muscular weakness EXCEPT
    a. sensory deficit cannot result in weakness
    b. weakness is due to being relatively overcome by spastic antagonistic muscles
    c. a muscle may be weak only as a prime mover but “strong” whenever an abnormal mass
    movement pattern occurs
    d. soft tissue periarticular contraction can enhance or stimulate weakness

Answer 30

a. sensory deficit cannot (*CAN) result in weakness

Question 31

31. The treatment plan for a patient with hemiplegia is based on the theory of reinforcing normal
    movement through key points of control and avoiding all reflex movement patterns and associated
    reactions, the approach MOST closely illustrates .
    a. Kabat
    b. Rood
    c. Brunstrom
    d. Bobath

Answer 31

d. Bobath

Question 32

32. After complete healing, wound will have only how many percent strength of intact skin?
    a. 80
    b. 70
    c. 50
    d. 60

Answer 32

a. 80

Question 33

33. The patient is now able to pronate and supinate his affected forearm with the elbow extended. This
    means he is in the stage of Brunnstrom’s stages of development.
    a. 3
    b. 2
    c. 4
    d. 5

Answer 33

d. 5

Question 34

34. The MOST important consideration among the factors below in the clinical assessment for
    wheelchair and seating system is .
    a. Abnormal reflexes
    b. Sensory deficits
    c. Contracture
    d. Muscle tone

Answer 34

c. Contracture

Question 35

35. Patient was on bed rest for several months. Which of these does NOT occur in a patient after an
    extended bed rest?
    a. Increase in the heart rate response to activity
    b. A negative nitrogen and calcium balance
    c. Increase in lung volume
    d. Decrease in physical work capacity

Answer 35

c. Increase in lung volume