DAY 12 Flashcards
1
Q
- 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
A
a. hydrostatic weighing
2
Q
- 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
A
d. use frequent reinforcements for all desired behaviors
3
Q
- 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
A
a. motor planning with use of guided and cued movement
4
Q
- 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
A
a. 3.5 kg/sq cm
5
Q
- 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
A
d. more marked increase in muscle tone through most of the ROM, but affected part(s) easily
moves
6
Q
- 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
A
a. hydrostatic weighing
7
Q
- 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
A
a. all values are abnormal
8
Q
- 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
A
c. posterior cerebral
9
Q
- 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
A
a. ankle dorsiflexion
10
Q
- 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
A
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
11
Q
- 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
A
a. hematocrit
12
Q
- 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
A
a. step-ups into a low step while in parallel bars
13
Q
- 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
A
c. bridging, pelvic elevation
14
Q
- 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
A
d. holding and weight shifting in sitting and standing using tactile and verbal cueing
15
Q
- 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
A
d. reaching for a multi-colored object while in an unsupported, guarded sitting position
16
Q
- 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
A
b. Skip and hop in all directions
17
Q
- 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
A
a. discuss how two objects are similar
18
Q
- 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
A
c. produce written and spoken language
19
Q
- 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
A
c. percent body fat
20
Q
- 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
A
b. infraspinatus
21
Q
- 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
A
a. transcortical motor
22
Q
- 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
A
a. Clasp-knife response
23
Q
- 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
A
c. Do daily hot soaks
24
Q
- 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
A
a. prior training hastens the rate and increases the magnitude of training benefits gained from
subsequent training programs
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
b. during the swing phase of gait
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
d. sitting, PNF bilateral symmetrical upper extremity D2 flexion patterns, rhythmic initiation
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
c. cardiovascular response to increase workload will increase at the same rate for sedentary
and for trained patients
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
d. change in skin color
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
a. 1 ½ inches
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
a. sensory deficit cannot (*CAN) result in weakness
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
d. Bobath
32
32. After complete healing, wound will have only how many percent strength of intact skin?
a. 80
b. 70
c. 50
d. 60
a. 80
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
d. 5
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
c. Contracture
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
c. Increase in lung volume
