DAY 6 and 7 Flashcards
1
Q
- The following are short term goals in clients with rheumatism EXCEPT
a.Provide assistive devices for safety.
b. Decrease inflammation
c. Maximize endurance to ADL and functional activities.
d. Maintain strength and endurance to activity
A
d. Maintain strength and endurance to activity
2
Q
- A patient with rheumatoid arthritis and currently exhibiting acute symptoms in wrist will benefit from grade I or II mobilization technique because it
a. Reduce preexisting deformity
b. Retards synovitis and the progression of the disease process, albeit only temporary.
c. Increases the range of motion by stretching restrictions
d.Temporarily relieves pain, thereby allowing freer motion of the wrist.
A
d.Temporarily relieves pain, thereby allowing freer motion of the wrist.
3
Q
- The following treatments are appropriate for a patient with a history of rheumatoid arthritis diagnosed with acute
glenohumeral joint pain, EXCEPT:
a. Grade III and IV mobilization
b. Gentle joint oscillation techniques of small amplitude
c. Periodic immobilization in a sling
d. Passive range of motion in a pain free range
A
a. Grade III and IV mobilization
4
Q
- A patient with rheumatoid arthritis and currently exhibiting acute symptoms in wrist will benefit from grade I or II mobilization technique because it
a. Reduce preexisting deformity
b.Retards synovitis and the progression of the disease process, albeit only temporary
c.Increases the range of motion by stretching restrictions
d. Temporarily relieves pain, thereby allowing freer motion of the wrist
A
d. Temporarily relieves pain, thereby allowing freer motion of the wrist
5
Q
- Factors contributing to neuropathic plantar ulceration in patients with diabetes include the following, EXCEPT:
a. Limited mobility of the great toe metatarsophalangeal joint
b. Increased plantar sensation
c. Foot deformities
d. Limited mobility of the subtalar joint e. Limited mobility of the talocrural joint
A
b. Increased plantar sensation
6
Q
- The following conditions are contraindications to aquatic therapy EXCEPT
a. Raynaud’s disease
b. Fever
c. Infectious disease
d. UTI
A
a. Raynaud’s disease
7
Q
- While performing ROM, your patient with dermatomyositis complains daily about pain. For BEST long term positive result, the PT’s strategy should be
a. discontinue exercise and use only positioning splint
b. do ROM to the maximum limits possible
c. continue to stretch slightly past the point of pain
d. stop exercise as soon as patient complains of pain
A
d. stop exercise as soon as patient complains of pain
8
Q
- Joint stiffness, a common complain of RA and OA patients has these physical components.
a. inertia, viscocity, friction, plasticity, elasticity
b. elongation, viscocity, friction, plasticity, inertia
c. texture, inertia, viscocity, plasticity, elasticity
d. friction, elongation, texture, viscocity, elasticity
A
a. inertia, viscocity, friction, plasticity, elasticity
“ElaVis In PF”
9
Q
9 . ______________is issued to a PT who passes the board examination, after approval of his ratings and payment of required fees.
a. Diploma from the Board Examiners
b. Certificate of Recognition for passing the Board Examinations
c. Certificate of Completion
d. Certificate of Registration
A
d. Certificate of Registration
10
Q
10 . For a research study to be ethical, which of the following should take place FIRST?
a. patient should be informed that he has the right to terminate the experiment at any time
b. end results of the experiment should be explained to the patient
c. have the patient sign the informed consent document
d. patient should be debriefed following the experiment
A
c. have the patient sign the informed consent document
11
Q
- A PT is designing an exercise program for a patient with ankylosing spondylitis. Which of these strategies should NOT be
considered?
a. Rigid progressive resistive exercise using weights
b. Relaxation activities including breathing strategies
c. Flexibility exercise for the trunk
d. Aerobic capacity/endurance, conditioning or reconditioning like an aquatic program
A
a. Rigid progressive resistive exercise using weights
12
Q
- Which of the following factors is likely to cause subluxation and shoulder pain in hemiplegia?
a. spastic retraction with elevation of scapula
b. traction acting on a depressed, downwardly rotated scapula
c. PROM with normal scapulohumeral rhythm
d. spastic paralysis of the biceps
A
b. traction acting on a depressed, downwardly rotated scapula
13
Q
- A PT assigned in the oncology department of a large medical center is going over the medical chart of a male patient
before initiating airway clearance techniques. The patient’s cell counts are as follows: hematocrit - 44 percent, white blood
cells - 8,500 mm, platelets - 30,000/ul, hemoglobin level -15 gm/dl. Which blood test value suggests that chest percussion for airway clearance is contraindicated?
a. Platelets
b.Hemoglobin
c.White blood cells
d.Hematocrit
A
a. Platelets
14
Q
- A patient exhibits quadriceps weakness 4/5 and difficulty descending stairs. The BEST intervention to restore functional strength in the quadriceps is __________.
a. progressive resistance exercises, 70 percent 1 repetition maximum, three sets of 10
b.partial squats, progressing to lungs
c.maximum isometric exercise at 45 degrees and 90 degrees of knee extension
d.Isokinetic exercise at 36 degrees per second
A
b.partial squats, progressing to lungs
15
Q
- Consider the following clinical picture of the knee joint: there is marked swelling, tibia can be displaced forward in the
femur, pain and marked instability of the knee joint. The structure LIKELY involved is the _________ ligament.
a. posterior cruciate
b. anterior cruciate
c. tibial collateral
d. fibular collateral
A
b. anterior cruciate
16
Q
- A 75-year-old female was referred to PT for a fall risk assessment. Patient fell twice at home. If patient’s timed up and go
(TGU) score is 33 seconds, her fall risk is
a. moderate, based on a mildly abnormal score
b. low, based on a mildly abnormal abnormal score
c. high, based on an abnormal score
d. moderate, based on poor sensory adaptation response
A
c. high, based on an abnormal score
17
Q
- A PT is treating a 1-year-old child with Down Syndrome at home and noted decreasing strength in the extremities, with
neck pain and limited neck motion. Upper extremity deep tendon reflexes are 3+. The PT thinks it is .
a. Lower motor neuron signs consistent with Down Syndrome
b. Upper motor neuron signs consistent with Down Syndrome
c. Atlanto-axilla subluxation with lemniscal impingement
d. Atlanto-axilla subluxation with spinal cord impingement
A
d. Atlanto-axilla subluxation with spinal cord impingement
18
Q
- A PT received a referral for a patient behaving like an autistic child. During evaluation, what is the MOST pertinent factor
that can be observed in the patient?
a. defensive when touched
b. responsive to most but not all commands
c. quiet and did not want to separate from the mother
d. delayed in gross motor skills
A
a. defensive when touched
19
Q
- A 15-year-old grade 10 female was being evaluated for scoliosis. On standing, a right thoracolumbar curve was present but when seated, the curve disappears. The MOST LIKELY cause of this is .
a. Short iliopsoas muscle
b.Lumbar Facet Dysfunction
c. Leg length discrepancy
d. Unilaterally weak gluteus medius
A
c. Leg length discrepancy
20
Q
- A PT conducts an upper quarter screening evaluation of a patient with rotator cuff tendonitis. With the patient sitting, the MOST appropriate technique to facilitate palpation of the rotator cuff is .
a. Passive abduction of the humerus
b. Passive extension of the humerus
c. Active medial and lateral rotation of the humerus
d. Active extension and flexion of the elbow
A
b. Passive extension of the humerus
21
Q
- The PT manager of a big rehabilitation center is insistent about conducting a bimonthly meeting to solve the problem of
declining productivity. In the meantime, he turns his back on the increased load placed on the already overworked staff. Based on the managerial grid, the BEST classification of this manager is .
a. 9.1
b. 9.9
c. 1.9
d. 5.5
A
a. 9.1
22
Q
- During an exercise session, the mother of a 15-year-old patient was making inappropriate comments that upset the patient and made her lose her cool. The MOST appropriate action for the PT to take is .
a. Ask mother to wait at the reception area
b. Give patient a 15-minute break
c. Ask another PT to treat the patient
d. Discontinue treatment
A
a. Ask mother to wait at the reception area
23
Q
- A patient presents with a vague hip pain that radiates to the lateral knee, a negative FABERES test, negative Grind test and a positive Noble’s compression test. A possible cause can be
a. irritation of the L5 spinal nerve root
b. DJD of the hip
c. an iliotibial band friction disorder
d. SI joint dysfunction
A
c. an iliotibial band friction disorder
24
Q
- This is a test for epicondylitis where patient is positioned in sitting. The therapist palpates the lateral epicondyle, pronates the patient’s forearm, flexes the wrist and extends the elbow. A positive test is indicated by pain in the lateral epicondyle region and may be indicative of lateral epicondylitis.
a. Mill’s
b. Lateral epicondylitis test
c. Medial epicondylitis test
d. Cozen’s
A
a. Mill’s
25
14. This is a test associated with a pars interarticularis stress fracture or spondylolisthesis. The patient stands on one leg and
extends the spine while balancing on the left. The test is repeated with the patient standing on the opposite leg. A positive
test is indicated by pain in the back
a. Segmental instability
b. Stork standing
c. Pheasant
d. Quadrant
b. Stork standing
26
15.PT is conducting an exercise class for geriatrics. Below, which would be of LEAST benefit among the exercises the participant?
a. active neck extension
b. active stretching of the pectoral muscles
c. active neck flexion
d. active hip extension
c. active neck flexion
27
16. Patient is unable to take in an adequate supply of nutrients by mouth due to side effects of radiation. Patient's physician orders tube feeding. Which type of tube is MOST commonly used for short term feeding?
a. tracheostomy
b. endotracheal
c. endobronchial
d. nasogastric
d. nasogastric
28
17. A PT wants to determine whether a treatment was effective in lowering extremity edema in a group of patients with
peripheral vascular edema. Volumetric measurements using a water displacement method is chosen as the outcome measure. The data were then compared to a control group without treatment. The BEST method to analyze the data is ___________.
a. Pearson's Product moment
b. chi-square
c. ANOVA
d. t-test
d. t-test
29
18. In a normal gait, the stance phase usually takes up approximately _______ percent of the pattern.
a. 80
b. 60
c. 20
d. 40
b. 60
30
19.A 75-year-old patient was referred to the clinic. What technique is usually included in the PT program?
a. ankle weights
b. lengthening stride
c. walking aids
d. hip group strengthening
d. hip group strengthening
31
20. Which statement of Speed's test is FALSE?
a. The test may also be performed by forward flexing the patient's arm to 90 degrees and then asking the patient to resist an eccentric movement into extension
b. A positive test elicits increased tenderness in the bicipital groove and is indicative of bicipital tenderness
c. The examiner resists the shoulder forward flexion by the patient while the patient's forearm is first supinated, then pronated, and the elbow is completely extended
d. It is less effective than Yergason's test because the tendon moves over the bone during the test
d. It is less effective than Yergason's test because the tendon moves over the bone during the test
32
21. An 80-year-old patient diagnosed with Alzheimer's type of dementia was referred for balance and coordination training.
In preparing a plan of care, it is essential to know that the patient is
a.usually trusted to be responsible for own daily care needs
b. usually trusted with transfers with appropriate positioning of the wheelchair
c. likely not open to activity training if unfamiliar activities are used
d. more likely to remember recent experiences than past ones
c. likely not open to activity training if unfamiliar activities are used
33
22. The following are considerations when confirming the fit of axillary crutches, EXCEPT:
a. The angle of elbow flexion should be approximately 20-25 degrees
b. For axillary rest in the axilla, the tip should be approximately 2 inches lateral and 4-6 inches anterior to the
toes of the shoes
c. The space between the top of the axillary rest and the floor of the axilla should be approximately 2
inches
d. For patient's grasp of the handpieces, the wrist should be in flexion
d. For patient's grasp of the handpieces, the wrist should be in flexion (*** it should be NEUTRAL)
34
23. A deep thickness burn is expected to heal if there is no infection in _______ days.
a. 21 – 35
b. 36 - 42
c. 2 – 5
d. 7 – 21
a. 21 – 35
35
24.This is an exercise technique designed to facilitate contraction and stability through joint compression. The compression
force is most often applied to joints through gravity acting on body weight, manual contacts or weight belts.
a. approximation
b. alternating isometrics
c. traction
d. rhythmic inhalation
a. approximation
36
25. A stage of sprain injury with symptoms that include moderate pain swelling, minimal instability of the joint, minimal to moderate tearing of the ligament and decreased range of motion
a. Grade 3
b. Grade 4
c. Grade 2
d. Grade 1
c. Grade 2
37
26. A PT is performing segmental breathing exercises with a patient following atelectasis. When implementing manual control, the MOST appropriate technique to emphasize lingual expansion is when the hands are placed
a. below the clavicle on the anterior chest wall
b. on the right side of the chest below the axilla
c. over the posterior aspect of the lower ribs
d. on the left side of the chest below the axilla
d. on the left side of the chest below the axilla
38
27.A PT measures a patient for a wheelchair. Which measurement technique is used to determine armrest height in a wheelchair?
a. femur to radial head distance
b. seat to anterior superior iliac spine
c. seat to olecranon distance
d. elbow to acromion distance
c. seat to olecranon distance
39
28. A PT is inspecting the work station of patient with cumulative trauma. When seated before a video display terminal, the
screen should be positioned _______ inches from the patient.
a. 30
b. 10
c. 20
d. 40
c. 20
40
29. The following prosthetic causes may result in rotation of forefoot at heel strike of an amputee EXCEPT
a. excessive toe-out built in
b. rigid SACH heel cushion
c. excessive suspension
d. loose fitting socket
c. excessive suspension
41
30. A PT is carrying out mobilization techniques to regain normal mid-thoracic extension. After 4 sessions, the patient complained of localized pain that lasts more than 24 hours. The PT's strategy should be
a. stop PT for one week
b. change to self-stretching activities because the patient does not tolerate mobilization
c. stay with current mobilization techniques and follow with a cold pack to the thoracic spine
d.change mobilization technique to gentle, low amplitude oscillations to reduce the joint and soft tissue
irritation
d.change mobilization technique to gentle, low amplitude oscillations to reduce the joint and soft tissue
irritation
42
31. In most Code of Ethics of a profession, the first principle usually refers to
a. provision of accurate information to the consumer
b.exercising sound judgment
c. receiving remuneration of services
d.respecting rights and dignity of individuals
d.respecting rights and dignity of individuals
***
a. 4th
b. 3rd
c. 7th
43
32. The following are tests to assess manual dexterity and coordination, EXCEPT: .
a. Jebson-Taylor Hand Function
b. Minnesota Rate of Manipulation
c. Grind
d. Purdue Pegboard
c. Grind
44
32. The following are tests to assess manual dexterity and coordination, EXCEPT: .
a. Jebson-Taylor Hand Function
b. Minnesota Rate of Manipulation
c. Grind
d. Purdue Pegboard
c. Grind
