DAY 8 Flashcards

1
Q
  1. Of the following ligaments situated around the ankle joint, the one that is MOST susceptible to strain
    is the
    a. calcaneofibular
    b. talofibular
    c. tibiofibular
    d. talotibial
A

b. talofibular

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2
Q
  1. A patient is evaluated after a stroke. When tested for two-point discrimination on the right hand, the
    patient cannot tell whether the PT is touching with one or two points. PT suspects that there is
    impaired function in the
    a. spinotectal tract and somatosensory cortex
    b. dorsal column/lemniscal pathways and somatosensory cortex
    c. anterior spinothalamic tract and thalamus
    d. lateral spinothalamic tract and somatosensory cortex
A

b. dorsal column/lemniscal pathways and somatosensory cortex

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3
Q
  1. A 48-year-old female was referred to PT with a C6 nerve root injury. Which of the clinical findings
    would NOT be expected with this type of injury?
    a. Diminished brachioradialis reflex
    b. Paresthesias of the long and ring fingers
    c. Diminished sensation on the anterior arm and index finger
    d. Weakness in the biceps and supinator
A

b. Paresthesias of the long and ring fingers (C7)

C6
D: Thumb and Index finger
M: Wrist extensirs (ECRL, ECRB), Brachioradialis, SA, Pronator Teres

a. C6
c. C6
d. C5, C6

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4
Q
  1. A PT is getting a gross measurement of hamstrings length by passively extending the lower
    extremity of a patient in short sitting. The MOST common substitution to exaggerate hamstring length
    is .
    a. Anterior rotation of the pelvis
    b. Hiking of the contralateral hip
    c. Posterior rotation of the pelvis
    d. Weight shift to the contralateral side
A

c. Posterior rotation of the pelvis

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5
Q
  1. The following are characteristics of the left hemisphere of the brain EXCEPT:
    a. Understand language
    b. Express negative emotions
    c. Mathematical calculations
    d. Analytical
A

b. Express negative emotions

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6
Q
  1. A 43-year-old patient is recovering from a complete SCI at L2 level. The expected outcome would
    MOST LIKELY include .

a. Loss of motor function and pain and temperature sensation below the level of the lesion
with light touch, proprioception and position sense preserved
b. Loss of arm function is greater than leg function with early loss of pain and
temperature sensation
c. A spastic or reflex bladder
d. Some recovery of function since damage is to peripheral nerve roots

A

d. Some recovery of function since damage is to peripheral nerve roots

** basically if ang lesion is below the conus medullaris dili siya considered as SCI it’s more under na sa PNI, choices A is ACS, B is CCS while C is an UMNL presentation, its more applicable sa lesions above the Conus Medullaris (L1-L2)

Choice D is actually a good prognosis

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7
Q
  1. The following impairments may result in patients with a lesion in the frontal lobe of the brain
    EXCEPT

a. perseveration, in attention
b. homonymous hemianopsia
c. contralateral weakness
d. personality changes, antisocial behavior

A

b. homonymous hemianopsia (OCCIPITAL Lobe)

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8
Q
  1. At what level may a spinal cord injury patient begin to be a functional ambulator?
    a. T1 - T8
    b. T9 - T12
    c. L4-L5
    d. L1 - L3
A

d. L1 - L3

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9
Q
  1. The following conditions can cause pressure ulcers to develop in SCI patients EXCEPT
    a. voluntary motor paralysis
    b. sensory impairment
    c. autonomic dysfunction
    d. bladder incontinence
A

c. autonomic dysfunction

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10
Q
  1. Patient figured in a traction injury to the anterior division of the brachial plexus. PT expected to see
    weakness of the elbow flexors, wrist flexors and forearm proration. The PT would also expect to find
    more weakness in
    a. wrist extension
    b. forearm supination
    c. thumb abduction
    d. lateral rotation or the shoulder
A

c. thumb abduction

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11
Q
  1. The CORRECT technique in stretching the iliotibial band is

a. Patient is positioned in sidelying on the uninvolved side. The uppermost thigh is adducted
with the hip in 90 degrees flexion
b. Patient is positioned in sidelying on the uninvolved side close to the edge of the table.
Externally rotate and extend the involved thigh and allow a gravity assisted stretch.
c. All of these
d. Patient is positioned in hook lying with the uninvolved leg crossed over the leg to be
stretched. The involved leg is adducted with gentle isometric abduction contraction

A

b. Patient is positioned in sidelying on the uninvolved side close to the edge of the table.
Externally rotate and extend the involved thigh and allow a gravity assisted stretch.

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12
Q
  1. A patient status medial meniscus repair is referred to PT. The responsibility of the physician post
    operatively is
    a. determine weight bearing status
    b. select an appropriate resistive exercise program
    c. specify the frequency and duration of ROM exercises
    d. specify the parameter for superficial modality application
A

a. determine weight bearing status

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13
Q
  1. When doing range of motion exercises with a patient who suffered a head injury, a PT notes that the
    patient lacks full elbow extension and classifies the end-feel as hard. The MOST LIKELY cause is
    a. anterior capsular tightness
    b. triceps weaken
    c. heterotopic ossification
    d. spasticity of the biceps
A

c. heterotopic ossification

HO
TBI: SH (MC site)
hallmark: inc. serum alkaline phosphatase
best dx of choice: Etidronate Disodium

HO
SCI: hip>knee>SH>elbow
CVA: SH

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14
Q
  1. A licensed physical therapist may append the following initials after his/her name.
    a. RPT
    b. LPT
    c. PTRP
    d. PTR
A

c. PTRP

PTRP NA TA THIS SEASON HURRAAAY DEC 2024

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15
Q
  1. A PT attempts to assess the integrity of cranial nerve XI. The test that would provide the PT with
    desired information is ____________.
    a. Patient reads selected items from a chart
    b. Patient is asked to identify familiar odors with eyes closed
    c. Patient performs a shoulder shrug against resistance
    d. Patient protrudes tongue while PT checks for lateral deviation
A

c. Patient performs a shoulder shrug against resistance

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16
Q
  1. Because of the complex vascularity of this artery system, severe impairment can cause locked in
    syndrome, coma or vegetative state and Wallenberg Syndrome which presents with ipsilateral facial
    pain, ipsilateral ataxia and vertigo.
    a. anterior cerebral
    b. posterior cerebral
    c. middle cerebral
    d. vertebral basilar
A

d. vertebral basilar