DAY 9

Question 1

1. Patellar tracking dysfunction is a common problem especially those with active lifestyles. Dynamic
   factors for patellar tracking dysfunction include ______________.
   a. a lateral femoral condyle that is not sufficiency prominent anteriorly
   b. shallow trochlear groove
   c. vastus medialis obliquus muscle insufficiency
   d. increase in the angulation between the quadriceps muscle and the patellar tendon

Answer 1

c. vastus medialis obliquus muscle insufficiency

Dynamic Factors: matic MUSCLES na ang gimean
Static Factors: Ligaments, tendons, bony churvalo hahaha

Question 2

2. A 57-year-old male patient with sciatica complains of severe lumbar pain and paresthesia extending
   to the left ankle. Straight leg raising is positive in the left lower extremity. The MOST LIKELY source
   of pain is ___________.
   a. a lumbar disc with a posterior herniation or protrusion
   b. piriformis syndrome
   c. sacroiliac joint dysfunction
   d. a lumbar disc is with a right posterior herniation or protrusion

Answer 2

a. a lumbar disc with a (LEFT *laterality) posterior herniation or protrusion

Question 3

3. A basketball player of a major professional league was prescribed a knee derotation brace for all his
   games. The condition that would BEST benefit the use of derotation brace is _________.
   a. posterior cruciate ligament reconstruction
   b. anterior cruciate ligament reconstruction
   c. medial meniscus tear
   d. anterior cruciate ligament insufficiency

Answer 3

d. anterior cruciate ligament insufficiency

**if reconstruction na SURGERY is needed not bracing

Question 4

4. A PT is applying electrical stimulation to treat a patient with shoulder subluxation due to a stroke.
   The electrode placement should be over the ________________.
   a. posterior deltoid and teres minor
   b. middle deltoid and supraspinatus
   c. posterior deltoid and supraspinatus
   d. serratus anterior and pectoralis major

Answer 4

c. posterior deltoid and supraspinatus

Question 5

5. A patient who sustained burns on 25 percent of his body was admitted! If patient has hypovolemia,
   the laboratory value MOST affected is
   a. oxygen saturation ratio
   b. hemoglobin
   c. prothrombin time
   d. hematocrit

Answer 5

d. hematocrit

Question 6

6. The range of motion requirements for normal gait include the following, EXCEPT:
   a. knee flexion: 0 - 60 degrees
   b. ankle dorsiflexion: 0 - 10 degrees
   c. hip extension: 0 - 30 degrees
   d. hip flexion: 0 - 30 degrees

Answer 6

c. hip extension: 0 - 30 degrees (only 10° of hip ext is required)

Question 7

7. A patient with right lateral epicondylitis reports that symptoms are the same after 2 weeks of treatment.
   PT evaluated the patient and found out that the left biceps reflex is 1+. The PT’s next strategy is to
   conduct a complete examination of the region.
   a. midcervical
   b. cervico thoracic
   c. upper cervical
   d. cervicocranial

Answer 7

a. midcervical

Question 8

8. A patient with a spinal cord injury finds it difficult to transfer from mat to wheelchair. The patient can’t
   seem to process the idea of how to coordinate this movement. In this situation the MOST effective use
   of feedback during the early motor learning is to
   a. focus on guided movement and proprioceptive inputs
   b. concentrate on knowledge of results and visual inputs
   c. give feedback only after a short (5 sec) delay
   d. concentrate on knowledge of performance and proprioceptive inputs

Answer 8

b. concentrate on knowledge of results and visual inputs

Question 9

9. A patient who was in cast for 3 weeks after a grade III left ankle sprain was referred to PT for mobility
   exercises. Evaluation shows a loss of 10 degrees of dorsiflexion. The MOST difficult activity for this
   patient is
   a. ambulating barefoot
   b. ambulating over rough surfaces
   c. descending a ramp
   d. descending stairs

Answer 9

d. descending stairs

Question 10

10. A patient has difficulty going down ramps. His knees wobble and are unsteady. The action to take is
    a. prolonged icing to reduce hamstring pain
    b. progressive resistance training for the quadriceps
    c. stretching thru posterior resting splint for tight plantarflexors
    d. continuous passive movement machine to keep the range

Answer 10

b. progressive resistance training for the quadriceps

Question 11

11. An 82-year-old female is referred to PT for pain in the left sacroiliac joint. Initial evaluation reveals the
    following: higher left ASIS than right ASIS, shorter leg length on the left side (measured in supine
    position) and the left PSIS lower than the right PSIS. In what position should you place patient to
    perform the correct sacroiliac mobilization of the left innominate?
    a. Supine
    b. Prone
    c. None of these
    d. Right sidelying

Answer 11

c. None of these

***d/t the pts AGE mobilization is not applicable since FUSED na ang SI jts

Question 12

12. A PT treats a 40-year-old male status post knee surgery. The PT performs goniometric measurements
    to quantify the extent of the patient’s extension lag. Which of the following would NOT provide a
    plausible rationale for the extension lag?
    a. Muscle weakness
    b. Inhibition by pain
    c. Patient apprehension
    d. Bony obstruction

Answer 12

d. Bony obstruction

***in the case of a BONY OBSTRUCTION limited BOTH ang AROM & PROM, sa Extension lag FROM = PROM while (+)LOM = AROM

Question 13

13. While doing postural screening for a patient referred for low back pain, PT notices that the knees are
    in genu recurvatum. The possible contributory postures include _________.
    a. Forefoot varus and posterior pelvic tilt
    b. Ankle dorsiflexion and hip abduction
    c. Lateral tibial torsion and anterior pelvic tilt
    d. Ankle plantarflexion and anterior pelvic tilt

Answer 13

d. Ankle plantarflexion and anterior pelvic tilt

Question 14

14. A sports PT was conducting evaluation of female varsity volleyball players. One of them complained
    of a chronic right knee pain and recurrent effusion. The PT performed an apprehension test and patient
    immediately grimaced and contracted her quadriceps maximally. The PT would suspect the presence
    of
    a. chondromalacia patella
    b. internal knee derangement
    c. recurrent patellar dislocation
    d. rheumatoid arthritis

Answer 14

c. recurrent patellar dislocation

Question 15

15. During 180 degrees of abduction in the scapulohumeral rhythm, there is roughly a ratio of movement
    of the humerus to the scapula.
    a. 2:1
    b. 1:1
    c. 1:3
    d. 1:2

Answer 15

a. 2:1

Question 16

16. A 55-year-old street sweeper is referred to you with shoulder pain. After evaluating patient, you
    suspect subscapularis tendinitis. Which symptom pointed to your diagnosis?
    a. Painful resisted shoulder adduction
    b. Pain was provoked by passive glenohumeral external rotation
    c. Tenderness at the greater tubercle of the humerus
    d. Pain was provoked by active glenohumeral external rotation

Answer 16

b. Pain was provoked by passive glenohumeral external rotation

Question 17

17. A comparison of the effects of exercise in water, on land or combined on the outcome of patients with
    intraarticular anterior cruciate ligament reconstruction revealed that less joint effusion was noted after
    8 weeks in the water group. An appropriate statistical test to compare the girth measurements of the
    3 groups is
    a. chi square
    b. analysis of variance
    c. analysis of covariance
    d. Pearson’s Product Moment

Answer 17

b. analysis of variance

Question 18

18. A PT involved in a research project chooses a simple random sample to draw a sample from the
    population. With this type of sampling PT ensures that _______________.
    a. sample will have proportional representation from all parts of the population
    b. every member of the population has an equal opportunity of being chosen
    c. sample size will be large
    d. data collected from the sample will be normally distributed

Answer 18

b. every member of the population has an equal opportunity of being chosen

Question 19

19. Which of the following statements on Speed’s Test is FALSE.
    a. A positive test elicits increased tenderness in the bicipital groove and is indicative of
    bicipital tendinitis
    b. It is less effective than Yergason’s test because the tendon moves over the bone during
    the test
    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. 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

Answer 19

b. It is less (MORE) effective than Yergason’s test because the tendon (BONE) moves over the bone( *TENDON) during
the test

Question 20

20. 20. A patient with vestibular problems was referred to PT. Evaluation revealed spontaneous
        nystagmus that can be minimized by visual fixation, oscillopsia, and loss of gaze stabilization. There
        was also marked disequilibrium and an ataxic wide-based gait veering to the left. These symptoms
        are consistent with .
        a. Benign paroxysmal positional vertigo
        b. Acoustic neuroma
        c. Acute unilateral vestibular dysfunction
        d. Meniere’s disease

Answer 20

c. Acute unilateral vestibular dysfunction

Question 21

21. The navicular drop test in weight bearing can be utilized clinically in the examination of
    a. integrity of the dorsal talonavicular ligament
    b. medial longitudinal arch collapse
    c. tendon injury to the tibialis anterior muscle
    d. motion across the longitudinal axis of the midtarsal joint

Answer 21

b. medial longitudinal arch collapse

Question 22

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

Answer 22

d. Sensory deficit cannot (*CAN) result in weakness

Question 23

23. A 29-year-old data encoder complains of numbness and tingling in the right hand, a median nerve
    involvement. Upon a visit to the jobsite for evaluation, it was revealed that patient was working on a
    very rigid 10hour shift with only 15-minute break every 4 hours. A recommendation to the supervisor
    to ease the symptoms of the patient could be
    a. provide the worker a resting splint
    b. give frequent rest periods of 15 min every hour
    c. require worker to attend a cumulative trauma disorder
    d. lessen work schedule to 8 hours

Answer 23

b. give frequent rest periods of 15 min every hour

Question 24

24. Patient is able to accomplish only 60 degrees of passive straight leg raising. To improve the range of
    motion, the hold-relax technique should be applied to
    a. hamstrings and hip extensors
    b. adductors and hip extensors
    c. abductors and hip flexors
    d. quadriceps and hip flexors

Answer 24

a. hamstrings and hip extensors

Question 25

25. Which of these disease processes will not help from percussion and shaking?
    a. pulmonary fibrosis
    b. bacterial pneumonia
    c. bronchiectasis
    d. cystic fibrosis

Answer 25

a. pulmonary fibrosis

Question 26

26. A PT is prescribing a wheelchair for his 68-year-old patient who is 5 ft. 7 inches tall. The MOST useful
    feature to include in the prescription is
    a. desk armrests
    b. a 20 in. seat height
    c. a 17.5 in. seat height
    d. elevating leg rests

Answer 26

c. a 17.5 in. seat height

Question 27

27. The use of hyperbaric oxygen in treating chronic dermal wounds is more useful in
    a. wounds from insect bites
    b. arterial insufficiency ulcers
    c. venous insufficiency ulcers
    d. burn wounds

Answer 27

c. venous insufficiency ulcers

Question 28

28. Postural drainage is prescribed to a patient with cystic fibrosis. If the superior segment of the lower
    lobes are the target areas, how will PT proceed?
    a. patient lies prone, head down, 20 inches foot elevation with pillows under the hips
    b. patient lies supine, head down 20 inches with pillows under the knees
    c. patient lies supine with 2 pillows under hips, bed flat
    d. patient lies supine with pillows under the knees, bed flat

Answer 28

a. patient lies prone, head down, 20 inches foot elevation with pillows under the hips

Question 29

29. A 16-year-old high school student was being evaluated for scoliosis. On standing, a right
    thoracolumbar curve was present but when seated it disappeared. This is MOST LIKELY due to
    a. leg length discrepancy
    b. unilateral weak gluteus medius
    c. short iliopsoas muscle
    d. lumbar facet dysfunction

Answer 29

a. leg length discrepancy

Question 30

30. The following prosthetic causes may result in vaulting during gait of an amputee EXCEPT
    a. prosthesis may be too long
    b. excessive alignment stability
    c. inadequate socket suspension
    d. foot in inadequate plantarflexion

Answer 30

d. foot in inadequate plantarflexion

Question 31

31. The functional outcome reporting method of writing notes must be
    a. sustainable, simple, quantifiable
    b. meaningful, utilitarian, sustainable
    c. meaningful, quantifiable, sustainable (specific, measurable, realistic)
    d. utilitarian, meaningful, quantifiable

Answer 31

b. meaningful, utilitarian, sustainable

Question 32

32. A basic facility standard that should be included in the construction of PT department is the ______.
    a. parking facilities
    b. basic space and staffing requirements
    c. geography and population to be served
    d. type and size of hospital to be served

Answer 32

b. basic space and staffing requirements