Exam 1

Question 1

Which one of the following positions is recommended for obtaining consistent blood pressure measurements?

Answer 1

Sitting with arm in a horizontal, supported position at heart level

Question 2

Which one of the following population groups should be consistently tested for underlying hypertension because of its higher incidence?

Answer 2

African Americans

Question 3

When are the Korotkoff’s sounds audible while measuring blood pressure?

Answer 3

Upon beginning to lower the pressure of inflated cuff

Question 4

A 67 year old female smoker with a family history of high blood pressure and heart disease presents with acute onset neck pain, headache, and blood pressure of 175/100 mm Hg. What should the physical therapist do first?

Answer 4

Refer patient for assessment by a physician

Question 5

According to the staging system developed by the International Society of Lymphology, which one of the following BEST describes Stage I lymphedema?

Answer 5

Soft swelling that pits with pressure

Question 6

Which option BEST describes a grade II pressure ulcer?

Answer 6

Partial thickness skin loss of dermis, without slough

Question 7

Each of the following is true about lymphedema except:

Answer 7

Pitting edema is classified as more severe than brawny edema

Question 8

Each of the following is a recommendation advocated for the prevention or management for lymphedema except:

Answer 8

Use of a hot tub for relaxation or to perform repetitive exercises to promote circulation

Question 9

Which of the following factors associated with breast cancer surgery and adjuvant therapy is least likely to contribute to impaired shoulder mobility?

Answer 9

Chemotherapy

Question 10

Which of the following is the least advisable means of preventing limitations of the glenohumeral joint and improving shoulder ROM after mastectomy?

Answer 10

Pendulum exercises

Question 11

The purpose of the lymphatic system is to collect and transport fluid from the

Answer 11

Interstitial spaces to venous system

Question 12

Signs and symptoms of chronic venous insufficiency can include any of the following except:

Answer 12

Severe pain with the limb in an elevated position

Question 13

Which of the following describes the severity of lymphedema from least to most severe

Answer 13

Pitting, brawny, weeping

Question 14

Your patient presents with right upper extremity lymphedema. The edema is soft and pitting without evidence of tissue fibrosis and patient reports that elevation of extremity reduces the swelling temporarily. What stage of lymphedema do you document?

Answer 14

Stage I-Reversible

Question 15

Intervention goals for lymphedema include all of the following except

Answer 15

Resolving the lymphedema and returning the lymphatic system to a normal state

Question 16

Lymphatic dysfunction may result from all of the following except

Answer 16

diet

Question 17

which of the following is a true statement about lymphedema?

Answer 17

it is a natural immune response to trauma

Question 18

There are many interventions used to manage the signs and symptoms of lymphedema. Of the following, which is considered to be the least effective based on current evidence?

Answer 18

Pneumatic compression pump

Question 19

Which of the following is NOT a clinical sign of a superficial partial-thickness burn?

Answer 19

Diminished sensation of deep pressure

Question 20

which of the following processes does not occur during proliferative stage of dermal healing?

Answer 20

remodeling of collagen

Question 21

Which one of the following is the best physical therapy course of action for a patient who sustained partial thickness burns to bilateral hands and forearms and presents with good hand function, no limitation in ROM, and good compliance with HEP?

Answer 21

encourage active use of hands and monitor ROM

Question 22

A patient underwent split thickness skin grafting to bilateral lower legs 5 days ago and is now cleared for mobility and ambulation. Which one of the following goals justifies the use of figure-of-eight pattern elastic bandages to the lower extremities prior to ambulation?

Answer 22

support new graphs and promote venous return

Question 23

T/F pressure injuries can happen to anyone who is immobilized for a long period of time regardless of age?

Answer 23

True

Question 24

A patient presents with a very painful left LE. Upon skin checks, it is noted that their left lower leg is cool to the touch, has a darkened (purple/bluish) color, and a weak pulse. This is most likely a result of:

Answer 24

Arterial insufficiency

Question 25

Venous insufficiency refers to

Answer 25

inadequate drainage of venous blood from a body part

Question 26

T/F: 80% of all leg ulcers are due to arterial insufficiency

Answer 26

false

Question 27

T/F: arterial insufficiency wounds are not painful

Answer 27

false

Question 28

nutrition is important for proper healing of all wounds. A PTA should encourage patients with wounds to increase which of the following nutrients?

Answer 28

protein, vitamin a, vitamin c

Question 29

Documentation of wound characteristics should include all of the following except:

Answer 29

how it happened

Question 30

Arterial insufficiency can be defined as

Answer 30

a lack of adequate blood flow to a region of the body

Question 31

Regardless of the nature of injury, most all wounds heal by the same phases. What is the correct order for healing phases of wounds?

Answer 31

inflammation, proliferation, maturation

Question 32

The lymphatic system runs

Answer 32

parallel to the venous system

Question 33

The most common site used to palpate a pulse is

Answer 33

radial

Question 34

T/F: when checking or monitoring a pulse. we look for the following: rate, rhythm, quality

Answer 34

true

Question 35

the temperature regulating center is located in which structure of the brain

Answer 35

hypothalamus

Question 36

observation is an important way to obtain information about our patients. your patient has bluish gray lips and fingertips. the correct way to describe this is

Answer 36

cyanosis

Question 37

which of the following is not considered a vital sign by the Guide to Physical Therapy Practice, but can provide important information to a PTA while providing treatment?

Answer 37

pulse ox

Question 38

the most common source of burns for children under the age of 5 in the US is:

Answer 38

scalding due to hot liquids

Question 39

T/F: the epidermis is the outermost level of skin and is responsible for protecting us from the outside environment. the epidermis if the thickest layer of our skin

Answer 39

false

Question 40

which of the following classification of burns is the correct order from least to most severe?

Answer 40

epidermal, superficial partial thickness, deep partial thickness, full thickness, and subdermal