Long Exam 1

Question 1

A 48 y/o Female pt. c/o pain on L Sh and chest area which is frequently felt in the early morning. Furthermore, she feels like drowning whenever she sleeps. You would most likely suspect that the pt. is experiencing:

a. Nocturnal angina
b. Resting angina
c. Variant Angina
d. Atypical Angina

Answer 1

C

Question 2

Which of the ff sets of SDx will be seen in pt’s with the ABG finding bellow?
PaCO2: 32
pH: 32
HCO3: 20

a. Starvation: Metabolic Acidosis
b. Weakness: Metabolic Alkalosis
c: Vomiting: Metabolic Acidosis
d. Vomiting: Metabolic Alkalosis

Answer 2

C

Question 3

While checking the pt’s chart, you noticed that the pt has palpitations, fatigue and dyspnea. You know that these Sx are connected to what cardiac dse?

a. Right CHF
b. Left CHF
c. MVP
d. MI

Answer 3

C

Question 4

A pt. in the ICU is referred to PT. The pt. presents with significant SOB and deviation of the trachea to the L. This is most consistent with:

a. Left Pulmonary Edema
b. Right Lobectomy
c. Right Lung Collapse
d. Right Abdominal Hernia

Answer 4

D

Question 5

Referral pain pattern of umbilical region indicates?

a. Liver
b. Small Intestine
c. Colon Pain
d. NOTA

Answer 5

B

Question 6

A pt. who has sustained superficial partial thickness to the anterior neck and arm, and deep partial thickness burn to the anterior surface of the genitals, leg and foot. He was rushed to a hospital. What is the approximated deep partial thickness TBSA burn of the pt?

a. 19%
b. 10%
c. 9%
d. 18%

Answer 6

A

Question 7

It is most important to check fot pt’s voice transmission. The PT heard a “muffled” noise after asking the pt. to say “ninety-nine”. What is beign described?

a. Normal lung
b. Bronchophony
c. Egophony
d. Whispered Pectoriloquy

Answer 7

A

Question 8

The blood pressure of 50 y/o woman was measured by PT in clinic and it had elevated levels. The caregiver of that woman stated that BP was reduced upon checking it in the office and also ambulation. What type of Hypertension is being described?

a. Labile HTN
b. Borderline HTN
c. Masked HTN
d. White Coat HTN

Answer 8

D

Question 9

A 45 y/o woman reports squeezing pain on L side of chest. There are also Sx of fatigue, nausea and lower abdominal pain which is relieved by taking antacids. Given the complaints, what is the heart sound that fits the condition that described above?

a. S1
b. S2
c. S3
d. S4

Answer 9

D

Question 10

A pt. reports feeling frequent need to urinate and often leaks urine before reaching the bathroom. which type of incontinence is most likely present?

a. Stress Incontinence
b. urge Incontinence
c. Overflow Incontinence
d. Functional Incontinence

Answer 10

B

Question 11

A pregnant pt. is being treated for low back pain. When placing the pt. supine on the plinth, which of the ff positions is most appropriate?

a. Supine with pillows under the Left hip
b. Supine with pillows under the Right hip
c. Supine with head slightly elevated
d. Supine with feet slightly elevated

Answer 11

B

Question 12

a condition where there is fluid and electrolyte imbalance resulting in hyponatremia from excessive water reabsorption?

a. SIADH
b. Diabetes
c. Cushing’s SX
d. Conn’s Dse

Answer 12

A

Question 13

A pt. with pulmonary problem was referred to clinic for mgmt. The pt’s condition primarily affects bronchial tubes of the respiratory systems d/t invasion of irritants. What is the pt’s most likely diagnosis?

a. Asthma
b. Pneumonia
c. Cystic Fibrosis
d. Bronchiectasis

Answer 13

D

Question 14

A pt. with COPD is on 6MWT. The test is perfomed in 30 meter, flat, indoor corridor. During the test, you would advise the pt. to:

a. Walk for 6 meters and allow rest as necessary
b. Walk 6 meters and the test should be continuous, rest is not allowed
c. Walk for 6 minutes and allow rest as necessary
d. Walk 6 minutes and the test should be continuous, rest is not allowed

Answer 14

C

Question 15

A 30 y/o pt. has recent history of R rib Fracture. The pt’s condition has a lot of air in the pleural space on R. What is the expected mediastinal shifting/tracheal deviation?

a. deviation of trachea towards contralateral side; chest pain on (R)
b. deviation of trachea towards ipsilateral side; chest pain on (R)
c. deviation of trachea towards contralateral side; chest pain on (L)
d. deviation of trachea towards ipsilateral side; chest pain on (L)

Answer 15

A

Question 16

A PT notices that a pt. after abdominal surgery has significantly altered his breathing pattern and wanted to prevent alveolar collapse. Which breathing technique would be the most beneficial to achieve the established goal?

a. Pursed-lip Breathing
b. Active cycle of breathing
c. diaphragmatic breathing
d. incentive spirometry

Answer 16

D

Question 17

Stationary bicycling in the exercise program of a pt’s platelet count is at least:

a. 18,000/mm3
b. 32,000/mm3
c. 58,000/mm3
d. 84,000/mm3

Answer 17

B

Question 18

You are treating a pt. with no active abdominal muscle strength. He is also not bale to follow directions. You want to clear his lungs from secretions. Which is best technique to utilize?

a. Cough
b. Endotracheal Suctioning
c. Assisted Cough
d. Tracheal Stimulation

Answer 18

B

Question 19

a 50 y/o pt. with a long history of homelessness presents with frequent productive cough, fatigue, malaise, weight loss, low grade fever accompanied by night sweats. CXR findings include uppe lobe infiltrate. The most likely diagnosis for this pt. would be?

a. Lung Cancer
b. Pneumonia
c. Tuberculosis
d. cystic Fibrosis

Answer 19

C

Question 20

a 35 y/o smoker with Hx of COPD was rushed to ER with increasing SOB, pyrexia and a productive cough with yellow-green sputum. He has difficulty communicating because of his inability to complete a sentence. One of his sons, says he was unwell for 3 days. Upon examination, crackles and wheezes can be heard in the lower lobes; he has tachycardia and a bounding pulse. ABG shows pH 7.3, PaCO2 68 mmHg, HCO3 28 mmol/L, PaO2 60 mmHg. How would you interpret this?

a. Respiratory Acidosis, Uncompensated
b. Respiratory Acidosis, partially compensated
c. Metabolic Alkalosis, Uncompensated
d. Metabolic Acidosis, partially compensated

Answer 20

B

Question 21

To ensure fast healing process of the person suffering from burns, grafting is widely recommended. What type of grafting uses another person’s skin when the pt’s own skin is not possible to utilize?

a. Xenograft/ Heterograft
b. Autograft
c. allograft/homograft
d. AOTA

Answer 21

C

Question 22

Upon auscultation of the chest, a murmur is heard at the 5th L intercostal space, medial to the midclavicular line. The valve that is being assessed is?

a. Aortic
b. mitral
c. Pulmonic
d. Tricuspid

Answer 22

B

Question 23

with dry scaly skin?

a. Avoid application of ice
b. Avoid application of HMP
c. Avoid application of US
d. Avoid application of TENS

Answer 23

A

Question 24

a PT examines a single lead ECG with an AV heart block of a pt. The defining characteristic of a 1st degree heart block manifests?

a. Heightened T wave
b. PR interval latency
c. Bizarre QRS
d. Shortened ST Segment

Answer 24

B

Question 25

A pt. exercises on a treadmill, PT notes that the rhythm of pulse is often irregular. The best action to guarantee accurate measurement of pulse rate is to:

a. use carotid and apical pulse than other sites
b. time and measure the pulse for 1 min.
c. use stethoscope than fingers for good sound quality
d. immediately chart in pt’s record and document the pulse irregularity

Answer 25

B

Question 26

A pt. with cystic fibrosis has postural drainage as part of the POC. The best pt. position when treating superior segment of lower lobes is in:

a. Flat prone: pillows underneath hips, with the PT clapping on the middle back at the tip of scapula on either side of spine
b. Flat prone: Pillow underneath knees, PT clapping on middle back at the tip of scapula on either side of spine
c. Prone: pillows underneath hips, with the PT clapping on lower ribs close to spine on either side
d. Prone: pillows underneath knees, with the PT clapping on lower ribs close to spine on either side

Answer 26

A

Question 27

The ff lab results is used to verify therapeutic level of anticoagulation in a pt. currently on coumadin:

a. Activated partial thromboplastin time
b. HBA1C
c. partial thromboplastin time
d. International Normalized Ratio

Answer 27

D

Question 28

Which of the ff pulmonary function test measures the average total amount of air moved during inspiration of normal breathing?

a. Vital Capacity
b. Functional Residual Capacity
c. Tidal Volume
d. Inspiratory Reserve Volume

Answer 28

C

Question 29

A student PT was assigned to treat 66 y/o pt. with L LE Lymphedema. On the pt’s medical chart, it is noted that he is taking anti-HTN drugs. Upon examination of VS, PT noted pt’s BP is 140/90 mmHg. What is best action to perform?

a. Wait 2 mins and retest BP
b. Advise pt. to drink anti-HTN drug
c. Allow pt. to rest and proceed with TX
d. Refer pt. to physician

Answer 29

A

Question 30

a pt. informs PT that she has small lump on (R) breast. The pt. was referred to PT for lateral epicondylalgia and has (-) significant medical Hx. Best PT action is to:

a. Inform pt. that she may potentially have cancer
b. Inspect lump with gentle palpation
c. Tell pt. to make immediate appointment with physician
d. Document pt’s comment in medical record

Answer 30

C

Question 31

A 40 y/o has been laid-off his construction job for the last 2 yrs. He has a housewife and 7 small children. They are currently in welfare. While raking leaves, he had a stroke and was admitted to hospital. The third party payer that would provide assistance is:

a. Worker’s compensation
b. Medicaid
c. Medicare Part A
d. Social Security

Answer 31

B

Question 32

A PT instruct pt’s spouse to remove and reapply bandage. which of the ff instructional methods would best ensure that task is correctly done:

a. Instruct spouse to remove and reapply the bandage while observing her performance
b. Give written instructions on how to remove and reapply the bandage
c. have pt. instruct spouse how to remove and reapply bandage
d. Instruct spouse to call PT dept. if she has specific queries on how to emove and reapply bandage

Answer 32

A

Question 33

A pt. who is transported to the PT dept in a wheelchair c/o sever, B/L LE pain. A bluish discoloration of B feet is observed. The pain is exacerbated when the pt’s feet are raised just above horizontal plane. These signs are most indicative of:

a. Arterial Insufficiency
b. intermittent claudication
c. venous insufficiency
d. Psychosomatic episode

Answer 33

A

Question 34

Your pt. suffers from gastric contents reflux into the esophagus. what is your best course of action?

a. Scheduling therapy immediately after eating
b. Scheduling therapy at least 30 mins after eating
c. Scheduling therapy at least 60 mins after eating
d. Scheduling therapy at least 90 mins after eating

Answer 34

D

Question 35

A 38 y/o male pt. comes in for Hepa B Tx. What are the known causes of this condition?

a. contaminated food and drink
b. contaminated drink
c. Intercourse with an infected person
d. Close contact with someone who has the infection

Answer 35

C

Question 36

A 24 y/o man has experienced lower abdominal pain for about a day. when examined in ER, palpation of abdomen reveals no masses and bowel sounds are still present. He has pain localized at R lower quadrant, along with rebound tenderness. what condition does this pt. have?

a. Crohn’s Dse
b. Acute Appendicitis
c. Cirrhosis of liver
d. Hepa A

Answer 36

B

Question 37

Wound debridement is important because it removes necrotic or infected tissue that interferes with wound healing. Which among the ff is not true?

a. Allows examination of ulcer and determination of extent of wound
b. Decreases bacterial concentration in wound and improves wound healing
c. Decreases spread of infection like cellulitis or sepsis
d. Reverses tissue hypoxia and facilitates wound healing d/t enhanced solubility of exygen in the blood

Answer 37

D

Question 38

You are scheduled to tx a pt. with HIV. You have an open wound. You should:

a. Use double glove
b. Refuse to deliver Tx
c. Treat pt. following universal precautions
d. Treat pt. in accordance to contact preacuations

Answer 38

B

Question 39

a pt. on her 3rd session is being progressed to inclined treadmill ambulation. At the 8th min., pt observes onset of increasing calf discomfort. As much as PT tries to redirect pt’s attention from the discomfort in order to continue with the plan, it is apparent that pt. ca’t be distracted. You note this is in record as:

a. G2 vascular/ Pseudoclaudication
b. G2 neurogenic/ Intermittent claudication
c. G3 vascular/ Intermittent claudication
d. G2 neurogenic/ Pseudoclaudication

Answer 39

C

Question 40

A knowledgeable PT will terminate an exercise tolerance test for a pt. with pulmonary dysfunction with which of the ff scenario?

a. ECG shows inc HR and N rhythm
b. ST segment elevation 2 mm
c. Rise of SBP by 5 mmHg
d. pt. reaches age predicted maximal HR

Answer 40

B

Question 41

A frail senior is sen tto PT for bed mobilization education. As the PT performs skin O.I, there is noticeable erythema over the sacrum that persists even after the pt. has been placed upright for half an hour. The PT documents this as:

a. Stage 1 Pressure Ulcer
b. Stage 2 Pressure Ulcer
c. Reactive Hyperemia
d. Reactive Erythema

Answer 41

A

Question 42

What is an acceptable oxygen saturation rate to maintain throughout the exercise period?

a. 84%
b. 86%
c. 88%
d. 93%

Answer 42

D

Question 43

A pt. sustained sever burns on his entire trunk, (B) ant. thigh and scrotum. What is TBSA?

a. 54%; moderate burn; admit to hospital
b. 54%; major burn; refer to burn center
c. 55%; major burn; refer to burn center
d. 55%; moderate burn; admit to hospital

Answer 43

C

Question 44

2 PTs are asked to test same group of pts. using Quebec back pain disablity scale. Result of (B) sets of measurements show the differences in the PTs scores, but not in repeat measurements. This indicates a problem in?

a. Concurrent Validity
b. Construct VAlidity
c. Intrarater Reliablity
d. Interrater Reliability

Answer 44

D