Mid Term Exam Flashcards
Considering the body shape choices below, which shape is associated most closely with central obesity or increased health risks?”
Answer options:
A: None of the above
B: Banana shape
C: Pear shape
D: Apple shape
D: Apple shape
Which of the following interventions is contraindicated for individuals with Addison disease?”
Answer options:
A: Aquatics in a warm pool
B: Strength training
C: Stretching
D: Walking program
A: Aquatics in a warm pool
A patient with Type I diabetes has a blood glucose level of 60 mg/dl upon arrival to the physical therapy clinic. The most appropriate NEXT step for the therapist is to:”
Answer options:
A: Have the patient eat a carbohydrate snack or fruit juice
B: Have the patient administer an insulin injection
C: Have the patient warm-up on a nu-step
D: Have the patient warm-up on a treadmill
A: Have the patient eat a carbohydrate snack or fruit juice
A 36-year-old woman with Grave disease is being treated for lower back pain. Based on knowledge of the condition, which of the following symptoms is UNRELATED to the disease and not something the therapist needs to consider when planning the treatment?”
Answer options:
A: Intolerance to heat
B: Fatigue
C: Bradycardia
D: Anxiety
C: Bradycardia
A student physical therapist is creating a POC for a 48-year-old obese male patient in an outpatient PT setting. The patient has been cleared by their PCP to start a physical therapy program to improve mobility and improve cardiovascular fitness. Which of the options below is BEST to consider when developing this patient’s POC?”
Answer options:
A: All of the above.
B: The student therapist should be aware that behavioral change in this patient is imperative to a successful physical therapy POC.
C: The student therapist should avoid high impact activities when creating this POC.
D: The student therapist should create a non-judgmental environment for the patient to be successful.
A: All of the above.
Per Goodman and Fuller, jaundice first becomes clinically evident in the sclera of the eyes at what level?”
Answer options:
A: The plasma level reaches 3 mg/dL
B: After the skin becomes yellow in color
C: The plasma level reaches 1 mg/dL
D: The plasma level reaches 2 mg/dL
D: The plasma level reaches 2 mg/dL
A physical therapist is treating a patient who has chronic pain and has been taking opioids for several years. During the session, the therapist notes that the patient has bilateral pupillary constriction. Which of the following additional signs or symptoms should MOST lead the therapist to suspect that the patient may be experiencing opioid intoxication?”
Answer options:
A: Paranoia
B: Slurred speech
C: Inappropriate sexual behavior
D: Pupillary dilation
B: Slurred speech
A patient is being seen in an outpatient physical therapy clinic for elbow pain. The patient reports having severe ‘heartburn’ that sometimes interferes with his PT sessions. Which of the following strategies is MOST appropriate to reduce the patient’s symptoms?”
Answer options:
A: Have the patient perform most exercises in the supine position.
B: Educate the patient in performing Shaker head lifting exercises.
C: Schedule sessions so that they occur 30-60 minutes after meals.
D: Advise the patient to sleep on the right side.
C: Schedule sessions so that they occur 30-60 minutes after meals.
A patient is being seen for PT Eval for progressive neck pain. This is a direct access patient. PMHx: includes RA, smoking-1 pack per day, and DM type II. Eval: Cervical ROM exhibited moderate limitation with paresthesias, DTRs tested 4+ in C5, C6, and 7. MMT performed in neutral spine tested 4/5. What is the next BEST step for this patient?”
Answer options:
A: Contact MD immediately
B: Instruct patient on cervical ROM exercises for cervical rotation bilaterally
C: PREMOD ESTIM to bilateral cervical paraspinals with CP x 20 min’s to decrease pain
D: Instruct patient on cervical isometrics all planes
A: Contact MD immediately
Matching:
Urinary Incontinence
Mixed Incontinence
Urge Incontinence
Stress Incontinence
Choices:
Involuntary urine loss with physical exertion, coughing, or sneezing
Involuntary, sudden compelling desire to urinate
Involuntary, exhibits more than 1 type of incontinence
Involuntary loss of urine
Urinary Incontinence –Involuntary loss of urine
Mixed Incontinence– Involuntary, exhibits more than 1 type of incontinence
Urge Incontinence –Involuntary, sudden compelling desire to urinate
Stress Incontinence –Involuntary urine loss with physical exertion, coughing, or sneezing
A physical therapist notices that a patient’s sclera coloring has a yellow hue. The color change MOST likely indicates which of the following?”
Answer options:
A: Liver disease
B: Pulmonary disease
C: Kidney disease
D: Congestive heart failure
A: Liver disease
One of the most common causes of peptic ulcer disease (PUD) is ______?”
Answer options:
A: H. pylori bacterial infection
B: Chronic laxative use
C: Cannabis use
D: Chronic acetaminophen use
A: H. pylori bacterial infection
When treating a patient infected with influenza (flu virus), which of the following precautions should be used?”
Answer options:
A: Contact precautions
B: Droplet precautions
C: Airborne precautions
D: Standard/Universal precautions
B) Droplet precautions.
A patient reports intermittent chronic pain to the lumbar region and a cramping pain around the umbilicus region that began 1 year ago. The patient also reports feeling nauseous during the episodes of intense pain with diarrhea. Trunk flexion and extension is full and pain-free; straight leg raise test is negative. Palpation to the abdomen is tender and vague. The therapist suspects that the pain is not musculoskeletal in nature and recommends a physician referral. Which of the following diagnoses is the MOST consistent with the patient’s signs and symptoms?”
A: Appendicitis
B: Chronic pancreatitis
C: Crohn’s disease
D: Peptic ulcer
C: Crohn’s disease
What nerves are at risk of being injured during a liver transplant procedure?”
Answer options:
A: Sciatic & Peroneal nerves
B: Ulnar & Radial nerves
C: Ulnar & Peroneal nerves
D: Radial & Peroneal nerves
C: Ulnar & Peroneal nerves
A physical therapist arrives to treat a patient and learns that the patient has just been placed on the pressure support mode of ventilation for the first time. With this mode, there is no set respiratory rate or tidal volume. Prior to this, the patient was on a mode that controlled the patient’s ventilation. Which of the following considerations is MOST important for the treatment?”
Answer options:
A: This mode of ventilation should allow the patient to have improved activity tolerance.
B: The patient will have to be heavily sedated to tolerate this mode of ventilation.
C: The PT should monitor the patient closely for increased work of breathing.
D: It is not appropriate for the therapist to treat the patient while on this mode of ventilation.
C) The PT should monitor the patient closely for increased work of breathing.
A 32-year-old female with a history of asthma, anxiety, and diabetes visits outpatient physical therapy for treatment of low back pain. While warming up on the treadmill she suddenly develops pallor, diaphoresis, and instability. The MOST appropriate therapist action to perform is:”
Answer options:
A: Stop the treadmill, have the patient sit down, and check blood glucose levels.
B: Stop the treadmill, have the patient walk to the fountain, and drink water.
C: Stop the treadmill, have the patient sit down, and have the patient use their inhaler.
D: Stop the treadmill, have the patient sit down, and call the primary care physician.
A: Stop the treadmill, have the patient sit down, and check blood glucose levels.
You are evaluating a patient s/p Roux-En-Y surgery 5 days ago. Patient has c/o paresthesias in their hands and feet. Patient also exhibits nausea, diarrhea, weakness, and is diaphoretic. Patient reports they are eating multiple small meals per day. What is plausible cause of patient’s symptoms?”
Answer options:
A: Listeria
B: Anesthesia complication
C: Dumping syndrome
D: Medication interaction
C: Dumping syndrome
The most common signs and symptoms of urinary tract infection are all of the following EXCEPT:”
Answer options:
A: Pain
B: Afebrile
C: Urinary urgency
D: Urinary frequency
B: Afebrile
Ulcerative Colitis -
Crohn’s Disease -
Diverticulitis
Diverticulosis
The presence of diverticula
Granuloma lesions present, rectum area is spared, bowel wall thickening
Infection/inflammation of the diverticula
Chronic severe bloody diarrhea/stools
Ulcerative Colitis - Chronic severe bloody diarrhea/stools
Crohn’s Disease - Granuloma lesions present, rectum area is spared, bowel wall thickening
Diverticulitis -Infection/inflammation of the diverticula
Diverticulosis -The presence of diverticula
A 53-year-old male patient underwent a thyroidectomy 3 months ago due to thyroid cancer. He comes to outpatient PT with reports of frequent muscle spasms, and the therapist finds a (+) Chvostek sign. Which of the following conditions is this patient MOST likely experiencing?”
Answer options:
A: Hyperparathyroidism
B: Hypoparathyroidism
C: Hyperthyroidism
D: Hypothyroidism
B: Hypoparathyroidism
A 30-year-old female patient reports having ‘pain everywhere.’ Her medical history includes hypothyroidism, depression, and sleep disorder. Which of the following diagnoses is MOST likely?”
Answer options:
A: Fibromyalgia syndrome
B: Rheumatoid arthritis
C: Osteoarthritis
D: Chronic fatigue syndrome
A: Fibromyalgia syndrome
A patient with a history of diabetes mellitus is being treated by a physical therapist. The therapist suspects that the patient has the early signs of diabetic neuropathy and needs to follow up with the referring physician. Which of the following findings is MOST likely present in this patient?”
Answer options:
A: Profuse sweating
B: Decreased vibratory perception of the foot
C: Slow healing wound 3 inches above the medial malleolus
D: Hyperactive deep tendon reflex of the ankle
B: Decreased vibratory perception of the foot
A patient is being evaluated for services following a hand tendon repair. Integumentary examination demonstrates a moderate amount of drainage from the incision, for which the patient started antibiotics 3 days ago, and yellowing of the sclera and skin. What is the BEST next step by the physical therapist?”
Answer options:
A: Apply an alginate dressing
B: Refer the patient due to signs of renal failure
C: Advise the patient that yellowing sclera is a side effect of antibiotics
D: Refer the patient due to suspected hepatic toxicity
D: Refer the patient due to suspected hepatic toxicity
A 65-year-old man is being re-evaluated after 4 weeks of physical therapy for right knee pain associated with arthritis. Range of motion and strength have improved significantly. The patient reports significant reduction in his knee pain but he has noticed some mid-epigastric pain that starts mid-morning after his breakfast and usually dissipates by lunch time. He denies any change in bowel habits or nausea/vomiting. He has not changed any medications except for adding an ibuprofen in the morning before his session to allow him to perform the exercises with less pain. Which of the following is the MOST appropriate action to be taken by the therapist?”
Answer options:
A: Refer the patient back to his primary care physician concerning his epigastric pain.
B: Instruct the patient to decrease use of ibuprofen.
C: Advise the patient to switch to naproxen to manage his knee pain.
D: Tell the patient to continue with his current regimen and see if the epigastric pain goes away in a few days, as his knee pain is significantly improving.
A: Refer the patient back to his primary care physician concerning his epigastric pain.
When monitoring vitals during a treatment session, for which of the following conditions should the physical therapist be aware that hypotension is a common sign?”
Answer options:
A: Addison disease
B: Hyperparathyroidism
C: Hypothyroidism
D: Cushing syndrome
A: Addison disease
What is the most common symptom associated with cirrhosis?”
Answer options:
A: Bloody stools
B: Coffee ground emesis
C: Pain in the flank area
D: Ascites
D: Ascites
The patient’s labs indicate hypokalemia. Which of the following values MOST closely represents the patient’s condition?”
Answer options:
A: Potassium 2.4 mmol/L
B: Calcium 3.0 mg/dl
C: Potassium 6.4 mmol/L
D: Calcium 10.2 mg/dl
A: Potassium 2.4 mmol/L
A physical therapist performs an examination on a patient complaining of left shoulder pain. The examination findings suggest the shoulder pain is not amenable to physical therapy intervention. Which of the following conditions is MOST likely to cause shoulder pain?”
Answer options:
A: Cholecystitis
B: Myocardial ischemia
C: Subacromial bursitis
D: Acromioclavicular joint dysfunction
B: Myocardial ischemia
What ethnicity group listed below has shown to have a greater risk of childhood obesity?”
Answer options:
A: Asian Girls
B: African American Boys
C: Caucasian Girls
D: Hispanic Boys
B: African American Boys
Clean hands, don gloves and gown; use dedicated or disposable equipment -
Clean hands, don fit-tested N-95 or higher respirator, door of room must remain closed -
Wash hands -
Clean hands, make sure eyes, nose, and mouth are fully covered -
Droplet
Standard
Airborne
Contact
Clean hands, don gloves and gown; use dedicated or disposable equipment - Contact
Clean hands, don fit-tested N-95 or higher respirator, door of room must remain closed - Airborne
Wash hands - Standard
Clean hands, make sure eyes, nose, and mouth are fully covered -Droplet
Involuntary loss of urine when sneezing, laughing, coughing, or performing a valsalva maneuver is classified as what type of urinary incontinence?”
Answer options:
A: Functional urinary incontinence
B: Overflow urinary incontinence
C: Stress urinary incontinence
D: Urge urinary incontinence
C: Stress urinary incontinence
“What is the name of this line?”
Answers: A - D
A) By-pass line
B) Venous Arterial line
C) Aorta Line
D) Central Venous Catheter
D) Central Venous Catheter
“Which deformity is seen in digit 2 of the right hand?”
A: Trigger finger
B: Boutonniere deformity
C: Swan neck deformity
D: Dupuytren’s contracture
B: Boutonniere deformity
