Part I

Question 1

Best position for person lying on hemiplegic side?

Answer 1

Wrist neutral, elbow extended,forearm supinated, scapula protracted.

Question 2

What muscle can lead to an inverted foot?

Answer 2

Tibialis posterior

Question 3

What gait compensation may occur due to a 20 degree flexion contracture at the knee?

Answer 3

Hip hiking to clear the leg

Question 4

What are the appropriate interventions for mgmt. of heterotropic ossification?

Answer 4

Maintaining available range of motion, avoiding “vigorous” stretching, and achieving and maintaining “optimal wheelchair positioning.”

Question 5

What are the immediate results of exercise on the body?

Answer 5

Increased O2 consumption,
heart rate increases,
systolic BP increases 10mmHg/1 MET,
diastolic remains fairly constant with no more increase than 10mmHg from starting value.

Question 6

Nerve root compression causes what?

Answer 6

Sensory impairments in a dermatomal pattern

Question 7

Intermittent claudication is:

Answer 7

A vascular problem that causes pain, but no sensory or motor loss

Question 8

Classic signs of peripheral neuropathy?

Answer 8

A stocking distribution of sensory impairment and distal/peripheral loss of motor function

Question 9

Stage III ulcer appears to have red granulation tissue, no eschar, no odor, and minimal serosanguineous drainage.
Best Option?

Answer 9

Hydrocolloids handle minimal to moderate exudate in noninfected wounds.

Question 10

What augments an insulin injection for Type II DM?

Answer 10

Exercise - vasodilatation by increasing skin blood flow. This would deliver the insulin more rapidly

Question 11

BMI categories?

Answer 11

Underweight: < 18.5
Normal weight: 18.5 - 24.9
Overweight: 25 - 29.9
Obese: ≥ 30

Question 12

Manual glides at hip?

Answer 12

Inferior - increases hip flexion, posterior capsule
Anterior - increases ER
Posterior - increases IR

Question 13

What is the “Walky-Talky” test?

Answer 13

Introduction of a secondary task (conversation) may interfere with performance of a primary task (walking). Individuals who must devote extra attention to walking are unable to perform the two tasks simultaneously

Question 14

Activity levels for children with myelomeningocele:

Answer 14

Thoracic–level - Standing in parapodium.
L1–L2 - walk short distances in the home with KAFO
L3–L4 - community ambulation with KAFO
L4–L5 - Walking in the home and community with AFO
The lower the lesion the better the ability to ambulate.

Question 15

What do you do when you see V fib?

Answer 15

V fib is a medical emergency. Medical attention should be sought immediately, not delayed for 5 minutes.

Question 16

EMG provides what info about a muscle?

Answer 16

Amplitude of muscle activation. Voltage changes associated with the activation of skeletal muscle fibers.

Question 17

To prevent infection and contamination, the therapist should FIRST:

Answer 17

perform hand washing

Question 18

Pelvic and hip pain relieved with passing gas may be:

Answer 18

Crohn’s disease

Question 19

Pt with herniated nucleus pulposus will typically have:

Answer 19

loss of lumbar motion and decreased symptoms with lying supine

Question 20

Pancreatitis will typically be made worse by:

Answer 20

walking or lying supine

Question 21

What factors should a PT consider when developing a POC for pt who just had CABG?

Answer 21

Modifiable factors - Premorbid physical activity level, current physical condition, and motivation to exercise

Question 22

Pyelonephritis and pancreatic cancer would refer pain to:

Answer 22

thoracic or lumbar areas

Question 23

Colon cancer would refer pain to:

Answer 23

lumbar or sacral areas

Question 24

Myocardial infarction

Answer 24

viscerogenic cause of nonspecific neck pain

Question 25

Severe clubbing of the nails is:

Answer 25

an abnormality associated with lung cancer and chronic hypoxia

Question 26

Short transverse lines across the nail (Mees lines) or a brownish distal one-third end of the nail (half-and-half nails) indicates:

Answer 26

renal failure

Question 27

nails with transverse depressions (Beau lines) or a nail bed that is white and extends two-thirds of the length of the nail (Terry nails) indicate:

Answer 27

Liver dysfunction

Question 28

Biofeedback - action by PT as pt improves?

Answer 28

The sensitivity (gain) should be set higher to be more sensitive or selective to the firing of motor fibers so the patient can respond to inappropriate motor recruitment.

Question 29

Percussion over the costovertebral angle causes pain:

Answer 29

Refer - (Murphy test) is a sign of a kidney disorder

Question 30

Type of data for MMT scores?

Answer 30

Ordinal because they label strength measures in rank order .

Question 31

interval data

Answer 31

provide known or equal distances between scores

Question 32

ratio data

Answer 32

provide an absolute 0

Question 33

syndrome of inappropriate antidiuretic hormone secretion (SIADH) causes:

Answer 33

fluid volume excess, so it may cause hypertension and arrhythmias. May have fluid volume excess, so it may cause hypertension and arrhythmias.

Question 34

dysdiadochokinesia is:

Answer 34

inability to perform quick, alternating movements

Question 35

APGAR evaluates:

Answer 35

Appearance (color), Pulse (heart rate), Grimace (reflex irritability), Activity (muscle tone), Respiration (Breathing rate)

Question 36

Vitamin D is important for:

Answer 36

absorption, synthesis, and transport. If not enough, then bone decalcification

Question 37

Which glenohumeral positions is BEST for maximal stretch of the latissimus dorsi?

Answer 37

Flexion and lateral (external) rotation