Practice Questions Flashcards
A patient has undergone surgery and subsequent immobilization to stabilize the olecranon process. The patient now exhibits an elbow flexion contracture. In this case, an absolute CONTRAINDICATION for joint mobilization would be: A. Empty end-feel. B. Soft end-feel. C. Springy end-feel. D. Firm end-feel
A. Empty end-feel
A PT is instructing a student in proper positioning to prevent the typical contractures in a patient with a transfemoral amputation. The therapist stresses positioning the patient in:
A. Side-lying on the residual limb
B. A wheelchair with a gel cushion and adductor rool.
C. Prone-lying with the residual limb in neutral rotation.
D. Supine-lying with the residual limb resting on a small pillow.
C. Prone- lying with the residual limb in neutral rotation.
In treatment a patient with a diagnosis of right shoulder impingment syndrome, the FIRST intervention the PT should consider is to:
A. Instruct the patient in proper postural alignment.
B. Complete AROM in all shoulder motions.
C. Implement a stretching program for the shoulder girdle musculature.
D. Modulate all pain.
A. Instruct the patient in proper postural alignment.
A patient with Parkinson’s disease (PD) demonstrates a highly stereotyped gait pattern characterized by impoverished movement and festination gait. The intervention that would be the MOST beneficial to use with this patient is:
A. Locomoter training using a motorized tredmill and body weight support harness.
B. Braiding with light touch-down support hands.
C. Standing and reaching with a body weight harness.
D. Locomoter training using a rolling walker.
A. Locomoter training using a motorized tredmill and body weight support harness.
a patient is experiencing sensory changes secondary to left CVA. Upon testing, the patient is unable to detect pinprick or temperature in the right hand, leading to disuse and increased safety risk. These Changes are BEST documented as "Patient is experiencing": A. Allodynia B. Abarognosis C. Anesthesia D. Analgesia
D. Analgesia
A 14 year old girl complains of subpatellar pain after participation in a aerobic exercise program for 2 weeks. The PT’s examination shows a large Q angle, pain with palpation at the inferior pole of the patella and mild swelling at both knees. The BEST intervention for this situation is:
A. Hamstring strengthing
B. Vastus medialis (VM) muscle strengthening.
C. Vastus lateralis (VL) strengthening
D. Taping to increase lateral patellar tracking
B. Vastus Medialis muscle strengthening
A patient is referred to a physical therapist with a diagnosis of Bells palsy. Which cluster of examination findings below would the physical therapist expect to find?
A. Decreased sensation to the forehead, cheek and jaw; absence of a gag reflex and deviation of the tongue to one side.
B. Ptosis, weakness in the temporalis and masseter muscles and deviation of the tongue to one side.
C. Ptosis, decreased abduction of the eye and excessive tearing.
D. Decreased closure of one eye, drooping of the mouth, and inability to raise the eyebrow.
D. Decreased closure of one eye, drooping of the mouth, and inability to raise the eyebrow.
The cardiac rehabilitation team is conducting education classes for a group of patients. The focus is on risk factor reduction and successful lifestyle modification. A participant ask the PT to help interpret cholesterol findings. Total cholesterol is 220 mg/dL, high-density lipoprotein (HDL) cholesterol is 24 mg/dL and low density lipoprotein (LDL) is 160 mg/dL. Analysis of these values reveals:
A. The levels of HDL, LDL, and total cholesterol are all abnormally low.
B. LDL and HDL cholesterol levels are within normal limits, and total cholesterol should be below 200 mg/dL
C. the levels of HDL, LDL and total cholesterol are all abnormally high.
D. The levels of LDL and total cholesterol are abnormally high, and HDL is abnormally low.
D. The levels of LDL and total cholesterol are abnormally high and HDL is abnormally low.
An elderly patient is being treated for depression following the death of her husband. She is currently taking a tricyclic antidepressant medication (amitriptyline) and has a recent history of a fall. The PT suspects the precipitating cause of the fall is the medication because is can cause: A. Hyperalertness B. Postural hypotension C. Dyspnea D. Hypertension
B. Postural Hypotension
As the result of blunt trama to the quadriceps femoris muscle, a patient experiences loss of knee function. The BEST choice for early physical therapy intervention is:
A. Gentle AROM exercises in weight bearing.
B. Aggressive soft tissue stretching to remove blood that has accumulated is soft tissue.
C. Aggressive open-chain strengthening of the quadriceps femoris to regain normal lower extremity strength.
D. Gentle PROM exercises in non- weight bearing to regain normal knee motion.
A. Gentle AROM exercises in weight bearing.
A patient with active tuberculosis is referred for physical therapy. The patient has been hospitalized and on appropriate antituberculin drugs for 3 weeks. During testing, what precautions should the therapist observe?
A. The patient must be treated in a private, negative-pressured room.
B. The therapist must wear personal protective equipment at all times.
C. The patient can be treated in the PT gym, with precautions
D. The patient must wear a tight fitting mask at all times
C. The patient can be treated in the PT gym, without precautions.
With a traction injury to the anterior division of the brachial plexus, the PT would expect to see weakness of the elbow flexors, and forearm pronators. The Therapist would also expect to find additional weakness in: A. Wrist extension B. Thumb abduction C. Forearm supination D. Lateral rotation of the shoulder
B. Thumb Abduction
A patient complains of right buttock pain after slipping. The right hip had been forced into internal rotation. Lumbar active motion testing is full and pain free. Neurological findings are unremarkable. S1 provocation testing is unremarkable. Passive hip internal rotation is limited with pain and pulling noted in the right buttock region. Resisted external rotation produces pain in the same region. Based on these findings, the MOST LIKELY diagnosis would be:
A. Piriformis strain
B. Quadratus lumborum strain.
C. Lumbar disc herniation at L5/S1
D. Sacroiliac sprain/strain
A. Piriformis strain
A patient with MS demonstrates strong bilateral lower extremity extensor spasticity in the typical distribution of antigravity muscles. This Patient would be expected to demonstrate:
A. Skin breakdown on the ischial tuberosities and lateral malleoli
B. Sitting with both hips abducted and externally rotated.
C. Sacral sitting with increased extension and abduction of lower extremities.
D. Sitting with the pelvis laterally tilted and both lower extremities in windswept position.
C. Sacral sitting with increased extension and abduction of lower extremities.
A computer programmer with no significant past medical history presents to the emergency room with complaints of fever, shaking chills, and a worsening productive cough. Complaints of chest pain over the posterior base of the left thorax are made worse on inspiration. An anteroposterior x-ray shows an infiltrate on the lower left thorax at the posterior base. This patients chest pain is MOST LIKELY caused by: A. Inflamed tracheobronchial tree B. Angina C. Trauma to the chest. D. Infected pleura
D. Infected Pleura
