questions Flashcards
According to the Academy of Acute Care Physical Therapy Laboratory Values Resource Guide 2017, therapists should:
A. Only review the most recent laboratory results, rather than the trend over time.
B Be aware of the time and trend when the laboratory specimen was drawn
C. Rely exclusively on a single laboratory finding when determining the plan of care.
D Immediately place the patient on hold when any lab value is out of normal range.
B Be aware of the time and trend when the laboratory specimen was drawn
According to the Academy of Acute Care Physical Therapy Laboratory Values Resource Guide 2017, African Americans commonly have _______ hemoglobin values when compared to Caucasian populations.
A. Similar
B No answer text provided.
C. Higher
D. Lower
D. Lower
According to the Academy of Acute Care Physical Therapy Laboratory Values Resource Guide 2017, a transgender woman, who is on estrogen replacement therapy, should have her lab values compared to normal values of females.
A No answer text provided.
B. True
C.No answer text provided.
D.False
B. True
A patient with both increased Thyroid Stimulating Hormone (TSH) and decreased Thyroxine (T4) would MOST likely have:
A.Tachycardia
B.Thyroid disease
C.Pituitary disease
D.Hepatitis
B.Thyroid disease
Your patient has a history of congestive heart failure. According to the Academy of Acute Care Physical Therapy Laboratory Values Resource Guide 2017, what is the normal range for Blood Urea Nitrogen (BUN) to determine the patient’s tolerance for activity?
A. 18-23 mg/dl
B. 3-15 mg/dl
C. 10-20 mg/dl
D. 6-25 mg/dl
D. 6-25 mg/dl
An ultramarathon runner presents to the emergency department with dehydration after a long run. Which of the following lab values would most likely be elevated?
A. HgB
B. RBC
C. WBC
D.Plt
E. all answers are correct
E. all answers are correct
A patient with a recent history of a myocardial infarction (MI) was admitted to the hospital within the past 24 hours. His electrolyte levels are as following: potassium (K) level of 2.2 mEq/L; sodium (Na) level is 136 mEq/L; and a calcium (Ca) level of 9.0 mg/dL. Which lab value is most concerning?
A. Potassium
B. None, all are within safe range
C. Calcium
D. Sodium
A. Potassium
A patient was admitted with failure to thrive. Calcium (Ca) levels upon admission were 7.3 mg/dL and are trending down. What signs/symptoms would NOT be expected?
A. Nausea/vomitting
B. Fatigue
C.Confusion
D.Seizure
A. Nausea/vomitting
A patient with undiagnosed hypoglycemia may demonstrate which of the following symptoms during a physical therapy intervention?
A. Nausea and vomiting
B. Muscle cramping
C. Shaking and extremity weakness
D.Ankle edema
C. Shaking and extremity weakness
Your patient has nausea, vomiting, abdominal pain, excessive thirst and severe fatigue. You suspect an abnormal glucose level. What is the most likely blood glucose level for this patient presentation?
A. 130-140 mg/dL
B. 70-80 mg/dL
C 90-130 mg/dL
D. 300 mg/dL
D. 300 mg/dL
A patient has a non-healing lower extremity wound. Which of the following lab values is most important to consider as a cause in delayed healing?
A. Hemoglobin A1c (Hgb A1c)
B. Calcium (Ca)
C. Sodium (Na)
D.Hematocrit (Hct)
A. Hemoglobin A1c (Hgb A1c)
A patient with a severe traumatic brain injury following a motor vehicle accident has documented downward trending glucose <80 mg/dL. Which is the best course of action?
A. Hold therapy for the day.
B. Continue with physical therapy intervention.
C. Consult with the healthcare team prior to intervention
D.Consult with MD regarding hyperglycemia
C. Consult with the healthcare team prior to intervention
Which lab value shows the average level of blood glucose control for the past three months?
A. No answer text provided.
B. 2-hour plasma glucose
C. Hemoglobin A1C (Hgb A1c)
D. Fasting plasma glucose (FPG)
C. Hemoglobin A1C (Hgb A1c)
A therapist is treating a patient with a platelet (Plt) count of 150 K/uL. The BEST course of action is to:
A. No answer text provided.
B. Limit manual muscle testing to ≤ 3/5
C.Cancel therapy session
D.Continue with plan of care
D.Continue with plan of care
A patient has a white blood cell count (WBC) of 6.0 109/L trending upward. Which of the following actions should be taken?
A. The therapist should wear an isolation gown.
B. No answer text provided.
C. The patient should wear a mask when out of their room.
D. The therapist should use standard precautions
D. The therapist should use standard precautions
A 75-year-old female with a history of atrial fibrillation presents to the hospital after a fall. Lab work reveals a downward trend of hemoglobin (Hgb) at 9.2 g/dL. This is down from yesterday’s baseline of 12.3 g/dL. Her current International Normalized Ratio (INR) is 5.1. The patient is referred for PT evaluation. Which of the following actions is most appropriate?
A. Consult with the medical team to recommend PT evaluation.
B. Proceed with the PT evaluation as planned.
C. Hold PT evaluation and discuss reason with the healthcare team
D. Proceed with PT evaluation only after patient receives packed red blood cells.
C. Hold PT evaluation and discuss reason with the healthcare team
A 27-year-old male presented to the emergency department after two days of generalized muscle pain, malaise and diaphoresis after recently competing in a CrossFit challenge. Laboratory findings include: urine dipstick positive for blood without hematuria; toxicology for illicit drugs negative; creatine kinase (CK) 39,362 IU/L; blood urea nitrogen (BUN) 22 mg/dL; creatinine (Crt) 1.4 mg/dL; hemoglobin (Hgb) 13.6 g/dL; and white blood cell count (WBC) 11.3 x 109/L. Which of the following diagnoses is most likely?
A. Influenza
B. Rhabdomyolysis
C.Metabolic Acidosis
D. Dehydration
B. Rhabdomyolysis
A patient with a history of hepatitis and jaundice has a bilirubin level of 8.5 mg/dL that is continuing to trend upward to 10 mg/dL. How should this alter your planned session?
A. Hold session due to increasing elevation of this laboratory value.
B. Anticipate need for a shorter session with rest breaks as needed.
C.Decreased need for skin inspection and skin protection.
D.Expect improved performance on 6-minute walk test.
B. Anticipate need for a shorter session with rest breaks as needed.
A patient with a history of cirrhosis has an ammonia level that started at 80 μg/dL and is now 90 μg/dL and is continuing to trend upwards. What would you expect to see during your therapy session?
A. Patient report of improved nighttime sleeping patterns.
B. Changes in fine motor control.
C. No change in cognition from baseline.
D. Improved safety awareness of patient resulting in decreased need for gait belt.
B. Changes in fine motor control.
A patient had a troponin level of 0.03 ng/mL documented this morning. Upon re-check six hours later (just prior to physical therapy treatment), troponin is 6.13 ng/mL. What is the most appropriate interpretation of these results?
A. This value indicates the presence of congestive heart failure (CHF). Proceed with physical therapy with caution.
B. This value is an indicator of acute cardiac injury. Hold physical therapy.
C. This value is an indicator of acute cardiac injury. Proceed with physical therapy with caution.
D. This value indicates the presence of congestive heart failure (CHF). Hold physical therapy.
B. This value is an indicator of acute cardiac injury. Hold physical therapy.
A patient with a history of chronic renal failure presents with down-trending troponin levels, with the most recent result being 0.50 ng/mL yesterday. The patient had a negative cardiac catheterization and is without acute cardiac symptoms. What is the appropriate course of action?
A. Defer evaluation due to elevation being contraindication for physical therapy.
B. Defer until following cardiology consult to rule out acute diagnosis.
C. Defer until redraw with down trending value.
D. Proceed with evaluation with standard monitoring of vital signs.
D. Proceed with evaluation with standard monitoring of vital signs.
A patient who you evaluated yesterday with a history of coagulopathy is on Lovenox prophylactically following orthopedic surgery. The anti-factor Xa level is being closely monitored to assess coagulation state and is 0.30 U/mL. Today, prior to treating the patient, you were alerted of an acute deep vein thrombosis (DVT) diagnosis. The physician has just ordered an increased dose of Lovenox to be administered. What is the most appropriate course of action?
A. Wait 24 hours following administration of increased dose of Lovenox.
B. Proceed with treatment as usual, as the patient was already on Lovenox prophylactically.
C. Proceed with treatment only after increased dose of Lovenox given and anti-factor Xa level reaches 0.5 -1.0 U/mL.
D. Hold physical therapy until inferior vena cava (IVC) filter is placed.
C. Proceed with treatment only after increased dose of Lovenox given and anti-factor Xa level reaches 0.5 -1.0 U/mL.
A patient was admitted to the hospital with fatigue and weakness. Labs show hemoglobin (Hgb) of 5.2 g/dL, which was a decrease from a baseline of 10.0 g/dL, and platelets (Plt) of 6 k/uL. Which of the following actions is most appropriate?
A. Hold PT evaluation.
B. Perform evaluation if vitals are stable.
C. Evaluate the patient and assess all functional mobility.
D. Perform only bed level evaluation
A. Hold PT evaluation.
