quiz 2 Flashcards
Question 1: A patient who has which of the following conditions should MOST be screened for arthritis?
A. Peptic ulcer disease
B. Hiatal hernia
C. Gastroesophageal reflux disease
D. Crohn disease
D. Crohn disease
I think this is right because its an inflamatory disease which would go with other inflamatory diseases
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?
A. Educate the patient in performing Shaker head lifting exercises.
B. Have the patient perform most exercises in the supine position.
C. Advise the patient to sleep on the right side.
D. Schedule sessions so that they occur 30-60 minutes after meals.
D. Schedule sessions so that they occur 30-60 minutes after meals.
This is right based on notes GI pathologies Asynch lecture
patient needs to sleep on left side not the right
supine is worse
A physical therapist working in the home health setting is treating a 74-year-old female patient who is post-operative day (POD)#1 s/p total shoulder arthroplasty. The patient reports abdominal pain and the therapist finds her HR to be 110 bpm with BP of 86/56 mmHg. Which of the following conditions should the physical therapist suspect, and what is the BEST action to take?
A. Peptic ulcer bleeding; advise the patient to call the physician tomorrow if symptoms do not resolve
B. Peptic ulcer bleeding; call 911
C. Appendicitis; call 911
D. Appendicitis; advise the patient to call the physician tomorrow if symptoms do not resolve
B. Peptic ulcer bleeding; call 911
This is right based on notes GI pathologies asynch lecture peptic ulcers
tachy cardia with low blood pressure
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 seems to be slurring his speech. Which of the following additional signs or symptoms should MOST lead the therapist to suspect that the patient may be experiencing opioid intoxication?
A. Pupillary constriction
B. Paranoia
C. Pupillary dilation
D. Inappropriate sexual behavior
A. Pupillary constriction
right via google
Which of the following attributes is considered a risk factor for the development of colorectal cancer?
A. Premature birth
B. Female sex
C. African American race
D. Eating a low-fat diet
C. African American race
this is correct via the notes Gi pathologies async lecture notes
Which of the following neurotransmitters plays a role in substance dependence through activation of the “reward pathway” in the brain?
A. GABA
B. Serotonin
C. Glutamate
D. Dopamine
D. Dopamine
this is correct via the notes module 2 sync session
Correct Answer: D. Dopamine
Why it’s correct: Dopamine is the key neurotransmitter involved in the brain’s reward pathway, also known as the mesolimbic dopamine pathway. This system reinforces behaviors that provide pleasure or reward, making it central to substance dependence. Drugs of abuse like cocaine, alcohol, and opioids increase dopamine release in the brain, especially in the nucleus accumbens, creating the feeling of euphoria and reinforcing drug use.
Wernicke-Korsakoff syndrome occurs due to a deficiency of ___ and is seen in individuals with a history of heavy ___ use.
A. thiamine; benzodiazepine
B. serotonin; alcohol
C. serotonin; benzodiazepine
D. thiamine; alcohol
D. thiamine; alcohol
this is correct based on notes substance use disorder asynch
During a physical therapy evaluation, a patient reports drinking a case of beer per day for the last several years. Due to a recent death in the family, he now plans to quit drinking “cold turkey.” Which of the following statements would be BEST for the therapist to make?
A. Abruptly stopping alcohol can cause severe withdrawal, so you should work out a plan with your doctor to quit safely.
B. Congratulations! You shouldn’t quit cold turkey though. Start with cutting back to ½ of a case per day and gradually reduce your intake from there.
C. That’s great news. Abstaining from alcohol will help your overall health as well as your outcomes in PT.
D. Good luck to you. Many people have a really hard time quitting, and most will ultimately relapse.
A. Abruptly stopping alcohol can cause severe withdrawal, so you should work out a plan with your doctor to quit safely.
this is right based on the notes substance abuse disorders
The patient is a 65 y/o male who complains of low back and left hip pain. Pain worsens after eating. The PT performed a pinch and inch test which was positive. What is the MOST likely cause of this patient’s pain?
A. PUD
B. Diverticular Disease
C. Appendicitis
D. Hiatal Hernia
B. Diverticular Disease
this is right based on notes gi pathologies async lecture
even though appendicitis is also positive with pinch test it mainly occurs with the ages 15-19
A physical therapist in an outpatient setting is treating a patient for low back and right hip pain. Which of the following findings would MOST likely indicate a gastrointestinal cause of this pain?
A. Patient has comorbid condition of osteoporosis
B. Pain is unchanged with bowel movements
C. Pain worsens with palpation of right psoas muscle
D. Patient reports pain began when bending over to tie shoes
C. Pain worsens with palpation of right psoas muscle is right via the notes GI pathologies Asynch lecture
This was changed from B to C
