quiz 4 Flashcards
When treating a patient who is in the acute care hospital one week following liver transplantation, which of the following aspects of care is MOST important for the physical therapist to incorporate?
A) Upper body resistance training performed at 60% 1 repetition maximum
B) Educating the patient on the importance of deep breathing and coughing
C) Manual scar mobilization to the surgical incision
D) Educating the patient on avoiding shoulder AROM
B) Educating the patient on the importance of deep breathing and coughing
A 32-year-old female patient is being seen in outpatient physical therapy following a wrist injury. The patient has a history of intravenous drug use (IVDU) and previous alcohol addiction. She has been slow to make progress in therapy and continues to report severe wrist pain after four weeks of treatment. Which of the following risk factors does this patient have for hepatocellular carcinoma?
A) Pain not improving with conventional treatment
B) Gender
C) History of IVDU and heavy alcohol use
D) Age
C) History of IVDU and heavy alcohol use
Which of the following actions would be MOST appropriate for you to take to reduce your risk of contracting hepatitis B on a clinical rotation?
A) Make sure you wash your hands with soap and water after using the restroom.
B) Follow contact and airborne precautions when treating a patient with known hepatitis B.
C) Avoid treating individuals with active hepatitis B infection.
D) Ensure your vaccination records are up to date.
D) Ensure your vaccination records are up to date.
Which of the following musculoskeletal pain locations is MOST likely to be related to hepatic disease?
A) Thoracic spine between scapulae
B) Left upper trapezius
C) Right sacroiliac joint
D) Left shoulder
D) Left shoulder
Which of the following signs or symptoms should MOST lead the physical therapist to suspect a patient may have hepatic disease?
A) Tar-colored stools
B) Hypoactive reflexes
C) Uveitis
D) Palmar erythema
D) Palmar erythema
Which of the following forms of viral hepatitis is MOST likely to lead to the later development of cirrhosis?
A) Hepatitis C
B) Hepatitis B
C) Hepatitis D
D) Hepatitis A
A) Hepatitis C
A physical therapist in the acute care hospital is treating a patient who was admitted 3 days ago with weakness and fatigue. The patient currently has the lab values shown in the table. Which of the following inferences can the physical therapist make based upon these lab value findings?
A) The patient has been malnourished in recent days.
B) The patient will be at an elevated risk of clotting.
C) The patient has been malnourished over a period of weeks.
D) The patient will be at an elevated risk of bleeding.
C) The patient has been malnourished over a period of weeks.
When treating a patient in a home health setting who has liver cirrhosis related to chronic alcohol use, which of the following adjustments to the physical therapy plan of care is NOT indicated?
A) The therapist should closely monitor LE and abdominal edema and help the patient find ways to be active despite these signs.
B) The therapist should anticipate the patient may have decreased aerobic capacity and potential cardiovascular complications.
C) The therapist should educate the patient to initiate relative bedrest until abdominal pain and asterixis have resolved.
D) The therapist should monitor closely for spontaneous bleeding and take precautions to reduce fall risk.
C) The therapist should educate the patient to initiate relative bedrest until abdominal pain and asterixis have resolved.
A physical therapist is preparing to perform an evaluation and finds the patient’s ammonia levels to be elevated. Which of the following statements MOST accurately describes how the therapist should approach this evaluation?
A) The therapist should be aware that the patient will have delayed wound healing due to poor nutritional state.
B) The therapist should monitor closely for easy bruising and possible internal bleeding.
C) The therapist should assess for altered mental status and be alert to a potential increase in fall risk.
D) The therapist should not perform the evaluation until ammonia levels have returned to a normal range.
C) The therapist should assess for altered mental status and be alert to a potential increase in fall risk.
Which of the following complications of end-stage liver disease increases a patient’s risk of developing gastrointestinal bleeding?
A) Ascites
B) Hepatic encephalopathy
C) Hepatorenal syndrome
D) Portal hypertension
D) Portal hypertension
