QUIZZES (2ND SHIFT)

Question 1

A 20 y/o soccer varsity player came to you for assessment. Which of the following will you NOT ask the pt to perform to assess her instrumental ADL?
a.) vertical jumps
b.) side lunges
c.) overhead reaching
d.) sprinting

Answer 1

C. Overhead Reaching

Question 2

A pt with LBP was referred to PT with a pain scale of 9/10. As her therapist, you assessed the baseline capability of the pt. Which of the following is not appropriate to assess given the pt’s case?
a.) bed mobility
b.) ambulation
c.) transfers
d.) lifting

Answer 2

d. lifting

Question 3

A pt who has knee injury came to you for PT evaluation and treatent. The pt is a secretary and usually sits for prolonged horse and walks to different offices inside the building. Which functional assessment activity is NOT NECESSARY for you to assess?
a.) stair negotiation
b.) marching in place
c.) walking
d.) squatting

Answer 3

b. marching in place

Question 4

A pt who has shoulder injury came to you for PT evaluation and treatment. The pt is a housewife and usually washes the clothes of her family. Which functional assessment activity will you ask your pt to perform?
a.) washing or scrubbing of clothes
b.) hanging of clothes overhead
c.) wringing of clothes
d.) all of the above

Answer 4

d. all of the above

Question 5

Which of the ff functional activities will you not assess in a pt with piriformis syndrome with ℅ of paresthesia and numbness of the (L) LE especially after prolonged walking and standing. Pt also presents with weakness of the LE.
a.) prolonged sitting
b.) getting in and out of the bed
c.) ascending and descending the stairs
d.) none of these

Answer 5

d. none of these

Question 6

A pt with stiff neck for 2 days was referred to PT for eval and management. You opted to use the NDI to assess the pt. The ff are the pt’s answers. → 4,3,3,2,1,2,3,2, 3,4. What is the pt’s NDI score?
a.) 54%
b.) blank / bonus

Answer 6

a. 54%

Question 7

True about the lower extremity functional scale
a.) patient score is tallied at the end
b.) high score indicates higher disability
c.) it has a likert scale of 0-5
d.) a tool used by the therapist on pt’s with lower extremity conditions to observe their baseline function and monitor progress

Answer 7

a. pt score is tallied at the end

Question 8

A 30 y/o marathon runner came to your for assessment. Which of the ff will you NOT ask the pt to perform to assess her ADL?
a. Running
b. Sprinting
c. Walking
d. Sit to stand activity

Answer 8

b. sprinting

Question 9

A pr with LBP was referred to PT with a pain scale of 9/10. As her therapist, you assessed the baseline capability of the pt. Which of the ff is your top prioroty to assess given the pt’s case?
a. Sleeping
b. Ambulation
c. Transfers
d. Lifting

Answer 9

b. ambulation

Question 10

A pt who has shoulder injury came to you for PT evaluation and treatment. The pt is a librarian and usually sits for prolonged hours and returns books to shelves. Which functional assessment activity is NOT NECESSARY for you to assess?
a. Reaching overhead
b. Gripping objects
c. Carrying objects
d. Hooking/unhooking bra

Answer 10

b. gripping objects

Question 11

A pt who has shoulder injury came to you for PT evaluation and treatment. The pt is a construction worker who lives with his co-workers. Which functional assessment activity will you ask your pt to perform?
a. Lifting 10kg objects
b. Pushing a cart
c. Hanging clothes
d. All of the above

Answer 11

d. all of the above

Question 12

Which of the ff functional activities will you not assess in a pt with Piriformis syndrome with ℅ of paresthesia and numbness of the (L) LE especially after prolonged walking and standing. Pt also presents with weakness of the LE
a. Prolonged sitting
b. Getting in and out of the bed
c. Ascending and descending of stairs
d. None of these

Answer 12

d. none of these

Question 13

You asked a pt to stand and march in place. He was able to do it for 10 times without losing balance. How will you document this finding?

Answer 13

O > FA > N dynamic standing balance

Question 14

A pt with a Stiff Neck for 2 days was referred to PT eval and management. You opted to use the NDI to assess the pt. The ff are the pt’s answers:
1. 3 6. 1
2. 1 7. 3
3. 2 8. - -
4. 2 9. 3
5. 3 10. 2
What is the pt’s NDI score?
a. 42%
b. 43%
c. 44%
d. Cannot compute due to missing item

Answer 14

c. 44%

Question 15

True about the Lower Extremity Functional Scale EXCEPT
a. Patient score is tallied at the end
b. High score indicates higher independence
c. It has a Likert scale 0-5
d. A tool used by the therapist on pt’s with lower extremity conditions to assess their baseline function and monitor progress

Answer 15

c. it as a likert scale 0-5

Question 16

The Oswesty Disability Index examines the level of disability of a patient in Driving
a. True
b. False

Answer 16

b. false

Question 17

In using the DASH tool, the score cannot be calculated if there is one unanswered item
a. True
b. False

Answer 17

b. false

Question 18

A patient with Deconditioned Syndrome was referred to your care for Initial Evaluation and Assessment. Understanding the effects of prolonged immbolization on the Respiratory System, you will expect which of the following?
a. Lung volumes are increased
b. As an initial manifestation, there can be atelectasis and pneumonia
c. There is decreased diaphragmatic movement and chest expansion
d. Contracture formation on the serratus anterior muscles muscles and sternal joints

Answer 18

c. There is decreased diaphragmatic movement and chest expansion

Question 19

You were tasked to gradually retrain this patient and improve upright tolerance. Red flags for Orthostatic Hypotension for you to watch out for are the following EXCEPT:
a. Decreased Pulse rate (>20bpm)
b. Decreased Systolic BP (>20 mmHg)
c. Tingling, burning sensation in the LE
d. Cold clammy sweats.

Answer 19

a. Decreased Pulse rate (>20bpm)

Question 20

You realize that your patient is also prone to developing contractures. The following statements hold TRUE regarding affecting contracture formation EXCEPT:
a. Duration of immobilization
b. Position of immobilization
c. Body Built and composition
d. Movement or mobilization of involved jt.

Answer 20

c. Body Built and composition

Question 21

The following statement/s is/are TRUE about Postural/Orthostatic Hypotension:
a. With prolonged immobilization, adaptation to upright posture is completely lost in 2 weeks
b. Syncope or dizziness associated with orthostatic hypotension is due to increased cerebral perfusion from a decreased cardiac output with decreased venous return from the LE
c. PT interventions for gradual retraining to upright include gradual back rest elevation, full back rest elevation, progression to dangling sitting, tilt bed mobilization and standing tolerance
d. Is the impaired ability of the pulmonary system to adjust to the upright position
e. B & C
f. A & D

Answer 21

c. PT interventions for gradual retraining to upright include gradual back rest elevation, full back rest elevation, progression to dangling sitting, tilt bed mobilization and standing tolerance

Question 22

F.G. a 75 y.o. Male pt was referred to your care ff a CVA w/ ® hemiplegia 3 mos PTC. Pt is still unable to walk and spends most of his time sitting in his w/c. You advised the pt and his caregivers to watch out for signs of pressure sore over these area/s:
a. Back of the head
b. Elbow
c. Shoulder blades
d. Between knees and ankles

Answer 22

c. shoulder blades

Question 23

The following statements are TRUE regarding affectation of the cardiovascular system in deconditioning syndrome
a. HR progressively decreased by 0.5 bpm/day
b. There is redistribution of body fluids leading to increased plasma volume leading to increased blood viscosity
c. Clots usually develop in the big veins in the lower extremities
d. In 3 weeks, there is a 35% decrease in CV performance

Answer 23

c. Clots usually develop in the big veins in the lower extremities

Question 24

When performing positioning and turning activities on your patient, these are general guidelines should be observed EXCEPT:
a. In a new position, check pt’s skin after 5-10 mins
b. Sheets, blankets, or bed linens should be tucked in tightly at the foot of the bed to secure patient against falls
c. Pillows, rolled blankets or towels are used to support body parts to avoid pressure
d. Patients must be repositioned at least every 2 hours

Answer 24

b. Sheets, blankets, or bed linens should be tucked in tightly at the foot of the bed to secure patient against falls

Question 25

These are clots that develop on the big vein of the LE among patients with deconditioning syndrome dt decreased mm pumping activity and increased blood viscosity

Answer 25

thrombus

Question 26

Normal capillary pressure

Answer 26

30 mmHg

Question 27

This is the adaptive shortening of muscles; skin, fascia or joint capsule or other soft tissues that cross the joint resulting to LOM

Answer 27

contracture

Question 28

Bone morphology and density are dependent upon the forces that act on the bone

Answer 28

wolff’s law

Question 29

This is the silent hazard or prolonged bed rest which leads to intellectual compromise, emotional lability, and anxiety, and balance and coordination impairments

Answer 29

sensory deprivation

Question 30

Under patient type or manner of presentation, these patients are confined to the hospital bed due to contraptions, attachments, or MDs orders.

Answer 30

bed bound

Question 31

Ulcers/pressure sores that advance to underlying subcutaneous tissue

Answer 31

grade 3

Question 32

These are the predisposing extrinsic factors leading to skin breakdown

Answer 32

Pressure
Friction
Skin Maceration
Hydration
Infection
Reduced Activity

Question 33

Oxidative enzymes in muscle biochemical components with mm atrophy

DEC or INC with Deconditioning Syndrome

Answer 33

DEC

Question 34

Susceptibility to fractures with immobilization

DEC or INC with Deconditioning Syndrome

Answer 34

INC

Question 35

Pulse rate among the objective signs of postural hypotension

DEC or INC with Deconditioning Syndrome

Answer 35

INC

Question 36

Body Fat content

DEC or INC with Deconditioning Syndrome

Answer 36

INC

Question 37

Muscle strength and size

DEC or INC with Deconditioning Syndrome

Answer 37

DEC

Question 38

SCENARIO #!: You have a 54 y/o M pt being referred for PT Eval and Mx s/p L BKA (Transtibial amputation) 7 days PTC.

You proceeded to facilitate positioning and turning activities for this pt. Which among the statements below is inaccurate.
a. It is essential to inform the pt of the planned treatment and obtain the pt’s consent prior to the activity
b. The pt must be lifted rather than dragged
c. When turning this pt to the ®, you may proceed to teach segmental turning wth the pt crossing over (L) LE, with pt reaching on the bed side rails to turn
d. With the pt sitting on a wheelchair, care should be taken to monitor common areas of pressure sore formation including the hips, shoulder blade, lower back, sacrum, and underside and back of heel.

Answer 38

b. The pt must be lifted rather than dragged

Question 39

When positioning this pt in Supine, the following should be observed carefully. EXCEPT:
a. The supine should be kept aligned and straight
b. The UE may be positioned in whatever the pt desires for comfort either on the side, reverse T or folded on the chest
c. Pt’s extremities should not be extended beyond the treatment bed
d. It is ideal for the pt’s feet to be against a footboard to maintain positioning in neutral

Answer 39

b. The UE may be positioned in whatever the pt desires for comfort either on the side, reverse T or folded on the chest

Question 40

As you were inspecting your patient’s backsidem you noticed superficial ulceration extending up to the level of the dermis. Your grading for this pressure sore is:
a. Gr 1
b. Gr 2
c. Gr 3
d. Gr 4

Answer 40

b. gr 2

Question 41

This pt being prone to Immobilization osteoporosis. The following statements are TRYE regarding osteoporosis EXCEPT:
a. Wolff’’s Law states that bone morphology and density are independent upon the forces acting on the bone
b. With Immobilization Osteoporosis, there is a dec bone tissue / unit volume
c. There is dec bone mass accompanied by a dec in mineral content.
d. Pt is more susceptible to fractures

Answer 41

b. With Immobilization Osteoporosis, there is a dec bone tissue / unit volume

Question 42

Adaptation to the upright posture is completely lost after 21 days of immobilization on bed
a. True
b. False

Answer 42

a. true

Question 43

With orthostatic hypotension, there is an objective increase in PR > 20 bpm, and an increase in Systolic BP by > 20 mmHG.
a. True
b. False

Answer 43

b. false

Question 44

Affectation of the Cardiovascular System in this case would present as any of the ff EXCEPT:
a. There is a dec plasma volume leading to dec blood viscosity
b. HR increases 12-13 bpm in 10 days
c. A 25% dec in CV performance ensues in 3 weeks
d. Thrombus formation usually occurs in the big veins of the LE

Answer 44

a. There is a dec plasma volume leading to dec blood viscosity