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BOARDS > scorebuilders practice exam 2 > Flashcards

scorebuilders practice exam 2 Flashcards

1
Q

A physical therapist assistant instructs a patient post thoracic surgery how to produce an effective cough. Which position would be the MOST appropriate to initiate treatment?

  1. Standing
  2. Sitting
  3. Sidelying
  4. Hooklying
A
  1. sitting
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2
Q

While performing gait analysis on a patient, a physical therapist assistant observes a posterior trunk lean during heel strike (initial contact) to foot flat (loading response). Which of the following interventions would be the MOST appropriate to address the observed gait pattern?

  1. Strengthening exercises for the quadriceps
  2. Strengthening exercises for the gluteus maximus
  3. Stretching exercises for the hip extensors
  4. Stretching exercises for the hip internal rotators
A
  1. strengthening exercises for the gluteus maximus
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3
Q

A patient post CVA scores 39/56 on the Berg Balance Scale prior to discharge home from a rehabilitation facility. The physical therapist assistant should be able to make which of the following conclusions from the results of the assessment?

  1. The patient will require a low burden of care once discharged home
  2. The patient will have difficulty independently reaching for objects
  3. The patient is at significant risk for multiple or recurrent falls
  4. The patient will require assistance during ambulation
A
  1. The patient is at significant risk for multiple or recurrent falls
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4
Q

A physical therapist assistant uses a subjective pain scale to assess pain intensity that consists of a 10 cm line with each end anchored by one extreme of perceived pain intensity. The patient is asked to mark on the line the point that best describes their present pain level. Which pain scale is being used here?

  1. Descriptor Differential Scale
  2. Verbal Rating Scale
  3. Visual Analogue Scale
  4. Numerical Rating Scale
A
  1. Visual Analogue Scale
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5
Q

A physical therapist assistant working with a pediatric population suspects a patient’s allergic reaction to latex is associated with their medical condition. Which of the following medical diagnoses would be the MOST likely to have latex allergies?

  1. Myelomeningocele
  2. Cerebral palsy
  3. Down syndrome
  4. Muscular dystrophy
A
  1. Myelomeningocele
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6
Q

A physical therapist assistant treating a patient rehabilitating from spinal surgery four days ago observes the patient’s incision. What type of healing is BEST depicted in the image?

  1. Primary intention
  2. Delayed primary intention
  3. Secondary intention
  4. Tertiary intention
A
  1. primary intention
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7
Q

Which of the following components of balance would be MOST impacted by a patient using the suspensory strategy to control their balance?

  1. Line of gravity
  2. Center of mass
  3. Base of support
  4. Limits of stability
A

center of mass

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8
Q

A physical therapist assistant positions a patient as shown in the image to assess the patient’s report of complete paresis of the right lower extremity. The assistant instructs the patient to perform a rapid straight leg raise with their left lower extremity. Which of the following findings would BEST dispute the patient’s assertion?

  1. The patient is unable to lift their left heel from the assistant’s hand.
  2. The patient experiences radiating pain into the right lower extremity.
  3. The patient exerts a downward force into the assistant’s hand with their right heel.
  4. The patient reports severe pain while performing the straight leg raise.
A
  1. The patient exerts a downward force into the assistant’s hand with their right heel.
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9
Q

A patient diagnosed with ankylosing spondylitis exhibits a forward stooped posture. Which upper extremity proprioceptive neuromuscular facilitation (PNF) pattern should the physical therapist assistant BEST utilize in order to achieve the goal of improving this patient’s posture?

  1. D1 extension
  2. D1 flexion
  3. D2 extension
  4. D2 flexion
A
  1. D2 flexion
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10
Q

Which of the following objective findings would MOST severely limit a patient who has peripheral arterial disease from participating in an ambulation exercise program?

  1. Signs of resting claudication
  2. Decreased peripheral pulses
  3. Cool skin upon palpation
  4. Blood pressure of 165/90 mm Hg
A
  1. Signs of resting claudication
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11
Q

A patient sustained a traumatic injury to the right shoulder less than one week ago and presents with pain, inflammation, and muscle spasm globally in the shoulder. Which of the following interventions is the MOST appropriate for the physical therapist assistant to use at this stage?

  1. Grade I and II joint mobilizations
    2 .Bent over rows with a light hand weight
  2. Doorway stretches for the pectoralis major
  3. Proprioceptive neuromuscular facilitation patterns without resistance
A
  1. Grade I and II joint mobilizations
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12
Q

During gait training of a patient with a transtibial prosthesis, the physical therapist assistant observes excessive knee flexion during foot flat (loading response) on the prosthetic side. Which of the following rationales is the MOST likely cause of this gait deviation?

  1. Weakness of the hip flexors
  2. Alignment of the foot into excessive dorsiflexion
  3. Pistoning of the residual limb within the prosthesis
  4. Excessive softness of the SACH (solid ankle, cushion heel) foot
A

Alignment of the foot into excessive dorsiflexion

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13
Q

A physical therapist assistant treats a patient with a tibial plateau fracture that is currently partial weight bearing. During the treatment session, the physical therapist directs the assistant to instruct the patient to ascend and descend stairs using bilateral canes. Assuming the patient falls during the training session, which individual would be MOST liable for the incident?

  1. Physical therapist
  2. Physical therapist assistant
  3. Patient
  4. Referring physician
A
  1. Physical therapist
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14
Q

A physical therapist assistant instructs a patient to perform a stretch as shown in the image. Which of the following muscles would MOST likely be stretched here?
(hands behind head)

  1. Pectoralis minor
  2. Triceps
  3. Middle trapezius
  4. Upper trapezius
A
  1. Pectoralis minor
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15
Q

A physical therapist assistant intends to use compression therapy as part of a patient’s plan of care. The use of compression therapy would be contraindicated in which of the following impairments?

  1. Lower extremity edema due to congestive heart failure
  2. Decreased mobility following total knee arthroplasty
  3. Hypertrophic scarring following a burn to the lower extremities
  4. Residual limb edema following transfemoral amputation
A
  1. Lower extremity edema due to congestive heart failure
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16
Q

A physical therapist assistant performs postural drainage on a patient with bronchiectasis. The patient’s medical history includes diabetes and hypertension, both of which are poorly controlled. Which lung segment would MOST likely require the assistant to modify the standard treatment procedure?

  1. Apical segment of right upper lobe
  2. Posterior segment of left lower lobe
  3. Anterior segment of right upper lobe
  4. Superior segment of left lower lobe
A
  1. Posterior segment of left lower lobe
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17
Q

A physical therapist assistant discusses the use of a topical moisturizer with a patient to combat dryness and itching of the skin in the area of a healed burn. Which type of burn would MOST likely require the use of a moisturizer for an indefinite period?

  1. Superficial burn on the palm of the hand caused by steam
  2. Superficial partial-thickness burn on the dorsum of the hand caused by chemical exposure
  3. Deep partial-thickness burn on the anterior thigh caused by contact with boiling water
  4. Full-thickness burn on the volar surface of the forearm caused by fire
A
  1. Full-thickness burn on the volar surface of the forearm caused by fire
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18
Q

A physical therapist assistant works with a patient who is six weeks post total hip arthroplasty (posterolateral approach). The patient’s medical history includes Graves’ disease. Which intervention should the assistant avoid when treating the patient?

  1. Resisted hip lateral rotation in a supine position
  2. Hip abduction with an ankle weight in a standing position
  3. Ascending and descending stairs
  4. Ambulation in a warm therapy pool
A
  1. Ambulation in a warm therapy pool
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19
Q

A physical therapist assistant suspects that a patient being treated for shin splints may actually have chronic exertional compartment syndrome. Where should the assistant palpate to assess if perfusion to the foot has been affected?

  1. Anterior to the lateral malleolus
  2. Posterior to the lateral malleolus
  3. Anterior to the medial malleolus
  4. Posterior to the medial malleolus
A
  1. Posterior to the medial malleolus
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20
Q

A patient has been diagnosed with median nerve entrapment. The patient reports experiencing paresthesias and progressive weakness in the hand. Which muscle would MOST likely contribute to the entrapment?

  1. Abductor pollicis longus
  2. Flexor digiti minimi
  3. Flexor digitorum profundus
  4. Pronator teres
A
  1. Pronator teres
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21
Q

A 13-year-old girl sustained a grade III anterior cruciate ligament sprain while playing soccer and is concerned about the future impact of the injury on her athletic career. As she considers the possibility of having anterior cruciate reconstruction, which of the following factors would have the GREATEST influence on her candidacy for surgery?

  1. Anthropometric measurements
  2. Hamstrings/quadriceps strength ratio
  3. Skeletal maturity
  4. Somatotype
A
  1. Skeletal maturity
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22
Q

As part of the plan of care, a physical therapist assistant elects to use mechanical lumbar traction for a patient who sustained a back injury. If the primary goal of the treatment is to decrease the patient’s muscle spasm, which of the following percentages of body weight is the MOST appropriate for the assistant to use?

  1. 10%
  2. 15%
  3. 25%
  4. 50%
A
  1. 25%
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23
Q

A physical therapist assistant performs measurements on a patient for the fit of a wheelchair and determines the seat width is too excessive for this patient. Which of the following adverse effects would MOST likely result from this finding?

  1. Difficulty changing position within the wheelchair
  2. Insufficient trunk support
  3. Difficulty propelling the wheelchair
  4. Increased pressure to the distal posterior thighs
A
  1. Difficulty propelling the wheelchair
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24
Q

A physical therapist assistant reviews the results of a pulmonary function test. Assuming normal values, which of the following measurements should the assistant expect to be the GREATEST?

  1. Vital capacity
  2. Tidal volume
  3. Residual volume
  4. Inspiratory reserve volume
A
  1. Vital capacity
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25
Q

A physical therapist assistant prepares to implement an exercise program aimed at improving a patient’s core and lower extremity strength. The assistant would like to avoid exercises that may elevate the patient’s blood pressure. Which exercise would be the MOST likely to increase the patient’s blood pressure?

  1. Wall sits for 15 seconds for 10 repetitions
  2. Leg press for 10 repetitions
  3. Walking at 2.0 miles per hour on a treadmill for 10 minutes
  4. Standing hip abduction using an elastic band for 10 repetitions
A
  1. Wall sits for 15 seconds for 10 repetitions
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26
Q

A physical therapist assistant observes a patient having difficulty controlling the involved lower extremity during foot flat (loading response). Which of the following statements BEST describes the muscle activation at the knee during this phase of the gait cycle?

  1. Increased quadriceps activity and increased hamstrings activity
  2. Increased quadriceps activity and decreased hamstrings activity
  3. Decreased quadriceps activity and increased hamstrings activity
  4. Decreased quadriceps activity and decreased hamstrings activity
A
  1. Increased quadriceps activity and decreased hamstrings activity
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27
Q

A physical therapist assistant positions a patient as shown in the image prior to testing for clonus. Which of the following actions is the MOST appropriate for the assistant to perform in order to complete the test?

  1. Provide a quick stretch to the plantar flexors
  2. Provide a quick stretch to the dorsiflexors
  3. Provide a quick stretch to the plantar flexors while extending the knee
  4. Provide a quick stretch to the dorsiflexors while extending the knee
A
  1. Provide a quick stretch to the plantar flexors
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28
Q

A patient who has ankylosing spondylitis reports progressive stiffening of the spine and associated pain for more than five years. A physical therapist assistant observes the patient’s posture in the standing position. Which of the following postures should the assistant MOST expect to observe?

  1. Posterior thoracic rib hump
  2. Flattened lumbar curve, exaggerated thoracic curve
  3. Excessive lumbar curve, flattened thoracic curve
  4. Lateral curvature of the spine with fixed rotation of the vertebrae
A
  1. Flattened lumbar curve, exaggerated thoracic curve
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29
Q

A physical therapist assistant prepares to assess the balance of a patient who has a neurological disorder. Which of the following methods is the MOST appropriate to assess the vestibular component of balance?

  1. Assess cutaneous sensation
  2. Apply a perturbation to alter the body’s center of gravity
  3. Assess proprioception in a weight bearing posture
  4. Quantify visual acuity and depth perception
A
  1. Apply a perturbation to alter the body’s center of gravity
30
Q

A patient sustains burns to the anterior surface of the right upper extremity and to the anterior surface of the trunk. According to the rule of nines, the patient has burns over what percentage of the total body surface area?

  1. 13.5%
  2. 22.5%
  3. 27.0%
  4. 36.0%
A
  1. 22.5%
31
Q

A physician analyzes the results of a magnetic resonance imaging study to determine the extent of a patient’s lung cancer. When staging the patient’s cancer using the TNM system, which of the following factors would NOT be considered?

  1. size of the tumor
  2. Involvement of the lymphatic system
  3. Rate of growth of the cancer cells
  4. Presence of metastasis
A
  1. Rate of growth of the cancer cells
32
Q

A patient two days post arthrotomy of the knee completes a quadriceps setting exercise while in the supine position. During the exercise the patient begins to experience severe pain. Which of the following actions is the MOST appropriate for the physical therapist assistant to take?

  1. Have the patient perform the exercise in sidelying
  2. Have the patient flex the knee prior to initiating the exercise
  3. Place a pillow under the ankle
  4. Discontinue the exercise
A
  1. Discontinue the exercise
33
Q

A physical therapist assistant documents the gait of a patient with hemiplegia as equinus. Which of the following findings would MOST likely contribute to this type of gait pattern?

  1. Excessive activity of the gastrocnemius
  2. Weakness of the tibialis posterior
  3. Excessive activity of the tibialis anterior
  4. Weakness of the flexor digitorum longus
A
  1. Excessive activity of the gastrocnemius
34
Q

A physical therapist assistant informs a patient that a ramp needed to access their house with a wheelchair will require two separate sections with a landing area. What variable of the ramp would have MOST likely influenced this decision?

  1. Slope
  2. Angle of inclination
  3. Length
  4. Width
A
  1. Length
35
Q

A physical therapist assistant observes a five-month-old infant in the supine position with the legs elevated and the hips positioned in flexion, abduction, and lateral rotation. Which observation would represent the MOST advanced volitional movement in this position?

  1. Reaching of the hand to the ipsilateral knee
  2. Reaching of the hand to the ipsilateral foot
  3. Reaching of the hand to the contralateral knee
  4. Reaching of the hand to the contralateral foot
A
  1. Reaching of the hand to the contralateral foot
36
Q

A physical therapist assistant performs ultrasound treatment to the right anterior shoulder of a patient at 1.5 W/cm2, pulsed 20%, 1 MHz, for 6 minutes. If the goal of the treatment is to increase tissue temperature, which parameter would be the MOST critical for the assistant to alter?

  1. Treatment time
  2. Duty cycle
  3. Frequency
  4. intensity
A
  1. Duty cycle
37
Q

A physical therapist assistant suspects that a patient’s upper extremity range of motion limitation may be the result of a fear-based psychological response. Which of the following examination findings would be MOST consistent with the assistant’s hypothesis?

  1. Decreased passive range of motion; weak but pain-free resistive testing
  2. Decreased active range of motion; strong but painful resistive testing
  3. Decreased active and passive range of motion; strong and pain-free resistive testing
  4. Decreased active range of motion; decreased effort with resistive testing
A
  1. Decreased active range of motion; decreased effort with resistive testing
38
Q

A physical therapist assistant observes the gait pattern of a patient with a right hip flexion contracture. Which gait deviation would be MOST likely based on the contracture?

  1. diminished step length on the left
  2. Diminished step length on the right
  3. Steppage gait on the left
  4. Steppage gait on the right
A
  1. diminished step length on the left
39
Q

A physical therapist assistant reviewing a patient’s medical record identifies an order for Doppler ultrasonography. Which of the following conditions would this test MOST likely be used to assess?

  1. Peripheral neuropathy
  2. Intermittent claudication
  3. Cardiac arrhythmias
  4. Bursitis
A
  1. Intermittent claudication
40
Q

A physical therapist assistant completes a cognitive function test on a patient post CVA. As part of the test, the assistant assesses the patient’s abstract thinking ability. Which of the following tasks would be the MOST appropriate?

  1. Orientation to time, person, and place
  2. Copy drawn figures of varying size and shape
  3. Discuss how two objects are similar
  4. Identify letters or numbers traced on the skin
A
  1. Discuss how two objects are similar
41
Q

A physical therapist assistant documents in the medical record that a patient has moved from Stage 5 to Stage 6 of the Brunnstrom Stages of Recovery. Which of the following progressions is the MOST typical of this transition?

  1. Absence of associated reactions
  2. Disappearance of spasticity
  3. Voluntary movement begins outside of synergy patterns
  4. Normal motor function
A
  1. Disappearance of spasticity
42
Q

As part of the medical history, a patient reports a sudden onset of pain. Which medical condition is MOST consistent with this clinical presentation?

  1. Bicipital tendonitis
  2. Hamstrings strain
  3. Osgood-Schlatter disease
  4. Peripheral vascular disease
A
  1. Hamstrings strain
43
Q

A physical therapist assistant reads in the medical record that a patient exhibits asthenia. Which of the following tests would be the MOST useful to identify the presence of this condition?

  1. Manual resistance to assess muscle strength
  2. Marching in place
  3. Alternating finger to nose
  4. Placing the feet on floor markers while walking
A
  1. Manual resistance to assess muscle strength
44
Q

A physical therapist assistant treats a patient diagnosed with chronic arterial disease who is experiencing signs and symptoms of intermittent claudication with activity. The primary treatment goal is to increase the patient’s ambulation distance. Which of the following ambulation parameters are the MOST appropriate to facilitate achievement of the goal?

  1. Short duration, frequent intervals
  2. Short duration, infrequent intervals
  3. Long duration, frequent intervals
  4. Long duration, infrequent intervals
A
  1. Short duration, frequent intervals
45
Q

A physical therapist assistant attempts to select an assistive device for a patient post traumatic brain injury. The patient is occasionally impulsive, however, has fair standing balance and good upper and lower extremity strength. Which of the following assistive devices would be the MOST appropriate for the assistant to select for the patient?

  1. Cane
  2. Axillary crutches
  3. Lofstrand crutches
  4. Walker
A
  1. Walker
46
Q

A patient is two days post surgical insertion of a urinary catheter. This procedure is MOST commonly performed with which of the following types of catheters?

  1. Condom
  2. Foley
  3. Suprapubic
  4. Swan-Ganz
A
  1. Suprapubic
47
Q

A physical therapist assistant completes documentation after administering an ultrasound treatment. Which of the following treatment parameters would be the LEAST important to document?

  1. Patient position
  2. Treatment time
  3. Intensity
  4. Duty cycle
A
  1. Patient position
48
Q

A physical therapist assistant discusses pain management for a patient post total hip arthroplasty with the patient’s nurse. Which objective finding would make the use of patient-controlled analgesia the MOST unrealistic?

  1. Altered cognitive status
  2. Elevated respiratory rate
  3. Advanced age
  4. History of substance abuse
A
  1. Altered cognitive status
49
Q

During a patient interview, a physical therapist assistant asks the patient about any feelings of dependency on coffee, tea or soft drinks. Which of the following clinical scenarios would MOST appropriately warrant this type of question?

  1. A patient following arthroscopic medial meniscectomy
  2. A patient with premature ventricular contractions
  3. A patient with restrictive pulmonary disease
  4. A patient with respiratory alkalosis
A
  1. A patient with premature ventricular contractions
50
Q

A physical therapist assistant instructs a patient in a traditional bench press exercise using free weights. Which modification would be the MOST beneficial to limit the amount of stress placed on the anterior capsule of the shoulder?

  1. Grasp the bar with a supinated grip with the hands slightly wider than shoulder width apart
  2. Ensure that the elbows are fully extended at the conclusion of the upward movement
    3 .Ensure that the bar does not contact the chest during the downward movement
  3. Attempt to slightly raise the head off of the bench during the upward movement
A

3 .Ensure that the bar does not contact the chest during the downward movement

51
Q

A physical therapist assistant works with a patient with C7 tetraplegia on transferring from a manual wheelchair to a mat table with a sliding board. According to the head-hips relationship principle, which direction should the patient move their head to initiate the transfer?

  1. Down and away from the mat
  2. Up and towards the mat
  3. Down and towards the mat
  4. Up and away from the mat
A
  1. Down and away from the mat
52
Q

A physical therapist assistant performs a muscle length test for the long head of the triceps. Which of the following findings is the MOST consistent with shortening of this muscle?

  1. Limitation of elbow flexion with the shoulder maintained at the end range of extension
  2. Limitation of elbow extension with the shoulder maintained at the end range of extension
  3. Limitation of elbow extension with the shoulder maintained at the end range of flexion
  4. Limitation of elbow flexion with the shoulder maintained at the end range of flexion
A
  1. Limitation of elbow flexion with the shoulder maintained at the end range of flexion
53
Q

A physical therapist assistant observes that a patient appears to have recently gained weight. Which of the following medical conditions would MOST likely be associated with weight gain?

  1. Addison’s disease
  2. Crohn’s disease
  3. Congestive heart failure
  4. Graves’ disease
A
  1. Congestive heart failure
54
Q

A physical therapist assistant is treating a patient that has been prescribed levodopa. The patient has been taking the drug as directed for two weeks. Which physical therapy intervention would be MOST affected secondary to the potential negative side effects of the prescribed medication?

  1. Balance activities
  2. Strengthening activities
  3. Range of motion activities
  4. Endurance activities
A
  1. Balance activities
55
Q

A health care provider is struck in the face with a sudden involuntary movement of a patient’s upper extremity. This incident would MOST likely be associated with which of the following conditions?

  1. Athetosis
  2. Chorea
  3. Hemiballism
  4. Rigidity
A
  1. Hemiballism
56
Q

A terminally ill patient completes a formal document that names his daughter as the individual to make health care decisions in the event that he is unable. Which term is MOST consistent with this type of advanced directive?

  1. Living will
  2. Physician’s directive
  3. Durable power of attorney
  4. Euthanasia
A

3.Durable power of attorney

57
Q

A physical therapist assistant completes a developmental assessment on an infant. Which position would typically be the LAST to occur assuming normal development?

  1. Modified plantigrade
  2. Quadruped
  3. Ring sitting
  4. Bridging
A

1.Modified plantigrade

58
Q

A physical therapist assistant reviews the medical record of a patient with known cardiopulmonary pathology. The patient’s past medical history includes gastroesophageal reflux disease. Which activity would potentially be the MOST problematic for the patient?

  1. Performing diaphragmatic breathing exercises in a semi-Fowler position
  2. Initiating a progressive ambulation program on a treadmill
  3. Administering percussion to the anterior basal segments of the lower lobes
  4. Assessing tactile fremitus while palpating the chest wall in sitting
A

3.Administering percussion to the anterior basal segments of the lower lobes

59
Q

A physical therapist assistant is treating a patient in an acute care setting who has a hematologic disorder. Which of the following measures would be the MOST appropriate for the assistant to monitor on a daily basis in order to ensure patient safety during treatment?

  1. Hemoglobin
  2. Complete blood count
  3. Arterial blood gas
  4. Blood glucose
A

2.Complete blood count

60
Q

A physical therapist assistant administers the Six-Minute Walk Test to a patient with reduced aerobic capacity. Which of the following statements BEST describes a limitation of the selected test?

  1. Offers a limited number of rest periods
  2. Requires a face mask to be worn for the collection of air samples
  3. Utilizes a minimum required walking speed
  4. Fails to provide insight into the mechanism of exercise limitation
A

4.Fails to provide insight into the mechanism of exercise limitation

61
Q

A physical therapist assistant guards a patient who is descending a step with axillary crutches. Based on the image, which of the following scenarios is the MOST likely?

  1. Partial weight bearing secondary to a left lateral ankle sprain
  2. Partial weight bearing secondary to a right lateral ankle sprain
  3. Toe touch weight bearing secondary to a left lateral ankle sprain
  4. Toe touch weight bearing secondary to a right lateral ankle sprain
A
  1. Partial weight bearing secondary to a left lateral ankle sprain
62
Q

A physical therapist assistant conducts an inservice on exercise guidelines for a group of senior citizens. During the inservice, the assistant discusses the benefits of improving cardiovascular status through a low intensity activity such as a walking program. What frequency of exercise would be the MOST desirable to achieve the stated objective?

  1. Twice per day
  2. One time per week
  3. Three times per week
  4. Five times per week
A

4.Five times per week

63
Q

physical therapist assistant measures a patient for a wheelchair. When measuring back height, which method is the MOST accurate?

  1. Measure from the seat of the chair to the base of the axilla and subtract two inches
  2. Measure from the seat of the chair to the base of the axilla and subtract four inches
  3. Measure from the seat of the chair to the acromion process and subtract two inches
  4. Measure from the seat of the chair to the acromion process and subtract four inches
A

2.Measure from the seat of the chair to the base of the axilla and subtract four inches

64
Q

A patient being treated in an acute care hospital reports excessive thirst on multiple occasions during a treatment session. Which electrolyte imbalance would MOST likely be associated with this scenario?

  1. Hypercalcemia
  2. Hyperkalemia
  3. Hypermagnesemia
  4. Hypernatremia
A

4.Hypernatremia

65
Q

A patient refuses physical therapy services after being transported to the gym. The physical therapist assistant explains the potential consequences of refusing treatment, however, the patient does not reconsider. Which of the following actions is the MOST appropriate for the assistant to take initially?

  1. Continue with the patient treatment
  2. Convince the patient to have therapy
  3. Contact the referring physician
  4. Document the incident in the medical record
A

4.Document the incident in the medical record

66
Q

A patient sustained a grade I ankle sprain two days ago during a marching band competition. The patient’s description of the mechanism of injury is consistent with inversion and plantar flexion. Which of the following ligaments would MOST likely be affected?

  1. Anterior talofibular ligament
  2. Calcaneofibular ligament
  3. Anterior tibiofibular ligament
  4. Deltoid ligament
A

1.Anterior talofibular ligament

67
Q

A physical therapist assistant prepares to administer iontophoresis over the anterior surface of a patient’s knee. The assistant would like to keep the current density low in order to avoid skin irritation. Which of the listed parameters would BEST accomplish the stated objective?

  1. Current amplitude of 4 mA; electrode with an area of 12 cm2
  2. Current amplitude of 4 mA; electrode with an area of 4 cm2
  3. Current amplitude of 3 mA; electrode with an area of 6 cm2
  4. Current amplitude of 3 mA; electrode with an area of 4 cm2
A

1.Current amplitude of 4 mA; electrode with an area of 12 cm2

68
Q

A physical therapist assistant performs a goniometric measurement on a patient’s wrist. Based on the motion measured in the image, which value would be MOST anticipated assuming the patient has normal wrist range of motion?

  1. 0-20 degrees
  2. 0-30 degrees
  3. 0-40 degrees
  4. 0-70 degrees
A

1.0-20 degrees

69
Q

A patient who has T10 paraplegia is working with a physical therapist assistant on how to react in the event of a backward fall. The patient is instructed to place one hand behind the head and the other across their lap as seen in the image. Placing the hand across the lap is important for which of the following reasons?

  1. Allows the patient to remain within the chair upon landing
  2. Allows the patient to hold onto one armrest to stabilize the wheelchair
  3. Prevents the lower extremities from hitting the patient’s face
  4. Allows the patient to secure the brake to slow the fall
A

3.Prevents the lower extremities from hitting the patient’s face

70
Q

A physical therapist assistant elects to use a communication board with a patient in an acute care setting. Which of the following patients would MOST likely benefit from the use of this image?

  1. A 45-year-old male who speaks limited English
  2. A 60-year-old female with hemianopsia
  3. A 75-year-old male with Broca’s aphasia
  4. An 88-year-old female with end-stage dementia
A

3.A 75-year-old male with Broca’s aphasia

71
Q

A physical therapist assistant works with a patient who has patellofemoral syndrome. The physical therapist directs the assistant to measure the patient’s Q angle. Which three bony landmarks should the assistant use to measure the Q angle?

  1. Anterior superior iliac spine, superior border of the patella, tibial tubercle
  2. Anterior superior iliac spine, midpoint of the patella, tibial tubercle
  3. Anterior superior iliac spine, inferior border of the patella, midpoint of the patella tendon
  4. Greater trochanter, midpoint of the patella, tibial tubercle
A

2.Anterior superior iliac spine, midpoint of the patella, tibial tubercle

BOARDS (2 decks)

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