Variadas 9

Question 1

Which is false about gout?

a) Too much uric acid production
b) Mainly affects elderly men and women
c) Crystals deposited in synovium, cartilage, and tendons
d) Insufficient uric acid excretion

Answer 1

B

Question 2

Which nerve does NOT arise from the posterior cord?
a) Radial
b) Axillary
c) Ulnar
d) Thoracodorsal

Answer 2

C

Question 3

Which rib does the scapular spine sit at?

A)Rib 2
b)Rib 3
c) Rib 4
d) Rib5

Answer 3

B

Question 4

Which is NOT a proposed therapeutic benefit of LLLT?

A)Tissue healing
b) Pain management
c Reduction of inflammation
d) Muscle strengthening

Answer 4

D

Question 5

Signs and symptoms must be present for
…wekks to make a diagnosis of Juvenile Idiopathic Arthritis:

A)5
b) 6
c) 7
d) 8

Answer 5

B

Question 6

RA affects:

a) Women more than men
b) Men more than women
c) Women and men equally
d) Men more than men

Answer 6

A

Question 7

Which about OA is TRUE?

a) Knee 0A is mostly bilateral, Hip OA is mostly unilateral

b) Knee OA is mostly unilateral, Hip OA is mostly bilateral

c) Knee and Hip OA are both mostly bilateral

d) Knee and Hip OA are both mostly unilateral

Answer 7

A

Question 8

Which about hand OA is TRUE?

a)Bouchard nodes are at PIP, Heberden nodes are at DIP

b) Heberden nodes are at PIP. Bouchard nodes are at DIP

c) Bouchard nodes are at MCP, Heberden nodes are at PIP

d) Heberden nodes are at MCP, Bouchard nodes are at PIP

Answer 8

A

Question 9

A common site of OA in the hand where an ‘angular presentation’ is present is at:

A)PIP
b) DIP
с) МСР
d) CMC

Answer 9

D

Question 10

Which is NOT considered a positive diagnosis of OA?

a) Kellgren-Lawrence Grade 1
b) Kellgren-Lawrence Grade2
с) Kellgren-Lawrence Grade 3
d)Kellgren-Lawrence Grade 4

Answer 10

A

Question 11

Upper crossed syndrome includes all EXCEPT:

a)Weak deep neck flexors
B)Weak pecs & SCM
c) Tight upper traps & lev scap
d) Weak rhomboids, lower traps & serratus anterior

Answer 11

B

Question 12

Which is NOT return to play criteria?

a) Complete resolution of acute signs and symptoms
b) Full active and passive ROM of joints involved in activity
c) Adequate muscle strength (>90%)
d) Correct movement mechanics
e) Completes one functional test

Answer 12

E

Question 13

Which about Sever’s Disease is FALSE?

a) Common in active youth between 8-15
b) Associated with increased running and jumping
c) Associated with rapid growth phase
d) Associated with blunt trauma

Answer 13

D

Question 14

What is a normal heart rate i infants?

A)60-110
b) 75-100
c) 90-140
D)120-160

Answer 14

D

Question 15

What is a life-threatening condition that arises when the body’s response to an infection injures its own tissues and organs?

a) Sepsis
b) Ventilator associated pneumonia
c)ARDS
d)Critical illness polyneuropathy

Answer 15

A

Question 16

Which treatment is not effective for ARDS?

a) Secretion clearance techniques to remove fluid build-up

b) Intubation and protective ventilation to improve oxygenation

c) Pharmaceutical management to treat underlying trigger

d) Prone positioning

Answer 16

A

Question 17

A therapist attempts to assess the integrity of the L4 spinal level. Which deep tendon reflex would provide the therapist with the most useful information?

A. lateral hamstrings
В.medial hamstrings
C) patellar reflex
D.Achilles reflex

Answer 17

C

Question 18

When explaining the benefits of a warm-up, which of the following statements would be incorrect?

a. There is an increase in muscle temperature which increases the efficiency of muscle contraction by reducing muscle viscosity and increasing the rate of nerve conduction.

b. There is dilation of the capillaries which increases circulation and augments oxygen delivery to the active muscles.

c. There is increased flexibility which makes the musculoskeletal system less susceptible to injury.

d. There is a decrease in venous return which occurs as blood is shifted centrally from the periphery.

Answer 18

D

There is an increase in venous return which occurs as blood is shifted centrally from the periphery due to increased muscle pumping action.

Question 19

A therapist reviews literature which details the expected changes in endurance and physical work capacity as an individual progresses from middle age to an older adult.

Which of the following measurements would not be affected by this transition?

A. resting heart rate
B. stroke volume
C. cardiac output
D. blood pressure

Answer 19

A

Question 20

A therapist prepares to instruct a patient in e three point gait pattem using axillary crutches. The most appropriate initial step to facilitate patient leaming is to

A. distinguish a three point gait patter from other gait patters

B. demonstrate a three point gait pattem

C. provide the patient with direct feedback on his/her performance

D. provide a written handout which illustrates the use of a three point gait pattem

Answer 20

B

Question 21

Capsular pattern da tmj?

Answer 21

Opening

Question 22

A 55 year old female patient is referred for
PT with acute exacerbation of Rheumatoid arthritis. She has swollen wrists and fingers and pain. Morning stiffness takes one hour to resolve. While going through the past medical history, PT noticed that she has been diagnosed with RA 3 years back and has RF positive.

Q1. Which of the following condition can also have a positive RF?
A) Psoriatic Arthritis
B) Leprosy
C) Ankylosing spondylitis
D) Reactive Arthritis

Answer 22

B

A positive RF is seen in Leprosy along with other conditions like tuberculosis and chronic hepatitis.

Question 23

While observing patient’s hands, PT makes a note of wrist deformities and confirms the presence of Piano key sign on examination. Which of the following correctly defines this sign?

A) Up and down movement of radial styloid on point pressure

B) Up and down movement of ulnar styloid on point

C) Up and down movement of proximal carpals on point pressure

D) Up and down movement of metacarpal heads on point pressure

Answer 23

B

Chronic inflammation around the ulnar styloid coupled with laxity of the radioulnar ligament produces the piano key sign on examination. The piano key sign is defined as an up and down movement of the styloid in response to point pressure from the examiner.

Question 24

A 55 year old female patient is referred for
PT with acute exacerbation of Rheumatoid arthritis. She has swollen wrists and fingers and pain. Morning stiffness takes one hour to resolve. While going through the past medical history, PT noticed that she has been diagnosed with RA 3 years back and has RF positive.

Which of the following treatment is appropriate at this stage to address patient’s symptoms?
A) Cryotherapy
B) Hot packs
C) Stretching
D) Grade 3 mobilisation

Answer 24

A

Cryotherapy is often recommended for the treatment of acute inflammation and may be helpful in patients with chronic inflammatory conditions such as osteoarthritis and rheumatoid arthritis.
Controlling the edema and pain associated with inflammation limits the loss of function associated with this phase of tissue healing.

Incorrect: B - Heat might worsen the acute inflammatory response by increasing blood flow which might increase swelling and resulting pain.

C - Stretching is contraindicated in swollen joints. Forcing motion on the distended capsule overstretches it, leading to subsequent hypermobility (or subluxation) when the swelling abates. It may also increase the irritability of the joint and prolong the joint reaction.

D - Grade 3 mobilisation stress into the restricted range which might overstretch the capsule and ligaments which are already stressed.

Question 25

Which of the following correctly describes a Hill - Sachs lesion?

A) Fracture of the posterior-lateral tubercle of humerus

B) Fracture of the anterior rim of glenoid and labrum

C) Fracture of the posterior-lateral head of humerus and labrum

D) Fracture of posterior-lateral humeral head

Answer 25

Correct answer = D, Fracture of posterior-
lateral humeral head
Following a bankart lesion, there is a chance that hill - sach lesion may also occur. It is a compression fracture of only posterior-lateral head of humerus
Incorrect answer -

A - This is a distractor

B- This is an example of Bankart’s lesion.
The labrum is pulled away from anterior glenoid with a small piece of glenoid

C - This is a distractor

Question 26

A 42 year old patient presented to the outpatient clinic with history of low back injury after a fall at work. He fell down on the floor when he was trying to hop into the forklift a week ago.

Patient reported that he has 7/10 pain with radiating pain down to the left leg along with some tenderness on the back. Patient stated that the new symptoms developed 3 days ago in which he feels like he needs a walker to walk and he has to go for peeing immediately if he has an urge and he has no control of the bladder movement.

Q2) After referring the patient to the appropriate facility. What would be the possible diagnosis of this patient should be written in the charting of the patient?

A) Radiculopathy
B) Low back strain/sprain
C) Sl joint dysfunction
D) None of the above

Answer 26

Answer is D

Rationale:
Option a) Radiculopathy is a condition in which the pain radiating to a leg which can be along with numbness or tingling

Option b) Low back strain sprain pain usually does not go beyond the knee. The patient complaints of pain in the low back which changes with movement with no numbness or

Option c) SI joint pain does not radiate beyond knee. A history of fall or injury is the most common cause of the SI joint pain.

Option d) It is the correct answer because the symptoms mentioned in the stem does not correlate with low back pain strain radiculopathy and SI joint dysfunction

Question 27

A 42 year old patient presented to the outpatient clinic with history of low back injury after a fall at work. He fell down on the floor when he was trying to hop into the forklift a week ago.

Patient reported that he has 7/10 pain with radiating pain down to the left leg along with some tenderness on the back. Patient stated that the new symptoms developed 3 days ago in which he feels like he needs a walker to walk and he has to go for peeing immediately if he has an urge and he has no control of the bladder movement.

Q1) Patient stated he has good strength in his arms. Patient has already seen his physician after 2 days of injury. What would be the most appropriate action to take by the physiotherapist?

A) Refer the patient for MRI to know what is the cause of the problem
B) Refer the patient back to his family physician
C) Refer the patient to the emergency immediately at nearest hospital
D) Refer the patient for CAT Scan to know what is the cause of the problem

Answer 27

Answer is C
Rationale:
In Canada, a physiotherapist is not authorised to refer a patient for MRI or any other diagnostic testing. Patient has symptoms of cauda equina syndrome and he should be referred to emergency immediately.
Cauda equina symptoms are bladder and bowel dysfunction, saddle anaesthesia and bilateral leg weakness.

Question 28

A physical therapist is working on a patient with Spinal Cord Injury at C2 level. Which of the following muscles of respiration is intact at this neurological level?

1- Scalenes

2Diaphragm

3Upper Trapezius

4-levator scapulae

Answer 28

3 upper trapezius

Rationale:
C1-C2 Sternocleidomastoid, upper trapezius, cervical extensors
C3-C4 Partial diaphragm, scalenes, levator scapulae
C5-C8 Diaphragm, pectoralis major and minor, serratus anterior, rhomboids, latissimus dorsi

Question 29

APGAR SCORE -what is the purpose?
What is a good score?

Answer 29

APGAR SCORE - Paediatrics
According to Tecklin - These scores are generally assigned for the first and fifth minute of life if the baby does not require extensive resuscitation. A score of 7 or more indicates that that the neonate is in good health.

Question 30

A 41 year old patient who is working as an accountant reported pain in the right shoulder nprs 4/10 sharp pain with elevation of the shoulder. The relieving factor is rest and ice. The pain comes at 90 degrees of the right shoulder abduction.

After examination, the therapist ruled in shoulder impingement syndrome.

Q1) The therapist decided to perform special test in which the patient placed the hand on the opposite shoulder and the elbow elevated by the examiner. Which of the following is the name of the test?

A) Yocum test
B) Neer impingement test
C) Hawkin Kennedy test
D) Ludington’s test

Answer 30

Correct answer is A

Rationale:
Option a) Yocum test is used to assess the secondary impingement or the supraspinatus tendinosis. It is modification of hawkin kennedy test

Option b) This test is indicative of overuse injury to supraspinatus muscle

Option c) Hawkin Kennedy test is used to assess the secondary impingement or the supraspinatus tendinosis

Option d) Ludington test is used to assess the rupture of long head of biceps tendon

Question 31

A patient visits outpatient clinic with fixed forefoot varus malalignment. What possible compensatory motion might be seen in this patient?

a. Ipsilateral pelvic external rotation
b. Hallux valgus
c. Excessive subtalar supination
d. Ipsilateral lumbar spine rotation

Answer 31

B

Question 32

A therapist reviews the resuls of a pulmonary function test of a patient with chronic obstructive pulmonary disease. Which of the following resutts is not typical of a patient with COPD?

А.increased functional residual capacity

B. increased total lung capacity

C. increased residual volume

D. increased airflow

Answer 32

D

Question 33

A therapist attempts to palpate the tibialis posterior tendon. To facilitate palpation of this structure the therapist should:

А. ask the palient to invert and plantarflex his foot

В. ask the patient to evert and dorsiflex his foot

C.ask the patient to invert and dorsiflex his foot

D. passively evert and plantarflex the patient’s foot

Answer 33

A

Question 34

A patient with a diagnosis of vertigo is referred to physical therapy for a balance assessment. When testing this patient’s kinesthesia, the most reliable method is:

А. have the patient describe the position of his/her extremity once in a static position

В.have the patient describe the direction and position of his/her extremity during the motion

C.have the patient describe if the stimuli is sharp or dull

D. have the patient name the object in his/her hand without visual input,

Answer 34

B

Question 35

A therapist attempts to palpate the tibialis posterior tendon. To facilitate palpation of this structure the therapist should
?

A. ask the palient to invert and plantarflex his foot

B. ask the patient to evert and dorsiflex his foot

C. askthe patient to invert and dorsiflex his foot

D. passively evert and plantarflex the patient’s foot

Answer 35

A

Question 36

A short term goal for a patient with a neurological deficit is as follows: The patient will be able to transfer from a tall kneel position to a half kneel position with supervision. This activity is an example of

A. mobility
B. stability
C. controlled mobility
D. skill

Answer 36

C

Question 37

A 42 year old female is seen 24 hours after injuring her right knee while playing softball.
The injury is diagnosed as a second degree medial collateral ligament sprain. Which set of objective findings best describes the injury described above?

А.point tendemess, localized swelling and marked loss of function

B. slight abnormal motion, localized swelling, moderate loss of function

C.mild point tenderness, moderate disability and abnormal motion

D.mild point tendemess, no abnormal motion and moderate loss of function

Answer 37

B

Question 38

A seat belt is occasionally used with a patient in a wheelchair to promote proper positioning. In order to receive maximum benefit from its use, the seat belt should be positioned

A. attached to the seat back at the level of the patient’s umbilicus

B. to promole a 45 degree angle of pull to the hips in sitting

C. attached to the seat of the chair in order to promote a vertical pull over the proximal thighs

D. loosely around the hips with 3 to 4 inches of lateral movement permitted

Answer 38

B

Question 39

52. A therapist develops an exercise program for a young boy with insulin dependent diabetes. What effect does exercise have on the patient’s insulin requirements?

A. exercise often reduces a patient’s insulin requirements

B. exercise often increases a patient’s insulin requirements

C. exercise has no effect on a patient’s insulin requirements

D. exercise is contraindicated for insulin dependent diabetics

Answer 39

A

Question 40

A patient is referred to physical therapy for an upper extremity strengthening program, months after sustaining a spiral fracture of his right humerus. Which phase of fracture healing would be consistent with the patient’s current status?

A. acute phase
B. regeneration phase
C. remodeling phase
D. repair phase.

Answer 40

C

Question 41

A therapist evaluates e patient seated in a wheelchair. After completing the evaluation the therapist determines the wheelchair has inadequate seat width. Which of the following is the most likely consequence?

A. excessive pressure under the distal thigh

В.excessive pressure under the ischial tuberosities

C.excessive pressure in the popliteal fossa

D. excessive pressure on the greater trochanters

Answer 41

D

Question 42

A physical therapist evaluates a patient diagnosed with an acute posterior cruciate sprain.
The mechanism of injury for the posterior cruciate is?

• А.a forceful landing on the anterior tibia with the knee hyperflexed

B.an anteriorly directed force applied to the tibia when the foot is fixed

C.a valgus force applied to the knee when the foot is fixed

• D. hyperextension, internal rotation of the leg with external rotation of the body -

Answer 42

A

Question 43

The knee bolt on an above knee prosthesis is usually rotated five degrees to account
for

А.interal rotation during swing phase

B. external rotation during swing phase

C. intemal rotation during stance phase

D. extemal rotation during stance phase

Answer 43

A

Question 44

Which pulse site can be used to assess a patient in cardiac arrest and to monitor lower extremity circulation?

A. femoral
B. pedal
C. popliteal
D. radial

Answer 44

A

Question 45

The Q angle is designed as a measurement to determine the amount of lateral force on the patella. Which three bony landmarks are used to measure the Q angle?

A)anterior superior iliac spine, superior border of the patella, tibial tubercle

B)anterior superior iliac spine, midpoint of the patella, tibial tubercle.

C)anterior superior iliac spine, inferior border of the patella, midpoint of the patella tendon

D. greater trochanter, midpoint of the patella, superior border of the patella tendon

Answer 45

B

Question 46

Why is a slight anterior pelvic tilt important when positioning a patient in a wheelchair?

A.allows for weightbearing on the ischial tuberosities

B. provides flexion in the low back and extension in the hips

C. provides a stable base of support for control of the lower extremities

D. offers an appropriate base of support for wheelchair propulsion

Answer 46

A

Question 47

When performing goniometne measurements a joint should be placed in the anatomical position. Which joint motion is an exception to this rule?

A- wrist extension
B-shoulder abduction
C- knee flexion
D- forearm supination

Answer 47

D

Question 48

A therapist attempts to obtain information on a patient’s endurance level by administering a low level exercise test on a treadmill. Which of the following measurement methods would provide the therapist with an objective measurement of endurance?

A. facial color

B. facial expression

C.rating on a perceived exertion scale

D. respiratory rate

Answer 48

D

Question 49

When a CVA patient lies on the hemiplegic side all of the following are correct
except?

A. spasticity is decreased due to elongation of the affected side

B. awareness of the side is increased

C. the scapula should be positioned in retraction to reduce flexor spasticity

D. the hemiplegic leg should be extended at the hip and slightly flexed at the knee

Answer 49

C

Question 50

While palpating the wrist and hand, it should become apparent-hat the hamate articulates with the
metacarpal?

A.first
В.second
C. third
D. fourth

Answer 50

D

Question 51

A physical therapist evaluates a five year old child’s gait. The therapist notes the child to be unsteady with a wide base of support. The child appears to lurch at times with minimal truncal bobbing in an anterior and posterior direction. The child can not maintain a standing position with the feet placed together for more than five seconds. The area of the brain most likely affected is the?

A. corticospinal tracts
B. basal ganglion
C.substantia nigra
D. cerebellar hemisphere

Answer 51

D

Question 52

If the axillary nerve was severed, what muscle could laterally rotate the humerus?

A. teres major
B. subscapularis
C. infraspinatus
D. teres minor

Answer 52

C

Question 53

A physical therapist elects to begin joint mobilization by using distraction. Distraction is used for all of the following except

A. to unweight the joint surfaces

B. to relieve pressure on an intra-articular structure

C. - to stretch the joint capsule or adhesions

D. to determine the nature of resistance at end range

Answer 53

D

Question 54

A therapist designs an exercise program for a patient rehabilitating from a lower extremity injury. The single most important factor in an exercise program designed to increase muscular strength is .

A. the recovery time between exercise sets

B.the number of repetitions per set

C.the duration of the exercise session

D. the intensity of the exercise

Answer 54

D

Question 55

A patient two months status post total knee replacement is referred to physical therapy for range of motion and strengthening exercises. Which treatment technique would be inappropriate for the patient?

A. active stretching using the contract relax technique

B. joint mobilization to increase joint play

C. Vexercise on a stationary bicycle against mild resistance

D. performing straight leg raising, short arc extension, and knee flexion exercises using light weights

Answer 55

B

Question 56

The most common site for an ulnar nerve injury is at the

А.brachial plexus

B. medial epicondyle of the humerus

C. superficial surface of the flexor retinaculum

D. distal wrist crease

Answer 56

B

Question 57

Which type of electrical current would be the most appropriate if your treatment objective is to stimulate denervated muscle?

A. altemating current

B.direct current

C.pulsatile current

D.denervated muscle responds in a similar manner to all types of current

Answer 57

B

Question 58

A therapist reviews the medical chart of a patient admitted to the hospital two days ago.
The chart indicates the patient sustained burns over the entire right forearm and hand.
The chart specifies the epidermal and deral layers were completely destroyed and some of the subcutaneous tissue was damaged. This description best describes
bum?

A. first degree
B. second degree - superficial
C. second degree - deep
D. third degree

Answer 58

D

Question 59

A patient using a standard wheelchair discusses the design of her home with a therapist in preparation for discharge. The patient informs the therapist that the home is 150 years old and has narrow doorways. If the patient is to safely propel the wheelchair through the doorway, what is the recommended doorway width
A. 20 inches
В.26 inches
C. 32 inches
D. 38 inches

Answer 59

C

Question 60

A T6 spinal cord injured patient prepares for discharge from a rehabilitation center following 15 weeks of intensive therapy. Which of the following does not accurately describe the patient’s expecied functional capability at the conclusion of rehabilitation?

A. independent in light housekeeping and meal preparation

B. independent bowel and bladder care with appropriate equipment

C. independent self feeding

D. independent ambulation with forearm crutches and bilateral knee-ankle-foot
orhoses

Answer 60

D

Question 61

131. A physical therapist designs a treatment plan for an eight year old boy with cystic fibrosis.
     A major component of the treatment plan will include educating the patient’s family in appropriate bronchial drainage techniques. Which of the following lung segments would be inappropriate for bronchial drainage?

A. left middle lobe
B. left upper lobe
C. right upper lobe
D. right lower lobe

Answer 61

A

Question 62

A therapist completes a developmental assessment of a seven month old infant
Assuming normal development, which of the following reflexes would not be integrated?

A. asymmetrical tonic neck reflex
B. Moro reflex
C. Landau reflex
D. symmetrical tonic neck reflex

Answer 62

C

Question 63

A patient positioned in supine on a mat table is instructed to bring her right hip and knee toward her chest. This evaluative technique can be used to assess the length of the?

A. hamstrings on the left
B. hamstrings on the right
C.hip flexors on the left
D.hip flexors on the right

Answer 63

C

Question 64

Metabolic equivalents can be a useful device to compare the energy cost of various activities to the resting state. Which of the following activities would you expect to have the lowest metabolic equivalent?

A. ambulation with crutches
B.cycling at 10 mph
C.sexual intercourse
D. walking at 3.0 mph

Answer 64

D

Question 65

A patient is instructed to lie supine with his knees bent to 90 degrees over the edge of a treatment table. The patient is then asked to bring his right knee to his chest. By examining the angle of the left knee, the therapist can obtain information on the length of the muscle?

А.biceps femoris
B. rectus femoris
C. sartorius
D. tensor fasciae latae

Answer 65

B