Year one comp Flashcards

1
Q

Which condition is characterized by ipsilateral motor and proprioceptive loss and contralateral loss of pain and temperature sensation?

  • A) Multiple sclerosis
  • B) Brown-Sequard syndrome
  • C) Stroke
  • D) Amyotrophic lateral sclerosis
A

B) Brown-Sequard syndrome

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2
Q

Which diagnostic tool is primarily used for identifying the presence of gallstones?

  • A) MRI
  • B) Ultrasound
  • C) X-ray
  • D) CT scan
A

B) Ultrasound

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3
Q

What is the initial step in a thorough subjective examination in physical therapy?

  • A) Conducting physical tests
  • B) Building a therapeutic alliance
  • C) Reviewing patient history
  • D) Setting treatment goals
A

B) Building a therapeutic alliance

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4
Q

Which type of precautions are necessary for managing a patient with mumps?

  • A) Contact precautions
  • B) Airborne precautions
  • C) Droplet precautions
  • D) Standard precautions
A

C) Droplet precautions

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5
Q

What is the primary cause of lightheadedness upon standing up quickly?

  • A) Orthostatic hypotension
  • B) Dehydration
  • C) Vertigo
  • D) Blood sugar fluctuations
A

A) Orthostatic hypotension

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6
Q

Which substance is an inhibitory neurotransmitter in the central nervous system?

  • A) Dopamine
  • B) Serotonin
  • C) GABA
  • D) Norepinephrine
A

C) GABA

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7
Q

What is a common symptom of left-sided heart failure?

  • A) Peripheral edema
  • B) Jugular vein distension
  • C) Pulmonary congestion
  • D) Hepatomegaly
A

C) Pulmonary congestion

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8
Q

Which medication is commonly used to treat hypertension?

  • A) Furosemide
  • B) Lisinopril
  • C) Metformin
  • D) Amoxicillin
A

B) Lisinopril

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9
Q

What is the primary function of the deltoid muscle?

  • A) Arm adduction
  • B) Arm abduction
  • C) Arm flexion
  • D) Arm extension
A

B) Arm abduction

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10
Q

What condition is often associated with chronic bronchitis?

  • A) Asthma
  • B) Pneumonia
  • C) Tuberculosis
  • D) COPD
A

D) COPD

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11
Q

What is the primary action to take if a patient exhibits symptoms of a stroke?

  • A) Provide immediate reassurance
  • B) Monitor vital signs
  • C) Administer medication
  • D) Call 911
A

D) Call 911

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12
Q

Which measure is most effective in preventing the spread of infections via droplets?

  • A) Hand washing
  • B) Wearing gloves
  • C) Using masks
  • D) Air filtration systems
A

C) Using masks

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13
Q

What typically causes referred pain in the left shoulder known as Kehr’s sign?
A) Pancreatic issues
B) Heart conditions
C) Splenic irritation
D) Liver abnormalities

A

C) Splenic irritation

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14
Q

Which medication is primarily used to manage symptoms of Parkinson’s disease?

  • A) Gabapentin
  • B) Levodopa
  • C) Amitriptyline
  • D) Cyclobenzaprine
A

B) Levodopa

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15
Q

What is the most likely diagnosis for a patient experiencing acute pain and swelling in the great toe?

  • A) Osteoarthritis
  • B) Rheumatoid arthritis
  • C) Gout
  • D) Bursitis
A

C) Gout

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16
Q

Which type of precautions are necessary for patients with tuberculosis?

  • A) Contact precautions
  • B) Droplet precautions
  • C) Airborne precautions
  • D) Standard precautions
A

C) Airborne precautions

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17
Q

What is a common clinical feature of deep vein thrombosis (DVT)?

  • A) Cyanosis
  • B) Edema
  • C) Hypertension
  • D) Tachycardia
A

B) Edema

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18
Q

Which condition is associated with a positive Murphy’s sign?

  • A) Appendicitis
  • B) Cholecystitis
  • C) Pancreatitis
  • D) Hepatitis
A

B) Cholecystitis

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19
Q

What is the primary function of insulin in the body?

  • A) Break down fats
  • B) Enhance glucose uptake
  • C) Increase blood glucose
  • D) Stimulate protein synthesis
A

B) Enhance glucose uptake

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20
Q

Which dietary recommendation is most appropriate for a patient with chronic kidney disease?

  • A) Low protein
  • B) High potassium
  • C) High phosphorus
  • D) Increased fluids
A

A) Low protein

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21
Q

Which hormone is secreted by the posterior pituitary gland?

  • A) FSH
  • B) ADH
  • C) Oxytocin
  • D) LH
A

B) ADH and C) Oxytocin

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22
Q

An injury to the accessory nerve is most likely to cause which of the following?

  • A) Horners syndrome
  • B) Erb’s palsy
  • C) Klumpke’s palsy
  • D) Scapular winging
A

D) Scapular winging

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23
Q

For a patient in a SNF who is WBAT post ankle fracture with a brachial plexus strain, which DME is appropriate?

  • A) 4WW
  • B) 2WW
  • C) 2WW with platform
  • D) Crutches
A

A) 4WW

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24
Q

In a SNF patient diagnosed with osteomyelitis in the right foot and extensive muscle atrophy in the left leg, which is the most appropriate transfer method?

  • A) Stand pivot
  • B) Slide board
  • C) Squat pivot
  • D) Hoyer lift
A

B) Slide board

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25
Q

Which type of apraxia might a patient exhibit who cannot perform tasks on command but can when alone, typically following an ACA stroke?
A) Ideational apraxia
B) Ideomotor apraxia
C) Ideosensory apraxia

A

B) Ideomotor apraxia

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26
Q

Which stroke is most likely to lead to cautious behavior and aphasia?
A) R MCA
B) L MCA
C) ACA
D) PCA

A

B) L MCA

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27
Q

Which stroke would likely cause a patient to neglect their condition and fabricate lies, possibly without awareness?

A) R MCA
B) L MCA
C) ACA
D) PCA

A

A) R MCA

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28
Q

Which of the following strokes could lead to prosopagnosia?
A) R MCA
B) L MCA
C) ACA
D) PCA

A

D) PCA

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29
Q

What features greater deficits in lower extremities as well as urinary incontinence?
A) R MCA
B) L MCA
C) ACA
D) PCA

A

C) ACA

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30
Q

A lesion in the spinal cord results in what for the DCML/Spinothalamic tract?
A) Contralateral loss in touch/proprioception, ipsilateral loss in pain/temp
B) Contralateral loss in touch/proprioception, contralateral loss in pain/temp
C) Ipsilateral loss in touch/proprioception, ipsilateral loss in pain/temp
D) Ipsilateral loss in touch/proprioception, contralateral loss in pain/temp

A

D) Ipsilateral loss in touch/proprioception, contralateral loss in pain/temp

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31
Q

What is the first step in managing a patient experiencing stroke symptoms and hitting a wall?
A) Call the family
B) Provide reassurance
C) Administer medication
D) Call 911

A

D) Call 911

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32
Q

What is the best approach for a patient trying to take out a catheter?
A) Restrain the patient
B) Hand off to RN
C) Provide sedation
D) Offer reassurance

A

B) Hand off to RN

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33
Q

Which muscle is primarily targeted to improve weak hip abduction?
A) Gluteus Maximus
B) Gluteus medius
C) Tensor fasciae latae
D) Piriformis

A

B) Gluteus medius

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34
Q

During which phase of gait does a hamstring strain typically cause the most trouble?
A) Initial contact
B) Mid stance
C) Terminal stance
D) Late swing

A

D) Late swing

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35
Q

What precaution is necessary for a patient with Clostridium difficile (C. diff)?
A) Gloves only
B) N-95 respirator
C) Gloves and gown
D) Mask and gloves

A

C) Gloves and gown

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36
Q

What prevents forward translation of the femur on the tibia?
A) ACL
B) PCL
C) LCL
D) Meniscus

A

B) PCL

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37
Q

What is a likely diagnosis for a patient with delayed knee swelling?
A) ACL tear
B) PCL injury
C) Meniscus damage
D) LCL strain

A

C) Meniscus damage

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38
Q

Which faulty movement is a common cause of ACL tears?
A) Trunk dominance
B) Quad dominance
C) Unilateral leg dominance
D) Ligament dominance

A

A) Trunk dominance

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39
Q

What is the best test to assess for a labral tear in the shoulder?
A) Biceps Load Test
B) O’Brien’s Test
C) Jerk Test
D) Anterior Slide Test

A

B) O’Brien’s Test

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40
Q

Which intervention is effective for managing mid-tendon Achilles tendinopathy?
A) Ice
B) Rest
C) Compression
D) Eccentrics

A

D) Eccentrics

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41
Q

What exercise should be avoided post-op shoulder rehab to prevent harming the external rotators?
A) Internal rotation
B) External rotation
C) Flexion
D) Extension

A

A) Internal rotation

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42
Q

Which nerve is most likely affected in a patient who feels burning sensations and has pain at the lateral malleoli after an inversion ankle sprain?
A) Saphenous nerve
B) Sural nerve
C) Tibial nerve
D) Peroneal nerve

A

D) Peroneal nerve

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43
Q

Which muscle should be strengthened to correct hip abduction weakness?
A) Gluteus Maximus
B) Gluteus medius
C) Piriformis
D) Psoas major

A

B) Gluteus medius

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44
Q

Which movement is associated primarily with thumb flexion?
A) Lateral glide
B) Medial glide
C) Dorsal glide
D) Palmar glide

A

B) Medial glide

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45
Q

What is the recommended transfer method for a patient with bilateral calcaneal non-weight bearing status?
A) Slide board
B) Stand pivot
C) Squat pivot
D) Hoyer lift

A

A) Slide board

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46
Q

What site is most likely to develop a pressure ulcer when a patient is in the sidelying or supine position?
A) Sacrum
B) Heel
C) Spine of scapula
D) Ischium

A

C) Spine of scapula

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47
Q

Which assessment method involves building a therapeutic alliance and allowing the patient to talk?
A) Objective assessment
B) Diagnostic assessment
C) Thorough subjective
D) Comprehensive review

A

C) Thorough subjective

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48
Q

What prevents forward relocation of the femur on the tibia?
A) ACL
B) PCL
C) LCL
D) MCL

A

B) PCL

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49
Q

What are the primary biomechanical risk factors for an ACL tear?
A) Tibial external rotation and large valgus
B) Quadriceps dominance
C) Poor core stability
D) Insufficient hamstring strength

A

A) Tibial external rotation and large valgus

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50
Q

What is the normal end feel for knee movements?
A) Soft
B) Firm
C) Hard
D) Intraarticular

A

D) Intraarticular

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51
Q

Which precautions are essential for preventing droplet transmission of infections?
A) Gloves only
B) Mask and wash hands
C) Goggles and gown
D) N95 mask

A

B) Mask and wash hands

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52
Q

What is the correct procedure for doffing with Clostridioides difficile?
A) No mask; gloves and gown only
B) Gloves, gown, and mask
C) N95 mask and gown
D) Gloves only

A

A) No mask; gloves and gown only

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53
Q

What condition is characterized by respiratory infection progressing from distal to proximal muscles?
A) ALS
B) Duchenne muscular dystrophy
C) Guillain-Barre syndrome
D) Myasthenia gravis

A

C) Guillain-Barre syndrome

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54
Q

How should you proceed if a patient undergoing cancer treatment asks a medical question?
A) Answer based on general knowledge
B) Refer to the oncologist
C) Provide reassurance only
D) Suggest internet research

A

B) Refer to the oncologist

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55
Q

What is a risk factor for end-stage renal disease?
A) Hypertension
B) Diabetes mellitus
C) Hyperlipidemia
D) Smoking

A

B) Diabetes mellitus

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56
Q

What should be done if a patient attempts to remove their catheter?
A) Restrain the patient
B) Redirect them
C) Hand off to an RN
D) Provide a sedative

A

C) Hand off to an RN

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57
Q

What advice should be given for managing sleep-related back pain?
A) Take pain medication before bed
B) Use a heating pad
C) Go to sleep at the same time each night
D) Perform stretching exercises before bed

A

C) Go to sleep at the same time each night

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58
Q

How should a patient who feels powerless over their situation be counseled?
A) Encourage a positive outlook
B) Discuss external factors
C) Develop an internal locus of control
D) Refer for psychological evaluation

A

C) Develop an internal locus of control

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59
Q

What is the likely pathology if a patient experiences shoulder pain at night and muscle weakness?
A) Frozen shoulder
B) Rotator cuff tear
C) Biceps tendinopathy
D) AC joint arthritis

A

B) Rotator cuff tear

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60
Q

What type of precautions are required for a patient diagnosed with Clostridioides difficile (C. diff)?
A) Gloves only
B) N95 mask and gown
C) Gloves and gown
D) Mask and gloves

A

C) Gloves and gown

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61
Q

Which statement about precautions for Clostridioides difficile is accurate?
A) No mask needed; gloves and gown only
B) Gloves, gown, and N95 mask
C) Gloves only
D) Mask, gloves, and gown

A

A) No mask needed; gloves and gown only

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62
Q

What intervention is indicated for a patient with weak hip abduction?
A) Stretch the hip flexors
B) Strengthen the gluteus medius
C) Increase hip internal rotation
D) Perform closed-chain exercises

A

B) Strengthen the gluteus medius

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63
Q

Which phase of the gait cycle is affected by a hamstring strain in a runner?
A) Initial contact
B) Midstance
C) Terminal stance
D) Late swing

A

D) Late swing

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64
Q

What is the first-line diagnostic tool for detecting gallstones?
A) MRI
B) X-ray
C) CT scan
D) Ultrasound

A

D) Ultrasound

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65
Q

What are biomechanical risk factors for an ACL tear?
A) Poor core stability
B) Quadriceps dominance
C) Tibial external rotation, large valgus, and extension
D) Insufficient hamstring strength

A

C) Tibial external rotation, large valgus, and extension

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66
Q

What type of precautions are essential for managing droplet transmission of infections?
A) Gloves only
B) Mask and wash hands
C) Full PPE
D) N95 mask

A

B) Mask and wash hands

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67
Q

How should you proceed if a patient with a respiratory infection experiences symptoms from distal to proximal muscles?
A) Continue normal procedures
B) Administer emergency treatment
C) Recognize it as Guillain-Barre syndrome
D) Consult a neurologist immediately

A

C) Recognize it as Guillain-Barre syndrome

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68
Q

What is the appropriate action if a patient undergoing cancer treatment asks a medical question?
A) Answer with your best knowledge
B) Proceed with treatment and defer questions to the doctor
C) Direct them to online resources
D) Ignore the question

A

B) Proceed with treatment and defer questions to the doctor

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69
Q

How should a patient who feels there’s nothing they can do about their condition be advised?
A) Encourage reliance on medication
B) Foster a sense of personal control
C) Suggest they accept their condition
D) Recommend depression screening

A

B) Foster a sense of personal control

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70
Q

Which hormone is primarily responsible for controlling the plasma calcium levels when high?
A) Calcitonin
B) PTH
C) TSH
D) TRH

A

A) Calcitonin

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71
Q

How does Botox affect synaptic transmission?
A) Blocks acetylcholine release
B) Blocks calcium release
C) Blocks glutamate release
D) Blocks sodium release

A

A) Blocks acetylcholine release

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72
Q

What is the most likely involved for a patient with sensory ataxia, vertigo, and dysarthria?
A) Peripheral neuropathy
B) Multiple sclerosis
C) Brainstem involvement
D) Cereballer atrophy

A

C) Brainstem involvement

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73
Q

If a patient is able to assist in 60% of a transfer activity, what would you document?
A) Max assist
B) Mod assist
C) Min assist
D) Independent

A

B) Mod assist

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74
Q

What prevents the forward translation of the femur on the tibia?
A) ACL
B) PCL
C) LCL
D) Meniscus

A

A) ACL

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75
Q

How does a Lachman test position the patient?
A) Supine, knee flexed to 90 degrees
B) Supine, knee flexed to 10-20 degrees
C) Supine, knee flexed off the table at 90 degrees
D) Sitting, knee bent off the table at 90 degrees

A

B) Supine, knee flexed to 10-20 degrees

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76
Q

Which of the following conditions is assessed by the Thomas test?
A) Femoral neuropathy
B) Iliopsoas tightness
C) Gluteal tendinopathy
D) Sciatica

A

B) Iliopsoas tightness

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77
Q

In which condition would you expect to see pain during the first steps in the morning?
A) Plantar fasciitis
B) Achilles tendinopathy
C) Tarsal tunnel syndrome
D) Ankle sprain

A

A) Plantar fasciitis

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78
Q

Which nerve is likely affected by numbness and burning sensations at the lateral malleoli following an inversion ankle sprain?
A) Saphenous
B) Sural
C) Tibial
D) Peroneal

A

D) Peroneal

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79
Q

During which phase of gait does a hamstring strain typically cause the most trouble?
A) Initial contact
B) Mid stance
C) Terminal stance
D) Late swing

A

D) Late swing

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80
Q

What is the typical result of Brown-Sequard syndrome due to a spinal cord lesion?
A) Loss of motor function and proprioception ipsilaterally with contralateral temperature sensation loss
B) Complete paralysis below the lesion
C) Loss of pain sensation on the same side as the injury
D) Unilateral loss of all sensations

A

A) Loss of motor function and proprioception ipsilaterally with contralateral temperature sensation loss

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81
Q

What neurological deficit is primarily associated with a right hemisphere stroke?
A) Spatial neglect
B) Speech difficulties
C) Impaired logic
D) Memory loss

A

A) Spatial neglect

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82
Q

Which medication is indicated for managing acute migraine attacks?
A) Aspirin
B) Sumatriptan
C) Acetaminophen
D) Amitriptyline

A

B) Sumatriptan

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83
Q

In managing acute myocardial infarction, what is the primary role of thrombolytic therapy?
A) Pain relief
B) Revascularization
C) Blood thinning
D) Reducing myocardial oxygen demand

A

C) Blood thinning

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84
Q

Which complication is specifically associated with a fracture of the distal radius?
A) Carpal tunnel syndrome
B) Osteoarthritis
C) Compartment syndrome
D) Radial nerve injury

A

A) Carpal tunnel syndrome

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85
Q

How is aphasia most commonly assessed?
A) MRI scan
B) CT scan
C) Speech evaluation
D) Electroencephalogram (EEG)

A

C) Speech evaluation

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86
Q

What is the best dietary recommendation for managing hypertension?
A) Low carbohydrate diet
B) High protein diet
C) Low sodium diet
D) High fiber diet

A

C) Low sodium diet

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87
Q

Which hormone significantly affects metabolism and is primarily produced by the thyroid gland?
A) Cortisol
B) Insulin
C) Thyroxine (T4)
D) Glucagon

A

C) Thyroxine (T4)

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88
Q

What is the main treatment goal for congestive heart failure?
A) To reduce blood pressure
B) To decrease heart rate
C) To improve cardiac output
D) To increase fluid retention

A

C) To improve cardiac output

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89
Q

Which joint is primarily affected in gout?
A) Knee
B) Wrist
C) Ankle
D) Big toe

A

D) Big toe

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90
Q

What is the most common initial symptom of a herniated disc in the lumbar region?
A) Numbness in the legs
B) Severe lower back pain
C) Unilateral leg pain
D) Loss of bladder control

A

C) Unilateral leg pain

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91
Q

Which type of hepatitis is primarily transmitted through fecal-oral contamination?
A) Hepatitis A
B) Hepatitis B
C) Hepatitis C
D) Hepatitis D

A

A) Hepatitis A

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92
Q

What does a positive Tinel’s sign at the wrist indicate?

A) Carpal tunnel syndrome
B) Tarsal tunnel syndrome
C) Ulnar nerve entrapment
D) Sciatica

A

A) Carpal tunnel syndrome

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93
Q

Which pulmonary function test result is indicative of obstructive lung disease?
A) Decreased FEV1/FVC ratio
B) Increased TLC
C) Decreased RV
D) Increased VC

A

A) Decreased FEV1/FVC ratio

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94
Q

What is the primary therapeutic use of digoxin?
A) To control blood pressure
B) To regulate heart rhythm
C) To dilate blood vessels
D) To decrease cholesterol levels

A

B) To regulate heart rhythm

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95
Q

Which condition is primarily assessed using the Glasgow Coma Scale?
A) Stroke
B) Concussion
C) Epilepsy
D) Migraine

A

B) Concussion

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96
Q

What are the common clinical features of Parkinson’s disease?
A) Tremor, rigidity, and bradykinesia
B) Muscle weakness, atrophy, and fasciculations
C) Joint pain, stiffness, and swelling
D) Memory loss, disorientation, and mood swings

A

A) Tremor, rigidity, and bradykinesia

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97
Q

What is the primary action for managing a patient with suspected meningitis in an emergency setting?
A) Immediate lumbar puncture
B) Start antibiotic therapy
C) Administer antiviral medications
D) Conduct a CT scan

A

B) Start antibiotic therapy

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98
Q

What diagnostic test is most effective for confirming a diagnosis of multiple sclerosis?
A) Lumbar puncture
B) MRI
C) CT scan
D) Blood test

A

B) MRI

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99
Q

What is a characteristic feature of rheumatoid arthritis compared to osteoarthritis?
A) Asymmetric joint involvement
B) Erosive joint damage visible on X-ray
C) Morning stiffness lasting more than one hour
D) Pain that worsens with activity

A

C) Morning stiffness lasting more than one hour

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100
Q

What hormone is released in response to high plasma calcium levels?
A) Parathyroid hormone (PTH)
B) Calcitonin
C) Thyroxine
D) Cortisol

A

B) Calcitonin

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101
Q

How does Botox function at the neuromuscular junction?
A) Enhances acetylcholine release
B) Blocks acetylcholine release
C) Blocks sodium channels
D) Increases calcium influx

A

B) Blocks acetylcholine release

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102
Q

Which condition might involve symptoms of sensory ataxia, vertigo, and dysarthria, suggesting brainstem involvement?
A) Peripheral neuropathy
B) Multiple sclerosis
C) Brainstem lesion
D) Cerebellar degeneration

A

C) Brainstem lesion

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103
Q

For a patient with suspected Clostridioides difficile, what is the correct method for doffing PPE?
A) Gloves first, then gown
B) Gown first, then gloves
C) Mask first, then gloves
D) Gloves, gown, mask in any order

A

A) Gloves first, then gown

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104
Q

What is the typical progression of Guillain-Barre syndrome in terms of muscle weakness recovery?
A) Distal to proximal
B) Proximal to distal
C) Unilateral progression
D) No typical progression pattern

A

B) Proximal to distal

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105
Q

What does a slide board primarily assist with for a patient with non-weight bearing status in both legs?
A) Mobility
B) Stability
C) Transfers
D) Pain management

A

C) Transfers

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106
Q

What is a major risk factor for a Clostridioides difficile (C. diff) infection?
A) Antibiotic usage
B) Vaccination
C) Poor hygiene
D) Immunosuppressive drugs

A

A) Antibiotic usage

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107
Q

Which type of precaution is most critical for managing a patient with tuberculosis?
A) Droplet
B) Contact
C) Airborne
D) Standard

A

C) Airborne

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108
Q

How is Botox primarily used in clinical treatment?
A) To reduce wrinkles
B) To decrease muscle spasticity
C) To enhance muscle growth
D) To treat infections

A

B) To decrease muscle spasticity

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109
Q

What is the initial clinical approach to handling a patient suspected of having a myocardial infarction?
A) Wait and see
B) Perform an ECG
C) Administer anticoagulants
D) Provide reassurance

A

B) Perform an ECG

110
Q

Which diagnostic test is crucial for identifying active neurological lesions in multiple sclerosis?
A) Spinal tap
B) CT scan
C) MRI
D) EEG

A

C) MRI

111
Q

What is the most effective management strategy for chronic tendon injuries?
A) Corticosteroid injections
B) Surgery
C) Eccentric loading exercises
D) Rest

A

C) Eccentric loading exercises

112
Q

Which assessment tool is used to measure cognitive impairment in stroke patients?
A) MMSE
B) MoCA
C) Glasgow Coma Scale
D) Barthel Index

A

B) MoCA

113
Q

What is the primary function of the tibial nerve?
A) Control of plantar flexion
B) Sensation to the heel
C) Control of dorsiflexion
D) Sensation to the dorsal foot

A

A) Control of plantar flexion

114
Q

In terms of hip surgery, what does the term “posterior approach” primarily refer to?
A) Surgical visualization
B) Rehabilitation protocol
C) Incision site
D) Risk of dislocation

A

C) Incision site

115
Q

Which condition is specifically indicated by a positive Hawkins-Kennedy test?
A) Rotator cuff tear
B) Impingement syndrome
C) Bicep tendonitis
D) AC joint injury

A

B) Impingement syndrome

116
Q

What is the therapeutic goal of using diathermy in physical therapy?
A) Decrease inflammation
B) Increase muscle strength
C) Increase tissue extensibility
D) Decrease tissue sensitivity

A

C) Increase tissue extensibility

117
Q

What movement is the peroneal nerve primarily responsible for?
A) Eversion of the foot
B) Inversion of the foot
C) Plantar flexion
D) Dorsiflexion

A

A) Eversion of the foot

118
Q

Which lab value is typically elevated in a patient with uncontrolled diabetes mellitus?
A) Sodium
B) Potassium
C) Blood urea nitrogen
D) Hemoglobin A1c

A

D) Hemoglobin A1c

119
Q

What is the primary benefit of using a tilt table for a patient with cardiovascular instability?
A) Reduce swelling
B) Improve respiratory function
C) Increase muscle tone
D) Gradual acclimatization to an upright position

A

D) Gradual acclimatization to an upright position

120
Q

Which clinical finding is indicative of a lower motor neuron lesion?
A) Hyperreflexia
B) Clonus
C) Babinski sign
D) Muscle atrophy

A

D) Muscle atrophy

121
Q

What is the key characteristic of pain associated with gallstones?
A) Radiates to the right shoulder
B) Improves with eating
C) Associated with lower back pain
D) Decreases with movement

A

A) Radiates to the right shoulder

122
Q

Which medication is typically used to manage spasticity in neurological conditions?
A) Opioids
B) Benzodiazepines
C) Baclofen
D) Acetaminophen

A

C) Baclofen

123
Q

How is the effectiveness of a Parkinson’s disease medication regimen typically assessed in clinical practice?
A) PET scans
B) Dopamine levels
C) Patient-reported symptom improvement
D) MRI

A

C) Patient-reported symptom improvement

124
Q

What management strategy is most effective for chronic tendon injuries?
A) NSAIDs
B) Corticosteroid injections
C) Eccentric loading exercises
D) Surgical intervention

A

C) Eccentric loading exercises

125
Q

Which medication is typically used to manage spasticity in neurological conditions?
A) Opioids
B) Benzodiazepines
C) Baclofen
D) Acetaminophen

A

C) Baclofen

126
Q

What is the normative temperature range for adults?
a) 95-100°F
b) 96.8-99.3°F
c) 97-100.4°F
d) 98.6-100.6°F

A

b) 96.8-99.3°F

127
Q

Which of the following is not an example of a disease requiring droplet precautions?
a) Strep throat
b) Influenza (flu)
c) COVID-19
d) Tuberculosis (TB)

A

d) Tuberculosis (TB)

128
Q

At what pulse oximetry level would a patient be considered to have hypoxemia?
a) Below 95%
b) Below 90%
c) Below 85%
d) Below 80%

A

b) Below 90%

129
Q

What is the normal respiratory rate for adults?
a) 10-20/min
b) 12-18/min
c) 15-25/min
d) 20-30/min

A

b) 12-18/min

130
Q

Which of the following is not a factor affecting blood pressure measurement?
a) Age
b) Emotional status
c) Room lighting
d) Medications

A

c) Room lighting

131
Q

What is the purpose of ramps?
a) To provide access to buildings for wheelchairs
b) To provide seating for individuals with disabilities
c) To serve as handrails for staircases
d) To support parallel bars for physical therapy

A

a) To provide access to buildings for wheelchairs

132
Q

According to the ADA, what qualifies an individual as a “qualified individual with a disability”?
a) They must be able to perform all job functions without any assistance.
b) They must have a disability that severely limits their daily activities.
c) They must be able to perform the essential functions of a job with or without reasonable accommodations.
d) They must be able to work full-time without any adaptations.

A

c) They must be able to perform the essential functions of a job with or without reasonable accommodations.

133
Q

What is the minimum width needed for an ambulatory person to pass a wheelchair?
a) 24 inches
b) 36 inches
c) 48 inches
d) 60 inches

A

c) 48 inches

134
Q

What is the primary purpose of wearing gloves as part of personal protective equipment (PPE)?
a) To protect against airborne pathogens
b) To prevent the spread of droplet infections
c) To provide a barrier against contact with bodily fluids or contaminated surfaces
d) To shield the eyes from potential hazards

A

c) To provide a barrier against contact with bodily fluids or contaminated surfaces

135
Q

Which of the following is not listed as a component of the International Classification of Functioning, Disability, and Health (ICF) model?
a) Environmental factors
b) Personal factors
c) Genetic factors
d) Body structures

A

c) Genetic factors

136
Q

According to the Americans with Disabilities Act (ADA), what constitutes an undue burden for employers in providing reasonable accommodations?
a) Any accommodation that requires additional resources
b) An action that significantly impacts workplace productivity
c) Modifications that cause minor inconvenience to other employees
d) Changes that pose significant difficulty or expense to the employer

A

d) Changes that pose significant difficulty or expense to the employer

137
Q

What is the minimum recommended width for a wheelchair ramp?
a) 24 inches
b) 30 inches
c) 36 inches
d) 48 inches

A

c) 36 inches

138
Q

Which of the following is not listed as a type of wheelchair cushion in the text?
a) Contoured foam
b) Air cushion
c) Memory foam
d) Fluid/gel or fluid/gel/plus foam

A

c) Memory foam

139
Q

What is the primary function of parallel bars in rehabilitation settings?
a) To assist patients in ascending and descending stairs
b) To provide stability and support during ambulation training
c) To facilitate wheelchair transfers
d) To measure the patient’s balance and coordination

A

b) To provide stability and support during ambulation training

140
Q

What is the significance of the term “Cycle of Cross Contamination and Infection” in healthcare settings?
a) It describes the transmission route of airborne pathogens
b) It outlines the steps involved in hand hygiene practices
c) It illustrates how infections spread from one host to another
d) It defines the process of sterilizing medical equipment

A

c) It illustrates how infections spread from one host to another

141
Q

What is the primary purpose of gowning when following contact precautions?
a) To protect against droplet transmission
b) To prevent direct contact with infectious agents
c) To shield the eyes from potential hazards
d) To filter airborne pathogens

A

b) To prevent direct contact with infectious agents

142
Q

What is the primary purpose of private rooms in infection control?
a) To provide comfort to patients
b) To prevent the spread of infectious diseases
c) To maximize patient interaction
d) To optimize resource utilization

A

b) To prevent the spread of infectious diseases

143
Q

What is the primary purpose of contact guarding during patient assistance?
a) To provide emotional support to patients
b) To prevent falls during ambulation
c) To ensure patient safety and stability
d) To maintain proper alignment of assistive devices

A

b) To prevent falls during ambulation and c) To ensure patient safety and stability

144
Q

What is the primary purpose of the International Classification of Functioning, Disability, and Health (ICF) model?
a) To standardize medical terminology
b) To assess the degree of disability
c) To evaluate environmental barriers
d) To understand the interaction between health conditions and environmental factors

A

d) To understand the interaction between health conditions and environmental factors

145
Q

What is the primary function of the integumentary system?
a) Digestion
b) Blood circulation
c) Temperature regulation
d) Vision

A

c) Temperature regulation

146
Q

What are the core vital signs typically monitored in cardiopulmonary care in the acute setting?
a) Blood glucose level, respiratory rate, pulse rate
b) Heart rate, blood pressure, edema
c) Temperature, respiratory rate, blood oxygen saturation
d) Muscle strength, joint range of motion, pain level

A

b) Heart rate, blood pressure, edema

147
Q

What is orthostatic hypotension?
a) A sudden increase in blood pressure due to peripheral vasoconstriction
b) A condition characterized by excessive sweating during orthostatic exercises
c) A significant drop in blood pressure upon standing up, leading to dizziness or fainting
d) A rise in heart rate during periods of prolonged standing

A

c) A significant drop in blood pressure upon standing up, leading to dizziness or fainting

148
Q

What are the positive indicators of orthostatic hypotension?
a) Decrease in systolic blood pressure (SBP) by 10 mm Hg or more
b) Increase in diastolic blood pressure (DBP) by 20 mm Hg or more
c) Increase in heart rate by 5 beats per minute or more
d) Decrease in heart rate by 10 beats per minute or more

A

a) Decrease in systolic blood pressure (SBP) by 10 mm Hg or more

149
Q

What are the post sternotomy precautions?
a) Limiting shoulder flexion beyond 90 degrees
b) Avoid pushing and pulling with the arms
c) Avoiding heavy lifting over 20 pounds
d) All of the above

A

d) All of the above

150
Q

What are the posterior hip precautions?
a) No hip extension past neutral
b) No hip abduction past midline
c) No hip external rotation
d) No hip flexion greater than 90 degrees

A

d) No hip flexion greater than 90 degrees

151
Q

Which laboratory value indicates a critical condition if it falls below 2,500 or rises above 30,000?
a) White blood cells (leukocytes)
b) Hemoglobin
c) Hematocrit
d) Platelet count

A

a) White blood cells (leukocytes)

152
Q

What is the purpose of spinal precautions?
a) To prevent twisting and bending of the spine
b) To promote flexibility and mobility of the spine
c) To strengthen the muscles surrounding the spine
d) To increase intra-abdominal pressure extensively

A

a) To prevent twisting and bending of the spine

153
Q

What is the National Institutes of Health Stroke Scale (NIHSS) used for?
a) To assess orthostatic hypotension
b) To measure laboratory values
c) To evaluate the severity of stroke symptoms
d) To monitor core vital signs

A

c) To evaluate the severity of stroke symptoms

154
Q

What is the average length of stay in an Inpatient Rehab Facility (IRF) or Acute Rehab Facility (ARF)?
a) 5 days
b) 10 days
c) 13.1 days
d) 20 days

A

c) 13.1 days

155
Q

What is the primary purpose of differential diagnosis?
a) To classify an individual into a diagnostic category
b) To provide relief from difficult or unpleasant tasks
c) To identify problems experienced in life situations
d) To systematically differentiate between potential diagnoses

A

d) To systematically differentiate between potential diagnosis

156
Q

What are the benefits of early range of motion (ROM), strength, and mobility training in amputation management?
a) To increase intra-abdominal pressure extensively
b) To avoid hip and knee flexion positioning
c) To promote edema control and avoid contractures
d) To decrease blood circulation and prevent clotting

A

c) To promote edema control and avoid contractures

157
Q

What is the purpose of discharge planning from acute care?
a) To provide inpatient services to clients with unstable medical conditions
b) To ensure patients remain in the hospital for extended periods
c) To reduce hospital length of stay and prevent patient readmission
d) To offer respite care for caregivers of patients with chronic conditions

A

c) To reduce hospital length of stay and prevent patient readmission

158
Q

What are the primary functions of long-term care facilities (LTC)?
a) To provide temporary relief from difficult or unpleasant tasks
b) To offer private pay options for short-term stays
c) To assist patients in managing independent living safely
d) To provide supervised living arrangements for those unable to live independently

A

d) To provide supervised living arrangements for those unable to live independently

159
Q

What is the primary purpose of respite care?
a) To provide a short period of relief from difficult or unpleasant tasks
b) To offer inpatient care with 24-hour nursing supervision
c) To deliver skilled nursing and rehabilitation services in the home setting
d) To ensure patients remain homebound during treatment

A

a) To provide a short period of relief from difficult or unpleasant tasks

160
Q

What is the purpose of the PT’s responsibility in observing general skin conditions?
a) To diagnose skin abnormalities as benign or cancerous
b) To provide medical treatment for skin lesions
c) To bring awareness of any skin abnormality to the patient and document it objectively
d) To prevent skin conditions from occurring in the first place

A

c) To bring awareness of any skin abnormality to the patient and document it objectively

161
Q

What is the role of physical therapy diagnosis?
a) To treat specific medical conditions or pathologies
b) To define how a health condition affects a person’s function and causes disability
c) To provide surgical interventions for musculoskeletal injuries
d) To manage acute medical conditions in the ICU

A

b) To define how a health condition affects a person’s function and causes disability

162
Q

What are the primary components of the ICF model?
a) Vital signs, lab values, and imaging results
b) Body functions, activity limitations, and participation restrictions
c) Environmental barriers, personal factors, and demographic information
d) Disease classifications, differential diagnoses, and medical histories

A

b) Body functions, activity limitations, and participation restrictions

163
Q

What is the purpose of the “heart hugger vest” in post-sternotomy precautions?
a) To provide comfort and emotional support to patients
b) To restrict shoulder flexion and abduction
c) To prevent twisting and bending of the spine
d) To facilitate coughing while splinting the incision site

A

d) To facilitate coughing while splinting the incision site

164
Q

What distinguishes physical pain from suffering?
a) Physical pain is explained by neurology, while suffering is a state of distress beyond the physical.
b) Physical pain is temporary, while suffering is a chronic condition.
c) Physical pain affects the body, while suffering affects the mind.
d) Physical pain is easily treatable, while suffering requires emotional intervention.

A

a) Physical pain is explained by neurology, while suffering is a state of distress beyond the physical.

165
Q

What is the primary purpose of an illness narrative?
a) To provide medical documentation for insurance claims
b) To offer sympathy to patients experiencing illness
c) To present a verbal account of one’s experiences of health problems
d) To promote cultural competence among healthcare providers

A

c) To present a verbal account of one’s experiences of health problems

166
Q

How is compassion defined?
a) A deep caring response to suffering
b) A willingness to treat others as they wish to be treated
c) An emotion of care and concern for others’ difficulties
d) A human propensity to find meaning in life through self-transcendence

A

a) A deep caring response to suffering

167
Q

What is the role of cultural competence in healthcare?
a) To reinforce stereotypes and prejudices
b) To discriminate against certain patient groups
c) To provide care to patients in cross-cultural situations
d) To ignore the values and beliefs of patients from diverse backgrounds

A

c) To provide care to patients in cross-cultural situations

168
Q

What is the main goal of the 8 Minute Rule in billing for physical therapy services?
a) To maximize profits for healthcare providers
b) To ensure that patients receive a minimum amount of therapy
c) To regulate the amount of time spent on direct patient care
d) To establish guidelines for documenting skilled interventions

A

d) To establish guidelines for documenting skilled interventions

169
Q

What is the purpose of the KX modifier in Medicare billing?
a) To indicate that services are medically necessary and justified by documentation
b) To identify services provided by a physical therapist assistant (PTA)
c) To exempt certain patients from therapy caps
d) To distinguish between services provided in different healthcare settings

A

a) To indicate that services are medically necessary and justified by documentation

170
Q

Which component of scientific integrity emphasizes acting with beneficence toward both humans and research animals?
a) Respect for autonomy
b) Justice
c) Humaneness
d) Honesty

A

c) Humaneness

171
Q

What is the purpose of the Occupational Safety and Health Act?
a) To reduce workplace hazards and ensure safe working conditions
b) To regulate the billing practices of healthcare providers
c) To protect patients from medical malpractice
d) To establish guidelines for ethical research conduct

A

a) To reduce workplace hazards and ensure safe working conditions

172
Q

What is the difference between slander and libel?
a) Slander refers to written defamation, while libel refers to spoken defamation.
b) Slander involves monetary awards, while libel involves punitive damages.
c) Slander occurs in civil law cases, while libel occurs in criminal law cases.
d) Slander is transmitted orally or by signing, while libel is transmitted by all other means.

A

d) Slander is transmitted orally or by signing, while libel is transmitted by all other means.

173
Q

According to the APTA Code of Ethics, what does integrity entail?
a) Being truthful, ensuring fairness, and following through on commitments
b) Placing the needs of patients ahead of self-interest
c) Working together with patients and professionals to achieve shared goals
d) Embracing advancement and challenging mediocrity in practice

A

a) Being truthful, ensuring fairness, and following through on commitments

174
Q

What is the main purpose of the APTA Code of Ethics?
a) To dictate decision making and behavior with absolute certainty
b) To provide a comprehensive guide for ethical decision making in physical therapy
c) To ensure that physical therapists adhere to federal regulations
d) To offer guidance and framework for professional conduct in physical therapy

A

d) To offer guidance and framework for professional conduct in physical therapy

175
Q

Which component of the Core Values of physical therapy emphasizes consistently using current knowledge and skills?
a) Accountability
b) Altruism
c) Collaboration
d) Excellence

A

d) Excellence

176
Q

What is the primary characteristic of direct supervision in physical therapy?
a) The physical therapist must be physically present and immediately available
b) The physical therapist is not required to be on-site but must be available by telecommunication
c) The physical therapist is required to supervise tasks related to patient services
d) The physical therapist must be available to supervise tasks but not necessarily on-site

A

a) The physical therapist must be physically present and immediately available

177
Q

Which law ensures safe and healthful working conditions for employees by setting and enforcing standards?
a) Occupational Safety and Health Act
b) Bloodborne Pathogens Standard
c) Health Insurance Portability and Accountability Act (HIPAA)
d) Americans with Disabilities Act (ADA)

A

a) Occupational Safety and Health Act

178
Q

What is the primary goal of the 5 Stages of Coping/Grief model?
a) To minimize the grieving process
b) To provide a framework for resolving ethical dilemmas
c) To guide individuals through the emotional response to loss
d) To establish standards for cultural competence in healthcare

A

c) To guide individuals through the emotional response to loss

179
Q

How are episodic conflicts of interest different from systemic conflicts of interest?
a) Episodic conflicts arise from choices made voluntarily, while systemic conflicts arise from the structure of the profession
b) Episodic conflicts are more common in healthcare settings, while systemic conflicts are more common in business ventures
c) Episodic conflicts involve individual decisions, while systemic conflicts involve institutional policies
d) Episodic conflicts have a temporary impact, while systemic conflicts have a lasting effect on the profession

A

a) Episodic conflicts arise from choices made voluntarily, while systemic conflicts arise from the structure of the profession

180
Q

What is the purpose of the PT Compact?
a) To regulate the practice of physical therapy in member states
b) To provide a comprehensive guide for ethical decision-making in physical therapy
c) To offer eligible physical therapists a faster path to licensure in multiple states
d) To establish guidelines for professional conduct in physical therapy

A

c) To offer eligible physical therapists a faster path to licensure in multiple states

181
Q

What distinguishes defamation of character from other intentional wrongdoings?
a) Defamation of character involves physical harm, while other wrongdoings involve emotional harm
b) Defamation of character requires monetary compensation, while other wrongdoings do not
c) Defamation of character tarnishes someone’s reputation, while other wrongdoings result in physical injury
d) Defamation of character is unintentional, while other wrongdoings are intentional

A

c) Defamation of character tarnishes someone’s reputation, while other wrongdoings result in physical injury

182
Q

What is the purpose of standard precautions in healthcare settings?
a) To minimize conflicts of interest between healthcare providers
b) To ensure safe and healthful working conditions for employees
c) To protect patients and healthcare providers from exposure to infectious agents
d) To establish guidelines for ethical research conduct

A

c) To protect patients and healthcare providers from exposure to infectious agents

183
Q

Which ethical theory focuses on the action versus the consequences?
a) Deontological ethics
b) Utilitarianism
c) Virtue ethics
d) Religious ethics

A

a) Deontological ethics

184
Q

What is the primary function of the Neuromatrix (Pain matrix)?
a) To process sensory information related to pain
b) To activate the body’s immune response to pain
c) To regulate emotional reactions to pain
d) To coordinate pain perception across various brain regions

A

d) To coordinate pain perception across various brain regions

185
Q

According to the “Mechanotransduction” process, what is the role of the primary cilium in cells?
a) Secreting neurotransmitters
b) Sensing and responding to mechanical loads
c) Regulating gene expression in the nucleus
d) Transmitting electrical impulses to neighboring cells

A

b) Sensing and responding to mechanical loads

186
Q

Which of the following describes a characteristic of Central Sensitization?
a) Short duration and well-localized pain
b) Pain that follows a dermatomal pattern
c) Chronic pain with no identifiable cause
d) Pain that responds well to conventional analgesics

A

c) Chronic pain with no identifiable cause

187
Q

What is emphasized in the Biomedical Approach to Pain Management?
a) Addressing the biopsychosocial aspects of pain
b) Encouraging aerobic exercise and healthy lifestyle choices
c) Providing anatomical education about the source of pain
d) Focusing on enhancing the therapeutic alliance with patients

A

c) Providing anatomical education about the source of pain

188
Q

What is a common effect of prolonged stress on the body’s hormonal system?
a) Increased production of endorphins
b) Activation of the hypothalamus-pituitary-adrenal axis
c) Decreased levels of cortisol in the bloodstream
d) Regulation of serotonin synthesis in the brain

A

b) Activation of the hypothalamus-pituitary-adrenal axis

189
Q

What is the primary objective of the Pillars of Pain – Neuroscience Education (PNE)?
a) To promote the use of medication for pain relief
b) To educate patients about the physiological basis of pain
c) To emphasize the importance of surgical interventions for pain management
d) To encourage patients to avoid physical activity to prevent exacerbating pain

A

b) To educate patients about the physiological basis of pain

190
Q

Which statement accurately describes the role of Dopamine in sleep regulation?
a) Dopamine inhibits sleep-wake cycles and promotes wakefulness
b) Dopamine stimulates the release of melatonin, inducing sleepiness
c) Dopamine plays a key role in the forebrain reward system and regulates sleep
d) Dopamine suppresses the production of neurotransmitters associated with sleep

A

c) Dopamine plays a key role in the forebrain reward system and regulates sleep

191
Q

What is the primary aim of the Mechanotherapy approach in rehabilitation?
a) To reduce negative affect associated with chronic pain
b) To stimulate endogenous opioid centers for pain relief
c) To promote cellular responses to mechanical loads for tissue adaptation
d) To target specific neurotransmitters involved in pain modulation

A

c) To promote cellular responses to mechanical loads for tissue adaptation

192
Q

According to the Physical Stress Theory, what happens when stressors exceed the tissue’s maintenance level?
a) Tissue adaptation and increased tolerance occur
b) The tissue becomes atrophic and decreases in tolerance
c) There is no change in tissue or tolerance levels
d) Injury or tissue failure may occur

A

a) Tissue adaptation and increased tolerance occur

193
Q

What is the primary purpose of goal setting in pain management?
a) To encourage patients to avoid activities that cause pain
b) To provide patients with a sense of control over their pain
c) To prescribe specific medications for pain relief
d) To assess the severity of pain on a numerical scale

A

b) To provide patients with a sense of control over their pain

194
Q

Which statement accurately describes the role of positive body language in communication?
a) It indicates nervousness or discomfort in the speaker
b) It helps to establish trust and rapport with the listener
c) It suggests indifference or lack of engagement in the conversation
d) It often leads to misunderstandings and misinterpretations

A

b) It helps to establish trust and rapport with the listener

195
Q

What is the primary focus of the “Avoiders” in pain management?
a) Engaging in physical activity regardless of pain levels
b) Gradually increasing activity levels to build tolerance
c) Avoiding any movement that causes discomfort or pain
d) Seeking immediate relief through medication or surgery

A

c) Avoiding any movement that causes discomfort or pain

196
Q

What is a common effect of prolonged alcohol consumption on the brain?
a) Increased white matter integrity
b) Enhanced neurotransmitter regulation
c) Reduced hippocampal volume
d) Improved cognitive function

A

c) Reduced hippocampal volume

197
Q

Which intervention is typically used for addressing scar tissue adhesion in manual therapy?
a) Myofascial release
b) Cross friction
c) Ischemic compression
d) Pin and stretch

A

b) Cross friction

198
Q

What is the primary objective of exercise interventions in sub-acute rehabilitation?
a) To induce inflammation in the affected tissues
b) To maintain or increase cardiorespiratory fitness
c) To restrict range of motion to prevent further injury
d) To promote passive rest and immobilization of the affected area

A

b) To maintain or increase cardiorespiratory fitness

199
Q

In the context of bone remodeling, what does Wolff’s Law state?
a) Bone growth occurs in response to mechanical stress
b) Bone loss occurs due to hormonal imbalance
c) Bone density decreases with age
d) Bone mass remains constant throughout life

A

a) Bone growth occurs in response to mechanical stress

200
Q

According to the “Stimulus-Recovery-Adaptation” model, what occurs immediately following a stressor?
a) Increased tissue resilience
b) Activation of the inflammatory response
c) Decreased cellular communication
d) Impaired neuromuscular control

A

b) Activation of the inflammatory response

201
Q

Which exercise prescription is recommended for early rehabilitation following injury?
a) High-load, low-repetition exercises
b) Fast-paced, high-intensity workouts
c) Low-load, high-repetition exercises
d) Static stretching and passive range of motion exercises

A

c) Low-load, high-repetition exercises

202
Q

What type of joint is the humero-ulnar joint?
a) Planar
b) Hinge
c) Ball and socket
d) Saddle

A

b) Hinge

203
Q

Which movements occur at the glenohumeral joint?
a) Flexion, extension, and rotation
b) Flexion, extension, and adduction
c) Flexion, extension, abduction, and adduction
d) Flexion, extension, abduction, adduction, internal rotation, external rotation, horizontal adduction, and abduction

A

d) Flexion, extension, abduction, adduction, internal rotation, external rotation, horizontal adduction, and abduction

204
Q

The distal radio-ulnar joint allows for which movements?
a) Flexion and extension
b) Pronation and supination
c) Adduction and abduction
d) Inversion and eversion

A

b) Pronation and supination

205
Q

What is the joint type of the first carpometacarpal joint?
a) Hinge
b) Ellipsoid
c) Saddle
d) Planar

A

c) Saddle

206
Q

Which joint is primarily responsible for flexion and extension movements in the elbow and forearm?
a) Glenohumeral joint
b) Sternoclavicular joint
c) Humero-ulnar
d) Acromioclavicular joint

A

c) Humero-ulnar

206
Q

What type of joint is the talocrural joint?
a) Ball and socket
b) Hinge
c) Planar
d) Saddle

A

b) Hinge

207
Q

Which ligament connects both menisci anteriorly in the knee joint?
a) Transverse ligament
b) Medial collateral ligament
c) Posterior cruciate ligament
d) Anterior cruciate ligament

A

a) Transverse ligament

208
Q

What is the primary function of the transverse carpal ligament?
a) To stabilize the wrist joint during flexion and extension
b) To connect the ulna and radius bones in the forearm
c) To maintain the position of the carpal bones in the wrist
d) To form the passageway for the median nerve and tendons of extrinsic flexor muscles in the wrist

A

d) To form the passageway for the median nerve and tendons of extrinsic flexor muscles in the wrist

209
Q

What is the main function of the annulus fibrosus in the spine?
a) To connect adjacent vertebrae
b) To provide flexibility for spinal movements
c) To absorb shock and distribute pressure within the intervertebral discs
d) To maintain the alignment of the vertebral column

A

c) To absorb shock and distribute pressure within the intervertebral discs

210
Q

Which muscle is responsible for medial rotation of the leg and lateral rotation of the femur?
a) Quadriceps femoris
b) Hamstrings
c) Gastrocnemius
d) Popliteus

A

d) Popliteus

211
Q

What is the primary role of the screw-home mechanism in the knee joint?
a) To provide stability during weight-bearing activities
b) To lock the knee in full extension
c) To facilitate smooth movements during flexion and extension
d) To prevent excessive lateral movement of the patella

A

b) To lock the knee in full extension

212
Q

Which structure is primarily responsible for maintaining the medial longitudinal arch of the foot?
a) Plantar fascia
b) Achilles tendon
c) Tibialis anterior muscle
d) Peroneus longus tendon

A

a) Plantar fascia

213
Q

What is the main function of the t-tubules in muscle cells?
a) To store calcium ions for muscle contraction
b) To transmit action potentials deep into the muscle fiber
c) To regulate the release of neurotransmitters at the neuromuscular junction
d) To anchor the sarcomeres and maintain the structural integrity of the muscle fiber

A

b) To transmit action potentials deep into the muscle fiber

214
Q

Which type of muscle fiber is primarily responsible for slow, sustained contractions and is highly resistant to fatigue?
a) Type IIB
b) Type IIX
c) Type I
d) Type IIA

A

c) Type 1

215
Q

Which type of loading occurs when force is applied parallel to the surface of a structure, causing it to slide in opposite directions?
a) Compression
b) Tension
c) Shear
d) Bending

A

c) Shear

216
Q

In the spine, what is the main function of the apophyseal joints?
a) To provide stability and support for the vertebral column
b) To allow for flexion and extension movements between adjacent vertebrae
c) To distribute body weight evenly across the intervertebral discs
d) To guide and limit the range of motion in different planes

A

d) To guide and limit the range of motion in different planes

217
Q

Which joint allows for the greatest range of motion in the human body?
a) Glenohumeral joint
b) Hip joint
c) Elbow joint
d) Knee joint

A

b) Hip joint

218
Q

What are the primary functions of epithelial tissue?
a) Contraction and movement
b) Secretion and absorption
c) Storage and support
d) Protection and insulation

A

b) Secretion and absorption

219
Q

Describe the shapes and layers of epithelial tissue.
a) Squamous, cuboidal, and stratified
b) Spherical, cylindrical, and pseudostratified
c) Circular, triangular, and monolayered
d) Hexagonal, columnar, and bilayered

A

a) Squamous, cuboidal, and stratified

220
Q

Explain the difference between atrophy and hypertrophy.
a) Atrophy is tissue enlargement, while hypertrophy is tissue shrinkage.
b) Atrophy is tissue shrinkage, while hypertrophy is tissue enlargement.
c) Atrophy involves tissue hardening, while hypertrophy involves tissue softening.
d) Atrophy involves tissue regeneration, while hypertrophy involves tissue degeneration.

A

b) Atrophy is tissue shrinkage, while hypertrophy is tissue enlargement.

221
Q

What are the phases of wound healing?
a) Inflammatory, regenerative, and maturation phases
b) Proliferative, degenerative, and fibrotic phases
c) Inflammatory, proliferative, and remodeling phases
d) Regenerative, fibrotic, and degenerative phases

A

c) Inflammatory, proliferative, and remodeling phases

222
Q

Define inflammation and describe its role in the body.
a) Inflammation is the process of muscle contraction, aiding in movement.
b) Inflammation is the release of neurotransmitters at the neuromuscular junction.
c) Inflammation is a normal physiological process involved in protection and repair.
d) Inflammation is the breakdown of bone tissue, leading to osteoporosis.

A

c) Inflammation is a normal physiological process involved in protection and repair.

223
Q

What are the primary types of muscle tissue, and what are their characteristics?
a) Smooth, rough, and striated muscles; voluntary and involuntary movement
b) Cardiac, skeletal, and smooth muscles; contraction and relaxation
c) Cardiac, rough, and smooth muscles; multinucleated fibers
d) Skeletal, striated, and voluntary muscles; found in the heart and blood vessels

A

b) Cardiac, skeletal, and smooth muscles; contraction and relaxation

224
Q

Describe the sliding filament theory of muscle contraction.
a) Muscles contract when the filaments slide apart.
b) Muscles contract when the filaments slide together.
c) Muscles contract when the filaments twist around each other.
d) Muscles contract when the filaments elongate.

A

b) Muscles contract when the filaments slide together.

225
Q

What are the main functions of the liver, and what clinical manifestations are associated with liver disease or failure?
a) Digestion and nutrient absorption; symptoms include diarrhea and weight loss
b) Detoxification and bile production; symptoms include jaundice and ascites
c) Gas exchange and oxygen transport; symptoms include shortness of breath and chest pain
d) Hormone regulation and blood sugar control; symptoms include excessive thirst and frequent urination

A

b) Detoxification and bile production; symptoms include jaundice and ascites

226
Q

Explain the pathophysiology of pancreatitis and its common causes.
a) Pancreatitis is inflammation of the pancreas caused by excessive alcohol consumption or gallstones.
b) Pancreatitis is a genetic disorder characterized by abnormal bone growth and heart enlargement.
c) Pancreatitis is the result of bacterial infection in the pancreas due to poor hygiene practices.
d) Pancreatitis is inflammation of the liver caused by viral infections or autoimmune disorders.

A

a) Pancreatitis is inflammation of the pancreas caused by excessive alcohol consumption or gallstones.

227
Q

Which of the following is a characteristic feature of Marfan syndrome?
a) Short stature and stocky build
b) Extremely short arms and legs
c) Crowded teeth and narrow palate
d) Tall and slender build, disproportionately long arms, legs, and fingers

A

d) Tall and slender build, disproportionately long arms, legs, and fingers

228
Q

What is the primary function of fibroblasts during wound healing?
a) Lay down new connective tissue
b) Secrete collagen and elastin
c) Transport oxygen in the blood
d) Form red blood cells

A

a) Lay down new connective tissue

229
Q

Which type of anemia is characterized by a deficiency in vitamin B12 or folic acid?
a) Iron-deficiency anemia
b) Hemolytic anemia
c) Megaloblastic anemia
d) Sickle cell anemia

A

c) Megaloblastic anemia

230
Q

What is the main role of erythrocyte sedimentation rate (ESR) in inflammation?
a) Measures the concentration of white blood cells
b) Indicates the level of iron in the blood
c) Assesses the rate at which red blood cells settle in a tube of blood
d) Determines the oxygen-carrying capacity of hemoglobin

A

c) Assesses the rate at which red blood cells settle in a tube of blood

231
Q

Which phase of wound healing involves the formation of granulation tissue and re-epithelialization?
a) Inflammatory phase
b) Proliferative phase
c) Remodeling phase
d) Hemostasis phase

A

b) Proliferative phase

232
Q

What is the primary role of the pancreas in digestion?
a) Production of bile for fat digestion
b) Secretion of insulin for blood sugar regulation
c) Synthesis of digestive enzymes for protein breakdown
d) Absorption of nutrients in the small intestine

A

c) Synthesis of digestive enzymes for protein breakdown

233
Q

What is the function of aldosterone in the body?
a) Increases sodium reabsorption and potassium secretion
b) Stimulates glucose uptake in cells
c) Regulates blood pressure by constricting blood vessels
d) Promotes the breakdown of glycogen into glucose

A

a) Increases sodium reabsorption and potassium secretion

234
Q

What is the characteristic feature of Cushing’s disease?
a) Excessive production of growth hormone
b) Decreased secretion of cortisol
c) Overactivity of the adrenal glands
d) Hypofunction of the thyroid gland

A

c) Overactivity of the adrenal glands

235
Q

What is the primary function of the pituitary gland?
a) Regulation of blood calcium levels
b) Production of insulin
c) Secretion of growth hormone
d) Synthesis of thyroid hormones

A

c) Secretion of growth hormone

236
Q

Which division of the autonomic nervous system is responsible for “fight or flight” responses?
a) Parasympathetic
b) Sympathetic
c) Somatic
d) Enteric

A

b) Sympathetic

237
Q

Which hormone is released by the posterior pituitary gland?
a) Thyroid Stimulating Hormone (TSH)
b) Follicle Stimulating Hormone (FSH)
c) Antidiuretic Hormone (ADH)
d) Growth Hormone (GH)

A

c) Antidiuretic Hormone (ADH)

238
Q

What is the main site of gas exchange in the lungs?
a) Bronchioles
b) Capilaries
c) Trachea
d) Pleura

A

b) Capilaries

239
Q

Which hormone is responsible for increasing blood calcium levels by breaking down stored calcium in the bones?
a) Calcitonin
b) Parathyroid hormone
c) Thyroid hormone
d) Adrenaline

A

b) Parathyroid hormone

240
Q

What is the function of surfactant in the respiratory system?
a) Breaks down proteins
b) Prevents fluid accumulation in the lungs
c) Breaks surface tension in alveoli
d) Stimulates mucus production

A

c) Breaks surface tension in alveoli

241
Q

Which chamber of the heart receives blood from the pulmonary veins?
a) Right atrium
b) Left atrium
c) Right ventricle
d) Left ventricle

A

b) Left atrium

242
Q

Which valve prevents backflow of blood from the left ventricle into the left atrium?
a) Aortic valve
b) Pulmonary valve
c) Mitral valve
d) Tricuspid valve

A

c) Mitral valve

243
Q

What is the function of the SA node in the heart?
a) Delays the electrical signal
b) Sends electrical signals to the ventricles
c) Controls the heart rate
d) Receives blood from the lungs

A

c) Controls the heart rate

244
Q

What is the pathway of urine through the nephron?
a) Bowman’s capsule, proximal convoluted tubule, loop of Henle, distal convoluted tubule
b) Distal convoluted tubule, loop of Henle, proximal convoluted tubule, Bowman’s capsule
c) Loop of Henle, Bowman’s capsule, proximal convoluted tubule, distal convoluted tubule
d) Proximal convoluted tubule, Bowman’s capsule, loop of Henle, distal convoluted tubule

A

a) Bowman’s capsule, proximal convoluted tubule, loop of Henle, distal convoluted tubule

245
Q

Which division of the autonomic nervous system is responsible for “rest and digest” responses?
a) Sympathetic
b) Parasympathetic
c) Somatic
d) Enteric

A

b) Parasympathetic

245
Q

What is the main function of the lymphatic system?
a) Transporting oxygen to cells
b) Maintaining fluid balance in the body
c) Producing hormones
d) Regulating body temperature

A

b) Maintaining fluid balance in the body

246
Q

Which hormone is released by the adrenal cortex to help regulate blood pressure and electrolyte balance?
a) Adrenaline
b) Aldosterone
c) Cortisol
d) Thyroxine

A

b) Aldosterone

247
Q

What is the primary function of the semicircular canals in the vestibular system?
a) Hearing
b) Balance and spatial orientation
c) Vision
d) Taste

A

b) Balance and spatial orientation

248
Q

Which layer of the skin contains collagen and elastin fibers that provide structure and elasticity? (I don’t like this question)
a) Papillary layer
b) Epidermis
c) Reticular layer
d) Dermis

A

a) Papillary layer

249
Q

What is the function of the pancreas in the digestive system?
a) Producing bile
b) Absorbing nutrients
c) Regulating blood sugar levels
d) Secreting digestive enzymes

A

d) Secreting digestive enzymes

250
Q

Which hormone is responsible for stimulating red blood cell production in the bone marrow?
a) Insulin
b) Estrogen
c) Epinephrine
d) Erythropoietin

A

d) Erythropoietin

251
Q

What is the role of the nephron in the excretory system?
a) Producing urine
b) Absorbing nutrients
c) Regulating blood pressure
d) Secreting hormones

A

a) Producing urine

252
Q

Which part of the gastrointestinal tract is responsible for the absorption of nutrients into the bloodstream?
a) Stomach
b) Small intestine
c) Large intestine
d) Esophagus

A

b) Small intestine
Specifically the Jejunum

253
Q

What does Mauchly’s W assess in the context of statistical analysis?
a) Probability of type 1 error
b) Equal variances for repeated measures ANOVA
c) Correlation coefficient
d) Measure of internal consistency

A

b) Equal variances for repeated measures ANOVA

254
Q

In statistical analysis, what does the p-value represent?
a) Strength of correlation
b) Probability of type 1 error
c) Likelihood of detecting a true positive
d) Number needed to treat

A

b) Probability of type 1 error

255
Q

What is the primary function of Cronbach’s alpha?
a) Measure of internal consistency
b) Diagnostic accuracy
c) Effect size for ANOVA
d) Probability of type 2 error

A

a) Measure of internal consistency

256
Q

When interpreting a 95% confidence interval, what does it signify?
a) The probability of detecting a true positive
b) The range of values containing the confidence interval
c) Likelihood of detecting a true negative
d) Measure of internal consistency

A

b) The range of values containing the confidence interval

257
Q

What is the primary purpose of the Levene’s test in statistical analysis?
a) Assessing the likelihood of detecting a true negative
b) Evaluating the strength of correlation
c) Checking for equal variances
d) Measuring diagnostic accuracy

A

c) Checking for equal variances

258
Q

What does the negative likelihood ratio represent in statistical analysis?
a) Measure of internal consistency
b) Likelihood that a person who tests negative has the condition
c) Effect size for ANOVA
d) Number needed to harm

A

b) Likelihood that a person who tests negative has the condition

259
Q

In statistical analysis, what does the positive likelihood ratio indicate?
a) Strength of correlation
b) Likelihood of detecting a true positive
c) The likelihood that a person who tests positive has the condition
d) Diagnostic accuracy

A

c) The likelihood that a person who tests positive has the condition

260
Q

What is the purpose of the sensitivity measure in diagnostic accuracy?
a) Assessing the strength of correlation
b) Evaluating the probability of type 1 error
c) Measuring the likelihood of detecting a true positive
d) Checking for equal variances

A

c) Measuring the likelihood of detecting a true positive

261
Q

What does specificity measure in diagnostic accuracy represent?
a) Probability of type 1 error
b) Likelihood of detecting a true negative
c) Measure of internal consistency
d) Effect size for ANOVA

A

b) Likelihood of detecting a true negative

262
Q

What statistical measure represents the likelihood that a person who tests negative has the condition?
a) Positive likelihood ratio
b) Negative likelihood ratio
c) Cohen’s d
d) Eta squared

A

b) Negative likelihood ratio

263
Q

What does the term “point estimate” represent in statistical analysis?
a) The probability of type 1 error
b) A range of values that contains the confidence interval
c) The likelihood of detecting a true positive
d) A single value representing the best estimate of the population value

A

d) A single value representing the best estimate of the population value

264
Q

Which statistical measure is used to evaluate the strength of correlations?
a) Odds ratio
b) Eta squared
c) Cohen’s d
d) Correlation coefficient

A

d) Correlation coefficient

265
Q

What does the p-value represent in statistical analysis?
a) Equal variances
b) Probability of type 1 error
c) Measure of internal consistency
d) Sensitivity

A

b) Probability of type 1 error

266
Q

What is the primary purpose of confidence intervals in statistical analysis?
a) To assess the strength of correlation
b) To measure the likelihood of detecting a true positive
c) To provide a range of values containing the confidence interval
d) To evaluate internal consistency

A

c) To provide a range of values containing the confidence interval

267
Q

Which statistical test is used for independent groups in ANOVA?
a) Tukey’s HSD
b) Sidak’s
c) Fisher’s
d) Bonferroni

A

a) Tukey’s HSD

268
Q

What measure is used to determine the number of patients needed to treat to avoid one poor outcome?
a) Odds ratio
b) Relative risk
c) Number needed to treat
d) Number needed to harm

A

c) Number needed to treat

269
Q

Which measure assesses the probability of type 2 error in statistical analysis?
a) Odds ratio
b) Sensitivity
c) Beta
d) Confidence interval

A

c) Beta