Year one comp Flashcards
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
B) Brown-Sequard syndrome
Which diagnostic tool is primarily used for identifying the presence of gallstones?
- A) MRI
- B) Ultrasound
- C) X-ray
- D) CT scan
B) Ultrasound
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
B) Building a therapeutic alliance
Which type of precautions are necessary for managing a patient with mumps?
- A) Contact precautions
- B) Airborne precautions
- C) Droplet precautions
- D) Standard precautions
C) Droplet precautions
What is the primary cause of lightheadedness upon standing up quickly?
- A) Orthostatic hypotension
- B) Dehydration
- C) Vertigo
- D) Blood sugar fluctuations
A) Orthostatic hypotension
Which substance is an inhibitory neurotransmitter in the central nervous system?
- A) Dopamine
- B) Serotonin
- C) GABA
- D) Norepinephrine
C) GABA
What is a common symptom of left-sided heart failure?
- A) Peripheral edema
- B) Jugular vein distension
- C) Pulmonary congestion
- D) Hepatomegaly
C) Pulmonary congestion
Which medication is commonly used to treat hypertension?
- A) Furosemide
- B) Lisinopril
- C) Metformin
- D) Amoxicillin
B) Lisinopril
What is the primary function of the deltoid muscle?
- A) Arm adduction
- B) Arm abduction
- C) Arm flexion
- D) Arm extension
B) Arm abduction
What condition is often associated with chronic bronchitis?
- A) Asthma
- B) Pneumonia
- C) Tuberculosis
- D) COPD
D) COPD
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
D) Call 911
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
C) Using masks
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
C) Splenic irritation
Which medication is primarily used to manage symptoms of Parkinson’s disease?
- A) Gabapentin
- B) Levodopa
- C) Amitriptyline
- D) Cyclobenzaprine
B) Levodopa
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
C) Gout
Which type of precautions are necessary for patients with tuberculosis?
- A) Contact precautions
- B) Droplet precautions
- C) Airborne precautions
- D) Standard precautions
C) Airborne precautions
What is a common clinical feature of deep vein thrombosis (DVT)?
- A) Cyanosis
- B) Edema
- C) Hypertension
- D) Tachycardia
B) Edema
Which condition is associated with a positive Murphy’s sign?
- A) Appendicitis
- B) Cholecystitis
- C) Pancreatitis
- D) Hepatitis
B) Cholecystitis
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
B) Enhance glucose uptake
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) Low protein
Which hormone is secreted by the posterior pituitary gland?
- A) FSH
- B) ADH
- C) Oxytocin
- D) LH
B) ADH and C) Oxytocin
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
D) Scapular winging
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) 4WW
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
B) Slide board
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
B) Ideomotor apraxia
Which stroke is most likely to lead to cautious behavior and aphasia?
A) R MCA
B) L MCA
C) ACA
D) PCA
B) L MCA
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) R MCA
Which of the following strokes could lead to prosopagnosia?
A) R MCA
B) L MCA
C) ACA
D) PCA
D) PCA
What features greater deficits in lower extremities as well as urinary incontinence?
A) R MCA
B) L MCA
C) ACA
D) PCA
C) ACA
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
D) Ipsilateral loss in touch/proprioception, contralateral loss in pain/temp
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
D) Call 911
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
B) Hand off to RN
Which muscle is primarily targeted to improve weak hip abduction?
A) Gluteus Maximus
B) Gluteus medius
C) Tensor fasciae latae
D) Piriformis
B) Gluteus medius
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
D) Late swing
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
C) Gloves and gown
What prevents forward translation of the femur on the tibia?
A) ACL
B) PCL
C) LCL
D) Meniscus
B) PCL
What is a likely diagnosis for a patient with delayed knee swelling?
A) ACL tear
B) PCL injury
C) Meniscus damage
D) LCL strain
C) Meniscus damage
Which faulty movement is a common cause of ACL tears?
A) Trunk dominance
B) Quad dominance
C) Unilateral leg dominance
D) Ligament dominance
A) Trunk dominance
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
B) O’Brien’s Test
Which intervention is effective for managing mid-tendon Achilles tendinopathy?
A) Ice
B) Rest
C) Compression
D) Eccentrics
D) Eccentrics
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) Internal rotation
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
D) Peroneal nerve
Which muscle should be strengthened to correct hip abduction weakness?
A) Gluteus Maximus
B) Gluteus medius
C) Piriformis
D) Psoas major
B) Gluteus medius
Which movement is associated primarily with thumb flexion?
A) Lateral glide
B) Medial glide
C) Dorsal glide
D) Palmar glide
B) Medial glide
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) Slide board
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
C) Spine of scapula
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
C) Thorough subjective
What prevents forward relocation of the femur on the tibia?
A) ACL
B) PCL
C) LCL
D) MCL
B) PCL
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) Tibial external rotation and large valgus
What is the normal end feel for knee movements?
A) Soft
B) Firm
C) Hard
D) Intraarticular
D) Intraarticular
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
B) Mask and wash hands
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) No mask; gloves and gown only
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
C) Guillain-Barre syndrome
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
B) Refer to the oncologist
What is a risk factor for end-stage renal disease?
A) Hypertension
B) Diabetes mellitus
C) Hyperlipidemia
D) Smoking
B) Diabetes mellitus
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
C) Hand off to an RN
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
C) Go to sleep at the same time each night
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
C) Develop an internal locus of control
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
B) Rotator cuff tear
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
C) Gloves and gown
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) No mask needed; gloves and gown only
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
B) Strengthen the gluteus medius
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
D) Late swing
What is the first-line diagnostic tool for detecting gallstones?
A) MRI
B) X-ray
C) CT scan
D) Ultrasound
D) Ultrasound
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
C) Tibial external rotation, large valgus, and extension
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
B) Mask and wash hands
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
C) Recognize it as Guillain-Barre syndrome
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
B) Proceed with treatment and defer questions to the doctor
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
B) Foster a sense of personal control
Which hormone is primarily responsible for controlling the plasma calcium levels when high?
A) Calcitonin
B) PTH
C) TSH
D) TRH
A) Calcitonin
How does Botox affect synaptic transmission?
A) Blocks acetylcholine release
B) Blocks calcium release
C) Blocks glutamate release
D) Blocks sodium release
A) Blocks acetylcholine release
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
C) Brainstem involvement
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
B) Mod assist
What prevents the forward translation of the femur on the tibia?
A) ACL
B) PCL
C) LCL
D) Meniscus
A) ACL
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
B) Supine, knee flexed to 10-20 degrees
Which of the following conditions is assessed by the Thomas test?
A) Femoral neuropathy
B) Iliopsoas tightness
C) Gluteal tendinopathy
D) Sciatica
B) Iliopsoas tightness
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) Plantar fasciitis
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
D) Peroneal
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
D) Late swing
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) Loss of motor function and proprioception ipsilaterally with contralateral temperature sensation loss
What neurological deficit is primarily associated with a right hemisphere stroke?
A) Spatial neglect
B) Speech difficulties
C) Impaired logic
D) Memory loss
A) Spatial neglect
Which medication is indicated for managing acute migraine attacks?
A) Aspirin
B) Sumatriptan
C) Acetaminophen
D) Amitriptyline
B) Sumatriptan
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
C) Blood thinning
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) Carpal tunnel syndrome
How is aphasia most commonly assessed?
A) MRI scan
B) CT scan
C) Speech evaluation
D) Electroencephalogram (EEG)
C) Speech evaluation
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
C) Low sodium diet
Which hormone significantly affects metabolism and is primarily produced by the thyroid gland?
A) Cortisol
B) Insulin
C) Thyroxine (T4)
D) Glucagon
C) Thyroxine (T4)
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
C) To improve cardiac output
Which joint is primarily affected in gout?
A) Knee
B) Wrist
C) Ankle
D) Big toe
D) Big toe
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
C) Unilateral leg pain
Which type of hepatitis is primarily transmitted through fecal-oral contamination?
A) Hepatitis A
B) Hepatitis B
C) Hepatitis C
D) Hepatitis D
A) Hepatitis A
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) Carpal tunnel syndrome
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) Decreased FEV1/FVC ratio
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
B) To regulate heart rhythm
Which condition is primarily assessed using the Glasgow Coma Scale?
A) Stroke
B) Concussion
C) Epilepsy
D) Migraine
B) Concussion
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) Tremor, rigidity, and bradykinesia
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
B) Start antibiotic therapy
What diagnostic test is most effective for confirming a diagnosis of multiple sclerosis?
A) Lumbar puncture
B) MRI
C) CT scan
D) Blood test
B) MRI
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
C) Morning stiffness lasting more than one hour
What hormone is released in response to high plasma calcium levels?
A) Parathyroid hormone (PTH)
B) Calcitonin
C) Thyroxine
D) Cortisol
B) Calcitonin
How does Botox function at the neuromuscular junction?
A) Enhances acetylcholine release
B) Blocks acetylcholine release
C) Blocks sodium channels
D) Increases calcium influx
B) Blocks acetylcholine release
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
C) Brainstem lesion
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) Gloves first, then gown
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
B) Proximal to distal
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
C) Transfers
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) Antibiotic usage
Which type of precaution is most critical for managing a patient with tuberculosis?
A) Droplet
B) Contact
C) Airborne
D) Standard
C) Airborne
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
B) To decrease muscle spasticity