Practice Questions 1.

Release of confidential information from a medical record without the patients consent is illegal if it involves A. the patients employer. B. another therapist involved in peer review. C. the patients insurance company. D. a social wor er. "ou are evaluating an athlete who is complaining of pain in the left shoulder region. "our assessment of the shoulder elicits pain in the last #$ degrees of shoulder a%duction range of motion. this finding is most congruent with A. calcific supraspinatus tendinitis. B. su%acromial %ursitis. C. acromioclavicular sprain. D. thoracic outlet syndrome. &ollowing a cere%rovascular accident involving the dominant right hemisphere' a patient e(hi%iting unilateral neglect would generally not A. eat food only from the right side of the plate. B. %ump a one)arm driven wheelchair into things on the left side. C. ignore or deny the e(istence of the left)sided lim%s. D. shave or put ma e)up only on the left side of the face. A patient with spastic left hemiplegia e(periences recurvatum during stance phase. +f the patient is using an an le) foot orthosis' the cause of the pro%lem might %e attri%uted to A. not enough limitation %y the posterior stop. B. not enough limitation %y the anterior stop. C. too much limitation %y the posterior stop. D. too much limitation %y the anterior stop. -tudents in clinical settings are held to the standard of practice that is e.uivalent to A. a licensed physical therapist. B. that of a foreign)educated physical therapist. C. physical therapist assistants. D. physical therapy aides. 0o help decrease shear when transferring a patient with a spinal cord in1ury from %ed to chair' it would %e %est to use A. a draw sheet. B. s in lu%ricant on involved s in surfaces. C. an air mattress. D. a sheeps in pad. 0eaching pursed)lip %reathing as part of the treatment regimen would %e most appropriate for a patient with A. circumferential thoracic %urns. B. as%estosis. C. radiation pneumonitis. D. emphysema. +f a patient with a%ove) nee prosthesis has a prosthetic foot with a plantarfle(ion %umper that is too hard' during am%ulation' the A. prosthesis would rotate internally at heel stri e. B. prosthetic foot would remain dorsifle(ed during the gait cycle. C. prosthetic foot would remain plantarfle(ed during the gait cycle. D. prosthetic nee would not fle( sufficiently during stance.

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Practice Questions

Prior to performing manual traction in the cervical region' one should perform a test for verte%ral artery insufficiency in order to ascertain the ade.uacy of %lood supply to the A. verte%rae. B. upper e(tremities. C. spinal canal. D. %rain stem. A snowmo%ile left the trail and struc a tree. 0he drivers left nee was fully fle(ed and the ti%ia impacted with the inside front of the snowmo%ile. 0his mechanism of in1ury would most li ely result in a A. dislocated patella. B. sprained or ruptured posterior cruciate ligament. C. sprained or ruptured anterior cruciate ligament. D. rupture of the popliteal artery. A patient with a transti%ial amputation of ! months duration complains to you of an intense %urning pain that seems to emanate from his heel. 0his phantom pain mirrored preoperative pain which was the result of previous damage to the A. dorsalis pedis artery. B. popliteal artery. C. peroneal nerve. D. ti%ial nerve. &ollowing the reduction of development dysplasia of the hip in an infant' the physical therapist should instruct the parents to maintain that hip in a sta%le position of A. fle(ion and adduction. B. fle(ion and a%duction. C. e(tension and adduction. D. e(tension and a%duction. 0he .uality assurance committee has found that 2! 5 of the inpatients receiving physical therapy showed no improvement in function. 0o discover the cause of this high rate' it would %e %est if the committee chec A. the source of referrals. B. patient diagnoses. C. appropriateness and consistency of the physical therapy service. D. age of the patients. 0o prepare a patient with a cauda e.uina lesion for am%ulation with crutches' the upper .uadrant muscles that would %e most important to strengthen would %e the A. upper trape6ius' rhom%oids and levator scapulae. B. deltoid' coraco%rachialis' and %rachialis. C. middle trape6ius' serratus anterior' and triceps. D. lower trape6ius' latissimus dorsi and pectoralis ma1or. 7hen e(amining the upper .uarter of a ,! year)old female patient' the therapist detects a small lump in the a(illa. 0here is no mention of this lump in the medical record. 0he ne(t thing the therapist should do is A. tell the patient she may have cancer and to call her physician immediately. B. stop the e(amination and refer the patient %ac to her physician. C. complete the e(amination and document the lump. D. complete the e(amination' document the lump and refer the patient to her physician. "ou have %een treating a /1 year)old woman over a period of four months for adhesive capsulitis' which has resulted in a 8fro6en shoulder9. :er recovery has %een good' however' she still complains that she cannot reach the upper shelves in her itchen cup%oards and closets. 0o help her achieve his goal' 1oint mo%ili6ation should focus on A. inferior glide. B. posterior glide. C. anterior glide. D. grade ++ oscillations.

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Practice Questions 12.

7hich activity would not help to %rea up lower e(tremity synergy com%inations in a patient with hemiplegia; A. Balance training in a neeling position. B. Bac ward leg lifts with the nee e(tended on the affected side. C. Bridging in the hoo lying position. D. Rolling from a hoo lying position. A new student physical therapist and her supervising therapist are overwhelmed %y a sudden increase in the num%er of new patients attending a group e(ercise class. +n this situation it would %e %est to A. cancel the class and reschedule the new patients for individual evaluations. B. allow the student to conduct the class while the supervisor evaluates the new patients. C. allow the student to assist' in an appropriate way' with the management of the class. D. assign the student to a less %usy therapist while the supervisor concentrates on managing the class. +n managing the residual lim% of a 2! year)old patient with a transfemoral amputation' the most important factor to consider is A. contracture of hip musculature. B. residual lim% shape. C. muscle atrophy. D. residual lim% healing. A ,* year)old male' with a long history of cigarette smo ing' has %een admitted to the hospital and presents with signs of infection' tachycardia' a%normal %reath sounds in %oth lower lo%es and dullness to percussion. 0he physical therapists ma1or concern and focus with this patient is A. getting the patient to .uit smo ing. B. %reathing reeducation to increase efficiency of ventilation. C. airway clearance and secretion removal. D. graded inspiratory muscle training. A patient with adhesive capsulitis of the glenohumeral 1oint should demonstrate the greatest limitation of motion when performing shoulder A. fle(ion. B. a%duction. C. medial rotation. D. lateral rotation. During a treatment session in a reha%ilitation hospital a patient as s the physical therapist assistant to let him see the physical therapy progress notes in his medical record. 0he physical therapist assistant should A. refuse to let the patient see the record. B. allow the patient to see the notes. C. get the permission of the physical therapist supervisor %efore giving the patient the chart. D. contact the patients physician and e(plain the situation. +f a chest tu%e gets dislodged during physical therapy treatment and the therapist fails to cover the defect' the patient could develop< A. pulmonary em%olism B. pulmonary edema C. pneumothora( D. aspiration pneumonia &ollowing a motor vehicle accident' a patient with chest trauma developed atelectasis. 0o help in the immediate management of atelectasis' it would not %e appropriate to implement< A. pain reduction techni.ues B. segmental %reathing C. incentive spirometry D. paced %reathing

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Practice Questions

&ollowing a reattachment of the fle(or tendons of the fingers' one physical therapy goal is to minimi6e adhesion formation. A few days after surgery' with the patient in a splint' the physical therapist should teach the patient to perform< A. passive e(tension and active fle(ion of the interphalangeal 1oints B. active e(tension and fle(ion of the interphalangeal 1oints C. active e(tension and passive fle(ion of the interphalangeal 1oints D. gentle passive e(tension and fle(ion of the interphalangeal 1oints 0he most functional way to teach an individual with a 0* complete paraplegia to transfer from wheelchair to mat is %y using a< A. stand pivot techni.ue B. s.uat pivot techni.ue C. sliding %oard D. %ac )out techni.ue "our plan of care includes use of iontophoresis in the management of calcific %ursitis of the shoulder. 0o administer this treatment using the acetate ion' the current characteristics and polarity should %e< A. monophasic twin pea ed pulses using the positive pole B. monophasic twin pea ed pulses using the negative pole C. continuous monophasic using the positive pole D. continuous monophasic using the negative pole +f a therapist is planning to esta%lish a new private physical therapy practice' it is %est to first< A. do a community needs assessment B. outline a %udget to determine how much of a %usiness loan is re.uired C. see an ideal location or %uilding site for the practice D. circulate a %rochure informing physicians and other practitioners of this new service. A friend of yours is an avid tennis player. -he telephones and as s you to help her reduce the possi%ility of developing tennis el%ow. As a physical therapist' the %est way to respond to your friend is to< A. descri%e e(ercises and proper tennis techni.ues during the phone conversation B. in your spare time' watch her play tennis and' after analysis' offer specific suggestions as to how to minimi6e the ris of developing tennis el%ow C. invite her to your clinic for an evaluation and instruction in appropriate e(ercises and stretches if indicated D. send her an illustrated pamphlet dealing with tennis el%ow prevention and treatment including other suggested readings &ollowing a mastectomy' a si(ty=three year=old female developed massive edema of the arm on the involved side. A compression garment was ordered to help the situation. 0o help decrease the edema' this garment must e(ert enough pressure to< A. decrease the osmotic pressure of the capillaries. B. increase the capillary permea%ility C. e(ceed the internal tissue hydrostatic pressure D. e.ual the fluid outflow from the capillaries A family is caring for a child with a diagnosis of spina %ifida. 0he physical therapist should write the home program assuming a familial education reading level at the< A. !nd > #rd grade B. ,th > /th grade C. 3th > 4th grade D. 11th > 1!th grade During a cold winter day' an outpatient slipped and fell on the ice at the entrance to your outpatient clinic. Before %eginning the reha%ilitation for a nee in1ury' the patient says he feels a %it sore' %ut he can proceed with the treatment. As his physical therapist you should< A. cancel the treatment for the day B. start the treatment after noting the incident in the patients record C. %riefly re)e(amine the patient prior to any treatment D. have the patient call his physician to get clearance for physical therapy treatment !12!2141,.doc

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Practice Questions ##.

0wenty)four hours following a ma1or thermal %urn' a patient e(periences syncope while the physical therapist wor s on positioning as part of edema management. 0he syncope is most li ely a result of A. orthostatic hypotension B. e(treme pain C. intravascular hypovolemia D. massive infection +f you are treating a patient with active infectious :epatitis B' transmission of the disease is %est minimi6ed if you ta e precautions to avoid< A. direct contact with the patients %lood or %lood)contaminated e.uipment B. direct contact with any part of the patient C. droplet spread of the organisms %y coughing D. direct contact with patients hands "ou are wor ing in a school setting as a physical therapist. A supervisor as s you to organi6e a scoliosis screening program. +t would %e %est to asses< A. !nd or #rd graders B. /th or 2th graders C. high school freshmen or sophomores D. high school 1uniors or seniors A candidate for admission to a physical therapist assistant program was ran ed at ?1.$ standard deviations a%ove the mean among all applicants. +nterpretation of the class ran ' using a normal curve would indicate that this candidates position is< A. as good or %etter than 3*5 of the other candidates B. lower than #*5 of the other candidates C. within the top /5 of all candidates D. within the top 1*5 of all candidates @se of continuous ultrasound at 1., 7attsAcm! will result in< A. no change in nerve conduction velocity B. increase in motor nerve conduction velocity and decrease in sensory nerve conduction velocity C. decrease in motor nerve conduction velocity and increase in sensory nerve conduction velocity D. increase in %oth motor and sensory nerve conduction velocity "our spinal cord in1ury unit within a reha%ilitation hospital is preparing for accreditation visits. Accreditation would fall principally under the 1urisdiction of the< A. Boint Commission on Accreditation of :ealthcare Crgani6ations and Cccupational -afety D :ealth Administration B. Commission on Accreditation of Reha%ilitation &acilities and Cccupational -afety D :ealth Administration C. Commission on Accreditation of Reha%ilitation facilities and the @- Department of :ealth and :uman -ervices D. Boint Commission on Accreditation of :ealthcare Crgani6ations and Commission on Accreditation of Reha%ilitation &acilities +t is most li ely than when treating a patient with Eyme Disease of more than one years duration' the physical therapy focus will %e on management of arthritic changes primarily affecting the< A. small 1oints of the hands and feet B. large 1oints of the %odyF especially the nee C. a(ial 1oints' especially the lum%osacral spine D. a(ial 1oints' especially the cervical and thoracic spine As a physical therapist wor ing with a variety of special needs students in a high school setting' the long term goal that should ta e the highest priority in the plan of care is that the students should %e< A. independent in ta ing off and putting on outerwear at the start and finish of the school day B. a%le to independently change from classroom to classroom in the allotted time period C. independent in the purchasing and consumption of lunch in the school cafeteria D. independent in getting on and off the school %us

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Practice Questions

Bust after %irth' you o%serve a full)term infant in the neonatal intensive care unit. +n the supine position' the shoulders are a%ducted and e(ternally rotated' el%ows and fingers are fle(ed' hips are a%ducted and e(ternally rotated and nees are fle(ed. 0his posturing would seem to indicate that the< A. upper e(tremity tone is a%normal B. lower e(tremity tone is a%normal C. tone is a%normal in %oth upper and lower e(tremities D. tone is normal in %oth upper and lower e(tremities A patient has a fused right nee and placement of an +ntramedullary rod in the right femur. +n this case' ascending stairs with crutches would %est %e accomplished %y instructing the patient to< A. face forward' advance the lower left e(tremity first followed %y hi ing and circumducting the right lower e(tremity B. face forward' advance the right lower e(tremity first %y hi ing and circumducting followed %y placement of the left lower e(tremity C. face %ac wards to the stairs and advance the right lower e(tremity first %y hi ing and circumducting followed %y hi ing of the left lower e(tremity D. face sideward' grasp the %anister and advance the right lower e(tremity first %y hi ing and a%ducting followed %y placement of the left lower e(tremity onto the stair %elow the right lower e(tremity. 7hile am%ulating a patient in the parallel %ars' the patient suddenly falls and suffers a severe laceration in the area of the lateral distal right thigh. 0o help control %leeding you should apply pressure directly over the wound and< A. %ehind the nee at the popliteal fossa B. at the femoral triangle C. at the antecu%ital fossa D. at midthigh' directly over the profunda femoris artery 7hile gait training a patient following a cere%ral vascular accident' you o%serve the nee on the affected side going into recurvatum during stance phase. 0he most li ely cause of this deviation can %e attri%uted to< A. severe spasticity of the hamstrings or wea ness of the gastrocnemius)soleus. B. wea ness or severe spasticity of the .uadriceps C. wea ness of the gastrocnemius)soleus or spasticity of the preti%ial muscles D. wea ness of %oth the gastrocnemius)soleus and preti%ial muscles "ou are organi6ing a group e(ercise session in a therapeutic pool. @se of the pool would %e contraindicated for a group mem%er who has< A. an indwelling catheter B. paraparesis and is on a regular %owel program C. unsta%le %lood pressure D. an open s in lesion' even if it is covered %y waterproof dressing A child with spastic diplegia is now independent in using a wal er. Additional goals desired %y the physical therapist include increasing the childs energy)efficiency and velocity while am%ulating. +n this case' the selection of wal er that is most li ely to help improve these factors is< A. a standard anterior wal er with no wheels B. an anterior rollator wal er with two wheels C. a posterior rollator wal er with two wheels D. a posterior rollator wal er with four wheels 0he ma1or purpose of having an incident or occurrence report system in a health care facility is for the purpose of< A. satisfying legal and regulatory authorities B. satisfying the facilitys insurance carrier mandate C. corporate accounta%ility D. ris management

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Practice Questions *3.

&ollowing a myocardial infarction' a patient was placed on medications' which included a %eta)adrenergic %loc ing agent. 7hen monitoring this patients responses to e(ercise' you would e(pect that this drug will cause< A. heart rate to %e low at rest and rise very little with e(ercise B. heart rate to %e low at rest and rise continuously to e(pected levels as e(ercise intensity increases C. systolic %lood pressure to %e low at rest and not rise with e(ercise D. systolic %lood pressure to %e within normal limits at rest and progressively fall as e(ercise intensity increases A neonates APGAR score at one minute after %irth is 3 and four minutes later is 4. "ou would e(pect that this %a%y would pro%a%ly< A. have a heart rate of less than 1$$ %eats per minute with slow and irregular respirations and not re.uire resuscitation B. re.uire e(tensive resuscitation efforts including intu%ation C. re.uire some resuscitation and administration of supplemental o(ygen D. have a heart rate of greater than 1$$ %eats per minute' good respiration and re.uire resuscitation +mmediately contact appropriate authorities if you< A. suspect a patient had %een driving under the influence of alcohol B. suspect a patient has %een a%using cocaine C. notice illegal drug paraphernalia on a ta%le ne(t to a patient during a home visit. D. %elieve a patient might %e a victim of %attered child syndrome "ou are involved in the management of a young adult who is comatose HGlasgow Coma -cale #I and is in a nursing home for custodial care. Cne day' you notice that the patient is %eginning to demonstrate decere%rate posturing. "ou recommend that this patient< A. %e rehospitali6ed in an acute care facility for reevaluation and intense physical therapy B. %e transferred to a reha%ilitation hospital for more intense physical therapy C. %e transferred home with evaluation and treatment %y a home health team D. remain in the nursing home since there is not functional change of status A physical therapy note states< 8A patient am%ulates independently with crutches on level surfaces and on stairs. 0he patient lac s endurance to wal up more than one floor at a timeF however' this should increase with practice. 0he patient says he lives on the fourth floor and there is no elevator. 7ill wor to increase endurance prior to discharge.9 +n the -CAP format' the 8A9 of the note is< A. will wor to increase endurance B. endurance should increase with practice C. patient lives on the fourth floor with no elevator D. patient am%ulates independently with crutches 0o prevent contracture in a newly admitted 3 year)old with anterior nec %urns' it would %e %est to position the nec in< A. hyperfle(ion B. slight fle(ion C. neutral D. e(tension "ou are treating a ,* year)old woman for degenerative arthritis of the left nee. :er medical record indicates that she is on estrogen replacement therapy. +n this case' you should consider that this patient might %e more suscepti%le to< A. coronary artery disease B. osteoporosis C. clinical depression D. weight gain "ou are instructing a new mother to perform range of motion and stretching on her new%orn who has a clu%foot. "ou would advise her to carefully stretch in the direction of< A. plantarfle(ion and inversion B. plantarfle(ion and eversion C. dorsifle(ion and inversion D. dorsifle(ion and eversion !12!2141,.doc

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Practice Questions

0he normal end)feel associated with full el%ow e(tension can %e classified as< A. empty B. capsular C. springy %loc D. %one)on)%one +f a patient had normal .uadriceps strengthF %ut' unilateral wea ness H#A,I of the hamstring muscles' during swing phase you might o%serve< A. e(cessive compensatory hip e(tension on the sound side B. decreased hip fle(ion followed %y increased nee fle(ion on the wea side C. e(cessive hip e(tension followed %y a%rupt nee e(tension on the wea side D. e(cessive hip fle(ion followed %y a%rupt nee e(tension on the wea side &ollowing cast immo%ili6ation for a now healed supracondylar fracture of the humerus' a patients el%ow lac s mo%ility. 0o increase el%ow range of motion' 1oint mo%ili6ation in the ma(imum loose)pac ed position should %e performed at< A. full e(tension B. 4$ degrees of fle(ion C. 2$ degrees of fle(ion D. #$ degrees of fle(ion A patient with .uadriplegia at the C/ level should %e instructed to transfer using a sliding %oard with her< A. forearms pronated' wrists and fingers e(tended B. forearms pronated' wrists e(tended and fingers fle(ed C. forearms pronated' wrists and fingers fle(ed D. forearms supinated' wrists and fingers e(tended @pon removing a dressing covering a decu%itus ulcer' you o%serve copious amounts of a foul)smelling yellowAgreen discharge. "ou should note in this patients medical record that< A. there is li elihood of a -taphylococcus aureus infection B. there is li elihood of a Pseudomonas aeruginosa infection C. the would was purulent D. there was serosanguinous discharge A patient wishes to improve her aero%ic fitness. -he currently 1ogs four days a wee for #$ minutes at 2$5 of her age)predicted ma(imum heart rate. 0he recommendation that would not result in improved aero%ic fitness is< A. increasing the distance covered in the same #$ minutes B. increasing the 1ogging time to *, minutes while eeping at 2$5 of the age)predicted heart rate C. changing to interval training with ma(imum %urst of running for 1, seconds' followed %y a #$ second rest. Complete * sets per day' * days per wee . D. changing to interval training for * days per wee %y doing 4$ seconds of comforta%le running followed %y 4$ seconds of rest for a period of #$ minutes A gymnast comes to physical therapy. :er chief complaint is nagging' locali6ed pain in the left lower leg' which is present at night and increases during activity. 0his complaint is most characteristic of< A. %one tumor B. anterior compartment syndrome C. shin splints D. stress fracture &our days following open heart surgery' a patient is %eing treated in the physical therapy department. :e complains of some chest discomfort during treatment and wishes to return to his room. "ou should< A. call his physician immediately B. complete the treatment and have an aide transport him %ac to his room as some discomfort is e(pected C. call the nurse and chec to see if the discomfort is to %e e(pected D. immediately transport the patient %ac to his room yourself and inform nursing services of the patients complaint

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Practice Questions /*.

A patient who is to undergo surgery for a chronic shoulder dislocation as s you to e(plain the advantages and disadvantages of the various surgical reconstructive procedures used to alleviate the pro%lem. "our %est response is to< A. give the patient as much information a%out the procedures as you currently now B. e(plain how patients you have treated responded to the surgery C. tell the patient to as the surgeon for this information since this precise information is outside the scope of physical therapy practice D. refer the patient to another therapist in the department who is an e(pert on shoulder reconstructive reha%ilitation A patients peripheral s in color progresses from %lue to white to red. 0his would %e most characteristic of< A. chronic venous insufficiency B. acute venous insufficiency C. acute arterial insufficiency D. vasomotor disorders "ou see a patient who had a CJA two wee s ago. 0he patient has motor and sensory impairments primarily in the opposite lower e(tremity. 0here is some confusion and perseveration. Based on these findings' the vascular pro%lem can %e characteri6ed as< A. transient ischemic attac B. internal carotid syndrome C. anterior cere%ral artery syndrome D. middle cere%ral artery syndrome A hospital administrator as s for your help in dealing with a significant increase in %ac in1uries suffered %y nurses and nurses aides as a result of lifting patients. 0he most efficient and effective way to address this situation is %y< A. o%serving each nurse and nurses aide as they lift patients and provide immediate feed%ac a%out correct lifting B. providing a series of inservice e(periences to all appropriate nursing personnel which covers lifting and other K%ac )saving techni.ues C. sending everyone on the nursing service a comprehensive %oo let that teaches K%ac )saving techni.ues in a step)%y)step fashion. D. reviewing proper techni.ues with nursing supervisors and have them evaluate all personnel under their supervision. +n the management of systemic lupus erythematosus' the intervention that would not %e appropriate would %e the use of< A. nonsteroidal anti)inflammatory agents to control arthralgia B. resting splints to decrease 1oint pain and prevent deformity C. ultraviolet irradiation to help decrease the s in lesions and rash often associated with the disorder D. endurance training to compensate for cardiopulmonary dysfunction that is often present with the disorder A patient with degenerative 1oint disease of the right hip complains of pain in the anterior hip and groin' which is aggravated %y weight%earing. 0here is decreased range of motion and capsular mo%ility. Right gluteus medius wea ness is evident during am%ulation and there is decreased tolerance of functional activities including transfers and lower e(tremity dressing. +n this case' a capsular pattern of 1oint motion should %e evident %y restriction of hip< A. fle(ion' a%duction and internal rotation B. fle(ion' adduction and internal rotation C. e(tension' a%duction and e(ternal rotation D. fle(ion' a%duction and e(ternal rotation Confirmation of a diagnosis of spondylolisthesis can %e made when viewing an o%li.ue radiograph of the spine. 0he tell)tale finding is< A. posterior displacement of E, over -1 B. %am%oo appearance of the spine C. compression of the verte%ral %odies of E, and A1 D. %ilateral pars interarticularis defects !12!2141,.doc

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Practice Questions

A physical therapist and physical therapist assistant are conducting a cardiac reha%ilitation session for twenty patients. 0he therapist is suddenly called out of the room. 0he physical therapist assistant should< A. terminate the e(ercises and have the patients monitor their pulses until the therapist returns B. have the patients continue with the same e(ercise until the therapist returns C. have the patients switch to a less intense e(ercise until the therapist returns D. continue with the outlined e(ercise progression for that session 7hen fitting a patient for ad1usta%le a(illary crutches' the measurement techni.ue that would not %e appropriate to use is< A. placing the patient supine and measuring from the anterior a(illary fold to the %ottom of the foot and adding ! inches B. placing the patient supine and measuring from the anterior a(illary fold to a point / inches lateral to the foot C. su%tracting 1/ inches from the height of the patient D. placing the patient in standing with shoes on' and the crutches placed / inches lateral to the foot A therapist wishes to study the progress of her patients with paraplegia who are discharged from a reha%ilitation setting. -tarting with the patients discharge' and once a month for three years' the therapist will measure their 1oint range of motion of %oth hips and nees. Accurate analysis of this time series study is heavily dependent upon< A. random sampling B. interrater relia%ility C. intrarater relia%ility D. predictive validity of the measurements A %outonniere deformity of the finger would not consist of A. hypere(tension of the pro(imal interphalangeal 1oint B. overstretch of the e(tensor digitorum communis tendon C. volar slippage of the lateral %ands D. hypere(tension of the distal interphalangeal 1oint "ou are evaluating a patient with chronic o%structive pulmonary disease. "ou would not e(pect to find< A. the presence of hypercapnia B. increased total lung capacity C. increased vital capacity D. a%normal ventilationAperfusion ratio 7hen using a patellar)tendon)%earing prosthesis' a patient will e(perience e(cessive nee fle(ion in early stance if the< A. soc et is aligned too far anteriorly B. soc et is aligned too far posteriorly C. foot is outset e(cessively D. foot is inset e(cessively A patient e(hi%iting fle(i%le pes valgus would most %enefit from a com%ination of shoe modifications consisting of a< A. roc er %ar' scaphoid pad and lateral sole wedge B. reverse 0homas heel' metatarsal %ar and medial sole wedge C. 0homas heel' medial sole wedge and scaphoid pad D. roc er %ar' metatarsal pad and 0homas heel An inpatient currently in an acute care facility is having her Ledicare Part A %enefits come to an end. Ledicare Part B will cover all e(cept< A. inpatient room and %oard in a reha%ilitation hospital B. inpatient therapy services in a reha%ilitation hospital C. outpatient therapy services in an acute care facility D. outpatient therapy services in a private therapy practice

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Practice Questions 24.

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"ou receive a referral from an osteopath to treat a patient for lower %ac pain. 7hen giving feed%ac regarding the patients progress in physical therapy you should contact the< A. patients primary care physician B. osteopath C. primary care physician and the osteopath D. patients general practitioner and osteopath &ollowing a hard tac le' a foot%all .uarter%ac e(hi%its signs of fractured ri%s and a pneumothora(. +n this case' upon auscultation over the in1ured area' you would e(pect< A. soft' rustling sounds on inhalation B. decreased or no %reath sounds C. crac les on inhalation D. whee6es on e(halation A 1! year)old girl with cystic fi%rosis has %een readmitted to the hospital in acute respiratory failure as a result of an infection. Physical therapy' in the form of %ronchial hygiene should< A. not %e administered since it is contraindicated in acute respiratory failure B. %e administered two times a day to the patients tolerance C. %e administered vigorously three times a day D. %e administered vigorously once every two hours at least si( times a day 7hile am%ulating a patient in the parallel %ars' you lose control and the patient falls hitting her head on the %ar. 0he patient lies motionless on the floor %etween the %ars %leeding heavily form a scalp laceration. 0he first thing you should do is< A. put thic gau6e over and apply manual pressure to the scalp wound B. chec for responsiveness. C. call Mmergency Ledical -ervices D. immediately determine the patients heart rate and %lood pressure "ou are treating an outpatient three times per wee . 0he physicians referral indicated a diagnosis of acute su%deltoid %ursitis. +nitial evaluation reveals active shoulder a%duction is painful H3A1$I and limited to 2, C. After 0wo wee s' pain is ,A1$ and a%duction is 4,C. At the end of wee three' pain is /A1$ and a%duction is 33o. +n this case' you should< A. modify the treatment and continue three times per wee B. modify the treatment and increase to five times per wee C. contact the physician and see guidance since this patient is not progressing D. discontinue treating this patient since it is unethical to treat a patient who is not %enefiting from treatment During pregnancy' the presence of the hormone rela(in can lead to a%normal movement and pain which most fre.uently affect the< A. glenohumeral 1oints B. hip 1oints C. lum%osacral 1oints D. sacroiliac 1oints A patient with angina pectoris has %een instructed to use su%lingual nitroglycerin in case of anginal attac . 0his medication will help to ease the situation primarily %y< A. lowering %lood pressure B. decreasing resistance in the peripheral vasculature C. increasing venous return D. increasing cardiac afterload' thus decreasing the wor of the heart

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Practice Questions

An 3 year)old with severe spasticity in the lower e(tremities is to receive a new wheelchair. 0he patient is average in height and weight for his age. &unding restrictions limit the selection to only the standard wheelchair dimensions as supplied %y the manufacturers. As the physical therapist you should recommend the selection of a< A. narrow adult chair which allows for growth since funds for future new chairs will %e scarce B. 1unior chair with standard seat depth of 1/ inches and seat width of 1/ inches C. child chair Hsometimes nown as a 1unior)1#I with a standard seat depth of 1# inches and a seat width of 1/ inches D. tiny tot chair with a standard seat depth of 11., inches and a seat width of 1! inches An occupation which re.uires a great deal of neeling will %e impacted the most if the diagnosis is< A. Csgood)-chlatter Disease B. plica syndrome C. acute prepatellar %ursitis D. ilioti%ial %and friction syndrome 0hree days following a cere%ral vascular accident' a patient is supine in %ed. +t would %e %est to position the upper e(tremity so that the< A. scapula is protracted and upwardly rotated and the shoulder is a%ducted and e(ternally rotated B. scapula is protracted and upwardly rotated and the shoulder is a%ducted and internally rotated C. scapula is retracted and downwardly rotated and the shoulder is adducted and internally rotated D. scapula is retracted and downwardly rotated and the shoulder is a%ducted and e(ternally rotated An accepta%le modified position to drain the posterior %asal segment of the left lower lo%e is to position the patient< A. sidelying on the right' with a pillow under the right hip and the %ed flat. B. prone' with a pillow under the hips and the %ed flat C. sidelying on the right' with a pillow %etween the legs and foot of the %ed elevated 13 inches D. prone' with a pillow under the hips and the %ed elevated 13 inches 7hen the an le is forci%ly inverted and plantarfle(ed' the ligament that is most fre.uently disrupted is the< A. deltoid B. anterior talofi%ular C. posterior talofi%ular D. calcaneofi%ular A therapist cut her finger with a itchen nife and on the same morning was scheduled to do open wound care on a patient who has :+J. +n this case she should< A. not treat the patient B. %andage her cut with an occlusive dressing and don gloves normally C. treat using normal standard precautions D. dou%le glove A physical therapist notes in the medical record that a patient she is treating is receiving a new medication. 0he therapist is unfamiliar with this medication. 0o determine its purpose it would %e %est if the therapist first< A. called the patients physician B. as ed the nurse in charge of the patient C. called the pharmacist D. as ed the patient during the treatment session "ou are performing a physical e(amination of a patient in a custodial care facility' which includes o%servation of a lesion on the left heel Hsee image %elowI. Based on the characteristics of the wound' you would classify it as a< A. stage + lesion B. stage ++ lesion C. stage +++ lesion D. stage +J lesion

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Practice Questions 4*. 0he clinical status of a truc driver with a posterior herniated nucleus pulposus has improved if< A. peripheral pain increases only when lum%ar e(tension is attempted B. peripheral pain occurs only with straight leg raising C. pain centrali6es with passive hypere(tension of the spine D. there is flattening of the lum%ar lordosis

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"ou are wor ing with a patient with AE- who has a tendency to aspirate foods. "ou should advise the caregiver that< A. hypere(tension of the nec ma es swallowing easier B. warmer solid food aspirates more readily than cooled solid food C. solid foods aspirate more readily than li.uid foods such as soup D. li.uid foods' such as soup' aspirate more readily than solid food 7hen instructing the family of a 4 year)old %oy with Duchenne muscular dystrophy' the main emphasis in the lower e(tremities should %e placed on< A. strengthening the nee e(tensors and plantarfle(ors B. strengthening the plantarfle(ors and stretching the hip e(tensors C. stretching the hip fle(ors and plantarfle(ors D. strengthening the hip fle(ors and nee e(tensors An 13 year)old female soccer player' with a Q angle in e(cess of #$ degrees' e(hi%its patello)femoral trac ing pro%lems. 7hile playing soccer' it would %e %est if she wore a< A. patellar sta%ili6ing %race with a lateral %uttress B. patellar sta%ili6ing %race with a medial %uttress C. neoprene sleeve with a patellar cutout D. derotation %race A /4 year)old man with dia%etes mellitus has had a -tage +++ decu%itus ulcer over the right ischial tu%erosity for the past five months. 0he ulcer is infected with -taphylococcus aureus and necrotic tissue covers much of the wound. 0he physical agent that would %e the least helpful and not usually recommended to treat this pro%lem would %e< A. low voltage' constant microamperage direct current B. high voltage monophasic pulsed current C. whirlpool D. moist hot pac s +n treating a , year)old with spastic diplegia' as part of the program' rela(ation might %e accomplished %y< A. use of rhythmic sta%ili6ation B. slow roc ing C. inhi%ition of parasympathetic fi%ers D. facilitation of sympathetic fi%ers Capsular tightness has limited your patients a%ility to fully e(tend her left nee. 0reatment to restore 1oint motion should emphasi6e< A. anterior glide and e(ternal rotation of the ti%ia B. anterior glide and internal rotation of the ti%ia C. posterior glide and e(ternal rotation of the ti%ia D. posterior glide and internal rotation of the ti%ia 7hile administering a phonophoresis treatment to a patient with su%deltoid %ursitis' the patient informs you that she is :+J positive. 0his information was not part of the patients record. +t would %e %est to< A. discontinue the treatment since phonophoresis may %e harmful in this case. B. discuss this patient at the ne(t staff meeting C. continue treating the patient as usual D. refer this patient %ac to the orthopedic physician who is apparently unaware of her :+J status

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Practice Questions

0he results of iso inetic dynamometry indicate that a patient can generate a pea tor.ue of 1!$ with her right .uadriceps muscle and only 3$ with her right hamstring musculature. 0his situation indicates that< A. .uadriceps tor.ue generation is e(cessive B. hamstring tor.ue generation is insufficient C. %oth .uadriceps and hamstring tor.ue generation is e(cessive D. tor.ue generation is proportionally correct 7hen using ultrasound in treating chronic %ursitis of the hip' the most %enefit might occur if the ultrasound fre.uency and dosage were< A. 1 L:6 and 1., 7attsAcm! B. 1 L:6 and $., 7attsAcm! C. # L:6 and 1., 7attsAcm! D. # L:6 and $., 7attsAcm! A patient presents with a red' %eefy granulating wound. 0he dressing that would %e inappropriate to apply is< A. occlusive B. wet)to)wet C. hydrophilic D. wet)to)dry 7hen performing underwater ultrasound' the most important safety factor is that the< A. part %eing treated is not immersed in a metal tan B. transducer head eeps moving C. ultrasound apparatus is connected to a ground fault interruption circuit D. pie6oelectric crystal is not crac ed 7hen recommending a wheelchair for a patient with a lesion at 011 resulting in paraplegia' the modification least needed %y a patient with this disa%ility would %e< A. swing away foot rests B. high seat %ac C. pneumatic tires D. caster loc s Damage as a result of -alter):arris type +J supracondylar humeral epiphyseal fracture in a young athlete will most li ely result in< A. refracture at a future time B. nonunion C. arrested growth D. severing of the radial nerve +f the patient is placed in a supine position with the head flat' postural drainage is optimal for the A. apical segments of the upper lo%es B. posterior segments of the upper lo%es C. anterior segments of the upper lo%es D. lingular segments of the left upper lo%es A weightlifter with hypertrophy of the scalene muscles complains of pain and paresthesia in the right upper e(tremity when lifting the weight overhead. +t is most li ely that this is a manifestation of< A. thoracic outlet syndrome B. verte%ral artery o%struction C. cervical radiculitis D. refle( sympathetic dystrophy A patient is immersed up to the nec in a therapeutic pool. 7hile e(ercising this patient' the therapist should ta e into consideration the physiological effects of immersion which result in significantly< A. increased forced vital capacity B. increased e(piratory reserve volume C. increased wor of %reathing D. decreased pulmonary %lood flow !12!2141,.doc

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Practice Questions 111.

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7hen using 0MN- to help modulate pain' one electrode is placed on the posteromedial thigh and another on the posterolateral calf. 0he dermatome involved in this case would %e< A. E! B. E* C. -! D. -1 A patient with chronic asthma has %een admitted to the hospital for an acute e(acer%ation of the disorder. 0he most important thing for the physical therapist to chec when seeing this patient for the first time is< A. current medications the patient is ta ing B. previous history of the disease relative to the patients current status C. interpretation of the most recent chest ()ray D. pulmonary function test results "ou have assessed the deep tendon refle(es of a patient recently diagnosed with amyotrophic lateral sclerosis. 0he results are !? left and #? right. "our interpretation is that the refle(es are< A. diminished on the left and normal on the right B. normal on the left and e(aggerated on the right C. e(aggerated' %ut within normal limits on %oth sides D. e(aggerated on %oth sides A five foot tall' #2 year)old word processing technician complains of lum%ar discomfort after a full day at her computer wor station. 0o help the situation' you would not recommend that she try< A. use of a lum%ar roll B. use of an elevated foot rest C. moving her chair further away from the ey%oard and screen D. ta ing fre.uent short wal s during the day 7hile crossing the finish line of a 1$$ meter race an athlete lunged and fell on her dorsifle(ed wrist. -he immediately complained of pain and tenderness over the radial aspect of the wrist in the area of the anatomical snuff%o(. "ou suspect a possi%le fracture of the< A. lunate B. capitate C. scaphoid D. hoo of the hamate A patient with Par insons disease is in a s illed nursing facility and has %een seen regularly %y a physical therapist. 0he patient has %een ta ing levodopa three times a day for several years to help control rigidity and %rady inesia. Eately' the therapist has noticed the patient e(hi%iting dys inesias during the usual treatment sessions. +n this case' the therapist should< A. move the treatment time closer to the time the patient ta es the initial levodopa dose for the day B. move the treatment time to the afternoon following the administration of the second levodopa dose for that day C. consult with the nursing service a%out the deterioration of the patients condition D. tal with the patients physician a%out the need for a possi%le change in levodopa dosage "ou are wor ing with a 1! month)old with a developmental level of # months. Appropriate intervention at this time would incorporate< A. pivot prone positioning B. rolling from prone to supine C. rolling from supine to prone D. training in unsupported sitting A patient with Par insons disease is hospitali6ed. :e is am%ulatory %ut re.uires close supervision to prevent falls. 0he physical therapists intervention should< A. re.uest that the patient remain hospitali6ed in order to wor on %alance pertur%ation until he is safe B. re.uest a prescription for a wheelchair since this would %e the safest method of locomotion C. train caregivers in contact guarding prior to discharge home D. include the timed @p and Go test !12!2141,.doc

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Practice Questions

0he most important stimulus which will result in an increase in ventilation is< A. diminished arterial PC! B. diminished arterial PCC! C. increased arterial PCC! D. the :ering)Breuer refle( 0o e(ercise the middle deltoid during a home health visit' you apply a cuff weight to the wrist and instruct the patient in glenohumeral a%duction. -ince the patient is una%le to complete the e(ercise' you move the weight to the el%ow. 0his change in position may allow the patient to complete the motion %ecause it< A. reduces the force arm' there%y increasing the mechanical advantage of the lever B. reduces the resistance arm' there%y decreasing the mechanical advantage of the lever C. reduces the force arm' there%y decreasing the mechanical advantage of the lever D. reduces the resistance arm' there%y increasing the mechanical advantage of the lever Cn the first day following a cesarean delivery' the physical therapists primary treatment responsi%ilities would consist of teaching the new mother< A. gentle partial sit ups and pelvic tilting B. %reathing' coughing and pelvic floor e(ercises C. assisted am%ulation D. active calf and an le e(ercises to prevent venous stasis A patient using an an le)foot orthosis demonstrates e(cessive stride width during stance phase. 0o try and correct the pro%lem' an appropriate strategy would %e to< A. correct the foot outset B. correct the foot inset C. lower the height of the medial upright D. have the patient try a wal ing aid such as a cane "ou are performing sensory tests on a patient diagnosed with C/ nerve root impingement. 0esting should concentrate on the< A. #rd' *th and ,th fingers B. ulnar %order of the hand C. thum% and inde( fingers D. medial forearm A physical therapist is treating an 3$ year)old female at home. 0he patient is in the very early stages of amyotrophic lateral sclerosis. 0he patient lac s endurance to independently am%ulate to and from the %athroomF however' she refuses to use a %edpan. 0his has caused added difficulties and stress for family mem%ers caring for her at home. +n this situation' the therapist should< A. %egin immediate am%ulation endurance training with distance to and from the %athroom as the primary goal. B. recommend that the patient %e transferred to a s illed nursing facility until she has sufficient endurance to get to and from the %athroom C. recommend for immediate delivery of a commode chair to deal with the situation D. try %ehavior modification to convince the patient to try and use the %edpan until trained sufficiently to get to and from the %athroom. 0he muscles that can function as synergists when acting on the scapula are the< A. rhom%oids and trape6ius B. rhom%oids and serratus anterior C. serratus anterior and levator scapulae D. teres ma1or and infraspinatus "ou are wor ing with a patient who e(hi%its a fluent aphasia. 0his form of aphasia is usually characteri6ed %y< A. normal auditory comprehension B. very slow speech C. impaired reading and writing D. impaired articulation

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12

A !# year)old male with an incomplete spinal cord lesion at the 01! level as s you .uestions a%out his potential se(ual capa%ilities. An accurate response to him' would indicate that erectile capa%ility is< A. more li ely in complete lower motor neuron lesions than in incomplete upper motor neuron lesions B. more li ely in incomplete lower motor neuron lesions than in incomplete upper motor neuron lesions C. most li ely in incomplete upper motor neuron lesions as compared to complete upper and lower motor neuron lesions or incomplete lower motor neuron lesions D. unli ely e(cept in cauda e.uina lesions +f an arterial line dislodges while treating a patient' the first thing to do is< A. call the nurse B. clamp the line C. apply direct pressure to the site D. elevate the lim% A supervising therapist should chec the capital %udget of the physical therapy department in order to determine if there are sufficient funds to< A. purchase a new computeri6ed iso inetic dynamometer B. recommend a ,5 salary increase for staff physical therapists C. dou%le the towels ordered for patients and physical therapy staff who use the therapeutic pool D. send a therapist to a wee )long neurodevelopmental seminar in another state A hospital volunteer is assigned to help out in the physical therapy department. @nder normal circumstances it would %e inappropriate for the volunteer to< A. change linen or clean whirlpools following patient treatments B. transport patients to and from the department C. help patients transfer from their wheelchairs to the treatment ta%les D. schedule the times for department in)service education 0he left phrenic nerve of a patient was accidentally severed during thoracic surgery. 0he physical therapist should wor on facilitating and strengthening all of the following muscles to provide su%stitute function with the e(ception of the< A. sternocleidomastoid B. e(ternal intercostals C. scalenes D. e(ternal o%li.ues As a result of a cere%ellar lesion' a patient presents with incoordination and pro%lems with %alance and posture. 0o help improve this situation it would %e %est if the therapeutic program incorporated< A. lower e(tremity splinting to improve sta%ility and iso inetic e(ercises at moderate to fast speeds to emphasi6e reciprocal movement B. weight cuffs to increase proprioceptive feed%ac and use of rhythmic sta%ili6ation and slow reversals)hold techni.ues to facilitate sta%ility C. &ren els e(ercises to help with incoordination and PN& activities emphasi6ing traction of the pro(imal 1oints. D. pertur%ed %alance using a gymnastic %all and PN& patter using D1 diagonals which promote pro(imal mo%ility with distal sta%ility A /, year)old male with dia%etes recently underwent a transti%ial amputation. 7hen instructing others in wrapping the residual lim% to minimi6e edema and provide proper shape' it is important to stress that< A. greatest pressure should %e provided distally B. greatest pressure should %e provided pro(imally C. pressure should %e evenly distri%uted D. an overlapping' circular' wrin le)free pattern should %e used

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Practice Questions

"ou are performing clinical research in which a specific myofascial techni.ue is applied to a patient with chronic nec pain. A single case study' time)series design using A)B)A)B format is to %e followed. A more in)depth follow up study would not %e 1ustified if< A. A e.uals B B. A is greater than B C. B is greater than A D. B is less than A -i( wee s following the conclusion of the foot%all season' you e(amine a player whose chief complaint is right thigh pain and decreased nee range of motion. Roentgenographic imaging of the area is shown %elow. +ntervention for this individual should %e %ased on the diagnosis of< A. femoral stress fracture B. neoplasm C. .uadriceps hematoma D. myositis ossificans An energetic and independent)minded 23 year)old woman had a stro e a num%er of years ago and am%ulates with the aid of a wal er. -he lives in a community housing pro1ect and has many close friends. Recently' she fell and fractured her hip and now four months later is having some difficulty am%ulating safely when she leaves her apartment. As her home therapist' your first course of action is to< A. recommend that the patient %e readmitted to a reha%ilitation hospital until she can am%ulate safely B. have the patient use a wheelchair outside of her apartment C. teach her friends to accompany and properly guard her when she is am%ulating outside D. implement a home program of %alance training and lower e(tremity strengthening A /! year)old recreational athlete has spinal stenosis affecting the lum%ar region. 0o minimi6e symptomatology' the therapist should recommend that this individual not< A. play tennis B. ride a %icycle C. perform curl ups D. use a rowing machine A physician re.uests that you perform hydrocortisone iontophoresis over the left shoulder of a patient with tendonitis. "ou discover that the patient has a pacema er. +n this case< A. perform the treatment since there is no contraindication as long as nothing is done directly over the pacema er. B. refer the patient to another physical therapist who has greater e(pertise in using iontophoresis C. %egin to e(amine and evaluate the patient and consult with the physician a%out alternate forms of therapyF however' do not perform the iontophoresis treatment D. ethically you must refuse to administer iontophoresis and have the patient return immediately to the physician. A patient' trying to cope with his disa%ility' is going through a stage of anger. Anger would not %e e(pressed using the mechanism of< A. denial B. pro1ection C. noncompliance with treatment D. displacement During gait analysis' you note that a patient is lurching %ac ward during stance phase as a result of gluteus ma(imus wea ness. 0his compensatory motion prevents< A. circumduction with e(ternal rotation of the involved e(tremity B. lateral trun lean over the involved stance e(tremity C. nee insta%ility with possi%le %uc ling D. e(cessive hip fle(ion and anterior pelvic tilt

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14

+n patients with cardiovascular disease who receive either nitrates' diuretics' digitalis or calcium antagonists' the side effects that may commonly occur with administration of any of these medications are< A. hypotension and di66iness B. arrhythmia and unsta%le %lood pressure C. gastrointestinal upset and e(treme fatigue D. hypotension and decreased electrolytes A # year)old child with myelomeningocele has had a ventriculoperitoneal shunt put in place. During physical therapy treatment' the child %ecomes agitated and irrita%le' then drowsy and listless. +n this situation' the therapist should< A. immediately place firm pressure over the fontanel B. administer emergency o(ygen C. place the child in a head)down position D. call for emergency medical services A therapist wishes to use operant conditioning as part of her treatment to help 8shape9 the %ehavior of children with pro%lems associated with cere%ral palsy. Cperant conditioning would not involve< A. rewarding the child with a pri6e for a correct response or attitude B. ver%ally reinforcing correct responses and pointing out and e(plaining incorrect %ehaviors C. using words of praise or a pat on the %ac to strengthen desired responses D. ignoring or not reacting to incorrect %ehaviors or attitudes An 3# year)old man with peripheral vascular disease and dia%etic retinopathy is having some difficulty with %alance when am%ulating in his home. As his home physical therapist' the first priority you should consider is to< A. %egin gait training with a cane to ensure safety B. ensure that colors on flat surfaces in the home are the same and that raised surfaces' such as steps' have a sharp color contrast C. %egin %alance and am%ulation practice on any soft or uneven surfaces in the home to help compensate for decreased sensory feed%ac D. recommend that night)lights %e immediately placed in strategic areas throughout the house and that they remain lit continuously 7hen having an individual perform interval training to stress the aero%ic system' a wor interval of three minutes is employed. +t would %e %est if the rest interval e.uals< A. one minute B. three minutes C. si( minutes D. nine minutes "ou are monitoring the %lood pressure of a healthy' !2 year)old athlete as she is e(ercising on a treadmill. 0he wor load' in terms of speed and incline' is steadily increasing during the e(ercise period. "ou would e(pect her %lood pressure response demonstrate a< A. very gradual or %lunted rise in systolic pressure and a slight decrease in diastolic pressure B. slight drop in systolic pressure and either a slight increase or decrease in diastolic pressure C. steady increase in systolic pressure accompanied %y a steady increase in diastolic pressure D. steady increase in systolic pressure and either a slight increase or decrease in diastolic pressure "ou are evaluating a patient with a temporomandi%ular disorder. 0he patient had a history of 1aw clic ing on opening and closing the mouth' %ut the noises are now gone. 0he current ma1or complaint is ina%ility to open the mouth wide and difficulty performing functional 1aw movements such as chewing and yawning. "ou suspect that the most li ely cause is< A. capsular fi%rosis B. 0LB su%lu(ation C. chronic 0LB osteoarthritis D. disc displacement without reduction

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Practice Questions

A physical therapist' wor ing in a school system' wishes to e(amine a child with a comple( medical history. 0he therapist should first contact the< A. parents B. teacher C. student D. physician "ou have 1ust completed a course on manual therapy for the temporomandi%ular 1oint. 0wo days after the course you receive a referral that implies the use of 0LB mo%ili6ation. "ou should< A. treat the patient using 1oint mo%ili6ation B. refer the patient to another therapist s illed in 0LB mo%ili6ation C. refer the patient %ac to the physician D. treat the patientF however' do not use 1oint mo%ili6ation "ou are wor ing with a child with Down syndrome whose ma1or pro%lem is severe :ypotonicity. +n order to help activate the postural muscles' it would %e %est to try< A. slow repetitive roc ing movements with the child seated on a large gymnastic %all B. prone positioning on a large gymnastic %all with the head tipped down C. slow stro ing applied over the paraverte%ral muscles D. rhythmic vesti%ular stimulation first using passive and then progressing to active rolling movements &ollowing a CJA' a 2, year)old man is having motor control difficulty and is fearful when descending stairs. Marly in the relearning process' a strategy one would not employ is< A. mental practice of the tas to help decrease fear B. use of a more open environment in which to practice the s ill C. guided movement to help position the involved e(tremity on the proper step D. provision of feed%ac which focuses on correct aspects of performance A therapist investigates the normative values for isometric force o%tained with hand)held dynamometers. 0his type of research can %e categori6ed as< A. historical B. descriptive C. e(perimental D. .uasi)e(perimental using a sample of convenience Patients with Par insons disease who have %een receiving levodopa for prolonged periods of time will most li ely e(hi%it< A. elevated %lood pressure B. a sense of euphoria C. cogwheel rigidity D. dys inesia A 4! year)old resident of a custodial care nursing home is wheelchair %ound and has limited cognitive functioning. An advance directive proscri%es any active reha%ilitation. Assigning a student physical therapist to implement a program of active resistive upper e(tremity e(ercises with this patient is< A. inappropriate since limited cognition re.uires the s ills of the supervising therapist to implement the program B. appropriate if the student is only on final affiliation C. appropriate if e(treme care is ta en to prevent in1ury or overfatigue of the patient D. inappropriate under any circumstance An e(ternal shoe modification that would %e appropriate for a patient e(hi%iting fle(i%le su%talar valgus deformity is< A. cushion heel B. lateral sole wedge C. medial sole wedge D. medial heel wedge

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Marly +ntervention Programs are usually re.uired to use a developmental test' which is standardi6ed and comprehensive. 0he %est choice for a physical therapist to use for motor development testing would %e the< A. APGAR test B. Denver Developmental -creening 0est HDenver ++I C. Pea%ody Developmental Lotor -cales D. Bra6elton Neonatal Behavioral Assessment -cales A home health physical therapist ma es a list a list of e.uipment the patient will need to function in a home environment. &or a home %ound patient' Ledicare will not reim%urse for aF A. hospital %ed B. wheelchair C. commode D. home traction unit A 1# year)old girl has a structure right thoracic idiopathic scoliosis. 0he clinical features you would e(pect to find include< A. a high right shoulder' a prominent right scapula and a left hip that protrudes B. a high left shoulder' a prominent left scapula and a right hip that protrudes C. a high right shoulder' a prominent left scapula and a right hip that protrudes D. a high left shoulder' a prominent right scapula and a left hip that protrudes "ou note in the medical record that a newly admitted patient' with a diagnosis of right cere%rovascular accident' is demonstrating anosognosia. 7hen e(amining this patient you would e(pect to find< A. left)sided neglect B. ina%ility to follow your directions to move a %ody part even if that part was capa%le of moving C. ina%ility to recogni6e familiar o%1ects %y touch alone D. ina%ility to recogni6e familiar o%1ect visually A *, year)old male with a long history of cigarette smo ing wal s in to your private physical therapy clinic complaining of right upper thoracic pain with tingling into the fourth and fifth digits of the right hand. :e has not seen his primary care physician in over a year. As a physical therapist your responsi%ility is to< A. provide treatment for e(cessive scalene and other accessory %reathing muscle hypertrophy secondary to CCPD B. determine the origin of the dysfunction and refer the patient to his physician if you suspect a tumor as a possi%le cause of the symptoms C. %egin treatment for thoracic outlet syndrome and discuss with the patient the importance of smo ing cessation D. provide appropriate treatment for pain and wea ness secondary to nerve root impingement A patient has sustained a trimalleolar fracture on the right and a fracture of the left distal radius. &or partial weight %earing it is %est if the therapist has the patient use< A. a(illary crutches B. forearm crutches C. platform crutches D. Eofstrand crutches 7hen using whirlpool at 44o)1$1o& in the care of an indurated ulcer' the treatment will not %e of significant %enefit in< A. loosening of any necrotic tissue within the wound B. softening of wound de%ris C. soa ing off of adherent dressings D. increasing circulation to the wound %orders to facilitate healing

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Practice Questions

&ollowing a s iing accident' a 1* year)old %oy is in a s illed nursing facility with a traumatic %rain in1ury. :e is classified as Glasgow Coma *. &amily mem%ers visit him on a daily %asis. +n this situation it would %e %est if passive range of motion e(ercises are< A. taught to family mem%ers in order for them to participate in the care of the %oy B. not done since the patient is a%le to follow motor commands C. performed only %y physical therapists or physical therapist assistants to minimi6e the possi%ilities of pathological fractures D. taught to all the registered nurses who might care for the %oy After gait training a patient with a new %elow) nee prosthesis' you notice redness along the patellar tendon and medial ti%ial flare. 0his would indicate< A. the soc et is too small and the residual lim% is not seated properly. B. the soc et is too large and pistoning is occurring C. improper weight distri%ution during stance D. pressure tolerant weight%earing during stance 7hile evaluating a ! year)old child with mild cere%ral palsy' the therapist is encouraged %ecause the normal developmental milestones for a child of this age have %een achieved. 0his was demonstrated %y the childs a%ility to< A. hop on one foot B. stand on tiptoes C. ascend stairs reciprocally D. %egin to self)feed "ou see a patient in the intensive care unit with multiple trauma and severe traumatic %rain in1ury. A chest tu%e is in place and it e(its from the right thora(. 0he patient is in need of %ronchial hygiene. +n this case< A. postural drainage can %e performed using the 0rendelen%urg position B. percussion and sha ing can %e done only in the right sidelying position C. percussion and sha ing can %e done carefully in the area surrounding the chest tu%e D. postural drainage is permissi%leF however' percussion and sha ing can %e done only when the chest tu%e is removed 0o prevent ma(imal compressive forces %eing placed on the patella' a therapist should minimi6e placing the patient< A. prone and fle(ing the nee to #$ degrees B. in a sitting position with the nee fle(ed to 4$ degrees C. supine and fle(ing %oth the hip and nee to 11$ degrees D. prone and fle(ing the nee to 11$ with the hip e(tended 0o promote upright posture and higher wal ing speeds in a child with spastic diplegia the am%ulatory aid that is most %eneficial is< A. a reciprocating gait orthosis B. an anterior rollator wal er C. a posterior rollator wal er D. a parapodium &ollowing an e(ercise session in a Phase # cardiac reha%ilitation program' in which some patient may e(perience angina pectoris' the therapist employs a gradual and prolonged cool down period primarily to prevent< A. e(ertional dyspnea B. tachycardia C. venous pooling D. hypertension +n a hospital situation' C-:A has no 1urisdiction regarding< A. proper grounding of electrical e.uipment B. vaccination of the staff against :epatitis B C. %ioha6ard disposal D. wor place access for handicapped employees

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Practice Questions 121.

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As a result of diminished movement associated with Par insons disease' a physical therapist might employ rhythmic initiation primarily to help improve< A. trun sta%ility and pro(imal tone B. trun rotation C. upper e(tremity function D. active and passive range of motion "ou wish to mo%ili6e a patients shoulder using an inferior glide techni.ue. +t would %e %est to use this techni.ue %e propositioning the patients arm in< A. 4, degrees of a%duction with lateral rotation B. 1!, degrees of a%duction and internal rotation C. ,, degrees of a%duction and neutral rotation D. 4, degrees of shoulder fle(ion and neutral rotation "ou are evaluating a *3 year)old tennis player with a lower e(tremity pro%lem. "ou would use the 0hompson test to assess for< A. anterolateral rotational insta%ility of the nee B. iliopsoas tightness C. rectus femoris tightness D. Achilles tendon rupture "ou are treating a terminally ill patient with A+D- at home. "our ma1or psychological focus or consideration when managing this patient would %e to< A. discontinue treatment of the patient if the patientAtherapist relationship %ecomes overly dependent. B. reassure the patient and address any feeling of loneliness' a%andonment or isolation that the patient e(presses to you C. eep the friends and relatives of the patient up to date on the patients state of mind D. discontinue any activities that may cause the patient discomfort in order to eep an(iety levels low A patient with a transverse spinal cord in1ury has total lac of hip fle(ion' a%duction and nee e(tension. 0his functional picture is consistent with a designation of a complete spinal cord lesion at the level of A. 01!AE1 B. E!AE# C. E#AE* D. E*AE, +f 0MN- is used to help control pain following caesarean section' it would %e %est to place the electrodes< A. over the lum%ar paraverte%ral muscles B. over the sacrum C. at the acupuncture point 1ust distal to the focus of the pain D. over the lateral aspects of the incision Cryotherapy should %e avoided with patients e(hi%iting< A. myofascial pain syndrome B. severe spasticity C. degenerative 1oint disease D. vasospasm A therapist wants to now whether 1oint mo%ili6ation is an effective treatment tool in reducing 1oint pain in patients with degenerative 1oint disease. +n designing a clinical research study' 1oint mo%ili6ation is the< A. control varia%le B. intervening varia%le C. independent varia%le D. dependent varia%le

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Practice Questions

A patient with mild congestive heart failure is attending an out)patient cardiac reha%ilitation program. 0his patient is on a regiment of medications' which include digitalis. 0he therapist should contact the physician immediately if digitalis to(icity is suspected. Cne adverse side effect to loo for would %e< A. decreased resting pulse rate B. s in rash C. une(plained muscle spasm D. confusion As a result of a gait analysis' a therapist has determined that the patient am%ulates with e(cessive foot pronation. 0his deviation would not occur as a result of< A. compensated forefoot varus B. internal ti%ial rotation C. a wea ti%ialis posterior D. e(cessive an le dorsifle(ion &ollowing grafting of the lower e(tremities for %urns' a patient is now ready to initiate am%ulation. :owever' when standing in the upright position' the patient cannot tolerate the pain. 0o assist the patient in preparing for standing' it would %e %est if the therapist utili6ed< A. parallel %ars B. tilt ta%le C. a rolling wal er D. pool therapy &ollowing surgery for multiple trauma' a patient is placed on Percodan to help manage the pain. +n your treatment of this patient' it would %e %est if you< A. schedule the patient %efore the Percodan is administered B. schedule the patient when the Percodan reaches its pea effect C. modify the treatment depending upon the analgesic effect of the Percodan D. schedule the patient only during the withdrawal phase from Percodan &ollowing serious trauma' a patient is casted as a result of multiple %ilateral wrist and hand fractures. +t would %e %est if physical therapy intervention %egins< A. as early as possi%le to maintain or regain strength and range of motion in nonimmo%ili6ed 1oints of the upper e(tremities B. as soon as the casts are removed to regain strength of the wrists and hands C. a%out two wee s after the casts are removed so as not to damage vulnera%le soft tissue D. after si( wee s of immo%ili6ation to ensure that %one healing is almost complete Cne of the most common early signs of right ventricular failure is< A. paro(ysmal nocturnal dyspnea B. e(ertional dyspnea C. pulmonary edema D. dependent edema "our patient with flaccid hemiplegia e(hi%its pain in the shoulder region secondary to glenohumeral su%lu(ation. @sing electrical stimulation as orthotic su%stitution' it would %e %est to place the electrodes over the< A. supraspinatus and upper trape6ius B. supraspinatus and posterior deltoid C. anterior and posterior deltoid D. anterior' middle and posterior deltoid "ou are treating an 32 year)old woman at %edside following hospitali6ation for a femoral fracture. After three days as an inpatient she has developed pneumonia. "ou should %e alert to the fact that a typical early symptom of pneumonia in the elderly which often is not seen in a younger population would include< A. high fever B. more productive cough C. altered mental state and confusion D. greater elevation of the white %lood cell count

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Practice Questions 132. +ncreasing the fre.uency of ultrasound in order to treat an an le sprain will result in< A. increased attenuation B. decreased tissue temperature C. decreased intensity D. increased intensity

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A patient has osteophyte formation affecting the atlanto)a(ial 1oint with resultant cervical nerve root irritation. +f the physical therapist elects to use gentle static manual traction to help deal with this pro%lem' it would %e %est if the nec was positioned in< A. 1$)1, degrees of hypere(tension B. neutral or $ degrees of fle(ion C. !$ degrees of fle(ion D. #$ degrees of fle(ion A patient with restrictive lung disease secondary to circumferential thoracic %urns demonstrates decreased a%ility to e(pand the lower ri% cage and push the a%dominal wall anteriorly. +n this case' the therapist should consider the use of facilitation techni.ues to enhance the function of the< A. rectus a%dominis B. anterior scalenes C. internal intercostals D. diaphragm A physical therapist assistant has %een accused of intentional se(ual misconduct involving a patient under his care. 0he individual who %ears the most responsi%ility in this situation is the< A. physician who referred the patient B. institution C. supervising physical therapist D. physical therapy assistant A realistic functional outcome for a patient with a complete lesion at the C3 neurological level is independence in< A. transfers using a sliding %oard B. using a manual wheelchair with rim pro1ections C. all self)care and personal hygiene D. driving an automo%ile without hand controls An institution or organi6ation would not %e in compliance with the Americans with Disa%ilities Act of 144$ if< A. an elevator was not installed to allow a nonam%ulatory employee access to the upper floors of a pu%lishing company B. an employee with multiple sclerosis could not %e accommodated in a small %usiness with a payroll of eight people C. a %lind patrol was denied access to a night clu% for 8safety reasons9 D. a handicapped accessi%le restaurant did not provide assistance for a disa%le patron to get from his car to the restaurant entrance As a result of a pituitary tumor affecting the optic chiasm' a patient e(hi%its a visual field deficit' which has inhi%ited performance in many daily activities. 0he e(pected deficit would %e< A. homonymous hemianopsia B. %lindness in one eye C. circumferential %lindness D. %itemporal hemianopsia A patient has limited motion in supination and calcaneal inversion at the su%talar 1oint. @sing manual techni.ues' the accessory motion of the calcaneus that needs to %e emphasi6ed in order to increase the motions that are limited would %e< A. anterior glide B. posterior glide C. medial glide D. lateral glide

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Practice Questions

A patient has a complete spinal cord lesion at the C, level. +t is important for this patient to generate a functional cough in order to avoid potential respiratory pro%lems. +n this case' effective coughing< A. should %e facilitated %y use of phrenic nerve stimulator B. should %e facilitated %y use of glossopharyngeal %reathing C. can %e elicited with manual a%dominal pressure provided with the assistance of a caregiver D. can elicited with manual a%dominal pressure provided independently %y the patient A patient with a crush in1ury to the foot developed refle( sympathetic dystrophy. Now' two months into the R-D' the clinical presentation you would e(pect is< A. edema and osteoporosis with decreased sweating and nail growth B. a cool' dry e(tremity with the %eginning of an ylosis C. causalgia with vasomotor refle( spasm resulting in warm' dry s in with increased nail growth D. pain on motion with trophic s in changes and osteoporosis A patient with long)standing dia%etes mellitus is showing early signs of polyneuropathy. 0he most useful information as to whether demyelini6ation has ta en place will %e provided %y< A. nerve conduction velocity B. electromyography C. reaction of degeneration testing D. motor point stimulation During weight%earing' a soft tissue contracture resulting in supination of the forefoot will %e compensated for %y< A. pronation of the forefoot B. pronation of the rearfoot C. supination of the rearfoot D. pronation of the forefoot and rearfoot During a cardiac reha%ilitation e(ercise session involving patients who e(perienced myocardial infarctions * > / wee s ago' the most significant a%normal response re.uiring the immediate attention of the physical therapist is a sharp< A. decrease in systolic %lood pressure B. decrease in diastolic %lood pressure C. increase in diastolic pressure D. increase in heart rate A patient with paraplegia at the 03 level sustained his in1ury four years ago. :e is seen %y the physical therapist at a routine outpatient clinic visit. 0he patient has recently purchased a new high)density foam wheelchair cushion. 0he s in over the ischial tu%erosities and sacral region is in perfect shape. 0he patient as s a%out the need for pressure relief in the wheelchair considering the new cushion. 0he therapist should advise the patient to< A. discontinue pressure relief as long as visual inspection reveals no s in %rea down B. do a push)up in the chair at least once every 1, to !$ minutes C. do a push)up in the chair at least once every #$ to *, minutes D. perform pressure relief once an hour since weight distri%ution is greatly improved.

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