_____106.

The most important contribution case reports make to evidence-based practice in PT is:
a. A case report demonstrates a casual relationship between treatment and outcome
in a single patient
b. A case report provides information that can be used to generate inductive
hypothesis for future studies
c. A case report provide data on the natural history of diseases states
d. A case report uses triangulation to test a hypothesis with more than one source of
data

Answer: B Non-systems Safetyand Protection, Professional Responsibilities, Research

______107. A patients pulmonary function tests reveal that the patient has a forced vital capacity of 4.0
liters and a forced expiratory volume in a second (FEV1) of 3.5 liters. These results would be most
anticipated with a diagnosis of:
a. Cystic fibrosis
b. Idiopathic pulmonary fibrosis
c. Chronic bronchitis
d. Emphysema

Answer: B Cardio/Pulmonary and Lymphatics

______108. A PT treats a patient with a wound impacting the epidermis of the skin. Which structure
would be most affected based on the described wound?
a. Arrector pilli muscles
b. Meissners corpuscle
c. Melanocytes
d. Sebaceous gland

Answer: C Other Systems Examination

______109. A PT discusses pain management for the patient following total hip arthroplasty with the
patients nurse. Which objective finding would make the use of patient controlled analgesia most
unrealistic?
a. Altered cognitive status
b. Elevated respiratory rate
c. Advanced age
d. History of substance abuse

Answer: A Musculoskeletal Systems

______110. A PT treats an infant diagnosed with torticollis with marked lateral flexion of the neck to the
right. As part of the infants plan of care the therapist performs passive stretching activities to improve
the patients range of motion. The most appropriate stretch for the patient is:
 a. Lateral flexion to the right and rotation to the right
b. Lateral rotation to the left and rotation to the left
c. Lateral flexion to the right and rotation to the left
d. Lateral flexion to the left and rotation to the right

Answer: D Musculoskeletal Systems Interventions

______111. A PT instructs a patient to close her eyes and hold out her hand. The therapist places a
series of different weights in the patients hand one at a time. The patient is then asked to identify the
comparative weight of the objects. This method of sensory testing is used to examine:
a. Barognosis
b. Graphaesthesia
c. Recognition of texture
d. Strereognosis

Answer: A Neuromuscular and Nervous System Examination

______112. The PT prepares to administer US to a ptient with lateral epicondylitis. When applying US
the amount of heat absorbed is least dependent upon:
a. The intensity
b. The duration of exposure
c. The choice of coupling agents
d. The size of area sonated

Answer: C Other Systems Examination

______113. A PT employed in a rehabilitation hospital utilizes the services of PTA. Which variable best
determines the extent to which PTA are involve in patient care activities?
a. The number of years of experience
b. The scope of formal training
c. The discretion of the PT
d. The quantity of continuing education courses

Answer: C Non-systems Safetyand Protection, Professional Responsibilities, Research

______114. A PT prepares to treat a patient with cystic fibrosis using postural drainage. The most
appropriate patient position when treating the superior segments of the lower lobes is:
a. Sitting, leaning back at a 30-40-degree angle
b. Head down on the left side, turn backward
c. Supine with two pillows under the knees
d. Prone with two pillows under the hips

Answer: D Cardio/Pulmonary and Lymphatics Intervention

______115. A patient rehabilitating from a knee injury completes an isokinetic examination. The patient
produces 88 ft/lbs of torque with the hamstrings at 120 degrees per second. Assuming normal
quadriceps/hamstring ratio, which of the following most accurately reflects the predicted quadriceps
value?
a. 67 ft/lbs
b. 109 ft/lbs
c. 136 ft/lbs
d. 183 ft/lbs

Answer: C Musculoskeletal Systems Examination

______116. A PT elects to use mechanical lumbar traction for a patient rehabilitating from a back injury.
The therapeutic goals of the session include decreasing the patients muscle spasm. The mmost
appropriate force based on the stated objective would be:
a. 10% of body weight
b. 15% of body weight
c. 25% of body weight
d. 50% of body weight

Answer: C Musculoskeletal Systems Examination

______151. A PT instructs a patient diagnosed with C6 tetraplegia in functional activities. Which of the
following activities would be least appropriate?
a. Independent raises for skin protection
b. Manual wheelchair propulsion
c. Assisted to independent transfers with a sliding board
d. Independent self-range of motion of the LE

Answer: D Neuromuscular and Nervous System Intervention

______152. A PT attempts to confirm the fit of a wheelchair for a patient recently admitted to a skilled
nursing facility. After completing the assessment, the therapist determines the wheelchair has excessive
seat width. Which adverse effect results from excessive seat width?
a. Difficulty changing position within the wheelchair
b. Insufficient trunk support
c. Difficulty propelling the wheelchair
d. Increased pressure to the distal posterior thighs

Answer: C Non-systems Safetyand Protection, Professional Responsibilities, Research

______153. An eleven month old child with CP attempts to maintain a quadruped position. Which reflex
would interfere with this activity if it was not integrated?
a. Galant reflex
b. STNR
 c. Plantar grasp reflex
d. Positive supporting reflex

Answer: B Neuromuscular and Nervous System Intervention

______154. A PT attempts to schedule the patient for an additional therapy session after the
examination. The physician referral indicates the patient is to be seen two times a week. The therapist
suggests several possible times to the patient but the patient insists she can only in on Wednesday 4:30.
The therapist would like to accommodate the patient, but already has two patients scheduled at the
time. The most appropriate action is to:
a. Schedule the patient at Wednesday 4:30
b. Attempt to move one of the patients scheduled on Wednesday at 4:30 to a different
time
c. Schedule the patient with another PT on wednesday at 4:30
d. Inform the referring physician the patient will only be seen once this week in
therapy

Answer: C Non-systems Safetyand Protection, Professional Responsibilities, Research

______155. While reading the methods section of a research report, a PT notes the investigators used a
repeated measures design. This from of experimental design:
a. Controls the differences between subjects
b. Keeps the subjects blind to the identity of the treatment group
c. Ensures that subjects with similar characteristic are assigned to different treatment
groups
d. Select a homogenous group of subjects

Answer: A Non-systems Safetyand Protection, Professional Responsibilities, Research

______156. A PT reviews the parameters of several pain modulation theories using TENS. When
comparing sensory stimulation to motor stimulation, sensory stimulation requires:
a. Greater phase duration
b. Greater frequency
c. Stronger amplitude
d. Shorter treatment time

Answer: B Non-systems Safetyand Protection, Professional Responsibilities, Research

______157. A patient reposts shoulder pain during AROM testing. The pain is most pronounced when
the shoulder is on 170-180 degrees of abduction. Which condition would be most commonly associated
with this finding?
a. Anterior glenohumeral instability
b. posterior glenohumeral instability
c. acromioclavicular arthritis
 d. bicipital tendonitis

answer: C Musculoskeletal Systems

______158. A 52 year old male being treated for low back pain indicates that he recently was diagnosed
with benign prostate hyperplasia. Which symptom is most commonly associated with this condition?
a. Epigastric pain
b. Painful urination
c. Painful ejaculation
d. Urge to urinate frequently

Answer: D Other systems

______159. A PT completes a chart review for an 85-year-old female who was admitted to the hospital
with T4 and T5 compression fractures. Which diagnosis would the therapist most likely expect to identify
in this patients past medical history?
a. Rheumatoid arthritis
b. Osteoarthritis
c. Osteoporosis
d. Osteogenesis imperfecta

Answer: C Other systems

______160. A patient who has been on bed rest for three weeks has developed a plantar flexion
contracture. Which phase of the gait cycle would be most problematic for the patient based on the
described impairment?
a. Heel strike to foot flat
b. Foot flat to midstance
c. Midstance to heel off
d. Heel off to toe off

Answer: C Musculoskeletal Systems

______161. A PT administers iontophoresis to patient with a LE ulceration in an attempt to promote

tissue healing. Which ion would be best meet the stated objective?
a. Acetate
b. Magnesium
c. Lidocaine
d. Zinc

Answer: D Non system

______162. A PT performs segmental breathing exercises with a patient following atelectasis. Which
manual contact would be the most appropriate to emphasize lingual expansion?
 a. Place the hands on the left side of the chest below axilla
b. Place the hands below the clavicle on the anterior chest wall
c. Place the hands over the posterior aspect of the lower ribs
d. Place the hands on the right side of the chest below the axilla

Answer: A Cardio/Pulmonary and Lymphatics Intervention

______163. A PT administers a submaximal exercise test to a patient in a cardiac rehabilitation program.

The protocol requires the patient to ride a cycle ergometer fro a predetermined amount of time using
progressive workloads. In order to predict the patients maximum oxygen consumption it is necessary to
determine the relationship between:
a. HR and RPE
b. HR and workloads
c. BP and RPE
d. BP and workload

Answer: B Cardio/Pulmonary and Lymphatics Intervention

______164. A PT employed in large medical center reviews the chart of a 63-year-old male referred to
PT for pulmonary rehabilitation. The chart indicates the patient has smoked one to two packs of
cigarettes a day since the age of 25. The admitting physician documented that the patients thorax was
enlarged with flaring of the costal margins and widening of the costochondral angle. Which pulmonary
disease does the chart most accurately describe?

a. Asthma
b. Bronchiectasis
c. Chronic bronchitis
d. Emphysema

Answer: D Cardio/Pulmonary and Lymphatics Intervention

______165. A PT reviews the results of pulmonary function testing on a 44-year-old female diagnosed
with emphysema. Assuming the patients testing was classified as unremarkable, which of the following
lung volumes would most likely approximate 10% of the patients total lung capacity?
a. Tidal volume
b. Inspiratory reserve volume
c. Residual volume
d. Functional residual capacity

Answer: A Cardio/Pulmonary and Lymphatics Intervention

______166. A PT measures a patients shoulder complex medial rotation with the patient positioned in
supine, the glenohumeral joint in 90 degrees of flexion. The therapist records the patients shoulder
medial rotation as 0-70 degrees and classifies the end-feel as firm. Which portion of the joint capsule is
primarily responsible for the firm end-feel?
a. Anterior joint capsule
b. Posterior joint capsule
c. Inferior joint capsule
d. Superior joint capsule

Answer: B Musculoskeletal Examination

______167. A PT positions a patient in prone to measure passive knee flexion. Range of motion may be
limited in this position due to:
a. Active insufficiency of the knee extensors
b. Active insufficiency of the knee flexors
c. Passive insufficiency of the knee extensors
d. Passive insufficiency of the knee flexors

Answer: C Musculoskeletal Examination

______168. A PT incorporates ES as part of the plan of care for the patient rehabilitating from a lower
extremity injury. Which of the following recommendations would be least effective to minimize
electrode resistance?
a. Keep the sponge interface well moistened
b. Use small electrode
c. Maintain even, firm contact with the skin
d. Remove hair from the skin

Answer: B Non systems

______169. A pregnant patient indicates that her physician ordered genetic testing. Which condition
would be least likely to identified through the testing process?
a. Cystic fibrosis
b. Meningitis
c. Phenylketonuria
d. Tay-Sachs disease

Answer: B Neuromuscular and Nervous System

______170. A PT notes that a newborn has extremely limited dorsiflexion. Which positional foot
deformity would be most likely based on the ROM limitation?
a. Calcaneovalgus
b. Metatarsus adductus
c. Syndactyly
d. Talipes equinovarus
Answer: D Musculoskeletal System

______171. A PT observes the gait of a patient following a lateral ankle sprain. The patient walks
without crutches, but it is evident that walking Is extremely painful. Which description is most accurate
when describing the unaffected extremity during walking?
a. Shorter swing phase and shorter step length
b. Shorter swing phase and longer step length
c. Longer swing phase and shorter step length
d. Longer swing phase and shorter step length

Answer: A Musculoskeletal System Examination

______172. A PT attempts to examine the relationship between scores on a functional independence

measure and another measurement whose validity is known. This type of example best describes:
a. Face validity
b. Predictive validity
c. Concurrent validity
d. Content validity

Answer: C Non-systmes

______173. A PT develops a chart detailing expected functional outcomes for a variety of spinal cord
injuries. Which is the highest SCI level at which independent transfers with a sliding board would be
feasible?
a. C4
b. C6
c. T1
d. T3

Answer: B Neuromuscular and Nervous System

______174. A patient rehabilitating from a SCI has significant LE spasticity which often results in the
patients feet becoming dislodged from the wheelchair footrests. The most appropriate modification to
address this problem is:
a. Hydraulic reclining unit
b. Elevating legrests
c. Heel loops and or toe loops
d. Detachable swing-away legrests

Answer: C Non systems

______175. A PT utilizes a manual assisted cough techniques s