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136 Cards in this Set
- Front
- Back
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Where do you ascultate to be over the aortic valve?
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2nd intercostal space at the R sternal border
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If a patients is frustrated that he isn't making progress or that he is plateauing, what should be done about the routine?
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Vary the order of which the exercises are performed.
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A pt s/p CVA is rehabbing and getting ready to return to work, but is worried that his employer won't want him back, what should you tell him?
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Inform the pt of his right according to the ADA.
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If a pts measurement for a wheelchair are 16 inches for hip width and depth from buttock to popliteal space, what should the dimensions of the wheelchair be?
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18 inches wide
14 inches deep |
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What is the most common side effect of corticosteroids?
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Increase BP
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A PT inspects a wound that has large quantities of exudate, that requires frequent dressing, but the dressing cannot handle the amount of exudate, what is it from?
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Maceration
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After performing an exam, what is the first part of the eval that should be done?
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Develop a problem list.
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What is the best way to promote electrical safety with ground faults?
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Manually test each ground fault circuit interrupter on a monthly basis
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Which of the following is not associated with cerebellar dysfunction?
a. dysmetria b. hypertonia c. ataxia 4. nystagmus |
b. hypertonia
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What is the minimum required testing interval for electrical equipment?
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12 months
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Which variable is the one that the PT will manipulate?
Which variable is the one called the outcome variable? |
Independent
Dependent |
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Using a numerical scale is best described as which type of measurement?
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Ordinal
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The medial aspect of spinous process is at which level of the spinal column?
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T3
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What is the most important adaptation to a wheel chair for a double amputee?
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Set the drive wheels behind the vertical back support
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Working on weight shifting in parallel bars is an example of what?
a. mobility b. stability c. controlled mobility d. skill |
c. controlled mobility
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If a pt complains of a slight burning during US tx, what should be done?
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Temporarily discontinue tx and examine amount of coupling agent used.
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If a female pt expresses concern or apprehension when asked to be treated is such situations as in a gown, what should be done?
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Bring in a female staff member to the tx room and continue tx.
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With a CVA, what is the correct way to elicit elbow extension in a hemiplegic pt on affected side?
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Turn the head to the affected side (ATNR)
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In presence of a burn injury, what would you expect to see in a pt?
a. increased O2 consumption b. hypernatremia c. increase intravascular fluid d. decreased core temp |
a. increased O2 consumption
also see increased minute ventilation |
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With a pt s/p CVA, what is it called if resistence to the R elbow on affected side also causes mass flexion of RLE?
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homolateral synkinesis
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If a pt s/p transtibial amputation exhibits delayed and limited knee flexion after heel strike on prosthetic side, what does it mean?
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heel wedge is too soft
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Which pathology in the hands tends to have stiffness i the morning with decreasing pain after activity?
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RA
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What is the most common cause of LE amputation?
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Peripheral vascular disease
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A pt with C6 tetraplegia would have the most difficulty performing:
a. independent raises for skin protection b. manual wheel chair propulsion c. assisted to independent transfers with sliding board d. independent self ROM of LE |
d. independent self ROM of LE
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With a patellar tendon bearing prosthesis, what would excess redness over the patella indicate?
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Settling due to limb shrinkage
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How would you perform a test for dysdiadochokinesia?
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alternate supination and pronation
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When discussing the importance of a well-balance diet, what is the best course to take with a pt diagnosed with DM2?
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Arrange for a consultation with a dietician
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When performing kegel exercises, what is the initial position the patient should begin in?
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Supine
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Which tract is concerned with fine motor control primarily of the distal limbs and carries fibers mostly contralateral?
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Corticospinal
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Which motion would be weak if the thoracodorsal nerve were injured?
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Shoulder extension
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What is the most appropriate amount of pressure to used when treating a pt with suspected l/s nerve root impingement using lumbar traction?
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25-50 lbs.
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If a person s/p stroke has left side neglect and is ambulating with a quad cane, what action should be taken?
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Offer manual assistance on the left side
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When using a tilt table, if the pt has signs of orthostatic hypotension, what is the appropriate course of action?
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Lower the tilt table completely
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If a person has MMT of 2/5 with DF and ever, what is the intervention that would help the most to help pt with ADLs?
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orthosis
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With a pt that has pulmonary disease, what technique is most effective when assisting that pt to avoid dyspnea?
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Pacing- dividing a task into sections
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On a CT, which color would bone be?
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White
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Which lung volume is about 10% of the pts total lung capacity?
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Tidal Volume
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What lung volume measurement has the greatest value?
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Vital Capacity
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When does an employer not need to make special accomodations related to disabilities?
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When it would fundamentally alter the operation of the business
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When a pt is rewarded after successful completion of an exercise, is which type of conditioning?
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Operant
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Myocardial Ischemia is associated with which part of the ECG?
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ST segment
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What type of parameters should a pat with chronic arterial disease and claudication have with exercise?
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Short duration, frequent intervals
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What disease is contraindicated for use of intermittent compression?
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Acute pulmonary edema
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Which type of urinary catheter would keep a pt from physical activity for 2 days?
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suprapubic
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When performing a skin fold measurement, where is the abdominal measurement taken?
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Utilize a vertical fold approximately 2cm to the right of the umbilicus
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What medical condition is associated with increased incidence of adhesive capsulitis?
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DM
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With a transfemoral amputation, if the amputee consistently takes a long step with the prosthetic limb, what would that mean?
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Indicative of hip flexor contracture
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What is the most valid measurement of body composition?
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Hydrostatic weighing
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When performing vibration, which part of the hand is in contact with the pt?
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The entire palmar surface of the hand
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Autonomic dysreflexia is associated with spinal cord lesions at which level?
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Above T6
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When attaching an electrode to active the peroneus longus, where would the electrode be placed?
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On the anterolateral surface of the lower leg.
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When evaluating a pt that has recently been diagnosed with cancer, what is the most valuable information when establishing POC?
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Staging of cancer
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If a patients voids small amounts of urin while lifting objects, what is the best course of action to take with the patient?
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Educate them on urinary incontinence.
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What type of pt would be most consistent with a spondylolysthesis?
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13 yo female gymnast with no significant PMH
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When working on controlled mobility with a Parkinson's patients, what would be a good objective?
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Promote weight shifting and rotational trunk control
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If a patient has discolored toes shortly after being placed in a cast, what is the appropriate course of action?
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Cut the cast.
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When devoloping goals with a child with downs syndrome, how long should the long term goals be made for?
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1 year
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Which condition is not considered high risk for pregnancy patients?
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Diastesis Recti
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If an amputee has an extended knee throughout ambulation, what is the best way to resolve the problem with the prosthetic?
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Dorsiflex the foot
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A physical therapist utilizes a manual assisted cough technique on a patient with a mid-thoracic spinal cord injury. When completing this technique with the patient in supine, the MOST appropriate location for the therapist's hand placement is:
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Epigastric area
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Which diagnostic test can show motion through an x-ray?
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flouroscopy
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Which test is a 7 point scale used to examine 18 items and is based on observations of patient performance?
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FIM
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When treating a pt that has significant weakness of diaghragm and is hypertensive, the most appropriate position would be?
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Reverse Trendelenburg
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When fixing an IV line around a pts bed rail, what type of medical asepsis is needed?
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none
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Which type of cryotherapy provides the greatest magnitude of tissue cooling?
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ice massage
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Which of the following is not typically associated with left-sided heart failure?
a. pulmonary edema b. persistent cough c. dependent edema d. muscular weakness |
c. dependent edema
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What is the minimum width required for a wheel chair to pass through a doorway?
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32 inches
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A physical therapist reviews the medical record of a 52-year-old male status post myocardial infarction. The patient is currently in the coronary care unit and is scheduled to begin cardiac rehabilitation tomorrow. Which potential complication of a myocardial infarction is the patient MOST susceptible to?
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arrhythmias
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A seven-year-old boy sitting in the physical therapy waiting area suddenly grasps his throat and appears to be in distress. The boy slowly stands, but is obviously unable to breathe. The physical therapist recognizing the signs of an airway obstruction should administer:
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abdominal thrusts
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A physical therapist completes a respiratory assessment on a patient in an acute care hospital. The examination reveals decreased breath sounds and decreased fremitus. This finding is MOST indicative of:
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Pleural effusion
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Which question would be the MOST useful to gather additional information related to anemia?
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Do you experience heart palpitations or shortness of breath at rest or with mild exertion?
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A physical therapist attempts to prevent alveolar collapse in a patient following thoracic surgery. Which breathing technique would be the MOST beneficial to achieve the established goal?
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Incentive spirometer
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A physical therapist performs gait training activities with an eight-year-old child who utilizes a reciprocating gait orthosis. Which medical diagnosis is MOST often associated with the use of this type of orthotic device?
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spina bifida
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A patient status post knee surgery receives instructions on the use of a continuous passive motion machine. Which of the following would be the MOST essential to ensure patient safety?
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Orientation to on/off switch
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A physical therapist treats a patient status post femur fracture with external fixation. While monitoring the patient during an exercise session, the therapist observes clear drainage from a distal pin site. The MOST appropriate therapist action is:
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Use a gauze pad then continue with exercise
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A patient eight days status post anterior cruciate ligament reconstruction using a patellar tendon autograft is examined in physical therapy. Which of the following exercises would be the MOST appropriate based on the patient's post-operative status?
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Mini squats in standing
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A physical therapist is scheduled to treat a patient requiring droplet precautions. What type of protective equipment would be necessary prior to entering the patient's room?
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mask
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A physical therapist examines the breath sounds of a 55-year-old male diagnosed with pulmonary disease. The therapist identifies rales during both inspiration and expiration. This finding is MOST representative of:
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impaired secretion clearance
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A physical therapist employed in an acute care hospital examines a patient rehabilitating from surgery. The patient has diabetes, however, has no other significant past medical history. Which of the following situations would MOST warrant IMMEDIATE medical attention?
a. confusion and lethargy b. systolic BP increase of 20 mm Hg c. lack of clinical findings d. discovery of PMH unknown to the physician |
a. confusion and lethargy
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A physical therapist using an electrical stimulation device attempts to quantify several characteristics of a monophasic waveform. When measuring phase charge, the standard unit of measure is the:
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Coulomb
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Signs such as pallor, cyanosis, and cool skin are associated with which condition?
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Anemia
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What effect does digitalis have on an ECG?
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lengthened PR interval
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A physical therapist completes a developmental assessment on a five-month-old infant. If the therapist elects to examine the infant's palmar grasp reflex, which of the following stimuli is the MOST appropriate?
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Maintained pressure to the palm of the hand
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The physician discusses the possibility of discontinuing use of the topical antibiotic silver sulfadiazine after identifying an irregularity in the patient’s laboratory results. Which finding could be MOST related to the use of silver sulfadiazine?
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leukopenia
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A physical therapist works with a patient status post stroke on a mat program. The therapist assists the patient in lateral weight shifting activities while positioned in prone on elbows. Which therapeutic exercise technique would allow the patient to improve dynamic stability with this activity?
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approximation
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Which of the following electrocardiogram changes could be facilitated by beta-blockers?
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Sinus bradycardia
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A physical therapist employed in a long-term care setting attempts to identify a screening tool that examines a patient’s ability to perform a variety of activities of daily living independently. The therapist would like to readminister the tool to assess patient progress. The MOST appropriate screening tool is the:
a. barthel index b. berg balance c. functional reach d. tinetti |
Barthel Index
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What is maximal expiration after taking a maximal inspiration?
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Vital Capacity
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A physical therapist participating in a research project decides it will be necessary to utilize a relatively large sample. By including a large number of subjects, the researcher hopes to increase:
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The likelihood of rejecting the null hypothesis
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A physical therapist prepares to complete an assisted standing pivot transfer with a patient that requires moderate assistance. In order to increase a patient’s independence with the transfer, which of the following instructions would be the MOST appropriate?
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Try to utilize your own strength to complete the transfer
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For a patient that has mildly impaired sensation, what is the least appropriate method to securing bandages?
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clips
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A physical therapist performs palpation with a patient positioned in standing as part of a respiratory assessment. Which structure would be the MOST appropriate to assess with the therapist positioned behind the patient?
a. mediastium b. upper chest wall motion c. middle chest wall motion d. lower chest wall motion |
a. mediastium
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For an active patient in a wheel, chair, which is the most appropriate type of wheel chair?
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lightweight chair with a rigid frame
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What is defined as the inability to appropriately reach a target?
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dysmetria
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Which muscle is involved in forced expiration?
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Internal intercostals
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Why can't a PT use cold water immersion with an acute ankle sprain?
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He isn't able to elevate the limb while applying immersion.
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What disease is associated with increased total lung capacity?
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Emphysema
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How much pressure would be necessary to control LE edema?
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35 mm Hg
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When using ionto, how often should the therapist check the skin?
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3-5 minutes
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What is the purpose of an arterial line?
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measure BP
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Which ion is used with ionto to open wounds to promote healing?
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zinc
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A positive support relex is elicited in which position?
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standing activities
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A physical therapist examines a patient diagnosed with cerebellar degeneration. Which of the following clinical findings is NOT typically associated with this condition?
a. athetosis b. dysmetria c. nystagmus d. dysdiadochokinesia |
a. athetosis
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At what age should an infant begin to sit with hand support for an extended period of time?
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6-7 months
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A physical therapist collects data as part of a preseason athletic screening program designed to identify individuals susceptible to heat illness. Which of the following measures would be the MOST valuable to collect?
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% body fat
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Which manual contact would be the MOST appropriate to emphasize lingula expansion?
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Place the hands on the chest wall below the axilla
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A physical therapist examines a patient referred to physical therapy diagnosed with anterior compartment syndrome. The patient presents with an inability to dorsiflex the foot and a mild sensory disturbance between the first and second toes. The nerve MOST likely involved is the:
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deep peroneal
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A physical therapist makes a conscious effort to demonstrate particular kinds of behavior that are significant and attainable for an eight-year-old patient. This type of behavior therapy is termed:
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modeling
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A physical therapist reviews a laboratory report for a patient recently admitted to the hospital. The patient sustained burns over 25 percent of her body in a fire. Assuming the patient exhibits hypovolemia, which of the following laboratory values would be the MOST significantly affected?
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hematocrit
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A physician instructs a 26-year-old male to utilize a knee derotation brace for all athletic activities. Which condition would MOST warrant the use of the derotation brace?
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ACL insufficiency
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If the forced expiratory volume in one second (FEV1) test is negative for airway obstruction in 99% of individuals without lung disease, then the measurement of FEV1 is:
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specific
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What is indicative of a first degree av block?
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prolonged PR interval
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A physical therapist completing a balance assessment positions a patient in standing prior to administering the Romberg test. When administering the Romberg test it would be MOST important for the therapist to determine:
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Amount of sway present during the testing period
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A physical therapist reviews the medical record of a patient diagnosed with peripheral arterial disease prior to initiating treatment. Which objective finding would MOST severely limit the patient's ability to participate in an ambulation exercise program?
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resting claudication
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How often shoulder a PT prescribing exercise to a group of senior citizen have them do the routine?
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5x/week
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What is the typical duration of an ice massage?
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5-10 minutes
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A physical therapist transports a patient in a wheelchair to the parallel bars in preparation for ambulation activities. The patient is status post abdominal surgery and has not ambulated in over two weeks. The MOST appropriate action to facilitate ambulation is:
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demonstrate ambulation in the parallel bars
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As a component of a cognitive assessment, a physical therapist asks a patient to count from one to twenty-five by increments of three. Which cognitive function does this task MOST accurately assess?
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attention
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A patient with a suspected scaphoid fracture is referred to physical therapy. Which clinical sign is MOST indicative of a scaphoid fracture?
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localized bony tenderness in the anatomic snuff box
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A patient in an acute care hospital has a catheter inserted into the internal jugular vein. The catheter travels through the superior vena cava and into the right atrium. The device permits removal of blood samples, administration of medication, and monitoring of central venous pressure. The device is BEST termed:
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Hickman catheter
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A physical therapist receives a referral to instruct a patient in stair training using axillary crutches. The patient is rehabilitating from a tibial fracture and is currently partial weight bearing on the involved extremity. The MOST important action prior to initiating the training session is:
a. apply a gait belt b. maintain proper body mechanics c. assess vital signs d. examine the patient's limitations and capabilities |
d. examine the patient's limitations and capabilities
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A patient with Alzheimer's disease is referred to physical therapy for instruction in an exercise program. The MOST appropriate INITIAL step is:
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assess the pts cognitive status
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A physical therapist administers the Functional Reach Test to a patient rehabilitating from a neurological disorder. Which bony landmark would be the MOST appropriate to utilize when formally measuring the distance the patient reached during each trial?
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3rd metacarpal (after making a fist)
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The MOST important contribution case reports make to evidence-based practice in physical therapy is:
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It can be used to generate inductive hypotheses for future studies
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A physical therapist instructs a patient to close her eyes and hold out her hand. The therapist places a series of different weights in the patient’s 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:
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barognosis
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A note in a patient’s medical record indicates a specific drug is taken through enteral administration. Which of the following is an example of enteral administration?
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oral
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Which ligament does the talar tilt test examine?
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CFL
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A physical therapist completes a developmental assessment on a seven-month-old infant. Assuming normal development, which of the following reflexes would NOT be integrated?
a. asymmetrical tonic neck reflex b. moro reflex c. landau reflex d. symmetrical tonic neck reflex |
landau reflex
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Which measure would be most effected by anterolateral spinothalamic system?
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temperature
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A 13-year-old girl discusses the possibility of anterior cruciate ligament reconstruction with an orthopedic surgeon. The girl injured her knee while playing soccer and is concerned about the future impact of the injury on her athletic career. Which of the following factors would have the GREATEST influence on her candidacy for surgery?
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skeletal maturity
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Which site is most common for an ACL autograft reconstruction?
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semiteninosus and biceps femoris
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A physical therapist assesses a one-month-old infant. During the treatment session the therapist strokes the cheek of the infant causing the infant to turn its mouth towards the stimulus. This action is utilized to assess the:
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rooting reflex
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Which wrist motion will allow the therapist to facilitate palpation of the lunate?
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flexion
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A patient rehabilitating from extensive burns to the right upper extremity often complains of severe pain in the arm during physical therapy treatment sessions. The present plan of care emphasizes range of motion, stretching, and positioning. The MOST appropriate action to address the patient’s complaint is to:
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Schedule tx sessions when the pts pain meds are most effective
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A 30-year-old female is seen in physical therapy secondary to benign paroxysmal positional vertigo. Which of the following physical therapy treatments would most benefit this patient?
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canalith repositioning maneuvers
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Which of the following values describes the MOST appropriate rate to release the pressure when obtaining the blood pressure measurement?
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2-3 mm Hg per second
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