Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
30 Cards in this Set
- Front
- Back
|
A physical therapist is performing an evaluation on a patient that has fallen off a fork lift and injured his right arm. The patient was evaluated by an MD 3 days ago. The patient reports, "Yesterday my arm started to go numb and turned purple." A poor arterial pulse is found in the arm upon evaluation. Which step should the physical therapist take first?
A: Notify the MD of the changes immediately B: Begin light exercise program per MD orders C: Apply E-stim and Ice to the extremity D: Special test the right arm |
(A) Vascular changes and Sensory changes to the extremity must be reported to the MD immediately.
|
|
|
A physical therapist is reviewing a patient's medication during an evaluation. Which of the following medication would be contraindicated if the patient were pregnant?
A: Coumadin B: Celebrex C: Catapress D: Habitrol |
(A) is contraindicated with pregnancy.
|
|
|
A physical therapist is reviewing a patient's PMH. The history indicates photosensitive reactions to medications. Which of the following drugs has not been associated with photosensitive reactions?
A: Nitrodur B: Sulfonamide C: Noroxin D: Bactrim |
(A) All of the others have can cause photosensitivity reactions.
|
|
|
A patient has a diabetic ulcer on his right foot first ray region. The ulcer is in a chronic state of tissue inflammation and the patient is extremely obese. The wound is not infected at this time; however the patient is unable to ambulate at this time without applying pressure to the first ray region. Which of the following interventions would be the most beneficial to the patient?
A: Whirlpool 10 minutes followed by sharps debridement B: Have the patient fitted to offload pressures on the first ray in a week. C: Review the role of glucose and tissue healing with the patient. D: Have the patient perform NWB gait with Axillary crutches with the extremity. |
(C) If the glucose levels are not monitored and controlled the wound will never heal.
|
|
|
A thirty five year old male has been an insulin-dependent diabetic for five years and now is unable to urinate. Which of the following would you most likely suspect?
A: Atherosclerosis B: Diabetic nephropathy C: Autonomic neuropathy D: Somatic neuropathy |
(C) Autonomic neuropathy can cause inability to urinate.
|
|
|
You are taking the history of a 14 year old girl who has a (BMI) of 18. The girl reports inability to eat, induced vomiting and severe constipation. Which of the following would you most likely suspect?
A: Multiple sclerosis B: Anorexia nervosa C: Bulimia D: Systemic sclerosis |
(B) All of the clinical signs and systems point to a condition of anorexia nervosa.
|
|
|
A patient has a Right T8 facet joint that has become extremely tight. Which of the following movements with stretch the joint with the best technique?
A: L Trunk Rotation and Extension B: L Trunk Rotation and Flexion C: R Trunk Rotation and Extension D: R Trunk Rotation and Flexion |
(B) Flexion and L Rotation would give maximal stretch to the R facet joint.
|
|
|
A fifty-year-old blind and deaf patient has been assigned to you for evaluation. As the lead physical therapist your primary responsibility for this patient is?
A: Let others know about the patient's deficits B: Communicate with your supervisor your concerns about the patient's deficits. C: Continuously update the patient on the social environment. D: Provide a secure environment for the patient. |
(D) This patient's safety is your primary concern.
|
|
|
Your patient is getting discharged from a SNF facility. The patient has a history of severe COPD and PVD. The patient is primarily concerned about their ability to breath easily. Which of the following would be the best instruction for this patient?
A: Deep breathing techniques to increase O2 levels. B: Cough regularly and deeply to clear airway passages. C: Cough following bronchodilator utilization D: Decrease CO2 levels by increase oxygen take output during meals. |
(C) The bronchodilator will allow a more productive cough.
|
|
|
Which of the following is the best exercise to correct a Trendelenburg gait pattern?
A: Bridging B: Bridging with Resisted Abduction C: Bridging with Straight Leg Raise D: Squats |
(B) Trendelenburg gait is caused by weak hip extensors and abductors.
|
|
|
A physical therapist is caring for an infant that has recently been diagnosed with a congenital heart defect. Which of the following clinical signs would most likely be present?
A: Slow pulse rate B: Weight gain C: Decreased systolic pressure D: Irregular WBC lab values |
(B) Weight gain is associated with CHF and congenital heart deficits.
|
|
|
A mother has recently been informed that her child has Down's syndrome. You will be evaluating the patient in the afternoon. Which of the following characteristics is not associated with Down's syndrome?
A: Simian crease B: Brachycephaly C: Oily skin D: Hypotonicity |
(C) The skin would be dry and not oily.
|
|
|
A patient asks a physical therapist, "My doctor recommended I increase my intake of folic acid. What type of foods contain folic acids?"
A: Green vegetables and liver B: Yellow vegetables and red meat C: Carrots D: Milk |
(A) Green vegetables and liver are a great source of folic acid.
|
|
|
A patient has developed trochanteric bursitis that has gone untreated for 5 weeks. The patient is 34 years old. Which of the following Ultrasound settings is most appropriate?
A: Pulsed US at 3MHz B: Pulsed US at 1MHz C: Continuous US at 3MHz D: Continuous US at 1MHz |
(D) Continous setting would be used for the chronic inflammation and deep settings of 1 MHz.
|
|
|
A child is 5 years old and has been recently admitted into the hospital. According to Erickson which of the following stages is the child in?
A: Trust vs. mistrust B: Initiative vs. guilt C: Autonomy vs. shame D: Intimacy vs. isolation |
(B) Initiative vs. guilt- 3-6 years old
|
|
|
When you are taking a patient's history, she tells you she has been depressed and is dealing with an anxiety disorder. Which of the following medications would the patient most likely be taking?
A: Elavil B: Calcitonin C: Pergolide D: Verapamil |
(A) Elavil is a tricyclic antidepressant.
|
|
|
A patient's chart indicates a history of hyperkalemia. Which of the following would you not expect to see with this patient if this condition were acute?
A: Decreased HR B: Paresthesias C: Muscle weakness of the extremities D: Migranes |
(D) Answer choices A-C were symptoms of acute hyperkalemia.
|
|
|
A patient's chart indicates a history of meningitis. Which of the following would you not expect to see with this patient if this condition were acute?
A: Increased appetite B: Vomiting C: Fever D: Poor tolerance of light |
(A) Loss of appetite would be expected.
|
|
|
A fragile 87 year-old female has recently been admitted to the hospital with increased confusion and falls over last 2 weeks. She is also noted to have a mild left hemiparesis. Which of the following tests is most likely to be performed?
A: FBC (full blood count) B: ECG (electrocardiogram) C: Thyroid function tests D: CT scan |
(D) A CT scan would be performed for further investigation of the hemiparesis.
|
|
|
A physical therapist is evaluating an adult that has recently been diagnosed with hypokalemia. Which of the following clinical signs would most likely not be present?
A: Leg cramps B: Respiratory distress C: Confusion D: Flaccid paralysis |
(D) Flaccid paralysis is an indication of Hyperkalemia.
|
|
|
A physical therapist is evaluating an adult that has recently been diagnosed with respiratory acidosis. Which of the following clinical signs would most likely not be present?
A: CO2 Retention B: Dyspnea C: Headaches D: Tachypnea |
(D) Tachypnea is associated with respiratory alkalosis.
|
|
|
A physical therapist is caring for an adult that has recently been diagnosed with respiratory alkalosis. Which of the following clinical signs would most likely not be present?
A: Anxiety attacks B: Dizziness C: Hyperventilation cyanosis D: Blurred vision |
(C) Hyperventilation cyanosis is associated with respiratory acidosis.
|
|
|
A physical therapist is evaluating a patient that has had damage to the ulnar nerve. Which of the following muscles would most likely show signs of weakness?
A: Soleus B: Triceps C: Brachioradialis D: Adductor Pollicus |
(D) Adductor pollicus is innervated by the ulnar nerve.
|
|
|
A physical therapist is reviewing a patient's medication list. The drug Pentoxifylline is present on the list. Which of the following conditions is commonly treated with this medication?
A: COPD B: CAD C: PVD D: MS |
(C) This drug is a hemorheological agent that helps blood viscosity.
|
|
|
A patient has been on long-term management for CHF. Which of the following drugs is considered a loop dieuretic that could be used to treat CHF symptoms?
A: Ciprofloxacin B: Lepirudin C: Naproxen D: Bumex |
(D) Bumex is considered a loop dieuretic.
|
|
|
A patient has recently been diagnosed with polio and has questions about the diagnosis. Which of the following systems is most affected by polio?
A: PNS B: CNS C: Urinary system D: Cardiac system |
(B) Polio is caused by a virus that attacks the CNS.
|
|
|
A physical therapist is educating a patient about right-sided heart deficits. Which of the following clinical signs is not associated with right-sided heart deficits?
A: Orthopnea B: Dependent edema C: Ascites D: Nocturia |
(A) Orthopnea is a left- sided heart failure clinical symptom.
|
|
|
A physical therapist is reviewing a patient's medication. The patient is taking Digoxin. Which of the following is not an effect of Digoxin?
A: Depressed HR B: Increased CO C: Increased venous pressure D: Increased contractility of cardiac muscle |
(C) Digoxin decreases venous pressure.
|
|
|
A patient's chart indicates the patient is suffering from Digoxin toxicity. Which of the following clinical signs is not associated with digoxin toxicity?
A: Ventricular bigeminy B: Anorexia C: Normal ventricular rhythm D: Nausea |
(C) Ventricular rhythm may be premature with Digoxin toxicity.
|
|
|
Which of the following is the key risk factor for development of Parkinson's disease dementia?
A: History of strokes B: Acute headaches history C: Edward's syndrome D: Use of phenothiazines |
(D) Penothiazines are considered a risk factor for Parkinson's disease dementia.
|
