Practice Exam A Questions That I Got Wrong

Front 1

In what position should the knee be place when performing a Valgus stress test for the medial collateral ligament?

A-2

Back 1

20 to 30° flexion

Front 2

Patient has a transtibial amputation and has recently been fitted with a patellar tendon bearing socket. During initial prosthetic check out, the PT instruct the patient to walk several times in the parallel bars, and then sit down and take off the prosthesis. Upon inspection of the skin the therapist would expect to see no redness in what area?

A-4

Back 2

The anterior tibia and tibial crest.

There may be redness at the patellar tendon and tibial tuberosity, medial tibial and fibular plateaus, and the medial and lateral ends of the residual limb

Front 3

Patient is experiencing sensory changes secondary to left CVA. I'm testing, the patient is unable to detect pinprick or temperature in the right hand, leading to disuse and increased safety risk. These changes are best documented as "patient is experiencing:"

A – 7

Back 3

Analgesia: the absence of sensibility to pain.

NOT anesthesia which is loss of sensation, usually by damage to the nerve receptor;

NOT allodynia is pain resulting from a stimulus which would not normally for the pain;

NOT abarognosis is the inability to appreciate the weight of objects held in the hand

Front 4

During a cervical spine examination, the PT observes restricted left rotation of the C7 – T1 spinal level. After stabilizing the thoracic spine, the therapist hand placement for mobilization to improve left rotation should be at the:

A – 10

Back 4

Posterior right C7 articular pillar

Front 5

The patient is able to walk independently with an assistive device in the hall outside the PT gym. When asked to walk across the hospital lobby in through the revolving door, the patient slows down considerably and stops E folding door, unable to proceed the therapist determines:

A-15

Back 5

Open skills and externally paced skills are impaired while closed skills are intact

Front 6

A patient with metabolic syndrome is participating in a circuit training program involving both aerobics and strengthening training. The therapist noticed that the patient is sweating and having difficulty concentrating on activity and coordinating movements. When asked if there's a problem, the patient is confused and has difficulty speaking. The therapist should:

A-18

Back 6

The patient down and administer fruit juice immediately

NOT discontinue the exercise and rest the patient or discontinue the exercise and refer the patient back to the physician

Front 7

During examination of the patient who complains of back pain, the PT notes pain with end range AROM to left hip flexion, abduction, and external rotation. The origin of the pain is most likely the:

A-19

Back 7

Capsule of the hip joint

NOT sacroiliac joint, sartorius muscle, or left kidney

Front 8

During which phases of the gait cycle with a physical therapist expect to observe an everted posture of the calcaneus?

A-20

Back 8

Initial contact (heel strike) through loading response (foot flat)

NOT from mid stance through heel off (toe off)

Front 9

A factory worker injured the right arm in a factory press with damage to the owner nerve at the elbow. A diagnostic EMG was performed three weeks after the injury, with evidence of spontaneous fibrillation potential's. In this case, the PT recognizes that:

A-22

Back 9

Denervation has occurred

NOT reinnervation is complete

NOT neurapraxia has occurred

NOT reinnervation is in process

Front 10

14-year-old boy with advanced Duchenne's muscular dystrophy is administered a pulmonary function test. The value that is unlikely to show any deviation from normal is:

A-24

Back 10

Functional residual capacity he

NOT vital capacity

NOT forced expiratory volume in one second

NOT total lung capacity

Front 11

Therapist performs the slump test on a patient with a diagnosis of lumbar disc herniation's complaint is pain in the posterior thigh. Which of the following findings would indicate a positive test result?

A-26

Back 11

Pain in the posterior thigh that is relieved with cervical extension

NOT pain in the lumbar spine region that is increased cervical flexion

NOT pain in the butt ox it is unchanged head or ankle movement

NOT pain in the posterior knee and calf that is relieved with ankle plantar flexion

Front 12

PT progresses through an examination, is becoming evident that a current patient is anterior cruciate ligament deficient in the right knee. Which of the following tests will be unnecessary for determining whether the ACL was ruptured?

A-27

Back 12

Anterior drawer test (not sure why this is right)

NOT Lachman's test

NOT Slocum's test

NOT lateral pivot shift test

Front 13

Should has class III heart disease and is continually in and out of congestive heart failure. Digitalis did jocks and has been prescribed to improve heart function. The patient will demonstrate understanding of the adverse side effects of this medication by recognizing the importance of contacting the primary physician with the appearance of which of the following symptoms?

A-37

A-37

Back 13

Weakness and palpitations

NOT confusion and memory loss

NOT tachycardia

NOT involuntary movements and shaking

Front 14

A 10-year-old presents with pain 4\10 and limited knee range of motion 5 to 95° following surgical repair of the medial collateral ligament and ACL. In this case the modality that can be used with precaution is:

A-46

Back 14

Ultrasound

NOT high rate transcutaneous electrical stimulation

Not continuous shortwave diathermy

NOT premodulated interferential current

Front 15

A newborn with whole arm paralysis is referred to physical therapy. Initially, the plan of care should include:

A-56

Back 15

Partial immobilization of the limb across the abdomen, followed by gentle range of motion after immobilization

NOT passive mobilization of the shoulder in the overhead motions

NOT age-appropriate tasks training of the extremity

NOT spending the shoulder and abduction and internal rotation

Front 16

A six month old child was referred to PT for right torticollis. The most effective method to stretch the muscle is by positioning the head and neck into:

A-57

Back 16

Extension, left side bending and right rotation * remember that right torticollis means the right SCM is tight

Front 17

It is most important for the PT to educate the client who recently had a radical lymph node dissection secondary to prostate cancer to:

A-58

Back 17

Closely monitor any changes in the fitting of their socks or shoes

NOT routinely perform circumferential measurements of both lower extremities

NOT to use a home compression pump with pressure greater than 80 mmHg

NOT use alkaline soaps and cleansers on the skin

Front 18

A PT is performing clinical research in which a specific myofascial technique applied to a patient with chronic back pain. She using a single case experimental design with an ABAB format research hypothesis states the pain rating scores will decrease with the treatment intervention acceptance of this hypothesis would be if:

A-59

Back 18

B is less than a

NOT B is equal to a

NOT B is greater than A at the 1.0 level

NOT B is greater than A at the .05 level

Front 19

The patient is recovering from a stroke and demonstrates good recovery in the lower extremity (out of synergy movement control). Timing deficits are apparent during walking. Isokinetic training can be used to improve:

A-60

Back 19

Rate control and varying movement speed

NOT rate control at slow movement speeds

NOT reaction time

NOT initiation of movement

Front 20

The radiographic view shown in the diagram that demonstrates the observed spinal defect is:

A-63

Back 20

Oblique

Front 21

Patient presents with pronounced muscle weakness and wasting in the lower extremities, hypertension and moon shaped face with truncal obesity. The therapist recognizes the symptoms as characteristics of:

A-64

Back 21

Cushing's Syndrome

NOT type two diabetes

NOT Addison's disease

NOT hypoparathyroidism

Front 22

When conducting the anterior drawer stress test at the ankle one week following acute inversion injury, the physical therapist was attempting to test mechanical stability provided primarily by the:

A-66

Back 22

(I guessed, but got this right)

Anterior talofibular ligament

Front 23

Search your reviewed current literature related to moderate exercise for maintaining independent without accelerating disease progression and persons with any of the roses. The search yielded nine studies: two clinical case reports, to cohort studies, three single randomized controlled trial's, and two multicentered RCTs. What is the levels of evidence, which studies provide the best evidence for support of exercise in persons with ALS?

A-68

Back 23

Multi center RCTs

NOT cohort/comparison studies

Front 24

A patient diagnosed with lumbar spinal root impingement due to narrowing of the intravertebral foramen has been referred to physical therapy for mechanical traction. What is the lowest percentage of body weight that should be considered for the initial traction force when using a split table?

A-70

Back 24

25%

NOT to 15%

Front 25

The physical therapist is reviewing the medical history of a new patient being seen for balance deficits and general deconditioning. Prior to admission, the chief finding by the physician, three days ago, was a positive fecal blood test. Which laboratory value would confirm the patient is safe for balance retraining activities?

A-71

Back 25

Hematocritic 42%

NOT leukocyte count 7000

NOT ESR 7mm/1 h.

Front 26

While reviewing a patient imaging films, the most appropriate imaging view to identify abnormal anatomy of the pars interarticularis in the lumbar region is:

A – 72

Back 26

Oblique view

NOT anteroposterior view

NOT lateral view

NOT lumbar sacral

Front 27

Patient with breast cancer had a surgical removal of the mass, followed by 12 weeks of chemotherapy (6 treatments) and eight weeks of radiation (daily). She's referred to physical therapy for mobilization of her upper extremity. The therapist recognizes that providing post radiation therapy, it is important to:

A – 73

Back 27

Observe skincare precautions

NOT avoid stretching exercises that pole on the radiated site

NOT observe infection control procedures

NOT avoid all of the exercise for at least two months

Front 28

Patient with brittle (uncontrolled) diabetes mellitus is being seen in physical therapy for a prosthetic check out. The patient begins to experience lethargy, vomiting, and abdominal pain. The therapist notes weakness with some confusion, and suspects:

A – 76

Back 28

(Got this one right but was not sure)

Ketoacidosis

Front 29

A 62-year-old patient has chronic obstructive pulmonary disease. Which of these pulmonary test results will not be increased when compared with those of a 62-year-old healthy individual?

A – 77

Back 29

FEV1/FVC (forced vital capacity) ratio

NOT functional residual capacity

NOT TLC

NOT residual volume

Front 30

Five days after an aortic valve replacement, patient is diagnosed with a DVT. The patient was immediately started on anticoagulant and the therapist is preparing for treatment. The best treatment program should include:

A-79

Back 30

Intermittent pneumatic compression stockings

NOT treatment being deferred as exercise is contra indicated at this time

NOT supine exercises as the patient should be kept on bed rest

NOT walking program at a vigorous intensity level

Front 31

An elderly patient has been confined to bed for two months, and now demonstrates limited range of motion in both lower extremities. Range of hip flexion is 5 to 15° and knee flexion is 10 to 120°. The most beneficial intervention to improve flexibility and ready this patient for standing is:

A-80

Back 31

Mechanical stretching using traction and 5 pound weight, two hours, two times per day

NOT hold relax techniques followed by passive range of motion, 10 repetitions, two times per day

NOT manual passive stretching, 10 repetitions each joint, two times per day

NOT tilt-table standing, 20 minutes, daily

Front 32

Patient who is three months post CVA is being treated and PT for it he's of capsulitis of the right shoulder. Today, the patient complains of new symptoms, including constant burning pain in the right upper extremity he is increased by dependent position and touch. The right hand is mildly swollen and stiff. In this case, the intervention that is contraindicated is:

A-84

Back 32

Passive manipulation and range of motion of the shoulder

NOT stressed loading using active compression during upper extremity weight-bearing activity

NOT positional elevation, compression and gentle massage to reduce edema

NOT active range of motion exercises of the limb within a pain-free range to regain motion

Front 33

To prepare a patient with an incomplete T12 paraplegia (Asia A) for ambulation with crutches, the upper quadrant muscles that would be most important to strengthen include the:

A-85

Back 33

Lower trapezius, latissimus dorsi, and triceps

NOT middle trapezius, latissimus dorsi, and triceps

NOT deltoid, triceps and respect yours

NOT upper traps, rhomboids and levator scapula

Front 34

A patient was referred to PT complaining of loss of cervical AROM. X-rays showed degenerative joint disease at the uncinate process in the cervical spine. The motion that would be most restricted would be:

A-88

Back 34

Side bending

NOT rotation

NOT flexion

NOT extension

Front 35

A child with full thickness burns to both arms is developing hypertrophic scar. The best initial intervention to manage these scars is:

A-93

Back 35

(Got this one right, but guessed)

Application of custom-made pressure garments

NOT application of compression wraps

NOT application of occlusive dressing

NOT primary excision followed by autografts

Front 36

Patient with COPD has developed respiratory acidosis. The PT instructs the PT student participating in the care to monitor the patient closely for:

A-94

Back 36

(Got this one right, but guess)

Disorientation

NOT tingling or numbness of the extremities

NOT dizziness or lightheadedness

NOT hyperreflexia

Front 37

A computer programmer in her second trimester of pregnancy was referred to physical therapy with complaints of tingling and the loss of strength in both her hands. Her symptoms are exacerbated if she is required to use her keyboard work for longer than 20 minutes. The most beneficial physical therapy intervention is:

A – 95

Back 37

Placing the wrists in resting splints

NOT ice packs to the carpal tunnel

NOT dexamethasone phonophoresis to the carpal tunnel

NOT hydrocortisone iontophoresis to the volar surface of both wrists

Front 38

There is strong evidence linking certain drugs to increased fall risk in older adults. Patients should be cautioned about fall risks when taking:

A – 96

Back 38

Elavil

NOT raloxifene

NOT baclofen

NOT levodopa

Front 39

Patient with complete C6 tetraplegia (Asia A) to be instructed to initially transfer with a sliding board using:

A – 97

Back 39

Shoulder extensors, external rotators and anterior deltoid to position and lock the elbow

NOT shoulder depressor's and triceps, keeping the hand flexed to protect tenodesis grasp

NOT pectoral muscles to stabilize the elbows and extension and scapular depressors to lift the trunk

NOT serratus anterior to elevate the trunk with elbow extensors stabilizing

Front 40

Patient demonstrates weakness when rotating the head to one side as well as weakness flexing the head laterally and forward to the same side. The therapist recognize these are symptoms of a lesion of the:

A – 98

Back 40

Spinal nerve root of the accessory nerve on the contralateral side

NOT spinal nerve roots of the accessory nerve on the same side

Front 41

A patient with active tuberculosis is referred to physical therapy. The patient has been hospitalized in on appropriate antituberculin drugs for three weeks. During treatment, what precautions should therapist observe?

A-99

Back 41

The patient can be treated in the PT gym, without precautions

NOT the patient must be treated in a private, negative pressure room

NOT the therapist must wear personal protective equipment at all times

Front 42

With PD demonstrates a highly stereotypical gait pattern characterized by impoverished movement and a festinating gait. The intervention it would be most beneficial to use it this patient is:

A – 74

Back 42

locomotor training using a motorized treadmill and bodyweight support harness

NOT locomotor training using a rolling walker

Front 43

World has been referred to PT clinic for treatment of patellar tendinitis. The exam reveals that the patient is unable to hop on the affected LE because of pain. The PT decides refer the patient back to the pediatrician for an x-ray of the knee. The patient returns for therapy with the x-ray shown in the figure. The therapist initial intervention should focus on:

A-100

Back 43

Iontophoresis using dexamethasone and patient education regarding avoidance of squatting and jumping activities

NOT fitting the patient with crutches for non-weight-bearing ambulation and initiation of hydrocortisone phonophoresis

NOT aggressive plyometric exercises with the boots on and durance training

NOT patient education regarding avoiding falls onto the affected me, and open chain me, extension exercises to improve quadriceps strength

Front 44

What common compensatory postures what a PT expect for a patient diagnosed with fixed severe forefoot varus

A – 102

Back 44

Subtalar pronation and medial meditation of the tibia

NOT excessive midtarsal supination and lateral rotation of the tibia

NOT telling in and lateral rotation of the femur

NOT excessive ankle dorsiflexion and medial rotation of the femur

??? I still do not understand this???

Front 45

Middle aged patient is recovering from surgical repair of an inguinal hernia and is experiencing persistent discomfort in the groin area. Patient education should focus on:

A – 104

Back 45

Proper lifting techniques and precautions against heavy lifting

NOT avoiding straining or turning in bed

NOT close mouth breathing during any lifting

NOT sitting too long in any one position

Front 46

Posture of the forefoot that is inverted relative to the rearfoot while and subtalar neutral, would be described as:

A – 105

Back 46

forefoot varus

NOT forefoot valgus

Front 47

Patient has lumbar spinal stenosis encroaching on the spinal cord. The PT should educate the patient to avoid:

A – 106

Back 47

Swimming using the cross train

NOT using a rowing machine

NOT tai chi activities

NOT bicycling using a recumbent cycle ergometer

Front 48

Examines the benefits of strength training and functional performance and older adults. The data analysis involves a meta-analysis. This refers to:

A – 107

Back 48

Pulling up data of RCTs to yield a larger sample

NOT pulling of data of all available studies to yield a larger sample

NOT a mechanism to critically evaluate studies

NOT data analysis performed by the Cochrane collaboration

Front 49

During the initial exam a client with an ulcer superior to the medial malleolus, the PT notes hemosiderosis and liposclerosis. There are no signs of infection, there's minimal drainage, granulation is present in the wound is clean except for a small amount of yellow fibrin deposits. The next action the therapist should take is:

A-109

Back 49

Perform ABI

NOT apply an Unna boot

NOT to debride the wound with whirlpool irrigation

NOT apply 4 layer bandaging system

Front 50

An 11 year old was referred to physical therapy with complaints of vague pain at the right hip and thigh that radiated to the knee. Active range of motion is restricted in abduction, flexion and internal over Tatian. A gluteus medius gait was observed ambulation for 100 feet. Best choice for PT intervention is:

A – 110

Back 50

Close chain partial weight-bearing lower extremity exercises for slipped capital femoral epiphysis

NOT orthosis to control lower extremity position as a result of femoral anteversion

NOT hip joint mobilization to improve the restriction motion as result of Legg-Calve'-Perthes disease

* does not make sense, as the treatment is to surgically stabilize the bone with screws and pins!*

Front 51

A patient is referred to physical therapist the diagnosis of bells palsy. Which cluster of examination findings below with the therapist expect to find?

A-111

Back 51

Decreased closure of one eye, drooping of the mouth and inability to raise the eyebrow

NOT ptosis, weakening in the temporal and massetter muscles and deviation of the tongue to one side

NOT decreased sensation to the forehead, cheek and jaw; absence of a gag reflex; deviation of the tongue to one side

NOT ptosis, decreased abduction of the eye and excessive tearing

Front 52

Physical therapist in a PT student at a pediatric clinic are reviewing precautions and contraindications regarding various pediatric pathologies. The precaution with the most credibility that merits discussion is:

A– 113

Back 52

Do not do PROM with children with osteogenesis imperfecta

NOT do not use active exercise with children with muscular dystrophy

NOT do not use PROM with children with arthrogryposis multiplex congenita

NOT limit sensory input with children with autism

Front 53

Patient presents with a large plantar ulcer that will be debrided. The foot is cold, pale, and edematous. The patient complains of dull aching, especially when the leg is in the dependent position. The condition that would most likely result in this critical presentation is:

A – 115

Back 53

Venus insufficiency

NOT chronic arterial insufficiency

NOT acute arterial insufficiency

NOT DVT

Front 54

A patient with stasis dermatitis secondary to Venus insufficiency is being examined by the PT. Visual inspection of the skin can be expected to reveal:

A – 117

Back 54

Hemosiderin Staining

NOT plaques with scales

NOT extensive erosions with serous exudate

NOT pruritus, erythema and edema

Front 55

A PT receives a referral for a patient with neurapraxia involving the owner nerve secondary to an elbow fracture. Based on knowledge of this condition therapist expects that:

A – 119

Back 55

(I got this one right, but guessed)

Nerve dysfunction will be rapidly reversed, generally in 2-3weeks

Front 56

A home health PT is treating elderly patient. On this day, the patient is confused, shortness of breath and generalized weakness. Given a history of hypertension and hyperlipidemia, the therapist suspects the patient:

A – 121

Back 56

May be presenting with early signs of myocardial infarction

NOT forgot to take prescribed hypertension medication

NOT maybe experiencing unstable angina

NOT is exhibiting mental changes indicative of early Alzheimer's disease

Front 57

Patients hospitalized in intensive care unit following a dramatic SCI resulting in C3 tetraplegia (ASIA A). The patient is receiving endotracheal suctioning, following development of significant pulmonary congestion. The recommended time duration for endotracheal suctioning is:

A– 123

Back 57

10 to 15 seconds

NOT 1 to 5 seconds

NOT 5 to 10 seconds

NOT 15 to 20 seconds

Front 58

A frail older adult is confined to bed in a nursing facility and has developed a small superficial wound over the sacral area because only small amounts of necrotic tissue are present, the physician has decided to use autolytic wound debridement. This is best achieved with:

A – 124

Back 58

Transparent film dressing

NOT sharp debridement

NOT wet to dry gauze dressing with antimicrobial appointment

NOT wound irrigation using a syringe

Front 59

Patient was instructed to apply conventional (high rate) transcutaneous electrical nerve stimulation to the low back to modulate of chronic pain condition. The patient now states that the TENS unit is no longer effective in reducing the pain in spite of increasing the intensity to maximum. The PT should now advise the patient to:

A – 125

Back 59

Switch to modulation mood TENS

NOT switch to low rate TENS

NOT increase the treatment frequency

NOT decrease the pulse duration

Front 60

PT has decided to refer a two-year-old child to a neurologist after the initial evaluation. Therapist has concluded that the child may be autistic. The most part in fact her to include in the referral is that the child is:

A – 128

Back 60

Defensive when touched

NOT responsive to most but not all command

NOT delayed and gross motor skills

NOT quiet and did not want to separate from his mother

Front 61

During a physical therapy session, and elderly woman with LBP tells the PT that she has had urinary incontinence for the last year. This is particularly problematic when she's had a cold and cough a lot. She's not hold her physician about this problem because she is too embarrassed. The therapist best course of action is to:

A – 131

Back 61

Examine the patient, document impairments and discuss findings with the physician

NOT refer the patient back to her position

NOT examine the patient, document impairments and then refer her back to her physician

NOT examine the patient and proceed with treatment for low back pain

Front 62

During a sensory examination, a pt complains f a dull, aching pain and is not able to discriminate a stimulus ass sharp or dull. 2-pt discrimination is absent, Based in these findings. the pathway that is intact is the :

A-132

Back 62

Anterior spinothalamic tract

Front 63

A pt is 5 days post myocardial infarction and is referred for inpatient cardiac rehabilitation. Appropriate criteria for determining the initial intensity of exercise include:

A-133

Back 63

HR <120 bpm and RPE <13

NOT HR resting plus 30 bpm and RPE<14

Front 64

When conducting a bicycle ergometer test on a pt w/ a hx of MI and DM, it is most important to monitor:

A-135

Back 64

rhythm on a 12-lead ECG

NOT exertional level on the Borg scale

Front 65

A pt w/ spastic hemiplegia is referred to PT for ambulation training. The pt is having difficulty in rising to a standing position due to cocontraction of the hamstrings and quadriceps. The PT elects to use biofeedback as an adjunct to help break up this pattern. For knee extension, the biofeedback protocol should consist of:

A-139

Back 65

Low detection sensitivity w/ electrodes close together

NOT high detection sensitivity w/ electrodes far apart

Front 66

An adolescent female is referred to PT with a diagnosis of anterior knee pain. Positive findings include pez planus, lateral tibial torsion and genu valgum. The position of the femur will be in is excessive:

A – 141

Back 66

Medial rotation

Front 67

Patient is referred to PT for the Stabile her rehab. Patient presents with spontaneous nystagmus that can be suppressed with visual fixation, oscillopsia, and loss of gaze stabilization. Additional findings include intense disequilibrium, and and ataxic wide-based gate with constant veering to the left. Based on these findings, the PT determines that the patient is most likely exhibiting signs and symptoms:

A – 142

Back 67

Meniere's disease

NOT acute unilateral vestibular dysfunction

NOT acoustic Naroma

NOT BPPV

Front 68

Optimal position for ventilation of the patient with a C5 SCI (ASIA A) is:

A – 147

Back 68

Supine, head of bed flat

NOT semi-fowler's

NOT sidling, HOB flat

NOT sidling, HOB elevated 45 deg

Front 69

The patient has extensive full-thickness burns to the dorsum, of the right hand and forearm, and is being fitted with a resting splint to support the wrists and hands in functional position. The splint should positioned the wrist and hand in:

A – 150

Back 69

Slight wrist extension, with fingers supported and thumb in partial opposition and abduction

NOT neutral wrist position, with slight finger flexion and thumb flexion

Front 70

Patient is on the cardiac unit following admission for CHF and history of an MI. The patient is currently compensated by pharmacological management and is comfortable, alert and oriented at rest with normal HR and BP. The telemetric ECG to depicts the rhythm shown in figure. PT's appropriate interpretation and action is:

A-151

Back 70

ST SEGMENT depression; check medical record for baseline ECG

NOT normal sinus rhythm; continue to monitor during activity progression

Front 71

An 18-month-old child with down syndrome and developmental delay is being treated and early intervention program. They are training activities that should be considered include:

A – 153

Back 71

Holding and weight shifting in sitting and standing using tactile and verbal cue

NOT stimulation to postural extensors and sitting using rhythmic stabilization

Front 72

With MS demonstrates strong bilateral lower extremity extensor spasticity in the typical distribution of antigravity muscles. This patient would be expected to demonstrate:

A – 155

Back 72

(I got this one right, but guessed)

Sacral sitting with increased extension and adduction of lower extremities

Front 73

Upon examining a patient with vague hip pain that radiates to the lateral knee, the PT find the negative FABER test, negative grind test and a positive Noble's compression test. The dysfunction is most likely due to:

A – 159

Back 73

And iliotibial band friction disorder

NOT SI joint disfunction

Front 74

A patient with COPD is sitting a bedside chair. The apices of the lungs in this position compared with other areas of the lungs in this position would demonstrate:

A – 162

Back 74

Increased volume of air at REEP

NOT highs changes in ventilation during the respiratory cycle

Front 75

A therapist is examining a child with a history of primary lymphedema of the right lower extremity that was diagnosed at birth. Thickening of skin folds of the toes is evident. The therapist documents these findings as:

A – 164

Back 75

(I got this one right, but I guess)

A positive Stemmers sign

Front 76

As the result of blunt trauma to the quadriceps femoris muscle, patient experiences loss of knee function. The best choice for early physical therapy intervention is:

A – 165

Back 76

Gentle AROM exercises in weight-bearing

NOT gentle PROM exercises in non-weightbearing to regain normal knee motion

Front 77

A PT observes menu recurvatum during ambulation in a patient with hemiplegia. The patient has been using a posterior leafspring orthosis since discharge from subacute rehabilitation four weeks ago. The therapist has previously administered the fugal Meyer assessment of physical performance, and determine the lower extremity score to be 22 (of a possible 34), With strong synergies in the lower extremity and no out of synergy movement. The most likely cause of this deviation is:

A – 171

Back 77

Spencer spasticity

NOT hamstring weakness

Front 78

A client with rheumatoid arthritis presents at a physical therapy clinic with severe whiplash from a motor vehicle accident one week ago. Initial cervical radiographs results revealed osseous structures appear intact. The clients chief complaints of cervical pain and sudden falls with loss of consciousness. Examination reveals a positive Romberg sign and hyperreflexia. The PT's initial action is to:

A-173

Back 78

Fit this client with a heart cervical collar and contact the referring physician recommending a computed tomography scan

NOT immediately inform the referring physician recommended magnetic resonance imaging scan

Front 79

An elderly patient with DM is recovering from recent surgery to craft a large ulcer of the heel of the left foot. PT is concerned that loss of range of motion of the ankle will limit ambulation and independent status. One afternoon the therapist very busy request of one of the physical therapy aides do the range motion exercises. The aid is new to the department but is willing to take on this Challenge if the therapist demonstrates the exercises. The therapist best course of action is to:

A – 175

Back 79

Perform the range of motion exercises without delegating the task

NOT take five minutes to instruct the aid in range of motion exercises

Front 80

A PT is working with a client who fracture of the left fibula three months ago. The client is still having pain with exercise. Based on the recent radiograph pictured and the given information, the prognosis for this client is:

A – 176

Back 80

A bone stimulator or surgery will be required

NOT non-weight-bearing is indicated for complete healing

Front 81

A patient is referred for rehabilitation after a middle cerebral artery stroke. Based on this diagnosis, PT can expect that the patient will present with:

A – 178

Back 81

Contralateral hemiparesis and secondary deficits, with the arm more involved than the leg

NOT contralateral hemiparesis and sensory deficits, with the leg more involved than the arm

Front 82

Remember the Homunculus

Back 82

Front 83

To test for maximum passive tibiofemoral internal or external rotation the need to be placed in:

A – 180

Back 83

90° of knee flexion

NOT 45° of knee flexion

Front 84

PT is performing the maximal cervical quadrant test to the right with a patient with right C5-C6 facet syndrome. Patient would most likely complain of:

A – 181

Back 84

Pain in the right cervical region

NOT tightness in the right upper trapezius

NOT radicular pain into the right upper limb

NOT referred pain to the left mid scapular region

Front 85

Patient diagnosed with lumbar spondylosis with out disc herniation or bulging has a left L 5 compression. Most likely structure compressing the nerve root is the:

A– 183

Back 85

Ligamental flavum

NOT anterior longitudinal ligament

* remember that the nerve roots come out on the sides where the ligamental flavum is located

Front 86

During an exercise tolerance test, patient demonstrates a poor reaction to increasing exercise intensity. An absolute indication for terminating this test is:

A – 184

Back 86

Onset of moderate to severe angina

NOT 1.5 mm of downsloping ST segment depression

NOT fatigue and shortness of breath

NOT supraventricular tachycardia

Front 87

Manual glide of the talus posteriorly with in the ankle joint mortise can be used as a technique to increase:

A – 188

Back 87

(got this one right, but not sure why now)

Tibiotalar dorsiflexion motion

Front 88

A patient with CHF is on digitalis to improve myocardial contraction. The patient is a new participant in phase 2 outpatient could be cardiac rehabilitation program. PT expects the effects of this medication to include:

A – 191

Back 88

Depressed ST SEGMENT on ECG with QT and T-WAVE changes

NOT decreased BP

Front 89

Patient is being treated for secondary lymphedema of the right arm as a result of a radical mastectomy and radiation therapy. The resulting edema (stage one) can best be managing physical therapy by:

A – 192

Back 89

Intermittent pneumatic compression, extremity elevation and massage

NOT isometric exercises, extremity positioning in elevation and compression bandaging

Front 90

Was referred for PT after a right breast lump ectomy with axillary node dissection. Scapular control is poor extremity flexion or abduction when attempted. Early PT intervention should focus on:

A – 192

Back 90

Gravity assisted right upper extremity exercises to promote scapular control following damage the long thoracic nerve

NOT strengthening of the right rhomboid to promote normal function of the scapula as a result of damage to the dorsal scapular nerve

Front 91

Patient is referred to PT with complaints of weakness and unsteady gait. The patient had a kidney transplant two years ago. Medications include oral steroids and immunosuppressive agents. Examination reveals decreased proprioception and strength 4/5 both lower extremities. Balance test score was 40/56. The most important action for the PT To take in this case is to:

A – 196

Back 91

Refer the patient back to primary care provider

NOT instruct in progressive balance exercises

NOT instruct in progressive resistance training exercises

NOT for me neurologist

Front 92

Complains of difficulty walking. At rest the skin of the lower leg appears discolored. After walking for about two minutes, the patient complains of pain in the leg. A marked pallor is also evident in skin of the lower third of the extremity. The PT suspects:

A – 200

Back 92

Vascular claudication

NOT neurogenic claudication