CONCEPT INTEGRATION (D1 PT APPS)

38問 • 1年前

問題一覧

Your patient with Parkinson's disease was prescribed levodopa. The side effects of the drug are the following EXCEPT

impaired visual accommodation

In behavior therapy, this is a process where learning occurs when an individual engages in specific behaviors in order to receive certain consequences. Examples of this include positive reinforcement, extinction and punishment.

Operant conditioning

A 29-year old male with a history of schizophrenia, disorganized type, is referred for ambulation after a femoral fracture. Patient recently had an exacerbation of the condition. PT will expect this behavior from patient ______.

Poor ability to perform tasks that need abstract problem solving

A PT observes an electrocardiogram of a patient on beta-blockers. Which of the following electrocardiogram changes could be facilitated by beta-blockers?

sinus bradycardia

A patient with left sided CHF class II, is referred for physical therapy. During exercises, the patient can be expected to exhibit _________________.

Dyspnea with fatigue and muscular weakness

Pain in the calf aggravate by walking and elevation of the lower extremity is MOST LIKELY caused by ___________________.

Arterial insufficiency

Sudden muscle cramps brought on by exertion and relieved by rest describes this condition.)

Claudication

Your patient is a 65-year-old female diagnosed with venous problem. The following therapeutic procedures are usually indicated to prevent progression of condition EXCEPT: _____________.

Electric stimulation is not recommended

A PT is treating a 39-year-old female diagnosed with thoracic outlet syndrome. During exercise, the patient begins to complain of light headedness and dizziness. PT immediately takes patient to a chair and monitors her vital signs. Her respiration rate is 11 breaths per minute, pulse rate 50 beats per minute and BP 120/85 mmHg. Which of the following statements is MOST accurate?

Pulse rate and respiration rate are below normal levels

A 70-year-old patient with a history of hypertension and hyperlipidemia comes to therapy confused and has shortness of breath and generalized weakness. You will suspect that the patient ________________.

Is showing early signs of myocardial infarction

A PT employee of a rehabilitation center of a hospital evaluates a patient showing several signs and symptoms of anemia. Which of these questions would be the MOST useful to gather additional information in relation to anemia?

Do you experience heart palpations or shortness of breath at rest or with mild exertion?

A patient was referred to PT with fingertips that are rounded and bulbous. The nail plate is more convex than normal. These changes were considered by the PT as indicating __________.

Chronic hypoxia from heart disease

Many of patients seen in physical therapy are susceptible to excessive heat exposure. Heat exhaustion occurs when a person is exposed to more heat than the thermoregulatory mechanisms are capable of controlling. Although it rarely occurs in pure forms, it can be categorized as any of the following EXCEPT ______________ heat exhaustion

Protein depletion

A patient with a left sided congestive heart failure, class II, is referred to PT. while exercising, patient may exhibit ____________.

Dyspnea with fatigue and muscular weakness

A traumatic brain injured patient reports to physical therapy feeling lethargic after being placed on phenobarbital. The primary purpose of the medication is to

prevent seizure

A post MI patient is about to begin phase 3 cardiac rehabilitation program. During the initial exercise session, the patient's ECG responses are monitored via radio telemetry. PT noticed three PVCs occurring in a run with no P wave. PTS next strategy is

stop the exercise and notify the physician immediately

A 75-year-old frail female is being treated at home for general strengthening and mobility. The patient has a 5 year history of taking non-steroidal anti-inflammatory drugs (NSAIDs) such as aspirin for joint pain and recently added calcium channel. The possible adverse reactions/side effects include:

stomach pain, bruising, confusion

To reduce inflammation of the tracheobronchial mucosa in asthma, COPD and sarcoidosis, steroids are often prescribed. Which of these is not a side effect of steroid therapy?

decrease in BP

Patient is a 55-year-old female status post removal of lymph nodes in the axilla secondary to cancer. You apply mechanical intermittent compression and massage. For best results with massage, this technique is implemented this way

massage the proximal segment first

The following are characteristics of an arterial ulcer, EXCEPT _______________.

Location is usually in the toes, feet lateral malleolus, anterior tibial area

A patient in the clinical suddenly had an episode of syncope. PT attempts to rule out orthostatic hypotension as the cause of fainting. The BEST way to do this is by ______________.

Checking resting BP and HR in supine and sitting then repeating measurements after the patient stands for 1 minute

A 65-year-old female, 5 weeks post myocardial infarction is attending a cardiac rehab program. The PT adds a cooling period and patient asks why it is needed. PT’s answer should be _______

“it prevents pooling of the blood in the extremities.”

Your cardiac patient was given a rest period after symptoms of chest pain and sweating after a mild exercise. She took nitroglycerin sublingually as per instruction of her cardiologist. The onset of action from nitroglycerin in this case occurs after _________ minute/s.

A PT is treating a 35-year-old female with thoracic outlet syndrome. While exercising, the patient starts to complain of light headedness and felt dizzy. PT immediately sits the patient and monitored her vital signs. PT measures the patient's respiration rate as 10 breaths per minute, pulse rate at 45 beats per minute, and blood pressure as 116/84 mmHg. Which of the following statements is MOST accurate?

pulse rate and respiration rate are below normal levels

A 55-year-old who underwent recent modified radical mastectomy fox breast cancer is referred to PT. An important predictor for lymphedema after treatment for breast cancer is ___________.

Obesity

A patient with stage II primary lymphedema of the left lower extremity is referred to PT for increased limb girth with evident skin folds. An essential component of lymphedema management is manual lymphatic drainage which includes _____________.

decongesting the proximal portion of the limb first and working distally

A 66-year-old female patient complains of difficulty of walking. During the rest period, the skin in the lower leg appears discolored. After walking for about 2 minutes, patient complains of pain in the leg. A marked pallor is also evident in the skin over the lower third of the extremity. These symptoms are synonymous with __________.

vascular claudication

A patient has a 13-year-old history of peripheral vascular disease (PVD) affecting the left lower extremity. During auscultation of the popliteal artery, the PT would expect to find a/an ________.

Bruit

Which statement is NOT TRUE about blood pressure?

Blood pressure tends to be lower when the Valsalva maneuver is applied

Which statement is NOT TRUE about systolic blood pressure?

Systolic pressure increases with exertion in a linear progression, often at a rate of 10-14 mm Hg per metabolic equivalent

A patient with asthma is on medication (albuterol) ventolin from the sympathomimetic group. The MOST important effect of this drug is _____________.

lowers airway resistance by reducing bronchospasm

The PRIMARY absolute cardiac contraindication to exercise testing is

unstable angina with recent chest pain

The PRIMARY absolute cardiac contraindication to exercise testing is

unstable angina with recent chest pain

The treatment of lower extremity edema with intermittent pneumatic compression is MOST appropriate in this condition.

post operative inguinal node dissection

You are evaluating a 63-year-old housewife with peripheral vascular disease. She complains of intermittent claudication and frequently complains of getting tired. The MOST important treatment goal is to increase __________

collateral circulation

Bluish discoloration of the skin and nailbeds of fingers and toes along with palms. That and cold and mist all point to

cyanosis

A PT discusses the importance of a proper diet with a patient diagnosed with a congestive heart failure. Which of the following substance would MOST likely be restricted in the patient's diet?

sodium

CONCEPT INTEGRATION (D2 PT APPS)

Danielle psalm Abaya · 27問 · 1年前

CONCEPT INTEGRATION (D2 PT APPS)