問題一覧
1
The therapist is ambulating a patient with an above knee amputation. the new prosthesis cause the hell on the involved foot to move laterally at toe-off. which of the following is the most likely cacuse of the deviation
too much IR of the prosthetic knee
2
A therapist is testing key muscles on a patient who recently suffered a SCI. The current test assesses the strength of the long toe extensors. which nerve segment primarily innvervates this key muscle group?
L5
3
A patient asks the therapist to explain the function of his medication verapamil (a calcium antagonist). Which of the following points should be conveyed in the therapist's explanation?
Verapimil causes decrease contractility of the heart and vasodilation of the coronary arteries
4
While assessing standing posture of a pt. the therapist notes that the spinous process in the thoracic region is shifted laterally. The therapist estimates that T2 is the involved vertebra because he or she notes that it is at the approximate level of the
superior angle of the scapula
5
A pt. comes to the therapist becaus the has noted a pronounced tuft of hair on the center of her spinal column in the lumbar area. the therapist notes no loss in motor or sensory function. this pt. most likely has what form of spina bifida?
spina bifida occulta
6
Persuading a sedentary patient to become more active, the therapist explains the benefits of exercise. Which of the following is an inappropriate list of benefits?
Increased efficiency of the myocardium to obtain oxygen, decreased high density lipoprotein (HDL) and decreased cholesterol.
7
A therapist instructed to provide electrical stimulation to a pt. c a venous stasis ulcer on the (R) lower extremit. Whatis the correct type of electrical stimulation to promote wound healing?
Direct current
8
While ambulating a stroke pt. (righ side is the involved side), the therapist notes increased circumduction of the (R) LE. Which of the following is an unlikely cause of this deviation?
Weak knee extensors
9
Which of the following is contraindicated to ultrasound at 1.5 watts/cm^2 c a 1 MHz sound head?
Over a recently surgically repaired tendon
10
The therapist is treating a 52 yr old woman after (R) THR. The pt. complains of being self-conscious about a limp. She carries a heavy briefcase to and from work every day. The therapist notes a Trendelenburg gait during ambulation on level surfaces. What advice can the therapist give the pt. to minimize gait deviation ?
Carry he briefcase in the (R) hand
11
The supervisor of a rehabilitative facility insists on a weekly meeting to discuss drops in productivity. The supervisor is not concerned with the increased demand placed on the already overworked employees. According to the managerial grid, what is the best classification of this manager?
9.1
12
What is the major concern of the PT treating a pt. c an acute deep partial thickness burn covering 27% of the total body? The pt. was admitted to the intensive care burn unit 2 days ago
Range of motion
13
A pitcher is exercising in a clinic c a sports cord mounted behind and above his head. The pitcher simulates pitching motion using the sports cord as resistance. Which proprioceptive neuromuscular facilitation (PNF) diagonal is the pitcher using to strengthen the muscles involved in pitching a baseball?
D2 extension
14
The therapist is evaluating a 32 y/o woman for complaints of (R) hip pain. The pt. has injured the strongest ligament of the hip. The therapist places the pt. in the prone position on the plinth and passively extends the involved hip. The therapist notes and abnormal amount of increase in passive hip extension. Which of the following ligaments is damaged?
Iliofemoral Ligament
15
While obtaining the history from a 62 y/o woman weighing 147 pounds, the therapist discovers that the pt. has hx of RA. The order for outpatient PT includes continuous traction due to a L2 disc protrusion. What is the best course of action for the therapist?
consult c the physician because RA is a contraindication
16
The therapist is an outpatient PT clinic receives an order to obtain a shoe orthotic for a pt. After evaluating the pt. the therapist finds a stage I pressure ulcer on the first metatarsal head. WB surfaces need to be transferred posteriorly. Which orthotic is the most appropriate for this pt?
Metatarsal pad
17
On examination of a cross section of the spinal cord of a cadaver, the examiner notes plaques. The finding is most characteristic of what condition ?
MS
18
Which of the following actions place the greatest stress on the patellofemoral joint?
Squats to 120 degree of knee flexion
19
A therapist working at a hospital calls another therapist in an outpatient facility to provide a brief hx of a pt. who is scheduled to leave the hospital and receive outpatient therapy. The acute care therapist state that the pt. received an injury to the somatic sensory association cortex in one hemisphere. From this information only, the outpatient therapist knows that the pt. will most likely
be unable to find one of his or her extremities
20
A patient recently dx c MS presents to a PT clinic. The pt. asks the therapist what she needs to avoid c this condition. Which of the following should the pt. avoid?
hot tubs
21
the therapist is evaluating a pt. c diagnosis of CP. The therapist notes that all of the extremities and the trunk are involved. Further assessment also reveals that the LE are more involved thn the UE and that the (R) side is more involved than the (L). This pt. most likely has which classification of CP?
Spastic Diplegia
22
The therapist is treating a 35 y/o man dx c lumbar disc degeneration in an outpatient clinic. Through conversation c the pt. the therapist learns that he is also being treated by a chiropractor for cervical dysfunction. What is the best course of action by the therapist ?
Contact the chiropractor to coordinte his/her plan of care c the PT plan of care
23
A therapist is mobilizing a pt. (R) sh. The movt taking placce at the joint capsule is not completely to end range. It is a large amplitude movt from near the beginning of available range to near the end of available range. What grade of mobilization according to Maitland, is being performed
Grade II
24
While observing the ambulation of a 57 y/o man c an arthritic (R) hip, the therapist observes a (R) lat. trunk lean. Why does the pt. present c this gait deviation ?
to bring the line of gravity closer to the involved hip joint
25
the therapist has given a pt. an ultraviolet treatment . the pt. calls the therapist the next dady c complaints of peeling and itching. These signs and symptoms resolve three days later (a total of 4 days after treatment )What dosage did the pt. receive?
First degree erythemal dose
26
Which of the following duties cannot be legally performed by a PT assistant
Allow a pt to increase in frequency from 2x/wk to 3x/wk
27
The therapist is treating a track athlete who specializes in sprinting ad wants to increase his/her speed on the track. To accomplish this goal, the plant of care should include activities to develop fast twitch muscle fibers. Characteristic of this type of fiber include.
fatigues quickly, fiber colors appear white and used in anaerobic activity
28
A physical therapy should place the knee in which of the following positions to palpate the Lat. collateral ligament (LCL)
knee at 90 degree of flexion and hip ER
29
The therapist receive an order to treat a 42 y/o man admitted to the hospital 3 days ago c a stab woung to the (L) lower thoracic spine. The pt. is unable to move the (L) LE and cannot feel pain or temperature difference in the (R) LE. What is the most likely type of lesion?
Brown sequard syndrome
30
The therapist is working in an outpatient cardiac rehabilitation facility. A 50 y/o healthy man inquiries about te correct exercise parameters for increasing aerobic efficiency. Which of the following is the most correct information to convey to this individual ?
A and B are correct
31
The therapist is treating a pt. c T4 SCI when the pt. suddenly complains of a severe headache. The therapist also note that the pt. pupils are constricted and that the pt. is sweating profusely. Which of the following is the best course of action for the therapist ?
Try to find a probable source of noxious stimulus and position the pt. c upper trunk elevated and legs lowered
32
What lobe of the lungs is the therapist attempting to drain if the pt. is in the following positions ? Resting on the (L) side rolled 1/4 turn back, supported c pillows, and the foot of the bed raised 12-16 inch
Right middle lobe - lingular segment
33
A therapist has been treating a pt. who received a rotator cuff surgical repair c session consisting only of PROM (for an extended period). The pt. has just returned from a follow up doctors visit c an additional order to continue c PROM only. Which of the following is the best course of action for the therapist ?
Continue c PROM as instructed, and call the physician to consult c him/her about the initiation of AROM
34
A 25 y/o woman has been referred to a PT by an orthopedist because of LBP. The therapist is performing an ultrasound at the L3 lvl of the post. back when the pt. suddenly informs the therapist that she is lookin forward to having her third child. On further investigation, the therapist discovers that the pt. is in the first trimester of pregnancy. Which of the following is the best course of action for the therapist ?
Cease treatment, notify the pt. orthopedic physician, and document the mistake
35
A 20y/o woman is referred to a therapist with a dx of recurrent ankle sprains. The pt. has a hx of several inversion ankle sprains within the past year. No edema or redness is noted at this time. Which of the following is the best treatment plan?
Ankle strengthening and a proprioception program
36
The therapist is treating a pt. in an outpatient facility for strengthening of bilateral LE. During the initial assessment, the pt. reveals that he has a form of cancer but is reluctant to offer any other information about is reluctant to offer any other information about his medical hx. After 1 wk of treatment, the therapist is informed by the physician that the pt. has Kaposi's sarcoma and AIDS. Which of the following is the best course of action for the therapist ?
continue treatment of the pt. in the gym, avoiding close cotact c other pt. and taking appropriate universal precautions
37
A pt. reports to therapy stating that his "sugar is too high" for exercise . What is the min. blood glucose lvl that is considered too high for diabetic pt. to begin exercise ?
300 mg/dl
38
The therapist is ordered to evaluate a pt. in the ICU. The pt. appears to be in a coma and is totally unresponsive to noxious, visual and auditory stimuli. What rating on the Ranch Los Amigos Cognitive Functioning Scale is most appropriate ?
I
39
A pt. presents to an outpatient PT clinic c a severed ulnar nerve in the UE. What muscle is still active and largely responsible for the obvious hyperextension at the metacarpophalangeal (MCP) joints of the involved hand?
Extensor digitorum
40
A physican notes a vertebral fracture in the X-ray of a pt. involved in a car accident. The fractured vertebra has a bifid spinous process. Which of the following vertebrae is the most likely to be involved ?
5th cervical V.
41
The therapist routinely places ice on the ankle of a pt. c an acute ankle sprain. Ice application has many therapeutic benefits. Which of the following is the body's first response to application of ice?
Vasoconstriction of local vessels
42
The therapit is evaluating a pt. c (L) side visual field deficits in (B) eys. A lesion at what loc. may cause this defect?
At the (R) side optict tract
43
According to the joint commission on Accreditation of Health Care Organization (JCAHO), a sentinel event is
A pt. who is seriously injured at a facility
44
A pt. presents to an outpatient facility c complaints of pain in the groin area (along the medial (L) thigh). With MMT of the involved LE a therapist determines the following : hip flexion = 4+/5 hiip extension = 4+/5 hip abduction = 4+/5 hip adduction = 2+/5 hip IR and ER = 2+/5 Which nerve on the involved side is most likely injured?
Obturator nerve
45
The therapist is treating a male pt. for a 2nd degree AC sprain. the pt. has just finished the doctor's prescription of 3 sessions/wk for 4wks. The therapist is treating the pt. c iontophoresis (driving dexamethasone), deltoid strengthening exercises, pectoral strengthening exercises, and ice. The pt. reports no decline in pain lvl since the initial eval. Which of the following is the best course of action for the therapist?
tell the pt. to go back too the doctor because he is not making appropriate progress
46
The protocol for a cardiac pt. states that the pt. should not exceed 5 metabolic equivalent (METS) c any activity at this stage of recorvery. Which of the following activities would be inappropriate for the pt.
Cycling 11 miles per hour
47
Which of the following is a correct statement about medicare?
medicare part A is only for inpatient treatment
48
A mother comes to a therapist concerned that her 4 month old infant cannot sit up alone yet. Which of the following responses is the most appropriate for the therapist ?
This is probably nothing to concerned about because, although it varies, most infants can sit unsupported at 8 months of age
49
A therapist decides to buy a two ultrasound machines from a sales representative. The representative offers the therapist a free steak dinner at a local restaurant as a toke of appreciation. What is the best course of action for the therapist ?
Refuse the dinner gracefully
50
While observing a pt. c posttraumatic brain injury (TBI) the therapist notes an increase in (L) ankle plantar flexion during loading response (heel strike to foot flat) of the involved LE. With this particular pt, the (L) side is the involved side. Which of the followin is not a likely cause of this deviation?
Left quadriceps hypertonicity