\'06 Sullivan B PDF

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B1 C8 IIA physical therapy plan of care for a child with spastic cerebral palsy who is three years old chronologically and cognitively but at a six month-old gross developmental level would include: A. reaching for a black and white object while in the supine position. B. reaching for a multicolored...

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B1 C8 II A physical therapy plan of care for a child with spastic cerebral palsy who is three years old chronologically and cognitively but at a six month-old gross developmental level would include: A. reaching for a black and white object while in the supine position. B. reaching for a multicolored object while in an unsupported standing position. C. visually tracking a black and white object held nine inches from his face. D. reaching for a multicolored object while in an unsupported, guarded sitting position. B2 C1 II A patient is receiving grade III mobilizations to regain normal midthoracic extension. After three sessions he complains of localized pain that persists for greater than 24 hours. The therapist’s treatment would: A. change to grade II mobilizations to reduce the joint and soft tissue irritation. B. change to grade IV mobilizations to stretch through the pain. C. change to self-stretching activities because the patient does not tolerate mobilization. D. continue with grade III mobilizations followed by a cold pack to the thoracic spine. B3 C7 II A therapist wishes to use behavior modification techniques as part of a plan of care to help shape the behavioral responses of a patient recovering from traumatic brain injury. The BEST form of intervention is to: A. allow the patient enough time for self-correction of the behavior. B. encourage the staff to tell the patient which behaviors are correct and which are not. C. reprimand the patient every time an undesirable behavior occurs. D. use frequent reinforcements for all desired behaviors. B4 C2 III Which is NOT a useful intervention for a patient with multiple sclerosis who presents with a primary deficit of dysmetria? A. isokinetic training using low resistance at fast movement speeds. B. PNF patterns using carefully graded resistance and slow reversals. C. pool therapy using moderate water temperatures. D. weight cuffs to distal extremities during functional training. B5 C6 III A patient suffered fractures of C4 and C5 following trauma received in a motor vehicle accident. Maximum stabilization of his cervical spine can BEST be achieved with a: A. four-poster orthosis. B. halo orthosis. C. Milwaukee orthosis. D. soft collar. B6 C3 II A patient had been on oxygen, but it was discontinued by physician order yesterday. During physical therapy, the patient becomes short of breath and requests supplemental oxygen. The patient’s SaO2 is measured at 90%. The decision that is NOT appropriate is: A. administer supplemental O2. B. allow the patient to rest. C. continue to monitor SaO2. D. encourage an efficient breathing pattern. B7 C2 I A patient presents with weakness and atrophy of the biceps brachii resulting from an open fracture of the humerus. The therapist’s examination includes needle electromyography of the biceps. The muscle response anticipated after the needle is inserted and prior to asking the patient to contract the muscle is: A. electrical silence. B. fibrillation potentials. C. interference patterns. D. polyphasic potentials.

'06 Sullivan B

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Practice Questions

B8 C4 II A new staff physical therapist on the oncology unit of a large medical center receives a referral for strengthening and ambulation for women with ovarian cancer. She is undergoing radiation therapy following a surgical hysterectomy. Her current platelet count is 17,000. The MOST appropriate treatment activity for this patient at this time is: A. passive ROM exercise. B. progressive stair climbing using weighted belts. C. resistance training at 30% one repetition max. D. resistance training at 50% one repetition max. B9 C1 II An office worker, who is a long-term smoker now with emphysema, is referred to physical therapy. He complains of increased pain and tingling in both hands after sitting at his desk for longer than one hour. The MOST effective physical therapy intervention is: A. mobilization of the first rib and stretching of middle trapezius muscle due to long-term postural changes. B. strengthening of the upper trapezius and pectoralis major muscles for early thoracic outlet syndrome symptoms. C. stretching of scalenes and sternocleidomastoid muscles for early thoracic outlet syndrome symptoms. D. stretching of the pectoralis major and rhomboid muscles due to long-term postural changes. B10 C8 II A patient with diabetes is exercising. He reports feeling weak, dizzy, and somewhat nauseous. The therapist notices that he is sweating profusely and is unsteady on his feet.. The therapist’s immediate course of action would be to: A. call for emergency services as he is having an insulin reaction. B. have a nurse administer an insulin injection for his developing hyperglycemia. C. immediately administer orange juice for his developing hypoglycemia. D. insist that he sit down until his orthostatic hypotension resolves. B11 C2 II A patient with postpolio syndrome has started attending an aerobic exercise program as an outpatient. When she does not show up for her scheduled session, the therapist telephones to find out what is wrong. She says that she is very tired and has not been able to get out of bed for the last two days. Her muscles ache and she is afraid to continue with the exercise class. The therapist’s BEST course of action regarding exercise is to: A. decrease the frequency to once a week for an hour session, keeping the intensity moderate. B. decrease the intensity and duration but maintain a frequency of 3 times/week. C. discharge her from the program since exercise is counterproductive in postpolio syndrome. D. reschedule her exercise workouts for early morning when she is less fatigued. B12 C7 III A physical therapy student is on a final clinical rotation. The supervising physical therapist becomes aware that the student tends to process information all at once, not in an ordered step-by-step manner. The therapist’s best strategy to ensure adequate learning for this student is to: A. focus the student on learning important relationships and concepts. B. focus the student on objective information and interrelationships. C. provide real-life examples that link learning to personal experiences. D. redirect the student to process information in a step-by-step manner. B13 C7 II A 69 year-old falls and breaks his hip. He undergoes a total hip replacement at the local medical center. The physician orders physical therapy two days after surgery. The patient is covered by Medicare and is still in an acute care facility. The appropriate frequency of treatment would be: A. daily. B. every other day. C. three to four times per week. D. two times per day, 4 days per week.

'06 Sullivan B

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B14 C3 I A patient is taking a drug from the sympathomimetic group, albuterol (Proventil). What is the MOST important effect of this medication? A. enhance bronchial smooth muscle contraction and airway resistance. B. increase airway resistance and exercise-induced bronchial dilation. C. reduce airway resistance and exercise-induced bronchospasm. D. reduce bronchial constriction and hypertension that accompanies exercise. B15 C6 III A physical therapist decides to exercise a patient with fibromyalgia using aquatic therapy. The patient is moderately deconditioned from months of inactivity and has a history of a mild myocardial infarction 4 years ago. Hydrostatic pressure exerted by the water can be expected to: A. increase cardiovascular demands at rest and with exercise. B. increase resistance as speed of movement increases. C. provide joint unloading and enhance ease of active movement. D. reduce effusion and assist venous return. B16 C6 II A therapist determines a patient is walking with a backward trunk lean as he takes full weight on his right leg. He also demonstrates great difficulty going up ramps. The BEST intervention to remediate his problem is to: A. strengthen hip extensors through bridging. B. strengthen knee extensors with weights, using 80% one repetition maximum. C. stretch hip abductors through sidelying positioning. D. stretch hip flexors through prone lying. B17 C4 II If a patient has developed a thick eschar secondary to a full thickness burn, the antibacterial agent MOST effective for infection control is: A. nitrofurazone. B. Panafil. C. silver nitrate. D. Sulfamylon. B18 C8 I An 89 year-old has gradually lost much of his functional vision over the last 4 years. He complains his vision is "foggy" and he has difficulty reading. He mistakes images directly in front of him, especially in bright light. He does better walking across a room and is able to locate items in his environment with his peripheral vision when items are located to both sides. Based on his descriptions, the therapist suspects he may be presenting with: A. bitemporal hemianopsia. B. cataracts. C. glaucoma. D. homonymous hemianopsia. B19 C2 II Following a traumatic brain injury, a patient is inconsistently oriented to time and place. She is unable to remember recent events and shows little or no carry-over for new learning. The PRIMARY goal of rehabilitation at this stage of recovery is to promote: A. environmental and daily structure with consistency of cognitive stimuli. B. increased arousal and attention through the use of sensory stimulation techniques. C. independence in problem solving skills in varying environments. D. varying daily tasks and structure to increase ease of cognitive retrieval. B20 C2 II A patient incurred a right CVA one month ago. She demonstrates moderate tone in her left upper extremity (predominantly flexor tone). Her major problem at this time is a lack of voluntary movement control and her left upper extremity shows minimal active movement with 1/4-inch subluxation of the shoulder. An appropriate initial activity would be: A. PNF D2 flexion pattern, left upper extremity. B. quadruped, rocking from side to side. C. sitting, left active shoulder protraction with extended arm. D. sitting, weight bearing on extended left arm, weight shifting. '06 Sullivan B

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B21 C7 III A therapist conducts a study of the effectiveness of hot and cold in treating patients with pain. He recruits 200 patients for each treatment group. The pain instrument he uses has a possible total score of 50, with 50 being the worst pain. His data analysis reveals that Group A (heat modalities) has a mean score of 33 with a standard deviation of 1.0 while Group B (cold modalities) had a mean of 35 with a standard deviation of 6.0. Based on this data the conclusion one should reach is: A. cold has a greater effect on pain relief than heat. B. heat has a greater effect on pain relief than cold. C. the spread of scores with cold treatment demonstrates variability is greater. D. the spread of scores with heat treatment demonstrates variability is greater. B22 C1 I The therapist in the photograph is testing which muscle?

A. B. C. D.

anterior deltoid. middle deltoid. supraspinatus. upper trapezius.

B23 C6 II A patient presents with pain and instability of the left foot/ankle secondary to poliomyelitis with more recent development of progressive post-polio muscle atrophy. In this case, a plastic solid ankle-foot orthosis is an appropriate prescription in order to: A. control excessive amounts of knee flexion during swing. B. maintain dorsiflexion throughout swing. C. provide modest assistance to dorsiflexion while restricting plantar flexion. D. restrict all movement. B24 C1 I A patient is referred to physical therapy following an anterior dislocation of the right shoulder. A possible positive examination finding as the result of this trauma would be: A. positive drop arm test. B. positive Neer test. C. weak deltoids. D. weak rhomboids. B25 C8 I A 3 month-old infant is being examined at an early intervention program. The therapist is having difficulty flexing the right upper extremity to remove the infant’s clothing. This task is made more difficult if: A. the infant is turned into sidelying on the left. B. the infant sits up with support of the head in a neutral position. C. the infant’s head is turned to the left. D. the infant’s head is turned to the right.

'06 Sullivan B

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B26 C7 III A therapist has been asked to give an inservice presentation to staff nurses on safe guarding techniques. In order to best prepare for this talk, the therapist should: A. provide a questionnaire to a random sampling of participants one week before the scheduled presentation. B. provide a questionnaire to all participants two weeks before the scheduled session. C. survey the audience a day before the scheduled session. D. survey the audience at the scheduled session. B27 C2 III The patient with left hemiplegia would be least likely to respond in therapy if the motor learning strategies emphasized: A. encouragement of the patient to slow down. B. maximum use of demonstration and gesture. C. maximum use of verbal cues. D. simplification/restructuring of the environment including removal of all clutter. B28 C3 II A two-week old infant born at 27 weeks gestation with hyaline membrane disease is referred for a physical therapy consult. Nursing reports that the child "desaturates to 84% with handling" and has minimal secretions at present. The physical therapist should: A. delegate to a physical therapist assistant for a maintenance program of manual techniques for secretion clearance. B. perform manual techniques for secretion clearance, 2 to 4 hours daily, to maintain airway patency. C. provide suggestions to nursing for positioning for optimal motor development. D. put the PT consult on hold as the child is too ill to tolerate exercise. B29 C1 II A patient sustained a valgus stress to his left knee while skiing. His orthopedist found a positive McMurray’s test, and a positive Lachman’s stress test. He has been sent to physical therapy for conservative management of his dysfunction. The sub-acute phase of physical therapy intervention should emphasize: A. closed-chain functional strengthening of the quadriceps femoris and hamstrings emphasizing regaining terminal knee extension. B. closed-chain functional strengthening of the quadriceps femoris and hip abductors to promote regaining terminal knee extension. C. open-chain exercises of the hip extensors and hamstrings to inhibit anterior translation of the femur on the tibia. D. open-chain strengthening of the quadriceps femoris and hip adductors to inhibit anterior translation of the tibia on the femur. B30 C8 I The most enthusiastic visual tracking by a neonate would be elicited by: A. a black and white face, with a red nose, held approximately nine inches from the infant’s eyes, moved horizontally. B. a multicolored clown’s face, held 12 inches away and moved horizontally. C. a multicolored spinning top placed 15 inche s from the infant’s eyes. D. a red ring on a string, held six inches away from the infant’s eyes and moved horizontally. B31 C2 II A 14 year-old patient with traumatic brain injury has a convulsive seizure during a therapy session. She lost consciousness and presents with tonic-clonic convulsions of all extremities. The therapist’s BEST response is to: A. initiate rescue breathing immediately and call for help to restrain her. B. position in sidelying, check for an open airway, and immediately call for emergency assistance. C. position in supine with head supported with a pillow and wait out the seizure. D. wrap her limbs with a sheet so she can’t hurt herself and position in supine. B32 C7 II A therapist wants to know whether NDT handling techniques produces an improvement in independent rolling that lasts longer than 30 minutes. In this study rolling is the: A. control variable. B. dependent variable. C. independent variable. D. intervening variable.

'06 Sullivan B

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B33 C3 I A computer programmer, with no significant past medical history, presents to the emergency room with complaints of fever, shaking chills and a worsening productive cough. He has chest pains over the posterior base of his left thorax which is made worse on inspiration. Which of the following is NOT an appropriate physical finding for this patient? A. asymmetrical breathing. B. crackles over the posterior aspect of his left thorax. C. limited chest excursion. D. slowed respiratory rate. B34 C6 II A patient is demonstrating genu valgum during standing and walking. This problem can be effectively controlled by prescribing a knee-ankle-foot orthosis with: A. anterior knee cap strap. B. posterior plastic shell. C. pretibial and suprapatellar anterior bands. D. quadrilateral brim. B35 C4 I A 62 year-old patient is confined to bed following a severe stroke, She has 25 year history of diabetes and diabetic neuropathy in both lower extremities. During an examination of sensory and integumentary integrity, the therapist identifies an ischemic necrosis on the lateral side of the right foot in the region of the fifth metatarsal head. Hypoesthesia is found in both feet and she is not able to sense a 5.07 Semmes-Weinstein monofilament in the right forefoot. The therapist’s interpretation is that: A. protective sensation of the foot is lost at the 10 g force level. B. the foot is insensate with protective sensation loss at the 75 g force level. C. the patient in unable to perceive sharp/dull sensation. D. the patient still has normal protective sensation in the right foot. B36 C5 III A patient strained his lower back muscles three weeks ago and now complains of pain (6/10). Upon examination, the therapist identifies bilateral muscle spasm from T10-L4. The therapist elects to apply interferential current to help reduce pain and spasm. The MOST APPROPRIATE electrode configuration to choose in this case would be: A. four electrodes with current flow diagonal to the spinal column. B. four electrodes with current flow perpendicular to the spinal column. C. two electrodes with current flow parallel to the spinal column. D. two electrodes with current flow perpendicular to the spinal column. B37 C8 I An infant has just begun to pull-to -stand through kneeling, still demonstrates plantar grasp in standing, and is independent in sitting including all protective extension reactions. This infant’s chronological age is approximately: A. 5-6 months. B. 7-8 months. C. 9-10 months. D. 12-14 months. B38 C1 II A sixty-five year old male retired bus driver has an increasing frequency of low back pain over the last 10 years. He states that NSAIDs help to relieve his symptoms but there is always a nagging type pain. He reports significant stiffness in the morning which dissipates by noon after exercising and walking his dog. Pain is exacerbated with frequent lifting and bending activities as well as sitting for long periods. Physical therapy intervention should emphasize: A. joint mobilization, soft tissue mobilization, and flexion exercises. B. modalities to reduce pain, joint mobilization, and lumbar extension exercises. C. modalities to reduce pain, postural reeducation and dynamic stabilization exercises. D. postural reeducation, soft tissue mobilization, and dynamic stabilization.

'06 Sullivan B

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B39 C7 III A therapist is orienting a new physical therapy aide in transfer techniques. Initial consideration would be to: A. ask about previous work and other experiences related to transferring individuals. B. determine specific goals for teaching the techniques. C. give a computer simulated instructional program before actual “hands on” training takes place. D. provide an organized series of talks dealing with patient safety during transfers. B40 C7 II An elderly patient with diabetes and bilateral lower extremity amputation is to be discharged from an acute care hospital two weeks post surgery. The incisions on his residual limbs are not healed and continue to drain. He is unable to transfer because the venous graft sites in his upper extremities are painful and not fully healed. His endurance out-of-bed is limited. The MOST appropriate discharge destination for this patient would be: A. custodial care facility. B. home. C. reh...