\'06 Sullivan C PDF

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C1 C3 1A patient has developed congestive heart failure after experiencing his first myocardial infarction. The pulmonary signs and symptoms the therapist expect to find include: A. crackles and cough. B. inspiratory wheezing and shortness of breath. C. cough productive of thick yellow secretions. D...

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C1 C3 1 A patient has developed congestive heart failure after experiencing his first myocardial infarction. The pulmonary signs and symptoms the therapist expect to find include: A. crackles and cough. B. inspiratory wheezing and shortness of breath. C. cough productive of thick yellow secretions. D. crackles and clubbing of the digits. C2 C8 1 A newborn who is 4 weeks premature is examined at birth using the APGAR test. Based on the following results, the neonatal therapist suspects neurological complications are likely with an APGAR of: A. 3 at 10 minutes. B. 8 at 5 minutes. C. 9 at 1 minute. D. 8 at 1 minute. C3 C7 3 A physical therapist requested that a PTA perform ultrasound on the left shoulder of a patient. During the treatment session, the patient experienced an electrical shock. The physical therapist would not be responsible for any injury to the patient if this was the result of: A. faulty circuitry. B. the patient touching the ultrasound machine. C. failure of the PTA to use a ground fault interrupter. D. failure of the PTA to use sufficient ultrasound gel. C4 C6 3 A 55 year-old individual with documented coronary artery disease but no history of myocardial infarction is enrolled in an exercise class that utilizes circuit-interval training. The MOST appropriate spacing of work-rest intervals to stress the aerobic system is: A. 1:1.5 B. 1:7 C. 1:10 D. 1:4.5 C5 C1 3 The BEST INITIAL intervention to improve functional mobility in an individual with a stable humeral neck fracture is: A. pendulum exercises. B. active resistive ROM. C. isometrics for all shoulder musculature. D. modalities to decrease pain. C6 C1 3 A dancer with unilateral spondylolysis at L4 is referred for physical therapy. She complains of generalized low back pain when she stands longer than one hour. Interventions for the subacute phase should include strengthening exercise for the: A. multifidi working from full flexion back to neutral. B. abdominals working from neutral to full flexion. C. multifidi working from neutral to full extension. D. abdominals working from full extension to full flexion. C7 C1 1 A patient has fixed forefoot varus malalignment. Possible compensatory motion(s) or posture(s) might include: A. excessive subtalar pronation. B. genu recurvatum. C. ipsilateral pelvic external rotation. D. hallux varus.

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Practice Questions

C8 C7 3 The purpose of ABC Physical Therapy Center is to deliver excellent health care services in a unique, individualized and participative manner at a reasonable cost. The provision of services under these conditions requires and encourages creative involvement of physicians, staff, patients and their agents in all aspects of the care planning and delivery process. This is an example of a: A. mission statement. B. values statement. C. vision statement. D. strategic plan. C9 C5 3 A patient presents with weakness of the knee (2/5) resulting from an anterior cruciate ligament injury. The therapist’s examination reveals moderate pain (5/10) and excessive translation of the tibia during active knee extension. The therapist determines functional electrical stimulation (FES) is an appropriate intervention. The protocol for strengthening the quadriceps and improving stability of the knee should consist of stimulation of the: A. hamstrings immediately before the quadriceps to produce cocontraction. B. quadriceps but not the hamstrings. C. hamstrings but not the quadricep s. D. quadriceps immediately before the hamstrings to produce cocontraction. C10 C2 1 A therapist is reviewing a hospital record prior to examining a patient for the first time. The suspected diagnosis is multiple sclerosis. On the neurologist’s note, the therapist finds the following: DTR right quadriceps is 2+, left quadriceps is 3+. The therapist concludes that: A. the right DTR is normal while the left is exaggerated. B. both DTRs are abnormal and indicative of upper motor neuron syndrome. C. the right DTR is exaggerated while the left is clearly abnormal. D. both DTRs are abnormal and indicative of hyporeflexia. C11 C3 1 A 72 year-old patient has an episode of syncope in the physical therapy clinic. The therapist attempts to rule out orthostatic hypotension as the cause of her fainting. This is BEST done by: A. checking resting BP and HR in sitting, then repeating measurements after standing for 1 minute. B. checking HR and BP in supine after 5 minutes rest, then repeating in semi-Fowler position. C. palpating the carotid arteries and taking HR; using the supine position for BP measurements. D. checking HR and BP at rest, and after 3 and 5 minutes of cycle ergometry exercise. C12 C4 3 An inpatient with a grade III diabetic foot ulcer is referred for physical therapy. Panafil has been applied to the necrotic tissue BID. The wound has no foul smell; however, the therapist notes a green tinge on the dressing. In this case, the therapist should: A. document the finding and continue with treatment B. document the finding and contact the physician immediately. C. begin a trial of acetic acid to the wound. D. fit the patient with a total contact cast. C13 C8 1 The therapist receives a referral to examine the fall risk in an 82 year-old who lives alone and has had two recent falls. The activity that represents the MOST common risk factor associated with falls in the elderly is: A. turning around and sitting down in a chair. B. climbing on a stepstool to reach overhead objects. C. walking with a roller walker with hand brakes. D. dressing while sitting on the edge of the bed. C14 C6 1 A therapist is performing a prosthetic checkout on a patient with a transfemoral amputation. The prosthesis has been fitted with a quadrilateral socket. A checkout of the walls of the socket should reveal that the: A. anterior and lateral walls are 2 1/2 inches higher than the posterior and medial walls. B. posterior and lateral walls are 2 inches higher than the medial and anterior walls. C. height of the posterior wall is 2 inches less than all the other walls. D. medial wall is 2 1/2 inches higher than the posterior wall while the anterior and lateral walls are the same height. '06 Sullivan C

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C15 C7 3 A two month-old child with bilateral hip dislocations is being discharged home from an acute pediatric facility. The therapist has developed a home exercise program and now needs to instruct her parents. The MOST important item for the therapist to assess before instructing the parents is: A. their degree of anxiety and attention. B. the financial reimbursement plan. C. their level of formal education. D. the home environment. C16 C7 3 The grip strength of a group of 50 to 60 year-olds was investigated. A mean score of 40, SD of 5, and range of 26-57 were reported. The grip strength score for a given patient was determined to be 34. The therapist can safely conclude that in a normal distribution this patient’s score fell within: A. 95%. B. 68%. C. 75%. D. 32%. C17 C3 1 Which of the following clinical manifestations is NOT typical of early stage cystic fibrosis? A. excessive appetite and weight gain. B. increased pulmonary secretions with airway obstruction. C. frequent recurrent respiratory infections. D. salty skin and sweat. C18 C8 1 An infant demonstrates that the ATNR is NOT obligatory when he/she can: A. turn the head and bring the hand to mouth on the same side. B. turn the head to either side and open the hand. C. turn the head to one side and look at the extended arm on that side. D. turn the head to one side and bring the opposite hand to mouth. C19 C4 3 A 75 year-old patient is referred to physical therapy for back pain. Medical tests reveal he is at the end stage of pancreatic cancer. The physician has told him he has cancer but has chosen not to inform the patient about the prognosis. If the patient asks the therapist what his prognosis is, the therapist’s BEST response is to tell him: A. to discuss his concerns with the physician. B. to ask the nurse practitioner. C. everything usually works out for the best. D. the prognosis. C20 C1 1 During surgery to remove an apical lung tumor, the long thoracic nerve was injured. Muscle weakness is 3+/5. It would be best to implement exercises: A. standing while performing wall push-ups. B. standing using hand weights. C. supine using weights. D. supine using a pulley. C21 C1 2 A physical therapist examination reveals: iliac crests high on the left; PSIS low and posterior on the left; ASIS high and anterior on the left; standing flexion test shows that the left PSIS moves first and farthest superiorly; Gillet’s test demonstrates the left PSIS moves inferiorly and laterally less than right; long sitting test shows the left malleolus moves short to long; sitting flexion test is negative. In light of the above findings, the therapist’s diagnosis is: A. left posterior rotated innominate. B. left anterior rotated innominate. C. left upslip. D. iliac inflare on the left.

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C22 C7 3 The highest level of provider risk in reimbursement is related to: A. the capitation payment method. B. the cost-based payment method. C. the fee-for-service payment method. D. the per diem payment method. C23 C5 3 A patient presents with partial and full thickness burns on the chest and neck region. The therapist decides to apply TENS prior to debridement to modulate pain. Which TENS mode should provide the BEST relief? A. brief intense TENS. B. conventional (high rate) TENS. C. acupuncture-like (low rate) TENS. D. modulated TENS. C24 C2 3 A patient recovering from traumatic brain injury demonstrates instability during feeding while sitting in a wheelchair. The therapist determines modification is necessary to ensure optimal function. The FIRST body segment or segments the therapist would align is the: A. pelvis. B. head. C. lower extremities. D. trunk. C25 C2 2 A patient demonstrates beginning recovery Stage 4 movements following a left CVA. The PNF pattern that represents the BEST choice to promote continued recovery of the right upper extremity through the use of out-of-synergy movements is: A. chop, reverse chop with right arm leading. B. bilateral symmetrical D1 thrust and reverse thrust. C. lift, reverse lift with right arm leading. D. bilateral symmetrical D2F and D2E, elbows straight. C26 C3 2 A 50 year-old individual has limited endurance as a result of a sedentary lifestyle. There is no history of cardiorespiratory problems. Following an exercise tolerance test, which was negative, appropriate INITIAL exercise prescription parameters for this individual would be: A. 60 - 90% HRmax B. 30 - 60% HRmax C. 40 - 60% HRmax D. 45 - 55% of VO2max C27 C3 2 A patient is admitted to a coronary care unit with a mild myocardial infarction, After 2 days the patient is referred to physical therapy for exercise conditioning. During an initial exercise session on the unit, he reports chest pain, appears anxious, and wants to go back to bed to rest. The therapist’s BEST course of action is to terminate the exercise and: A. have him sit down and continue to monitor his vital signs carefully. B. monitor his vital signs and contact his doctor immediately. C. assist the patient back to bed and contact the charge nurse on his floor. D. assign the physical therapist assistant to assist him back to his bed and monitor his vital signs carefully. C28 C4 3 A patient with a 10-year history of scleroderma is referred for physical therapy to improve functional status and endurance. The patient was recently treated with corticosteroids for a bout of myositis. Examination findings reveal limited ROM and fibrotic soft tissue along with hyperesthesia. The BEST choice for initial intervention is: A. AROM exercises and walking in a therapeutic pool. B. soft tissue mobilization and stretching. C. closed chain and modified aerobic step exercises. D. treadmill walking using body weight support at an intensity of 40% HRmax.

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C29 C8 2 A patient is referred to physical therapy following a fall injury (fractured left hip with ORIF). Medical history reveals a diagnosis of Stage I Alzheimer’s disease. At this stage, the behaviors the therapist would NOT expect to find are: A. anxiety and irritability. B. fragmented memory. C. language comprehension problems. D. restlessness and sundowning. C30 C6 2 A patient recovering from stroke with minimal lower extremity weakness and spasticity is able to walk without an assistive device. The therapist observes that as he walks he hikes his pelvis on the affected side during the swing phase. The BEST initial intervention is: A. bridging exercises progressing to sit-to-stand training. B. marching while sitting on a therapy ball. C. partial wall squats using a small ball held between the knees.. D. standing, marching with manual pressure applied downward on the pelvis. C31 C7 3 The therapist is instructing a patient with traumatic brain injury how to lock the brakes on his wheelchair. He is righthanded and his right upper extremity is more affected than his left. To obtain optimal results, the BEST training strategy is to: A. guide his right hand through the locking motions, then his left. B. have him practice brake locking using his left hand to assist his right. C. have him practice locking the brakes first with his left hand, and then his right. D. verbally talk him through the locking motions practicing with both hands simultaneously. C32 C7 3 A physical therapist wants to examine the effects of PNF using the technique of contract-relax on shoulder ROM. A group of 10 patients with adhesive capsulitis were recruited. A matched group of patients were given straight plane active-assisted exercise for the same length of time (3 times/week for 6 weeks). In this study the independent variable is: A. active-assisted exercise. B. adhesive capsulitis. C. PNF contract-relax technique. D. ROM. C33 C3 1 A therapist is examining a patient with a 12-year history of emphysema. The clinical finding the therapist would NOT expect to find is: A. clubbing. B. cor pulmonale. C. cyanosis. D. decreased A-P to lateral chest ratio. C34 C1 3 A patient is receiving physical therapy following an ACL repair. After 4 weeks of treatment the patient still complains of pain and instability even though he reports he has been faithful with his home exercise program and wearing his orthosis. The original referral was for 7 to 8 weeks of physical therapy. The therapist’s BEST course of action is to: A. complete the full 8 weeks of treatment and carefully document his lack of improvement to ensure full insurance coverage. B. discontinue the treatment; and discuss the situation with the patient and his referring physician. C. recommend to the patient that he get a second medical opinion as the surgery seems unsuccessful. D. re-examine the patient and implement a modified therapy program. C35 C1 2 During a postural screen for chronic shoulder pain in a recreational swimmer, the therapist observes excessive internal rotation of the shoulders and winging of the scapula during overhead motion. Intervention should focus on: A. strengthening middle and lower trapezius and stretching of pectoral muscles. B. strengthening of pectoral muscles and stretching of upper trapezius. C. strengthening of rhomboids and stretching of upper trapezius. D. strengthening of upper trapezius and stretching of pectoral muscles. '06 Sullivan C

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C36 C4 2 Re-examination of a patient with a dermal ulcer over the coccyx reveals a wound exposing the deep fascia. There is no necrotic tissue, exudate is minimal, and the borders of the ulcer are diffusely covered with granulation tissue Previous treatment has included daily whirlpool and wet-to -dry dressings with normal saline. Based on the re-examination, intervention should consist of: A. calcium alginate dressings B. continuation of the same treatments. C. whirlpool and hydrogel dressings D. wound irrigation with pressures below 15 psi. C37 C1 2 The spinal defect shown in the diagram should be managed with avoidance of lumbar spinal:

A. B. C. D.

extension. flexion. lateral flexi on. rotation.

C38 C2 2 A computer specialist is unable to work because of weakness and altered sensation in her dominant right hand. She complains of pain and tingling of the thumb, index finger, long finger, and radial half of the ring finger. The therapist observes thenar weakness and atrophy. Strength, reflexes, and sensation are within normal limits throughout the remainder of the right upper extremity. Her signs and symptoms are characteristic of: A. carpal tunnel syndrome. B. cervical root compression. C. pronator teres syndrome. D. ulnar nerve compression. C39 C2 2 A patient presents with rapidly progressive symmetrical weakness that started in the distal lower extremity muscles but now has ascended to include proximal trunk and upper extremity muscles. The motor segments of the lower cranial nerves are also showing impairment. The patient complains of abnormal sensations of tingling and burning of the affected extremities. Consciousness, cognition, and communication are all normal. These signs and symptoms are characteristic of: A. amyotrophic lateral sclerosis. B. Guillain-Barré syndrome. C. multiple sclerosis. D. post-polio syndrome. C40 C3 3 A patient recovering from surgery for triple coronary artery bypass grafts is scheduled to begin a Phase III cardiac rehabilitation program. During the resistance training portion of the circuit training program, the therapist instructs the patient to AVOID the Valsalva maneuver because: A. a cholinergic or vagal response can occur. B. heart rate and blood pressure are likely to be elevate d. C. slowing of pulse and increased venous pressure are possible. D. the decreased return of blood to the heart can lead to pitting edema.

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C41 C4 2 A patient experiences color changes in the skin during position changes of the foot. During elevation, pallor develops. When the limb is then positioned in the seated hanging position, hyperemia develops. These changes are indicative of: A. arterial insufficiency. B. chronic venous insufficiency. C. deep vein thrombophlebitis. D. lymphedema. C42 C8 2 A 73 year-old is referred to physical therapy for an examination of balance. He has a recent history of falls (two in the last 6 months). Based on knowledge of balance changes in the elderly and scoring of standardized balance measures, the test data that BEST indicates increased fall risk is: A. Berg Balance score of 50. B. Functional Reach of 7 inches. C. Timed Get Up & Go test result of 13 seconds. D. Tinetti Performance Oriented Mobility Assessment (POMA) score of 27. C43 C6 3 A patient walks with a Trendelenburg gait. The MOST appropriate intervention to correct this problem is: A. bridging, holding with Theraband around both thighs. B. half kneeling, weight shifting onto the weak side (foot). C. standing, stepping with the weaker limb, forward and backward. D. supine, lateral leg slides. C44 C3 2 A 72 year-old patient is walking on a treadmill in the physical therapy department while his vital signs are being monitored. It is noted that his SaO2 drops from 97% to 95%. In this case, it would be BEST to: A. not use supplemental O2. B. place 2 liters of O2 by nasal cannula on the patient for the remainder of the exercise session. C. place a 100% O2 face mask on the patient for the remainder of the exercise session. D. place a 40% O2 face mask on the patient for the remainder of the exercise session. C45 C8 2 The therapist is evaluating the needs of a 6 year-old child who is diagnosed with myelodysplasia at the T10 level. The therapist determines the most appropriate mobility device for this child to use in the school environment is a: A. bilateral HKAFO. B. bilateral KAFO. C. lightweight wheelchair. D. parapodium. C46 C1 3 A patient has limited right rotation caused by left thoracic facet joint capsular tightness. The intervention that would best facilitate improved right rotation in sit...