Giles 1 PDF

Title Giles 1
Course Physical Therapy
Institution University of Baguio
Pages 30
File Size 866.5 KB
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Summary

Question Option1 Option2 Option3 Option4 answerA note in a patient’s medical record indicates a specific drug is taken through enteral administration. Which of the following is an example of enteral administration?inhalation injection topical oral 4A patient is positioned in supine with the hips fle...


Description

Question A note in a patient’s medical record indicates a specific drug is taken through enteral administration. Which of the following is an example of enteral administration? A patient is positioned in supine with the hips flexed to 90 degrees and the knees extended. As the patient slowly lowers her extended legs toward the horizontal, there is an increase in lordosis of the low back. This finding is indicative of weakness of In a clinical trial, patient height is measured in centimeters and weight is measured in kilograms. What inference can the physical therapist make about the scale of measurement for height and weight? A physical therapist attempts to select an appropriate intervention to treat a patient with a 10 degree limitation in knee extension. Which of the following mobilization techniques would be indicated? A patient with a right radial head fracture is examined in physical therapy. The patient's involved elbow range of motion begins at 15 degrees of flexion and ends at 90 degrees of flexion. The physical therapist should record the patient's elbow range o A physical therapist attempts to improve a patient's lower extremity strength. Which proprioceptive neuromuscular facilitation technique would be the MOST appropriate to achieve the therapist's goals? A physical therapist instructs a patient diagnosed with rotator cuff tendonitis in transverse plane resistive exercises. Which motions would be appropriate based on the given information? A patient is limited in passive ankle dorsiflexion when the knee is extended, but is not limited when the knee is flexed. The MOST logical explanation is:

Option1 inhalation

Option2 injection

Option3 topical

oral

Option4

answer 4

hip flexors

back extensors

hip extensors

abdominals

4

Height and weight are measurements on the ratio scale. lateral glide of the patella

Height and weight are measurements on the ordinal scale.

Height and weight are measurements on the nominal scale.

Height and weight are measurements on the interval scale.

1

caudal glide of the patella

posterior glide of the tibia

anterior glide of the tibia

4

0 - 15 - 90

15 - 0 - 90

15 - 90

0 - 90

3

contract-relax

repeated contractions

rhythmic stabilization

hold-relax

2

abduction and adduction

flexion and extension

medial and lateral rotation

pronation and supination

3

the gastrocnemius is responsible for

the soleus is the popliteus is responsible for the responsible for the limitation limitation

the gastrocnemius and soleus are both responsible for the

1

the limitation

A patient employed in a machine shop is referred to physical therapy with a diagnosis of carpal tunnel syndrome. The patient indicates that he is scheduled for a diagnostic test that may help to confirm the diagnosis. Which of the following electrodiagn A physical therapist uses iontophoresis over the anterior knee of a patient with patellar tendonitis. Assuming the therapist’s goal is to reduce the patient’s present pain level, the MOST appropriate solution to utilize is: A physical therapist performs the talar tilt test on a 22-year-old female rehabilitating from an inversion ankle sprain. Which ligament does the talar tilt test examine? A physical therapist completes a developmental assessment on a seven-month-old infant. Assuming normal development, which of the following reflexes would NOT be integrated? A physical therapist examines a patient with limited cervical range of motion. As part of the examination, the therapist attempts to screen the patient for possible vertebral artery involvement, but is unable to position the patient's head and neck in th

A 42-year-old female is admitted to a rehabilitation hospital after sustaining a stroke. During the examination the physical therapist identifies significant sensory deficits in the anterolateral spinothalamic system. Which sensation would be

limitation

electroencephal ography

evoked potentials

nerve conduction velocity

electromyography

3

acetic acid

lidocaine

sodium chloride

zinc oxide

2

anterior talotibial

calcaneofibular

deltoid

posterior talotibial

2

asymmetrical tonic neck reflex

Moro reflex

Landau reflex

symmetrical tonic neck reflex

3

complete the vertebral artery test with the head and neck positioned in approximately 50 percent of the available cervical range of motion barognosis

complete the vertebral artery test as far into the available cervical range of motion as tolerated

avoid completing the vertebral artery test until the patient has full cervical range of motion

avoid all direct cervical treatment techniques until the vertebral artery test can be assessed at the limits of normal cervical range of motion

2

kinesthesia

graphesthesia

temperature

4

MOST affec

A 13-year-old girl discusses the possibility of anterior cruciate ligament reconstruction with an orthopedic surgeon. The girl injured her knee while playing soccer and is concerned about the future impact of the injury on her athletic career. Which of A physical therapist identifies a bluish discoloration of the skin and nailbeds of a 55-year-old male referred to physical therapy for pulmonary rehabilitation. What does this objective finding indicate? A manager develops a policy on physical therapy utilization of continuing education resources. Which of the following would be the MOST appropriate action to enhance the quality of patient care?

A physical therapist uses the body mass index scale as a means of assessing a patient’s total body composition. The therapist determines the body mass index by dividing the body weight in kilograms by height in meters squared. Which of the following val A patient diagnosed with patellofemoral syndrome discusses his past medical history with a physical therapist. The patient reports having anterior cruciate ligament reconstruction surgery on his right knee two years ago, however, the therapist is not abl A physical therapist assesses a one-month-old infant. During the treatment session the therapist strokes the cheek of the infant causing the infant to turn its mouth towards the stimulus. This action is

anthropometric measurements

hamstrings/quadri skeletal maturity ceps strength ratio

somatotype

3

hyperoxemia

hyperoxia

hypokalemia

hypoxemia

4

offer continuing education resources to senior therapists in relation to their years of experience 14 kg/m2

divide the continuing education resources evenly among therapy staff

establish a committee to review requests for continuing education resources

prioritize requests for continuing education resources based on established patient care standards

4

22 kg/m2

28 kg/m2

37 kg/m2

2

semitendinosus and semimembranos us

semitendinosus and gracilis

semimembranosus and gracilis

semitendinosus and biceps femoris

2

Moro reflex

rooting reflex

startle reflex

righting reflex

2

utilized to assess the:

A physical therapist elects to use mechanical lumbar traction for a patient rehabilitating from a back injury. The therapeutic goals of the session include decreasing the patient’s muscle spasm. The MOST appropriate force based on the stated objective w A physical therapist reviews a physician referral form that includes only the patient’s name and the referring physician’s signature. During the examination the patient indicates that she had knee surgery two weeks ago, however, is unable to provide more A physical therapist employed in an acute care hospital reviews the results of recent laboratory testing for one of his patients. A note in the medical record indicates that the patient was dehydrated at the time the blood sample was taken. Which findin A patient four days status post transtibial amputation is transported to physical therapy for a scheduled treatment session. Assuming an uncomplicated recovery, the MOST appropriate patient transfer to utilize from a wheelchair to a mat table is: A physical therapist positions a patient in supine prior to performing a manual muscle test of the supinator. To isolate the supinator and minimize the action of the biceps the therapist should position the patient’s elbow in: During an examination a physical therapist attempts to determine a patient's general willingness to use an affected body part. What objective information would be the MOST useful for the therapist?

10% of body weight

15% of body weight

25% of body weight 50% of body weight

initiate treatment based on the results of the examination

initiate treatment based on an established protocol following knee surgery

initiate treatment, however, avoid resistive exercises and high-level functional activities

delay treatment until orders are received from the referring physician

4

increased coagulation time

decreased hematocrit level

increased blood urea nitrogen level

decreased hemoglobin level

3

two-person lift

hydraulic lift

stand pivot

sliding board

3

30 degrees of elbow flexion

60 degrees of elbow flexion

90 degrees of elbow flexion

terminal elbow flexion

4

bony palpation

active movement

passive movement

sensory testing

2

3

A patient with right hemiplegia is observed during gait training. The patient performs sidestepping towards the hemiplegic side. The physical therapist may expect the patient to compensate for weakened abductors by: A patient reports to a scheduled physical therapy session 25 minutes late. The patient has not been seen previously in physical therapy and was scheduled in a 45 minute block of time. The patient referral indicates the patient is 10 days status post art A physical therapist identifies that an infant is unable to roll from prone to supine. Which reflex could interfere with the infant’s ability to roll?

hip hiking of the unaffected side

lateral trunk flexion towards the affected side

lateral trunk flexion hip extension of the affected side towards the unaffected side

3

begin the examination

design a home exercise program

consult with the patient’s physician

ask the patient to reschedule

1

asymmetrical tonic neck reflex

Moro reflex

positive support reflex

symmetrical tonic neck reflex

1

A physical therapist reviews a laboratory report for a 41-year-old male diagnosed with chronic obstructive pulmonary disease. Which of the following would be considered a normal hemoglobin value? A patient diagnosed with an incomplete spinal cord lesion presents with muscle paralysis on the ipsilateral side of the lesion and a loss of pain, temperature, and sensitivity on the contralateral side of the lesion. This presentation BEST describes: A physical therapist reviews a physician's examination of a patient scheduled for physical therapy. The examination identifies excessive medial displacement of the elbow during ligamentous testing. Which ligament is typically involved with medial instab A patient is unable to take in an adequate supply of nutrients by mouth due to the side effects of radiation therapy. As a result, the patient’s physician orders the implementation of tube feeding. What type of tube is MOST commonly used for short-term

10 gm/dL

15 gm/dL

20 gm/dL

25 gm/dL

2

posterior cord syndrome

central cord syndrome

anterior cord syndrome

Brown-Sequard's syndrome

4

annular

radial collateral

ulnar collateral

volar radioulnar

3

endobronchial

nasogastric

endotracheal

tracheostomy

2

A physical therapist employed in an acute care hospital prepares to work on standing balance with a patient rehabilitating from abdominal surgery. The patient has been on extended bed rest following the surgical procedure and has only been out of bed a f A physical therapist inspects a burn obtained as a result of iontophoresis. The therapist describes the burn as an acidic reaction. If the therapist is correct, the pH of the skin would MOST likely be: A physical therapist attempts to palpate the lunate by moving his finger immediately distal to Lister's tubercle. Which wrist motion will allow the therapist to facilitate palpation of the lunate? A physician indicates that a patient rehabilitating from a cerebrovascular accident has significant perceptual deficits. Which anatomical region would MOST likely be affected by the stroke? A physical therapist treats a patient referred to physical therapy with incontinence. The patient describes her difficulty beginning after the birth of her son. After completing an examination the therapist concludes that the patient has extremely weak A physical therapist prepares to administer the Berg Balance Scale to a patient rehabilitating from a cerebrovascular accident. Which of the following tools is considered a necessary piece of equipment when administering this outcome measure? A physical therapist employed in a school setting observes a 10-year-old boy attempt to move from the floor to a standing position. During the activity, the boy has to push on his legs with his hands in order to attain an upright position. This type of A physical therapist uses repeated contractions to strengthen the quadriceps of a patient that fails to exhibit the desired muscular response throughout a portion of the range of motion. This proprioceptive

systolic blood pressure

diastolic blood pressure

perceived exertion

oxygen saturation rate

1

2

4

6

8

1

extension

flexion

radial deviation

ulnar deviation

2

primary motor cortex

somatosensory cortex

basal ganglia

cerebellum

2

sidelying

sitting

standing

supine

4

reflex hammer

goniometer

stopwatch

stethoscope

3

cystic fibrosis

Down syndrome

Duchenne muscular spinal muscular dystrophy atrophy

with the extremity placed into a shortened range within the

at the point where at the end of the the desired available range of muscular response motion begins to diminish

with a maximal contraction of the antagonistic muscle group

3

2

neuromuscular facilitation technique should be

pattern

A patient rehabilitating from extensive burns to the right upper extremity often complains of severe pain in the arm during physical therapy treatment sessions. The present plan of care emphasizes range of motion, stretching, and positioning. The MOST a A patient in the intensive care unit rehabilitating from a serious infection is connected to a series of lines and tubes. Which lower extremity intravenous infusion site would be the MOST appropriate to administer an intravenous line? A physical therapist reviews a medical chart to determine when a patient was last medicated. The chart indicates the patient received medication at 2300 hours. Assuming it is now 8:00 a.m., how long ago did the patient receive the medication? A physical therapist examines the foot of a 17-yearold female referred to physical therapy with lower leg pain. After placing the foot in subtalar neutral, the therapist determines that the medial border of the foot along the first metatarsal is higher A physical therapist reviews the medical record of a patient recently admitted to an inpatient rehabilitation hospital. The patient sustained a traumatic head injury in a motor vehicle accident five weeks ago. The medical record indicates that the patie A physical therapist instructs a patient positioned in supine to bring her left leg toward her chest and maintain the position using her left arm. Assuming the therapist observes the reaction shown in the picture, what muscle would MOST likely have insuf

reduce the frequency and duration of the treatment sessions

schedule treatment sessions when the patient’s pain medication is most effective

avoid treatment activities that are uncomfortable for the patient

request that the referring physician increase the dosage of the patient’s pain medication

2

median cubital vein

basilic vein

cephalic vein

saphenous vein

4

5 hours

9 hours

15 hours

18 hours

2

forefoot varus

forefoot valgus

rearfoot varus

rearfoot valgus

1

in the patient’s room

in the physical therapy gym

in a private treatment room

in the physical therapy waiting room

1

iliopsoas

quadratus lumborum

rectus femoris

sartorius

3

A physical therapist employed in a rehabilitation hospital treats a patient status post traumatic brain injury. During the treatment session the therapist notices that the patient’s toes are discolored below a bivalved lower extremity cast. The cast was A physical therapist attempts to obtain information on the ability of noncontractile tissue to allow motion at a specific joint. Which selective tissue tension assessment would provide the therapist with the MOST valuable information? A physical therapist attempts to transfer a dependent patient from a wheelchair to a bed. The therapist is concerned about the size of the patient, but is unable to secure another staff member to assist with the transfer. Which type of transfer would al A physically active 19-year-old male receives preoperative instruction prior to anterior cruciate ligament reconstruction. The patient's past medical history includes a medial meniscectomy of the contralateral knee eight months ago. The MOST likely fun A patient rehabilitating from an upper extremity injury uses a latissimus pull-down machine. The therapist specifically instructs the patient to pull the bar down behind her head. This action emphasizes strengthening of the: A physical therapist adjusts the on:off time on an electrical stimulation unit prior to beginning treatment. When using the unit for muscle reeducation the MOST appropriate on:off ratio is: A physical therapist is scheduled to administer a whirlpool treatment to a patient that is HIV positive. The therapi...


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