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Question Option1 Option2 Option3 Option4 answerA physical therapist would like to minimize the likelihood of a burn when using iontophoresis. Which action would be the MOST consistent with the therapist’s objective?increase the size of the cathode relative to the anodedecrease the space between the ...

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Question A physical therapist would like to minimize the likelihood of a burn when using iontophoresis. Which action would be the MOST consistent with the therapist’s objective?

Option1 increase the size of the cathode relative to the anode

Option2 decrease the space between the electrodes

Option3 increase the current intensity

Option4 decrease the moisture of the electrodes

answer 1

A physical therapist reviews a patient coverage form that lists the parameters used during a recent ultrasound treatment to the right anterior shoulder: 1.5 W/cm2, pulsed 20%, 1 MHz, 6 minutes. Assuming the objective of the ultrasound was to increase tis

time

duty cycle

frequency

intensity

2

A physical therapist examines a patient with a C6 spinal cord injury. Which muscle would NOT be innervated based on the patient’s level of injury?

biceps

deltoid

triceps

diaphragm

3

A physical therapist attempts to assess the integrity of the vestibulocochlear nerve by administering the Rinne test on a patient with a suspected upper motor neuron lesion. After striking the tine of the tuning fork to begin vibration, which bony promin

midline of the skull

occipital protuberance

inion

mastoid process

4

A physical therapist prepares to apply a topical antibiotic to a small portion of the upper arm of a patient with a deep partialthickness burn. When applying the topical antibiotic the therapist should utilize which form of medical asepsis?

gloves

sterile gloves

sterile gloves, gown

sterile gloves, gown, mask

2

A patient involved in a motor vehicle accident sustains a proximal fibula fracture. The fracture damaged the motor component of the common peroneal nerve. Ankle dorsiflexion and eversion are tested as 2/5. The MOST appropriate intervention to assist th

electrical stimulation

orthosis

exercise program

aquatic program

2

A physical therapist discusses the importance of a proper diet with a patient diagnosed with congestive heart failure. Which of the following substances would MOST likely be restricted in the patient’s diet?

high-density lipoproteins

low-density lipoproteins

sodium

triglycerides

3

A physical therapist instructs a patient with a pulmonary disease in energy conservation techniques. Which of the following techniques would be the MOST effective when assisting a patient to complete a selected activity without dyspnea?

diaphragmatic breathing

pacing

pursed-lip breathing

ventilatory muscle training

2

A physical therapist reviews the medical record of a patient 24 hours status post total hip arthroplasty. A recent entry in the medical record indicates that the patient was placed on anticoagulant medication. Which of the following laboratory values wo

hematocrit

hemoglobin

prothrombin time

white blood cell count

3

A physical therapist discusses the plan of care for a 61-year-old male diagnosed with spinal stenosis with the referring physician. During the discussion the physician shows the therapist a picture of the patient’s spine obtained through computed tomogra

black

light gray

dark gray

white

4

A physical therapist identifies a number of substances that influence circulation. Which of the following substances is stimulated by decreased arterial pressure and acts as a vasoconstrictor?

angiotensin

histamine

epinephrine

norepinephrine

1

A patient diagnosed with C5 tetraplegia receives physical therapy services in a rehabilitation hospital. The patient has made good progress in therapy and is scheduled for discharge in one week. During a treatment session, the patient informs the physic

Your level of injury makes walking unrealistic.

Future advances in spinal cord research may make your goal a reality.

You can have a rewarding life even if confined to a wheelchair.

Completing your exercises on a regular basis will help you to walk.

2

A physical therapist performs several surface palpations on a patient diagnosed with an acromioclavicular injury. Which anatomical landmark is MOST consistent with the location of the therapist’s finger?

manubrium

sternoclavicular joint

suprasternal notch

xiphoid process

3

A physical therapist discusses the plan of care for a patient rehabilitating from total hip arthroplasty surgery (posterolateral approach) with the patient’s surgeon. During the discussion the surgeon indicates that he would like the patient to continue

The knee immobilizer serves as a constant reminder to the patient that the hip is susceptible to injury.

The knee immobilizer reduces hip flexion by maintaining knee extension.

The knee immobilizer facilitates quadriceps contraction during weight bearing activities.

The knee immobilizer limits postoperative edema and as a result, promotes lower extremity stability.

2

A physical therapist administers a submaximal exercise test to a patient in a cardiac rehabilitation program. The protocol requires the patient to ride a cycle ergometer for a predetermined amount of time using progressive workloads. In order to predict

heart rate and rate of perceived exertion

heart rate and workload

blood pressure and rate of perceived exertion

blood pressure and workload

2

A physical therapist employed in a large medical center reviews the chart of a 63year-old male referred to physical therapy for pulmonary rehabilitation. The chart indicates the patient has smoked one to two packs of cigarettes a day since the age of 25

asthma

bronchiectasis

chronic bronchitis

emphysema

4

A physical therapist reviews the results of pulmonary function testing on a 44-year-old female diagnosed with emphysema. Assuming the patient’s testing was classified as unremarkable, which of the following lung volumes would MOST likely approximate 10%

tidal volume

inspiratory reserve volume

residual volume

functional residual capacity

1

A physical therapist measures a patient's shoulder complex medial rotation with the patient positioned in supine, the glenohumeral joint in 90 degrees of abduction, and the elbow in 90 degrees of flexion. The therapist records the patient's shoulder medi

anterior joint capsule

posterior joint capsule

inferior joint capsule

superior joint capsule

2

A physician suspects a stress fracture in a 16-year-old distance runner after completing an examination. Assuming the physician's preliminary diagnosis is correct, which of the following diagnostic tests would be the MOST appropriate to identify the stre

bone scan

magnetic resonance imaging

telethermography

ultrasound scan

1

A physical therapist positions a patient in prone to measure passive knee flexion. Range of motion may be limited in this position due to:

active insufficiency of the knee extensors

active insufficiency of the knee flexors

passive insufficiency of the knee extensors

passive insufficiency of the knee flexors

3

A physical therapist incorporates electrical stimulation as part of the plan of care for a patient rehabilitating from a lower extremity injury. Which of the following recommendations would be LEAST effective to minimize electrode resistance?

keep the sponge interface well moistened

use small electrodes

maintain even, firm contact with the skin

remove hair from the skin

2

A physical therapist reviews the results of a pulmonary function test. Assuming normal values, which of the following measurements would you expect to be the GREATEST?

vital capacity

tidal volume

residual volume

inspiratory reserve volume

1

A patient involved in a motor vehicle accident sustains an injury to the posterior cord of the brachial plexus. Which muscle would NOT be affected by the injury?

infraspinatus

subscapularis

latissimus dorsi

teres major

1

A physical therapist designs a training program for a patient without cardiovascular pathology. The therapist calculates the patient’s age-predicted maximal heart rate as 175 beats per minute. Which of the following would be an acceptable target heart r

93 beats per minute

135 beats per minute

169 beats per minute

195 beats per minute

2

A patient with complete C5 tetraplegia works on a forward raise for pressure relief. The patient utilizes loops that are attached to the back of the wheelchair to assist with the forward raise. Which muscles need to be particularly strong in order for t

brachioradialis, brachialis

rhomboids, levator scapulae

biceps, deltoids

triceps, flexor digitorum profundus

3

A patient sustained a fracture of the acetabulum that was treated with open reduction and internal fixation. The injury occurred in a motor vehicle accident approximately seven weeks ago. Which objective measure would be the MOST influential variable wh

visual analogue pain scale rating

radiographic confirmation of bone healing

lower extremity manual muscle testing

balance and coordination assessment

2

A patient two weeks status post transtibial amputation is instructed by his physician to remain at rest for two days after contracting bronchitis. The MOST appropriate position for the patient in bed is:

supine with a pillow under the patient's knees

supine with a pillow under the patient's thighs and knees

supine with the legs extended

sidelying in the fetal position

3

A physical therapist tests a small area of skin for hypersensitivity prior to using a cold immersion bath. The patient begins to demonstrate evidence of cold intolerance within 60 seconds after cold application. The MOST appropriate response is to:

limit cold exposure to ten minutes or less

select an alternate cryotherapeutic agent

continue with the cold immersion bath

discontinue cold application and document the findings

4

A 27-year-old female diagnosed with anterior compartment syndrome reports to an outpatient clinic for physical therapy services. While reviewing the physician referral supplied by the patient, the physical therapist identifies that the referral form is o

continue with the session since the existing referral is acceptable

attempt to contact the physician’s office by telephone to receive verbal orders

send the physician written correspondence requesting an updated referral

discontinue the session until the patient secures an updated referral

2

A physical therapist assesses the deep tendon reflexes of a patient as part of a lower quarter screening examination. The therapist determines that the right and left patellar tendon reflex and the left Achilles tendon reflex are 2+, while the right Achi

cerebral palsy

multiple sclerosis

peripheral neuropathy

intermittent claudication

3

An employee with a disclosed disability informs her employer that she is unable to perform an essential function of her job unless her workstation is modified. Which of the following would provide the employer with a legitimate reason for NOT granting th

the accommodation would cost hundreds of dollars

the accommodation would require an expansion of the employee’s present workstation

the accommodation would fundamentally alter the operation of the business

the accommodation would not address the needs of other employees

3

A group of health care professionals participates in a family conference for a patient with a spinal cord injury. During the conference one of the participants summarizes the patient’s progress with bathing and dressing activities. This type of informat

nurse

physical therapist

occupational therapist

case manager

3

A physical therapist attempts to palpate the tibialis posterior tendon. To facilitate palpation of this structure the therapist should:

ask the patient to invert and plantar flex the foot

ask the patient to evert and dorsifex the foot

ask the patient to invert and dorsiflex the foot

passively evert and plantar flex the foot

1

A physical therapist participating in a research project elects to use a simple random sample to draw a sample from the population. By selecting this type of sample, the researcher ensures:

the data collected from the sample will be normally distributed

the sample size will be large

the sample will have proportional representation from all parts of the population

that every member of the population has an equal opportunity of being chosen

4

The goals for a patient status post total knee arthroplasty include general conditioning and independent household mobility. Which component of the patient’s treatment would be the MOST appropriate to delegate to a physical therapy aide?

stair training

progressive gait training with a straight cane

patient education regarding the surgical procedure

ambulation with a walker for endurance

4

A physical therapist examines the heart sounds of a 48-year-old female status post coronary artery bypass graft. When auscultating, the therapist identifies the heart sound associated with closing of the mitral and tricuspid valves. This heart sound BES

S1

S2

S3

S4

1

During a balance assessment of a patient with left hemiplegia, it is noted that in sitting the patient requires minimal assistance to maintain the position and cannot accept any additional challenge. The physical therapist would appropriately document th

normal

good

fair

poor

4

A physical therapist is treating a patient with a head injury who begins to perseverate. In order to refocus the patient and achieve the desired therapeutic outcome, the therapist should:

focus on the topic of perseveration for a short period of time in order to appease the patient

guide the patient into an interesting new activity and reward successful completion of the task

take the patient back to his room for quiet time and attempt to resume therapy once he has stopped perseverating

continue with repetitive verbal cues to cease perseveration

2

A patient rehabilitating from congestive heart failure is examined in physical therapy. During the examination the patient begins to complain of pain. The MOST IMMEDIATE physical therapist action is to:

notify the nursing staff to administer pain medication

contact the referring physician

discontinue the treatment session

ask the patient to describe the location and severity of the pain

4

A physical therapist reviews the medical record of a patient diagnosed with chronic obstructive pulmonary disease. The medical record indicates that the patient’s current condition is consistent with chronic respiratory acidosis. Which testing procedure

arterial blood gas analysis

pulmonary function testing

graded exercise testing

pulse oximetry

1

A physical therapist employed in a work hardening program performs an examination on a patient diagnosed with fibromyalgia. During the examination the therapist identifies an inconsistency between the measured lumbar range of motion and the amount of lum

avoid discussing the identified inconsistency with the patient

confront the patient with the identified inconsistency

discuss the identified inconsistency with the referring physician

discharge the patient from physical therapy

1

A former patient calls to ask for advice after injuring his low back in a work related accident. The patient explains that he cannot bend down and touch his toes without severe pain and has muscle spasms throughout the entire low back. The physical ther

explain to the patient that you would be happy to treat him, however, since you have not completed a formal examination it would be unfair to prescribe treatment

arrange a time for the patient to come into your clinic for immediate treatment

prescribe flexion exercises and ice every three hours

refer the patient to a qualified physician

4

A physical therapist treats a patient with superficial partial-thickness burns to the anterior surface of his lower legs. In an attempt to assist the patient to control the pain associated with the burns, the therapist rewards the patient with a lengthy

distraction

extinction

classical conditioning

operant conditioning

4

A physical therapist reviews a research study that examines knee flexion range of motion two weeks following arthroscopic surgery. Assuming knee flexion range of motion two weeks after arthroscopic surgery is a normally distributed variable, what percent

14%

34%

48%

68%

2

A physical therapist uses intermittent compression to treat a patient with an acute ankle sprain. The patient is positioned in supine with the leg elevated on a 40 degree wedge. The therapist uses an inflation pressure of 50 mm Hg with an on:off time of

increase the inflation pressure

increase the off time

increase the total treatment time

increase the elevation of the leg

2

A physical therapist examines the electrocardiogram of a patient during exercise. What change in the electrocardiogram would be most indicative of myocardial ischemia?

P wave changes

PR interval changes

QRS complex changes

ST segment changes

4

A physical therapist treats a patient diagnosed with chronic arterial disease. The patient exhibits cool skin, decreased sensitivity to temperature changes, and intermittent claudication with activity. The primary treatment goal is to increase the patie

short duration, frequent intervals

short duration, infrequent intervals

long duration, freque...