PEAT 1 - Review PDF

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In splinting or immobilization, the functional position of the hand includes wrist: A. extension, phalangeal flexion, and thumb abduction B. extension, phalangeal extension and thumb abduction C. extension, phalangeal flexion and thumb adduction D. flexion, phalangeal flexion and thumb adduction Dur...

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Practice Questions

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1.

In splinting or immobilization, the functional position of the hand includes wrist: A. extension, phalangeal flexion, and thumb abduction B. extension, phalangeal extension and thumb abduction C. extension, phalangeal flexion and thumb adduction D. flexion, phalangeal flexion and thumb adduction

2.

During pregnancy, which of the following is contraindicated? A. curl-ups B. bridging C. double leg lifts D. deep breathing with forced expiration

3.

A target heart rate is determined for individual entering a training program in order to: A. regulate exercise intensity B. estimate energy expenditure C. control blood pressure and specific heart rate D. ensure participants exercise at maximal capacity

4.

A herniated nucleus pulposus at the L3-L4 disc produces which of the following clinical findings? A. Numbness in the back of the calf and dorsiflexor weakness B. Numbness in the anteromedial thigh and knee and quadriceps weakness C. Numbness and weakness in the thigh, legs, feet and/or perineum D. Numbness in the back of the calf and atrophy of gastrocnemius and soleus

5.

The intervention for a patient with limitation of shoulder flexion and medial rotation includes mobilization. Which glide is the most appropriate for mobilizing this shoulder to specifically increase the restricted motion? A. Posterior B. Anterior C. Medial D. Lateral

6.

Which of the following techniques is MOST appropriate for a patient with low postural tone? A. Slow regular rocking while sitting on the treatment bolster B. Continuous pressure to the skin overlying the back muscle C. Low frequency vibration to the back muscle D. Joint approximation applied through the shoulder to the trunk

7.

Which skin change associated with aging has the GREATEST effect on wound healing? A. Reduction in sensation B. Decrease elasticity of the skin C. Decrease epidermal proliferation D. Change in pigmentation

8.

Which of the following techniques is MOST effective in teaching an IDDM patient about foot care? A. Reassure the patient that no infection will occur if the directions are followed, then demonstrate procedure B. Tell patient how foot care is performed, then watch patient’s performance C. Watch patient perform foot inspection and caution him that amputation results from unattended skin problems D. Have the patient demonstrate a foot inspection, then give feedback on patient’s performance

9.

For a child with Duchenne muscular dystrophy, the MOST appropriate rehabilitation goal would be: A. prevention of contractures and determine method of mobility B. preservation of strength and muscle tone C. inhibition of abnormal tone and facilitation of normal movement and position reaction D. facilitation of normal movement and improvement of strength

10.

A patient with complete long thoracic nerve injury would have difficulty in: A. putting hand in the back pocket. B. bending toward the involved side. C. taking a deep breath. D. reaching forward above head. 7cf5dfb6b36dbbdd4b943d235ddf96ba.doc

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Practice Questions

11.

Outcomes of prenatal exercise program would not include: A. improved body mechanics B. application of relaxation technique C. improve ligament flexibility D. strengthen pelvic floor musculature

12.

Utilization review and peer review are activities that are part of a comprehensive: A. policy and procedure manual B. quality improvement program C. audit cycle D. performance evaluation

13.

Which of the following is the BEST documentation exercise of a goal? A. The therapist will reduce patient’s hip flexion contracture to neutral B. The patient will ambulate 75 feet independently in 3 weeks C. The therapist will reduce patient’s pain from 7/10 to 3/10 D. The patient will understand how to increase ADL in 4 weeks

14.

Patient has a limited ankle dorsiflexion following ORIF of distal tibia. Radiographs reveal that the fracture is well healed. Treatment with passive mobilization should include: A. posterior glide of talus on tibia B. lateral glide of calcaneus on tibia. C. posterior glide of tibia on talus D. anterior glide of talus on tibia.

15.

A patient who recently and successfully completed a 12 week program of phase III cardiac rehabilitation will MOST likely demonstrate a decrease in: A. CO2 elimination in maximal work B. cardiac output in maximal work C. stroke volume at a given level of submaximal work D. heart rate at a given level of submaximal work

16.

The demographic information on the subject in a research study list a mean age of 32 and median of 35. The difference between the median and mean indicates: A. the value of standard deviation score B. the value of the Z score C. that the distribution is skewed D. that the two measures should be average

17.

Rocking in quadruped position could be included in physical therapy intervention for a 40 year old patient to increase ROM at the: A. hip joint, 1 month post total hip replacement B. distal radioulnar joint, 2 weeks post fracture of the distal radius C. glenohumeral joint, 2 months post rotator cuff tear D. hip joint, 1 week post subcapital fracture of the femoral neck

18.

A therapist is treating a young athlete with gastrocnemius muscle strength of fair plus (3+/5). In the prone position, which of the following exercises is the MOST appropriate to maximize strengthening? A. Resistive exercises with the knee bent. B. Resistive exercises with the knee straight. C. Active exercises with the knee bent D. Active exercises with the knee straight.

19.

Redness on the inferior aspect of the patella upon removal of a patellar tendon bearing prosthesis indicates that the residual limb: A. is not far enough into the prosthesis and fewer socks should be worn B. is not far enough into the prosthesis and additional socks should be worn C. has slipped too far into the prosthesis and fewer socks should be worn D. has slipped too far into the prosthesis and additional socks should be worn

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Practice Questions

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20.

A therapist is evaluating a patient with an acute lumbar disc protrusion and a right lateral shift of the thoracic spine. Which of the following findings would be the BEST indicator that the symptoms will respond positively to the PT intervention? A. The pain is referred only to the buttock and not the thigh. B. The patient prefers standing and walking than sitting. C. There is a decrease in lumbar lordosis. D. Repeated backward bending centralizes the pain.

21.

A therapist evaluates a patient who has lateral epicondylitis. the patient reports a subjective pain of 8/10. The patient also reports pain and shows weakness with resisted wrist extension. The therapist decides to use ice massage as an intervention. The MOST appropriate length of time for the ice massage is: A. ten minutes B. until the area turns red and patient reports burning sensation C. until the patient reports that the area is numb D. no longer than five minutes

22.

Following spinal joint mobilization procedure, a patient calls the therapist and reports a minor dull ache in the treated area of the back that lasted for 2 to 3 hours. Based on this symptom, the therapist should: A. consider a possible neurological lesion in the area B. refer the patient back to the physician C. inform the patient that the response is common D. add strengthening exercises to the home program.

23.

In order to conduct an experimental study on pain in postsurgical orthopedic patients, a therapist randomly assigns patients into two groups. One group is treated with TENS, heat and exercises; the second receives heat and exercises only. In this experimental design, TENS is the: A. continuous variable B. dependent variable C. discrete variable D. independent variable

24.

A 90-year-old patient with chronic congestive heart failure has been non-ambulatory and a nursing home resident in the past year. The patient was recently admitted to the hospital following an episode of dehydration. Which of the following plans for prophylactic respiratory care is MOST appropriate? A. Turning, coughing and deep breathing every 1 to 2 waking hours. B. Vigorous percussion and vibration 4 times a day C. Gentle vibration, with the foot of the bed elevated once a day. D. Segmental postural drainage using standard positions throughout the day.

25.

Which diagnostic procedure is LEAST likely to confirm suspected disc herniation in a patient with low back pain? A. MRI scan B. CAT scan C. Radiograph D. Myelogram

26.

To help the students apply newly learned skill to clinical practice, the MOST effective action for the clinical instructor to take is to: A. point our possible patient situations and discuss how the skill would apply to them. B. have the students research reference materials and compile a list of the steps required in the acquisition of the skill C. prepare a list of indications and contraindications for the skill. D. have the students provide examples of patient situations where the skill would be appropriately applied.

27.

It is important to perform cool down exercises immediately following a general aerobic program PRIMARILY in order to prevent: A. venous pooling B. cardiac arrhythmia C. decrease body temperature D. muscle tightening

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Practice Questions

28.

The intervention for a patient who has right sciatic pain caused by piriformis compression would NOT include: A. instruction in mild self-stretching in sitting with the right hip and knee flexed and pressure applied in the medial direction to the distal thigh with the left arm. B. contract-relax exercise to the hip external rotators performed with the patient sidelying and the right hip and knee positioned in 90 degrees of flexion. C. active resistive strengthening exercise to the piriformis with the patient prone and the knee flexed D. application of cold to the area of sciatic nerve irritability

29.

A therapist is assigned in the planning and implementation of services for all members of the community. The therapist’s FIRST step would be to: A. develop a brochure for distribution to the community. B. organize a health fair to provide screening for the community. C. evaluate existing services and community resources. D. initiate contacts in the medical community to establish prescriptive relationships.

30.

To prevent contractures in a patient with an above-knee amputation (transfemoral), emphasis should be placed on designing a positioning program that maintains ROM in hip: A. flexion and abduction B. extension and adduction C. adduction and lateral rotation D. flexion and medial rotation.

31.

After a long-term history of bilateral lower extremity vascular insufficiency, an otherwise healthy patient had a right above-knee amputation. For this patient, which of the following is the MOST important factor in establishing long-term goals for functional walking? A. Status of the wound at the amputation site. B. ROM of the right hip. C. Condition of the left lower extremity D. Ability to maintain upright posture.

32.

A patient is referred to physical therapy complaining of severe pain in the right hip and groin area, which increases during walking. The patient complains of tenderness when the therapist palpates the area over the right greater trochanter. The MOST likely cause of the patient’s signs and symptoms is: A. sacroiliac joint derangement B. a hip fracture C. a strain of the adductor longus muscle D. hip bursitis

33.

A therapist is conducting a 12-minute walk test with a patient who has COPD and uses 2 L/min of O 2 by nasal cannula. The patient’s resting O 2 saturation is 91 % and the resting heart rate is 110 bpm. The O 2 flow should be increased if the: A. patient’s CO2 level starts to increase B. patient starts to complain of shortness of breath. C. patient’s O2 saturation falls below 87%. D. patient’s heart rate is greater than 150 bpm.

34.

When working with a neurological patient to ensure that physical therapy services are adequately documented, it is MOST important to record changes in: A. muscle tone B. functional abilities C. cognitive status D. quality of movement

35.

A patient has right hemiparesis resulting from TBI. When assessing motor control in the right lower extremity with the patient standing, the therapist finds that the patient cannot extend the hip while flexing the knee or flex the hip while extending the knee. In which of the following functional activities will this problem be MOST apparent? A. Shifting weight while standing. B. Walking sideways. C. Walking backward. D. Moving from sitting position to standing position. 7cf5dfb6b36dbbdd4b943d235ddf96ba.doc

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36.

A patient was injured in a motor vehicle accident two days ago, resulting in quadriplegia at C6 level. When providing PROM to the UE, which of the following is MOST critical in order to optimize long-term hand function? A. Passive wrist and finger extension exercise to gain maximum stretch of the finger flexors B. Passive wrist and finger flexion exercise to gain maximum stretch of the finger extensors. C. Holding the wrist in flexion when passively extending the fingers. D. Holding the wrist in extension when passively extending the fingers.

37.

An athlete sustained a severe inversion sprain of the right ankle while playing basketball. To provide strapping support for the ankle, pressure and support should be applied over the tendons of the: A. flexor digitorum longus and tibialis posterior B. gastrocnemius and flexor hallucis longus C. peroneus longus and brevis D. tibialis anterior and tibialis posterior.

38.

In which of the following conditions would a nerve conduction velocity test be MOST important? A. Carpal tunnel syndrome B. Cerebrovascular accident C. Myotonia D. Duchenne Muscular Dystrophy

39.

When training a patient to increase muscle activity with the use of EMG biofeedback, the therapist should adjust the unit so that sensitivity: A. starts at low and increases as the patient shows an increase in muscle activity B. starts high and decreases as the patient shows an increase in muscle activity C. remains at approximately mid-range during the entire treatment period. D. is not set, since this is not necessary for this form of biofeedback.

40.

A patient with leukemia has developed thrombocytopenia following a bone marrow transplant. Which of the following measures are indicative of the status of the thrombocytopenia? A. T4 lymphocyte count B. Red blood cell count. C. Platelet count D. White blood cell count

41.

During a postural examination, the therapist notes that the patient’s patella both point inward when viewed from the front of the patient. The MOST likely cause of this problem is excessive: A. femoral anteversion B. weakness of the vastus medialis C. genu varum D. medial tibial torsion

42.

A therapist is evaluating a patient who has a vascular lesion in the brainstem affecting the oculomotor nerve. During the cranial nerve examination, which of the following would be the MOST significant sign? A. Inability to close the eyelid B. Medial strabismus C. Ptosis of the eyelid D. Constricted pupil

43.

For a patient with IDDM who is completing a cardiovascular fitness program, what change in diabetic management is MOST likely to be instituted as fitness increase? A. Switching to oral rather than injected medication. B. Decreasing caloric intake for 2 to 3 hours following the exercise sessions. C. Decreasing the amount of insulin taken daily. D. Increasing the amount of insulin taken daily.

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Practice Questions

44.

An elderly patient presents with a sacral pressure ulcer measuring 6 in. x 6 in. The wound has moderate serous fluid drainage and is loosely covered with necrotic and fibrotic tissue, although there are no indications of infection present. The BEST method of debridement would be: A. daily vigorous scrubbing of the wound. B. wet-to-dry dressings with normal saline 2 times a day. C. daily wet-to-dry dressings with 1:1 dilute povidone-iodine (Betadine) D. whirlpool jet agitation 2 times a day.

45.

A patient is referred to physical therapy for treatment of tenosynovitis. The patient complains of “pins and needles” sensation on the palmar surface of the first three fingers. The therapist’s examination reveals a positive Tinel’s sign at the wrist and good (4/5) grade thumb opposition. Based on these findings, the therapist should suspect: A. median nerve compression at the wrist B. ulnar nerve compression distal to the elbow C. tenosynovitis of abductor pollicis longus D. thoracic outlet syndrome

46.

A patient has disuse atrophy of the anterior compartment muscle following cast removal after a fracture of the tibia. The patient has poor (2/5) strength in the ankle dorsiflexors. Electrical stimulation is to be used to enhance dorsiflexor strength in conjunction with exercise. Initially, which of the following waveform characteristics is MOST appropriate to stimulate the muscles? A. Monophasic pulse with a frequency of 110 pps and on/off cycle ration of 3:1 B. Biphasic pulse with a frequency of 30 pps and on/off cycle ratio 1:5. C. Direct current waveform with an on/off ratio of 1:1 D. Interferential waveform with a beat frequency of 1 pps.

47.

A patient is referred to physical therapy with a 20-degree knee flexion contracture following arthroscopic knee surgery a month ago. All of the following interventions are appropriate EXCEPT: A. stretching of the semimembranosus muscle B. strengthening of vastus medialis. C. inferior gliding of the patella. D. mobility of the posterior capsule of the knee joint.

48.

A patient with a complete SCI is sitting in a wheelchair on a custom made cushion. Pressure relief activities should be performed: A. when the patient shows signs of pressure sores B. every 15 to 20 minutes C. every 1 to 2 hours D. if the patient does not have an appropriate cushion.

49.

During a review, a patient lacks 10 degrees of passive ankle dorsiflexion. The same degree of limitation is present whether the knee is flexed of extended. The muscle MOST likely contributing to this restriction is the: A. gastrocnemius B. tibialis anterior C. plantaris D. soleus

50.

Which of the following assignments is MOST appropriate for the physical therapist to delegate to a volunteer? A. Restocking treatment booths with linens, US gel, massage lotion. B. Attending a patient who is on a tilt table while the therapist takes a phone call. C. Transporting a patient who complains of dizziness back to his room. D. Transferring a patient from the mat to a wheelchair.

51.

A patient sustained a severe brain stem injury one week ago and has demonstrated minimal change since the incident. The patient’s cognitive status is MOST likely to include: A. a decrease level of arousal B. a decrease level of intelligence C. an increase level of agitation D. an increase level of impulsivity

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