Variadas 10

Question 1

While evaluating a patient diagnosed with Achilles tendinitis, a therepist notes that the foot appears to be pronated in standing. Traditionally which anatomical alignment is associated with pronation in standing?

A:hindfoot pronation and forefoot supination
B: hindfoot supination and forefoot pronation
C: hindfoot varus and forefoot varus
D. hindfoot valgus and forefoot valgus

Answer 1

A

Question 2

The movement of the patella is influenced and controlled by all of the following except
the?

A.medial meniscus
B. medial patellofemoral ligament
С.height of the patella
D. vastus medialis obliquus

Answer 2

A

Question 3

A therapist measures a patient for a wheelchair. Which measurement is used to determine the arm rest height in a wheelchair?
A. seat to anterior superior illac spine
B. seat to elbow distance
C.femur to elbow distance
D. elbow to acromion distance

Answer 3

B

Question 4

What diagnostic test could be used to identify a contracture of the iliotbial band?

A. Thomas test
B. Trendelenburg test
C. Ober test
D.Yergason’s test

Answer 4

C: to evaluate tight, contracted or inflamed tfl and iliotibi band

Thomas t: iliopsoas tightness/ flexibility of hip flexors

Trendelemburg: weakness of hip abd

Yergason:biceps sh

Question 5

A therapist evaluates a 25 year old male rehabilitating from a tibial plateau fracture. The physician orders indicate the patient is non-weghtbearing on the involved lower extremity. The most appropriate gait pattern for the patient is…

A. two point
B. three point
C. four point
D. swing-to

Answer 5

B

Question 6

A patient rehabilitating from a medial meniscus repair has been instructed by the orthopedic surgeon to remain non-weightbearing for three weeks following surgery. The patient has no significant past medical history and is expected to make a full recovery.
Which of the following would be the most appropriate assistive device for the patient?

A.straight cane
B. axillary crutches
C. parapodium
D. walker

Answer 6

B

Question 7

A therapist attempts to reduce a child’s genu recurvatum using an ankle-foot orthosis. Which ankle setting would be the most effective ip achieve the therapist’s objective?

A. 5-10 degrees of dorsiflexion
B. neutral
C. 5-10 degrees of plantarflexion
D. 15-20 degrees of plantarflexion

Answer 7

A

Question 8

A therapist attempts to palpate the peroneus longus and brevis tendons on a patient diagnosed with chronic ankle instability. To facilitate palpation of these structures the therapist should

A. ask the patient to invert and dorsifiex his foot

В.ask the patient to evert and plantarflex his foot

C.ask the patient to invert and plantarflex his foot

D. ask the patient to evert and dorsilex his foot.

Answer 8

B

Question 9

Communication and perceptual problems are extremely common in hemiplegic patients, Which clinical problem would be characteristic of a right CVA?

A. inability to recognize symbols to do simple computations
В.inability to plan and execute serial steps in activities
C.distorted awareness and impression of self
D. diminished functional speech

Answer 9

C

Question 10

An 81 year old female diagnosed with left-sided congestive heart failure is referred to physical therapy. Which objective finding is most commonly associated with left-sided heart failure?

A.distended neck veins
В.liver and spleen congestion
C.peripheral edera
D. pulmonary edema

Answer 10

D

Question 11

A patient in a phase 1 cardiac rehabilitation program begins walking with assistance. Which of the following monitoring techniques would not be necessary in a phase 1 program?

A. blood pressure
B. electrocardiography
C. electromyography
D. hear rate

Answer 11

C

Question 12

A therapist completes a developmental assessment on a five month old infant. If the therapist elects to evaluate the infant’s palmar grasp reflex, which of the following stimuli is the most appropriate?

A. contact to the ball of the foot in upright standing
B. maintained pressure to the palm of the hand

C.noxious stimulus to the palm of the hand
D. sudden change in the position of the hand

Answer 12

B

Question 13

A therapist reviews the medical chart of a cardiac patient with a history of recurrent dysthythmias. The therapist is concerned about the patient’s past medical history and would like to monitor the patient during all activities. Which of the following parameters would be the most valuable for the therapist to monitor?

А.heart rate
B. electrocardiogram
C. blood pressure
D. respiratory rate

Answer 13

B

Question 14

A therapist examines an athlete immediately after sustaining a knee injury playing softball.
The therapist evaluates the ligamentous integrity of the athlete’s knee by performing a series of special tests. The therapist concludes that during an anterior draw test the patient’s knee demonstrates excessive anterior translation of the tibia on the femur. An injury to what structure other than the anterior cruciate ligament could give the impression of excessive anterior instability?

A. lateral collateral ligament
B. medial colfateral ligament
C. medial meniscus
D. posterior cruciate ligament

Answer 14

D

Question 15

A therapist instructs a patient to expire maximally after taking a majimal inspiration. The therapist can use these instructions to measure the patient’s:

A(expiratory reserve volume
B. inspiratory reserve volume
C. total lung capacity
D. vital capacity

Answer 15

D

Question 16

Chest percussion and vibration are appropriate bronchial drainage techniques for all of the following except the

A. anterior apical segment
B. fingula
C. left middle lobe
D. right middle lobe

Answer 16

C

Question 17

A therapist monitors a patient’s vital signs while exercising in a phase I cardiac rehabilitation program. The patient is status post myocardial infarction and has progressed without difficulty while involved in the program. Which of the fallowing vital sign recordings would exceed the typical limits of a phase I progrem?

A. heart rate elevated 18 beats/minute above resting level
B. respiration rate = 25 breaths/minute

C.systolic blood pressure decreases by 20 mmHig from resting level
D. diastolic blood pressure less than 100 mmHg

Answer 17

C

Question 18

A child fractures her femoral shaft after falling out of a tree house. The most serious complication of a femoral shaft fractures is
A.avascular necrosis
В.coxa vara deforiy
C.persistent knee stifiness
D.Volkmann’s ischemia

Answer 18

D

Question 19

therapist prepares to treat a patient with limited ankle range of motion using joint mobilization techniques. If the therapist elects to mobilize the talocrural joint in the loose pecked position, the therapist should position the ankle in .

A. 10 degrees dorsiflexion, 5 degrees inversion
B. 10 degrees dorsiflexion, 5 degrees eversion

C. 10 degrees plantarflexion, 5 degrees inversion
D. 10 degrees plantarflexion, 10 degrees eversion

Answer 19

C

Question 20

A patient recovering in the hospital from a total knee replacement is evaluated by a physical therapist. Assuming an uncomplicated recovery, what knee range of motion would be a realistic goal for the patient prior to discharge from the hospital?

A. 0-60 degrees
B. 0-90 degrees
C)15-90 degrees
D.15-105 degrees

Answer 20

B

Question 21

A therapist conducts an exercise test on a pulmonary patient to determine the amount of Impairment caused by her present illness. Which of the following would not be considered acceptable criteria for stopping a pulmonary exercise test?

A. cardiac ischemia or arrhythmias
B. increased cardiac output
C. maximal shortness of breath
D. symptoms of fatigue

Answer 21

B

Question 22

A therapist instructs a patient ambulating with axillary crutches to move cautiously and deliberatety on any potentially hazardous surface. Which galt pattem would allow the patient maximum security?
A. swing to
B. swing through
C. three point
D. four point

Answer 22

D

Question 23

A therapist measures a patient for a straight cane prior to beginning ambulation activities. Which gross measurement method would generally provide the patient with the appropriate size assistive device?

A.measuring from the fibula head straight to the floor and multiplying by two

B.measuring from the illac crest straight to the floor

C.measuring from the greater trochanter straight to the floor

D.dividing the patient’s height by two and adding three inches

Answer 23

C

Question 24

A physical therapist records the blood pressure of a two year old child. Which measurement would be considered normal for this age group?

A. 40 mmH-g systolic, 70 mmH-g diastolic
B. 85 mmHg systolic, 60, mmHg diastolic

C. 105 mmHg systolic, 75 mm/g diastolic
D. 120 mmHg systolic, 80 mmHg diastolic

Answer 24

B

Question 25

A therapist evaluates a 40 year old female diegnosed with rheumatoid arthritis. Which clinical finding is not characteristic of rheumatoid arthritis?

А.unar deviation of the fingers
В.swan neck deformity
C.boutonniere deformity
D. Heberden’s nodes

Answer 25

D

Question 26

An elderly patient with a minor inversion right ankle sprain is learning to use a straight cane. You should instruct the pt to?

A. hold the cane in the right hand, step left, then step right

B. hold the cane in the left hand, step left, then step right

C. hold the cane in the right hand, step right, then step left

D. hold the cane in the left hand, step right, then step left

Answer 26

D

Question 27

A person who is able to verbalize, but can not comprehend verbal commands is best described as suffering from?

A. expressive aphasia
B. receptive aphasia
C. global aphasia
D. agraphia

Answer 27

B

Question 28

A large percentage of patients with amputations have impaired circulation. Proper technique in wrapping the residual limb is therefore imperative. The most appropriate technique for wrapping a below knee amputee would be to ..

A. use a 5° width ace wrap and loosely wrap in a cylindrical patter

B. use a 3” width ace wrap, incorporate a figure eight pattem and wrep distal to proximal

C. use a 3” width wrap, loosely wrap in a figure eight patter and leave a small window distally for skin examination

D. use a 6” width wrap over two loosely applied layers of gauze bandaging in order to cushion and protect the limb

Answer 28

B

Question 29

Which power wheelchair option would be inappropriate for a C4 quadriplegic?

A. full length arm supports
B.reclining frame
C.hand controls
D. elevating leg rests

Answer 29

C

Question 30

Patella tracking dysfunction is a common problem in orthopedics. Dynamic factors for patelia tracking dysfunction include

A. increase in the angulation between the quadriceps muscle and the patella tendon

B. a lateral femoral condyle that is nol sufficiently prominent anteriorly

C.vastus medialis insufficiency

D. shallow trochlear groove

Answer 30

C

Question 31

A …. bandage would be most appropriate for wrapping the residual limb of an above knee amputee?

А.2 inch
B.4 inch
C. 6 inch
D. 8 inch

Answer 31

C

Question 32

Which treatment would be contraindicated during the acute stage of myositis ossificans?

A. passive range of motion
В.aclive assistive range of motion c.isometrics
D. massage

Answer 32

D

Question 33

A patient is fitted for an ande-fool orthosis with a solid stirrup double action ankle joint.
Gait analysis reveals moderate to severe genu recurvalum with stance phase on the affected side. The most appropriate modification to the ankle-foot orthosis in order to decrease recurvatum is _

A. dorsiflexion stop
B. plantarflexion stop
C.dorsiflexion and plantarflexion stops
D.dorsiflexion assist

Answer 33

B

Question 34

Effective management for….
would include elevating the head?

A. autonomic dysrefiexia
B. heterotopic ossification
C.orthostatic hypotension
D. anterior spinal artery syndrome

Answer 34

A

Question 35

The collateral ligaments offer maximum support when the knee is _

A.extended
B. flexed
C.flexed and internally rotated
D. the position of the knee is not a factor

Answer 35

A

Question 36

A patient with a T6-T7 spinal cord lesion would be expected to have what type of cough?

A. non-functional
B. weak-functional
C.functional
D. active coughing is impossible at the T6-T7 level

Answer 36

B

Question 37

A respiratory evaluation is performed on a patient with quadriplegia with the following results: the patient attains seventy percent of standard vital capacity, he is able to verbalize eight syllables per breath, and is able to mobilize and clear secretions from his lungs. Which injury level does this best describe?

А.C2-03
B. C4-05
C.C7-C8
D. T2-T3

Answer 37

C

Question 38

A therapist completes a gait analysis on a patient diagnosed with Parkinson’s syndrome.
As part of the evaluation the therapist measures the distance between right heel strike and the next consecutive left heel strike. This measurement is used to measure

А.left stride length
B.right stride length
C.left step length
D. right step length

Answer 38

C

Question 39

A therapist assesses the strength of a patient’s right hip flexors in sitting. During testing the patient is unable to move the extremity through the available range of motion. The most appropriate position to retest the hip flexors is in _

A. prone
B. supine
C. left sidelying
D. right sidelying

Answer 39

C

Question 40

A Physical therapist suspects developmental hip dysplasia in a 5 month old infant. All of the following tests can be used to diagnose developmental dysplasia of the hip, EXCEPT

1Abduction Test
2)Barlow’s Test
3)Galeazzi sign
4)Ely’s test

Answer 40

4

Ely’s test is used to identify tightness of rectus femoris. In this test, the patient lies prone, and the examiner passively flexes the patient’s knee. On flexion of the knee, the patient’s hip on the same side spontaneously flexes, indicating that the rectus femoris muscle is tight on that side and that the test is positive.

The abduction test, Barlow’s Test and the Galeazzi sign are used in the diagnosis of developmental dysplasia of the hip.

Question 41

Which clinical finding would you expect to see from a palient diagnosed with right sided heart fallure?

A. increased stroke volume
B. pulmonary edema
C.edematous ankies
D. bradycardia

Answer 41

C

Question 42

Which statement best describes a traumatic brain injured patient who is at level VII, “Automatic-Appropriate”
, Di the Ranchos Los Amigos levels of cognive functioning?

A. The patient is in a heightened state of activity with a severe impairment in the ability to process information.

B. The patient has gross attention to the environment, is highly distractible, and lacks ability to focus on a task without redirection.

C. The patient is able to go through her daily routine in a robot like fashion with little to no confusion and has an increased awareness of the environment.

D. The patient shows goal directed behavior, but relies on external input for direction.

Answer 42

C

Question 43

Based on the “Tule of nines”, an adult who has bums on the anterior right arm, the anterior portion of the thorax and the genital region would be classified as having bums over _ percent of the body?

A. 15
B. 22.5
C.23.5
D. 28

Answer 43

C
Anterior arm: 4.5
Ant torax: 18
Genital: 1

Question 44

A patient is postioned in supine on a balance assessment table. If the therapist suddenly tilts the table laterally to the left, the balance reaction that should oocur is

A. the neck flexes laterally to the left, trunk side flexion to the left, arm and leg on the left abduct and extend
B. the neck flexes, trunk side flexion to the left, arm and leg on the left abduct and extend

C. the neck flexes laterally to the right, trunk side flexion to the left, arm and leg on the right abduct and extend
D.the neck flexes laterally to the right, trunk side flexion to the right, arm and leg on the right abduct and extend

Answer 44

D

Question 45

A therapist prepares to treat a patient with continuous utrasound, Which general rule best determines the length of treatment when using ulrasound?

А.2 minules for every area that is 2-3 times the size of the transducer face
B. 5 minutes for every area that is 2-3 times the size of the transducer face

C. 5 minutes is the maximum treatment time regardless of the treatment area
D. 10 minutes is the maximum treatment time regardless of the treatment area

Answer 45

B

Question 46

Which of the following developmental landmarks is usually not observed when evaluating a four month old infant?

А.eyes follow objects 180 degrees
В.infant laughs

C. transfers blocks from one hand to the other
D. holds head erect when held in a sitting position

Answer 46

C

Question 47

therapist passively moves a patient’s upper extremity through a selected range of motion with the patient’s eyes closed. The patient is then asked to describe verbally the direction and range of movement of the upper extremity. This technique can be used to evaluate

A. barognosis
B. graphesthesia
C. kinesthesia
D. stereognosis

Answer 47

C

Question 48

A forced expiratory volume in one second that is less than 80% of the vital capachy would be indicative of

A. obstructive pulmonary disease
B. restrictive pulmonary disease
C. atelectasis
D. bronchiectasis

Answer 48

A

Question 49

Bandaging a residual limb is one method of postoperative dressing. The purpose of bandaging includes all of the following except

A. provides complete protection against accidental bruising and bumping
B. reduces edema
C. supports the surgical wound
D. aids in preventing contractures

Answer 49

A

Question 50

A therapist completes a manual muscle lest where resistance is applied toward plantarilexion and eversion. This description best describes a manual muscle test of the

A. tibialis anterior
B. tibialis posterior
C. peroneus longus
D. peroneus brevis

Answer 50

A

Question 51

A 10-year-old male with Cystic Fibrosis (CF) has been admitted to the hospital due to a recent bout of pneumonia. He was diagnosed with CF when he was one year old.

Which of the following would not be present upon examination?

a. Barrel chest and finger clubbing

b. Nasal flaring and diaphragmatic breathing

c. Raised shoulder girdle and increased prominence of accessory muscles

d. Small frame and muscle wasting

Answer 51

B

Nasal flaring and diaphragmatic breathing
Nasal flaring is common however
diaphragmatic breathing would not be noted on examination. Due to hyperinflation, patients with CF tend to have a flattened diaphragm which puts it at a mechanical disadvantage. The more common breathing pattern noted with this population is pursed lip breathing to aid in expiration of air.

Question 52

A T5 Asia A spinal cord patient has been referred to you to create an aerobic exercise program.
The patient will be performing their exercise program under PTA supervision for the first 3 weeks.
While transferring the task to your PTA, how would you ask the PTA to monitor their intensity level?

A. Heart rate
B. BORG Scale
C. Blood Pressure
D. Heart rate and Borg Scale

Answer 52

The correct answer is B.

In injuries above T6 SCI patients, their heart rate is affected and is not an accurate measure of intensity.

The best alternative for monitoring exercise intensity are BORG moderate intensity 11-13 or modified BORG 3-5)

Question 53

Six weeks ago, your patient injured their leg while performing straight leg dead lifts. Since then, they have walked with an antalgic gait. They have decreased hip extension and stand with their leg externally rotated.

QUESTION: You re-assess gait and notice the patient has improved hip extension, but has a positive Trendelenburg sign on the right.
Which of the following is true?

a) The patient has left sided hip weakness.

b) The patient leans to decrease the moment arm of gravitational forces pulling on the swing side, and decreasing the load on the weak abductor.

c) To compensate for hip weakness, the patient will lean contralaterally during stance.

d) The patient will have right side flex during left stance phase.

Answer 53

Answer: B

a. The patient has left sided hip weakness. False: The patient has right sided hip weakness.

b. The patient leans to decrease the moment arm of gravitational forces pulling on the swing side, and decreasing the load on the weak abductor. True.

c. To compensate for hip weakness, the patient will lean contralaterally during stance. False: The patient will lean ipsilaterally during stance.

d. The patient will right side flex during left stance phase.
False: The patient will right side flex during right stance.

Question 54

Vignette: Your 42 year old patient has recently been in a motor vehicle accident. They are experiencing pain in their left shoulder, radiating into their parascapular region. Range of motion testing reveals a decrease in motion in the frontal plane.
Question: You suspect the patient has limitation in the muscle length of their pectoralis minor. Which of the following co-morbidities would make testing the muscle length of pectoralis minor contraindicated?

A. Cervical radiculopathy
B. Thoracic outlet syndrome
C. Posterior shoulder dislocation
D. WAD grade 3

Answer 54

The correct answer is C.

The muscle length assessment technique for pectoralis minor is contraindicated if the patient has a history of posterior dislocation of the glenohumeral joint. The starting position for this test has the patient supine with the scapular over the side of the plinth, with the shoulder in external rotation and about 80 degrees of flexion. The elbow is also flexed. This is the position of apprehension for a posterior shoulder dislocation.

Question 55

Your 42 year old patient has recently been in a motor vehicle accident. They are experiencing pain in their left shoulder, radiating into their parascapular region. Range of motion testing reveals a decrease in motion in the frontal plane.

Question: Which movement in the shoulder would we expect to see decreased?

A. Flexion
B. Abduction
C. Internal rotation
D. Scaption

Answer 55

The correct answer is B.

The frontal (or coronal) plane divides the body into anterior and posterior sections. Since the patient is experiencing a decrease in range of motion in the frontal plane, we would expect to see a decrease in shoulder abduction and adduction.