Midterm Flashcards
(30 cards)
A 62-year-old male comes in with numbness and tingling into his right lower extremity. You have ruled out red flags and deem him appropriate for a plan of care to improve symptoms consistent with nerve root involvement. Which cluster of central versus peripheral symptoms is consistent with nerve root involvement?
Answer Choices:
A. Marked pattern of proximal weakness
B. Radiating pain, numbness/weakness, and decreased reflexes in a specific territory
C. Distal paresthesia, sensory loss, and decreased distal reflexes
D. Waxing/waning weakness, ptosis, and diplopia
B. Radiating pain, numbness/weakness, and decreased reflexes in a specific territory
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A 62-year-old female presents to your vestibular-specializing clinic as a direct access patient. Upon subjective examination, you note the following symptom cluster: headaches, seizures, personality and memory changes, nausea and vomiting, fatigue, and drowsiness. What is your next course of action for treatment or referral out regarding this patient presentation?
Answer Choices:
A. Treatment that day for a vestibular inner ear Benign Paroxysmal Positional Vertigo (BPPV) issue
B. Referral out to primary care physician for suspected urinary tract infection (UTI)
C. Referral and call to emergency response services for suspicion of a possible cerebrovascular accident (CVA)
D. Referral back to primary care physician due to symptoms consistent with a brain tumor
D. Referral back to primary care physician due to symptoms consistent with a brain tumor
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An adolescent with a 4-year history of type 1 diabetes is insulin dependent and wants to participate in cross-country running. The physical therapist advises the athlete to measure plasma glucose concentrations before and after running. What additional advice should the therapist give this student athlete?
Answer Choices:
A. Avoid carbohydrate-rich snacks within 12 hours of a race
B. Consume a carbohydrate after practice to avoid hyperglycemia
C. Increase insulin dosage immediately before running
D. Consume a carbohydrate before or during practice to avoid hypoglycemia
D. Consume a carbohydrate before or during practice to avoid hypoglycemia
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A 42-year-old patient arrives at outpatient physical therapy complaining of neck pain for 2 days. The patient recently has been doing jiu jitsu and feels that she may have “kinked” her neck doing a class at the gym. She reports a headache, neck stiffness, nausea, and fever. What is the MOST appropriate therapist action?
Answer Choices:
A. Complete the physical therapy examination and contact the referring physician
B. Instruct the patient to go to the emergency department
C. Cancel the physical therapy examination and contact the referring physician
D. Reschedule the physical therapy examination and contact the referring physician
B. Instruct the patient to go to the emergency department
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You are working with a patient who is post-cerebrovascular accident (CVA) and is inconsistent with engagement in their home exercise program. Which of the following would assist in increasing correct performance of home exercises?
Answer Choices:
A. Stroboscopic glasses
B. Remote Therapeutic Monitoring
C. Virtual Reality
D. Blaze pods
B. Remote Therapeutic Monitoring
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A 51-year-old female presents with symptoms consistent with referral from a visceral structure.
Pain in mid-low back and left shoulder
Burning/gnawing abdominal pain
Constant and sudden onset
Constipation, flatulence
Name the organ that causes this pain referral pattern.
Answer Choices:
A. Pancreas
B. Kidney
C. Liver
D. Spleen
A. Pancreas
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You are examining a 32-year-old female with symptoms appropriate for manual cervical segment mobilization. Prior to your hands-on manual intervention, you want to investigate the integrity of the cervical spine during your clearing exam. Which special test included in the cervical clearing exam would test the integrity of the transverse ligament?
Answer Choices:
A. Sharp Purser
B. Transverse Membrane
C. Alar Ligament
D. Tectorial Membrane
A. Sharp Purser
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You are working with a 23-year-old female athlete and determine that the best treatment plan for her repetitive injuries is a structured plan working on strength and power conditioning. She has no red or yellow flags, and you have listed strength training in her plan of care. Per the 4 x 4 Exercise Matrix, the exercise shown would be categorized as what?
Answer Choices:
A. 2 (Suspended) x 4 (Load)
B. 3 (Stacked) x 4 (Load)
C. 3 (Stacked) x 1 (Feedback)
D. 2 (Suspended) x 1 (Feedback)
A. 2 (Suspended) x 4 (Load)
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A six-month-old presents to physical therapy with the diagnosis of left hemiplegic cerebral palsy. Which of the following would be the MOST appropriate physical therapy intervention to utilize to promote use of the affected extremity?
Answer Choices:
A. Sensory Integration
B. Constraint Induced Movement Therapy (CIMT)
C. Proprioceptive Neuromuscular Facilitation (PNF)
D. Neurodevelopmental Techniques (NDT)
B. Constraint Induced Movement Therapy (CIMT)
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A patient with chronic obstructive pulmonary disease (COPD) is seeing you for decreased exercise tolerance due to impaired ventilation, specifically increased residual volume. Which of the following interventions would BEST assist in decreasing the increased residual volume?
Answer Choices:
A. Inspiratory Muscle Training
B. High Intensity Interval Training (HIIT)
C. Breath Control
D. Expiratory Muscle Training
D. Expiratory Muscle Training
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You are working with a patient who complains of sacroiliac (SI) joint pain and are focusing on improving posterior joint stability using exercises incorporating the glutes and lats. Incorporation of exercises focused on the interconnectedness of tissues throughout the body refers to what concept?
Answer Choices:
A. Functional Movement Screen (FMS)
B. Fascial slings
C. Blood flow restriction
D. CrossFit
B. Fascial slings
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You evaluated an 80-year-old female with cerebrovascular accident (CVA) three months ago that is now appropriate, cleared, and ready for outpatient rehab. In the treatment of CVA/Stroke, involving a patient with weak/flaccid shoulder muscles, which of the following is a red flag?
Answer Choices:
A. Avoiding PROM
B. Strengthen available and low-tone muscles
C. Emphasize compensation strategies
D. Avoid traction or overhead activity
D. Avoid traction or overhead activity
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A 54-year-old male arrives to your clinic with low back pain. Your tests of straight leg raise and spinal instability tests are negative. A patient preference for flexion of the lumbar spine—“shopping cart sign”—is consistent with which lumbar spine pathology?
Answer Choices:
A. Spinal stenosis
B. Spondylolisthesis
C. Facet entrapment
D. Posterior lumbar disc bulge
A. Spinal stenosis
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You are working in an acute rehab hospital and are going to be evaluating a patient for a recent spinal cord injury. Which is NOT a classic symptom of a spinal cord injury?
Answer Choices:
A. Loss of bowel and bladder control
B. Inability to feel heat, cold, and touch
C. Pain or intense stinging sensation
D. Numbness and weakness of the face or extremity (primarily on one side)
D. Numbness and weakness of the face or extremity (primarily on one side)
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A 63-year-old male arrives at outpatient physical therapy complaining of left shoulder pain. The symptoms are aggravated when he shovels snow or climbs stairs. He complains of heartburn not relieved with antacids. Otherwise, he has no past medical history. While warming up on the recumbent bike, the patient reports evoking his left shoulder pain and reflux symptoms. Which of the following therapist actions is the MOST appropriate?
Answer Choices:
A. Continue the exercise and closely monitor the symptoms
B. Immediately stop the exercise, and assess the patient’s vital signs
C. Change from a recumbent bike to a treadmill to facilitate upright posture
D. Immediately stop the exercise, assess vital signs, and refer the patient to the emergency department
B. Immediately stop the exercise, and assess the patient’s vital signs
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A physical therapist is performing a six-minute walk test when their patient suddenly develops gait instability and difficulty speaking. The therapist notices the patient drooling with a slight facial droop. Which of the following conditions is the MOST likely cause?
Answer Choices:
A. Trigeminal neuralgia
B. Cerebrovascular accident
C. Myocardial Infarction
D. Bell’s Palsy
B. Cerebrovascular accident
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A 59-year-old male is referred to physical therapy with a diagnosis of hip and knee osteoarthritis, deconditioning, and diabetes mellitus type 2. What condition is MOST often associated with the given medical diagnosis?
Answer Choices:
A. Family history of osteoarthritis
B. Sedentary lifestyle and obesity
C. Smoking
D. Alcohol abuse
B. Sedentary lifestyle and obesity
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You are seeing a patient with a primary diagnosis of cystic fibrosis. For the patient plan of care, you would like to implement some resistance training but recall a possible concern and complication for this type of condition. Which common musculoskeletal complication of cystic fibrosis is important to combat with a resistance training program?
Answer Choices:
A. Decreased bone density
B. Joint contractures
C. Carpal tunnel syndrome
D. Polyarthralgia
A. Decreased bone density
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A patient presents status post ACL reconstruction with quad atrophy. Which intervention could you incorporate to promote muscle hypertrophy in the early stages of rehab without overloading the graft?
Answer Choices:
A. Select Functional Movement Assessment (SFMA)
A patient presents status post ACL reconstruction with quad atrophy. Which intervention could you incorporate to promote muscle hypertrophy in the early stages of rehab without overloading the graft?
Answer Choices:
A. Select Functional Movement Assessment (SFMA)
B. Blood flow restriction
C. Blaze pods
D. CrossFit
B. Blood flow restriction
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Your clinical instructor would like you to utilize the SINSS process during all your patient evaluations. She tells you that she prefers the SINSS tool because it was developed to improve the clinical reasoning skills of clinicians. The acronym SINSS stands for which of the following?
Answer Choices:
A. Significance, Irritability, Nociception, Stage, and Sustenance
B. Severity, Interdependence, Nature, Stage, and System
C. Severity, Irritability, Nature, Stage, and Stability
D. Strategy, Integration, Nature, Significance, and Stability
C. Severity, Irritability, Nature, Stage, and Stability
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A patient is seen in your clinic for low back pain and begins treatment for a lumbar disc issue. You have elected to treat the lumbar disc issue with extension bias directions to centralize and decrease the symptoms. Which symptom below is consistent with a possible (precaution) sign of serious pathology that is not consistent with a Lumbar Disc Extension Bias?
Answer Choices:
A. Pain reproduced only during valsalva type activities
B. Rapidly progressive or severe neurological deficits or those clients with acute pain in the spinal region that is not influenced by changing the patient’s position or by movement
C. Pain at 7/10 and peripheralizing symptoms upon a flexed posture
D. Worsening symptoms during knee to chest exercises
B. Rapidly progressive or severe neurological deficits or those clients with acute pain in the spinal region that is not influenced by changing the patient’s position or by movement
this is right due to quiz review
A 50-year-old male presents during a PT evaluation with numerous red flag symptoms. These red flag symptoms are indications to refer out versus treat. Which cluster of symptoms is associated with RED flag neurologic symptoms?
Answer Choices:
A. Urge urinary incontinence, dizziness upon laying supine, and anxiousness
B. Dizziness upon standing, incontinence, extreme confusion, recent urinary tract infections
C. Rapid onset of focal neurologic deficit, extreme confusion, and uncontrolled seizure activity
D. Vertebral artery insufficiency, abnormal reflexes, and constant headache
C. Rapid onset of focal neurologic deficit, extreme confusion, and uncontrolled seizure activity
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A patient with post-polio syndrome (PPS) is referred to physical therapy for exercise training. The patient reports recent general fatigue and weakness along with muscle and joint pain. What is the BEST initial intervention?
Answer Choices:
A. Strength training at 70% 1 RM, 2 days/week
B. Treadmill training at 2 mph and a 10-degree slope, 3 days/week for 30 minutes
C. Cycle ergometry at peak heart rate, 3 days/week for 40 minutes
D. Therapeutic aquatics, 3 days/week for 20 minutes
D. Therapeutic aquatics, 3 days/week for 20 minutes
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A physical therapist evaluates a patient with complaints of bilateral joint swelling and pain in the hands and fingers, morning stiffness, generalized fatigue, and low-grade fever. The pain decreases with low-level activity. The symptoms are MOST consistent with what condition?
Answer Choices:
A. Osteoarthritis
B. Osteoporosis
C. Fibromyalgia
D. Rheumatoid arthritis
D. Rheumatoid arthritis
this is right due to quiz review
