Quiz 4,5 & 6

Question 1

An example of transcellular fluid within the body is:

Cerebrospinal fluid
Intracellular fluid
Fluid within the veins and arteries
Fluid within cell bodies

Answer 1

Cerebrospinal fluid

Question 2

You are working with a patient with systemic lupus erythematosus and would like to make recommendations regarding their exercise and physical therapy plan. Which of the following statements would be appropriate instructions for this patient?

Pace activities to conserve energy
Protect joints by avoiding high impact exercises
Excessive bed rest is important for recovery
Both A & B

Answer 2

Both A & B

Question 3

In regards to clinical manifestations of HIV in the body, all of the following are potential symptoms that can occur in the early stages EXCEPT:

Weight loss
Fevers
Diarrhea
Dementia

Answer 3

Dementia

Question 4

You are working with a patient with systemic lupus erythematosus. All of the following statements are TRUE regarding this condition EXCEPT:

Early symptoms of lupus include arthritis
It is more prevalent in young women
The body produces antibodies against itself, attacking multiple systems
This condition typically only involves the musculoskeletal system

Answer 4

This condition typically only involves the musculoskeletal system

Question 5

All of the following statements are TRUE regarding airborne transmission of pathogens EXCEPT:

Organisms travel up to 3 feet in the air
Organisms are not visible to the naked eye
It is propelled through coughing
Organisms can remain suspended in the air for hours

Answer 5

Organisms travel up to 3 feet in the air

Question 6

Transferring antibodies from a mother to a fetus or through breast milk is an example of:

red Immunity
Passive Aquired Immunity
Adapted immunity
Innate immunity

Answer 6

Passive Aquired Immunity

Question 7

ou are working with a patient with Fibromyalgia and would like to implement a modality. Which of the following modalities would be MOST appropriate for this patient population?

Cryotherapy
Thermal ultrasound
High voltage electrical stimulation
Both B & C

Answer 7

both B & C

Question 8

You are working with a patient with known “hypermagnesia.” Based on this information, what would you expect to see when measuring vital signs?

Hypertension
Tacycardia
Hypotension
Strong pulse

Answer 8

hypotension

Question 9

You are working with a patient with hypokalemia. The patient reports feeling very thirsty and drinking more water than usual. As a result, the patient will likely present with:

Polyuria
Oliguria
Anuria
None of the above

Answer 9

polyuria

Question 10

You are working with a patient with HIV. Which of the following statements is TRUE regarding transmission of this virus?

It is primarily transmitted through blood - take caution when handling needles or wounds where blood is present
It is primarily transmitted through saliva - take caution with sharing straws or cups between patients
It is primarily transmitted through semen - sexual contact should be avoided
Both A & C

Answer 10

both A & C

Question 11

You are working with a patient who demonstrates a respiration rate of 43 breaths per minute. The patient appears to be in distress. Which of the following clinical findings would be MOST likely with a patient presenting this way?

Respiratory alkalosis
Hypoventilation
Increased CO2
Both A & B

Answer 11

respiratory alkalosis

Question 12

You are working with a patient and are collecting a subjective report. The patient states, “My muscles are burning, 8/10 and it feels like a migraine headache of my muscles.” Based off this descriptor, what is the MOST likely diagnoses involved with this patient?

Chronic fatigue syndrome
Fibromyalgia
Connective tissue disease
Rheumatoid arthritis

Answer 12

fibromyalgia

Question 13

You are working with a patient with streptococcal pharyngitis. Which of the following statements is NOT TRUE regarding this bacteria?

The incubation stage is 10-14 days
Pain with swallowing is a common symptom
The incubation stage is 1-5 days
It requires antibiotic treatment

Answer 13

incubation stage is 10=14 days

Question 14

Which of the following conditions colonizes in the oropharynx and nasopharynx and is the most common cause of meningitis in infants and toddlers?

Streptococcus pharyngitis
Pseudomonas
Streptococcus pneumoniae
Methicillin Resistant Staphylococcus Aureus (MRSA)

Answer 14

Streptococcus pneumoniae

Question 15

You are working with a patient with Fibromyalgia. The patient reports they are currently sedentary but would like to be more active. Which of the following BEST describes a physiologic affect that occurs with persons with Fibromyalgia?

Circulation increases excessively with exercise
Circulation decreases with exercise
Tightness and trigger points do not present in the neck and chest muscles
The diaphragm is unaffected and remains fully functioning

Answer 15

circulation decreases with exercise

Question 16

A patient with cardiovascular pathology is placed on a diuretic. Which laboratory test should be the MOST essential for the physical therapist assistant to monitor based on the patient’s prescribed medication?

Cardiac biomarkers
Prothrombin time (blood clot)
Serum cholesterol
Serum electrolytes

Answer 16

Serum electrolytes

Question 17

ou are working with a patient who had hip surgery 2 days ago and presently has a urinary catheter. Which of the following statements BEST describes the actions a healthcare worker should NOT perform when working with this patient?

If the drainage tube becomes disconnected, do not touch the ends of the tubing
Raise the drainage bag above the level of the person’s bladder
Drain the urine from the tubing before the person exercises or ambulates
Lower the drainage bag below the level of the person’s bladder

Answer 17

raise the drainage bag above the level of the person’s bladder

Question 18

You are working with a patient who reports persistent diarrhea. When intervewing the patient, which of the following questions would be the MOST relevant to determine if they possibly have Clostridium Difficile?

Have you recently injested dairy?
Do you wear a mask when at the grocery store?
Have you recently travelled outside the U.S.?
Have you recently been on a series of antibiotics?

Answer 18

Have you recently been on a series of antibiotics?

Question 19

All of the following statements are TRUE regarding Hepatitis C except:

Is known as the “traveler’s virus”
Patients with Hep C are more likely to develop chronic cirrhosis
Common amongst IV drug users
No vaccine is available to prevent Hep C

Answer 19

Is known as the “traveler’s virus”

Question 20

You are working with a patient with Chronic Fatigue Syndrome (CFS). Which of the following statements is TRUE regarding this diagnoses?

It involves unexplained fatigue for less than or equal to 6 months duration
It involves unexplained fatigue for greater than or equal to 6 months duration
The average illness duration is 1-2 years
Rates are higher in men

Answer 20

It involves unexplained fatigue for greater than or equal to 6 months duration

Question 21

You are working with a 67 year old patient who presents with blister-like lesions following a dermatome pattern. The lesions appear along the patient’s trunk and the patient reports pain and itching. Which of the following conditions BEST decribes this patient?

Herpes simplex
Mononucleosis
Varicella
Herpes zoster

Answer 21

Herpes zoster

Question 22

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

Sodium
High-density lipoproteins (HDL)
Low density lipoproteins (LDL)
Triglycerides

Answer 22

sodium

Question 23

You are working with an elderly patient with renal dsyfunction. Based on the physiologic changes that occur with aging, which of the following BEST describes what condition could happen when the kidney is not able to excrete free water from the body?

Hyponatremia
Hypernatremia
Ketoacidosis
Hypermagnesia

Answer 23

hyponatremia

Question 23

you are working with a male patient who complains of burning with urination and penile discharge. You notify the nurse of the patient’s reports because:

This could be a sexually transmitted infection
This could be Human Papillomavirus
This could be Chlamydia
Both A & C

Answer 23

This could be Chlamydia or C: both a & c

Question 24

You are working with a patient who presents with a rash on their face. In what diagnoses is this patterning of rash MOST seen? Dermatitis Lupus erythematosus Chronic hepatitis Psoriasis

Answer 24

Lupus erythematosus

Question 25

While interviewing a patient, you uncover that they recently travelled to South America where they backpacked for 1-2 weeks. At times they were not near large sources of water yet made ends meet. The patient presents with fatigue, diarrhea, and joint pain that began a week into their trip. These symptoms BEST describe what form of hepatitis? Hep D Hep B Hep C Hep A

Answer 25

Hep A

Question 26

You are treating a patient with Chronic Fatigue Syndrome (CFS) and incoporating various interventions. Which of the following best describes interventions that would be MOST appriopriate for a person with this diagnoses? Soft tissue massage to enhance ROM and posture Stretching to promote posture Low level exercises performed in small bouts throughout the day All answers are correct

Answer 26

All answers are correct

Question 27

You are working with a patient who has a decubitus ulcer (pressure wound) on their left ischial tuberosity. While working with the patient, you note that there is a blue-green exudate and a sweet, grape-like odor (fruity). What is this MOST indicative of? Streptococcal infection Herpes virus Pseudomonas Methicillin Resistant Staphylococcus Aureus (MRSA)

Answer 27

Pseudomonas

Question 28

You are working with a patient with Fibromyalgia who also has arthritis in bilateral knees. The patient is currently obese and overall inactive. Which of the following exercises would be MOST appropriate for this patient? Treadmill training Stretching to the point of limitation repeated 10 times a day AROM aquatic exercises High intensity interval training

Answer 28

AROM aquatic exercises

Question 29

You are working with a patient who is struggling with respiratory acidosis. In regards to physical presentation, you would expect the patient to present with all of the following EXCEPT: Hyperventilation Decreased blood PH Dyspnea Hypoventilation

Answer 29

hyperventilation

Question 30

all of the following are strategies to reduce the transmission of HIV EXCEPT: sexual partner notification decreased patient care for persons with HIV increased education to the public regarding transmission routine screening

Answer 30

decreased patient care for persons with HIV

Question 31

You just finished working with a patient with MRSA. Prior to leaving the room, you washed your hands for 10-15 seconds with soap. In order to BEST prevent transmission of this bacteria you should: Apply an alcohol-based hand sanitizer Continue on to the next treatment No further action is needed Apply an antimicrobial soap and wash for 30 seconds

Answer 31

Apply an antimicrobial soap and wash for 30 seconds

Question 32

You are working with a patient that has been very nauseous for the last 24 hours and has had difficulty consuming fluids. If the patient is dehydrated, all the following symptoms could present EXCEPT: Postural hypotension Dizziness when lying down Headache Rapid pulse

Answer 32

Dizziness when lying down

Question 33

You are working with a patient and assessing vital signs. You notice that the patient's heart rate has increased and their blood pressure has decreased. Which of the following statements BEST describes what could cause this change? Extravascular fluids have increased Intravascular fluids have decreased Intravascular fluids have increased Extravascular fluids have decreased

Answer 33

Intravascular fluids have decreased

Question 34

While working with a patient, the patient experiences tetany and Chvostek’s sign. Which of the following BEST explains the cause of these clinical symptoms? Hypocalcemia Hypercalcemia Hyponatremia Hyperkalemia

Answer 34

hypocalcemia

Question 35

You are working with a patient with diabetes mellitus and uncontrolled blood sugar. Which of the following clinical findings would be MOST likely with this patient? Metabolic acidosis Metabolic alkalosis Fruity odor of breath Both A & C

Answer 35

metabolic acidosis

Question 36

The bullseye skin pattern is also called

Answer 36

flavivirus

Question 37

which strategy prevent transmission of HAIs (healthcare-acquired infections) EXCEPT: Identify a patient's transmission precautions prior to working with them Observe clients for signs of infection and notify nursing of observations Stay away from susceptible, high-risk clients when you have an obvious infection Identify a patient's transmission precautions after working with them

Answer 37

identify a patient's transmission precautions after working with them

Question 38

You are working with a patient and notice in their past medical history that upon admittance to the hospital they had a serum blood PH of 7.10. This PH level indicates that: PH is too low (alkaline) PH is too low (more acidic) PH is too high (acidic) PH is too low (more alkaline)

Answer 38

PH is too low (more acidic)

Question 39

All of the following are common signs and symptoms of Fibromyalgia EXCEPT: Sciatica Myalgia Double vision (diplopia) Sleep disturbances

Answer 39

Sciatica