SuSig A Flashcards
An elderly patient with hypothyroidism is recovering from a fall and is referred to physical therapy to increase tolerance and safety. The patient complains to the therapist of significant muscle pain in both lower extremities. What additional musculoskeletal effects should the therapist examine for?
Distal muscle weakness
Proximal muscle weakness
Joint laxity
Decreased deep tendon reflexes
Proximal muscle weakness
A child experiences a superficial partial-thickness burn from a scalding pot of water affecting 26% of the thorax and neck. On what should the therapist’s INITIAL plan of care focus?
a. Return to preborn function and activities
b. Pain management
c. Infection management
d. Chest wall mobility and prevention of scar contracture
d. Chest wall mobility and prevention of scar contracture
A patient is referred to a woman’s health clinic with moderate to severe uterine prolapse. What symptoms should the therapist examine for?
a. Absent perineal sensation
b. Bowel leakage
c. Low back pain and perineal discomfort aggravated by prolonged standing
d. Low back pain and perineal discomfort aggravated by lying down
c. Low back pain and perineal discomfort aggravated by prolonged standing
A patient with coronary artery disease has been doing regular aerobic exercise on a treadmill. If the patient fails to comply in taking beta-blocker medication and continues to exercise, what potential rebound effect result?
a. Increase in blood pressure and decrease in heart rate during exercise
b. Decrease in blood pressure and heart rate during exercise
c. Increase in blood pressure and heart rate during exercise
d. Decrease in blood pressure and increase in heart rate during exercise
c. Increase in blood pressure and heart rate during exercise
A patient has persistent midfoot pain with weight bearing. The injury occurred during a soccer match when an opposing player stepped on the patient’s right foot when it was planted and cutting to the left. Patient locates the pain where laces are tied. Upon examination there is splaying of the first metatarsal and increased pain when passively stressing the foot with plantarflexion and rotation. What injury should the therapist suspect the patient has sustained?
Lisfranc injury
Turf toe
Calcaneocuboid joint subluxation
Hallux rigidus
Lisfranc injury
A patient is referred to physical therapy with a 10-year history rheumatoid arthritis (RA). What are possible extra-articular complications?
Disc degeneration
Psoriatic skin and nail changes
Vasculitis
Conjunctivitis and iritis
Vasculitis
A physical therapist is instructing an elderly patient how to perform bed mobility following total hip replacement. The therapist should carefully consider the effects of aging that relate to skin. What is one such effect?
Increased perception of pain
Impaired sensory integrity
Increased skin elasticity
Increased inflammatory responsiveness
Impaired sensory integrity
What would a therapist who is examining the breathing pattern of a patient with a complete (ASIA A) C5 spinal cord injury expect to observe?
a. Asymmetric lateral costal expansion due to ASIA A injury
b. An increased subcostal angle due to air trapping from muscle weakness
c. No diaphragmatic motion since the diaphragm is below the level of the lesion
d. Rising of the abdomen due to no abdominal muscle tone on the abdominal viscera
d. Rising of the abdomen due to no abdominal muscle tone on the abdominal viscera
Men are at high risk for development of metabolic syndrome if they exhibit which of the following symptoms?
An HDL level lower than 45 mg/dL
A waist size greater than 40 inches
Triglyceride levels greater than 100 mg/dL
Fasting blood glucose less than 100 mg/dL
A waist size greater than 40 inches
During an examination, the limitations of ultrasound imaging include which of the following?
a. Inability to clearly see cartilage in infants
b. Disruption of cardiac pacemakers
c. Difficulty penetrating bone and therefore visualizing internal structure of bones
d. Inability to give a clear picture of tendons and therefore diagnose tendon tears
c. Difficulty penetrating bone and therefore visualizing internal structure of bones
A patient with a BMI of 37 is referred to physical therapy for exercise conditioning. What are additional clinical manifestations associated with the BMI that this patient might exhibit?
Hyperpnea and hyperpituitarism
Hypertension and hyperinsulinism
Hormone-related cancer
Hyperlipoproteinemia and hypotension
Hypertension and hyperinsulinism
When visually examining active abduction of the arm to 150 degrees, what is the normal composition of the motion a therapist would expect?
a. 150 degrees of the glenohumeral joint and 0 degrees of scapulothoracic motion
b. 110 degrees of the glenohumeral motion and 40 degrees of scapulothoracic motion
c. 75 degrees of the glenohumeral motion and 75 degrees of scapulothoracic motion
d. 100 degrees of the glenohumeral motion and 50 degrees of scapulothoracic motion
d. 100 degrees of the glenohumeral motion and 50 degrees of scapulothoracic motion
To prepare a patient with a cauda equina lesion for ambulation with crutches, what upper quadrant muscles would be the most important to strengthen?
Upper trapezius, rhomboids, levator scapulae
Deltoid, coracobrachialis, brachialis
Middle trapezius, serratus anterior, and triceps
Lower trapezius, latissimus dorsi, and pectoralis major
Lower trapezius, latissimus dorsi, and pectoralis major
What will a patient with a significant right thoracic structural scoliosis demonstrate on examination?
Decreased breath sounds on the right
Decreased thoracic rib elevation on the right
Increased lateral costal expansion on the right
Shortened internal and external intercostals on the right
Increased lateral costal expansion on the right
A therapist has been treating a patient over a period of 4 months for decreased shoulder elevation and a loss of external rotation. Recovery has been good; however, the patient still complains of being unable to reach the upper shelves of kitchen cabinets and closets. To help the patient achieve this goal, what should be the focus of manual therapy?
Superior glide
Inferior glide
Anterior glide
Grade II oscillations
Anterior glide
Which activity would help break up obligatory lower extremity synergy patterns in a patient with hemiplegia?
a. High kneeling position, ball throwing
b. Standing, alternate marching in place with hip and knee flexion and hip abduction
c. Sitting, alternate toe tapping
d. Sitting, foot slides under the seat
a. High kneeling position, ball throwing
A patient recovering from stroke reports lack of feeling in the more-affected hand. Light touch testing reveals lack of ability to tell when the stimulus is being applied (only 1 correct response out of 10 tests). What additional sensory tests should the therapist perform?
Test for pain and temperature
Test for two-point discrimination
Test for two-point discrimination
Test for barognosis
Test for pain and temperature
Three months ago a patient experienced a traumatic injury to the hand that resulted in surgical tendon repair and fracture stabilization. The therapist is planning a treatment program to address tightness of the lumbricals. What exercises would be BEST in order to increase range of motion of the hand?
Both MCP and IP joints are moved into flexion
Both MCP and IP joints are moved into extension
MCP joints extended and the IP joints flexed
MCP joints flexed and the IP joints extended
MCP joints extended and the IP joints flexed
In managing the residual limb of an elderly patient with a transfemoral amputation, what is the MOST IMPORTANT factor the therapist should consider?
Contracture of hip musculature
Residual limb shape
Muscle atrophy
Residual limb healing
Residual limb healing
A chest tube gets dislodged during physical therapy treatment. If the therapist fails to cover the defect, what could the patient develop?
Pulmonary embolism
Pulmonary edema
Pneumothorax
Aspiration pneumonia
Pneumothorax
A patient with a long history of cigarette smoking has been admitted to the hospital and presents with tachycardia, signs of lung infection, abnormal breath sounds in both lower lobes, and dullness to percussion. What should the therapist’s initial intervention focus on with this patient?
Getting the patient to quit smoking
Breathing reeducation to increase efficiency of ventilation
Airway clearance and secretion removal
Graded inspiratory muscle training
Airway clearance and secretion removal
A patient has adhesive capsulitis of the glenohumeral joint. What is the expected greatest limitation of motion when performing shoulder ROM?
Flexion
Abduction
Medial rotation
Lateral rotation
Lateral rotation
During a home visit an adult patient asks the physical therapist assistant to see the physical therapy progress notes in the medical record. What should the PTA do?
Refuse to let the patient see the record
Allow the patient to see the notes
Let the patient see the notes only with the permission of the physical therapist
Contact the patient’s physician and explain the situation
Allow the patient to see the notes
Following a motor vehicle accident, a patient with chest trauma developed atelectasis. What is the LEAST appropriate intervention to help with the immediate management of atelectasis?
Pain reduction techniques
Segmental breathing
Incentive spirometry
Paced breathing
Paced breathing
Following reattachment of the flexor tendons of the fingers, the patient is in a splint. One physical therapy goal is to minimize adhesion formation. What should the physical therapist teach the patient after 72 hours post-surgery?
a. Passive extension and active flexion of the interphalangeal joints
b. Active extension and flexion of the interphalangeal system
c. Active extension and passive flexion of the interphalangeal joints
d. Gentle passive extension and flexion of the interphalangeal joints
c. Active extension and passive flexion of the interphalangeal joints
A patient with a transtibial amputation of 2 months’ duration complains of an intense burning pain that seems to emanate from the heel. The phantom pain mirrors the patient’s preoperative pain. What is the most likely previous source of this pain?
Dorsalis pedis artery obstruction
Popliteal artery obstruction
Damage to the superficial peroneal (fibular) nerve
Damage to the tibial nerve
Damage to the tibial nerve
A patient’s plan of care includes use of iontophoresis for the management of calcific bursitis of the shoulder. To administer this treatment using the acetate ion, what current characteristics and polarity should be used?
Monophasic twin-peaked pulses using the positive pole
Monophasic twin-peaked pulses using the negative pole
Direct current using the positive pole
Direct current using the negative pole
Direct current using the negative pole
A snowmobile left the trail and struck a tree. The driver’s left knee was flexed approximately 90 degrees and the tibia impacted with the inside front of the snowmobile. What would this mechanism of injury MOST LIKELY result in?
Dislocated patella
Sprained or ruptured PCL
Sprained or ruptured ACL
Rupture of the popliteal artery
Sprained or ruptured PCL
The interview with an 18 year-old female cross-country runner elicits a history of stiffness and diffuse ache in her right knee that is aggravated by prolonged sitting. Going down stairs is also painful. Based on this information, what is the LIKELY diagnosis that should serve as a focus for the physical examination?
Iliotibial band friction syndrome
Osgood-Schlatter disease
Meniscal tear
Patellofemoral syndrome
Patellofemoral syndrome
Following mastectomy with axillary lymph node dissection, a patient developed 4+ edema in the ipsilateral arm. A compression garment was ordered. What is the primary reason this garment decreases edema?
It decreases the osmotic pressure of the capillaries
It increases the capillary permeability
It exceeds the internal tissue hydrostatic pressure
It equals the fluid outflow from the capillaries
It exceeds the internal tissue hydrostatic pressure
A patient presents with a chronic restriction of the temporomandibular joint (TMJ). The physical therapist observes the situation during mouth-opening range of motion (ROM) assessment. What is the BEST intervention if the patient has a classic TMJ unilateral capsular restriction?
(Left/Right) TMJ, (superior/inferior) glide manipulation
RIGHT TMJ, INFERIOR glide manipulation
A patient in the late stages of Parkinson’s disease exhibits episodes of akinesia while walking. What should the therapist examine?
Primary involvement of the head and trunk
Associated dyskinesias
Primary involvement of the hips and knees
Triggers that precipitate the freezing episodes
Triggers that precipitate the freezing episodes
A patient is referred to physical therapy for balance and gait training following two falls in the home in the past month. The therapist notes in the medical record that the patient has adrenal insufficiency. What are the metabolic abnormalities associated with adrenal insufficiency?
Hypokalemia
Hyponatremia
Hyperglycemia
Alkalosis
Hyponatremia
A physical therapist is treating a patient with active infectious hepatitis B. In addition to wearing a protective gown when in the patient’s room, what precautions should be taken to avoid transmission of the disease?
a. Avoid direct contact with the patient’s blood or blood-contaminated equipment by wearing gloves
b. Avoid direct contact with any part of the patient
c. Have the patient wear a mask to minimize droplet spread of the organisms from coughing
d. Provide tissues and no-touch receptacles for disposal of tissue
a. Avoid direct contact with the patient’s blood or blood-contaminated equipment by wearing gloves
Idiopathic scoliosis is suspected in a 12-year-old girl. During the physical examination, what is the standard screening test for this condition?
Long-sitting, forward bend test
Standing, Adam’s forward bend test
Sitting, rotation test to the right and left
Standing, backward extension test
Standing, Adam’s forward bend test
A patient had anterior cruciate ligament (ACL) reconstructive surgery 2 weeks ago. During the initial examination, the physical therapist noticed marked edema around the knee and calf. Knee passive range of motion was limited from -5 degrees extension to 90 degrees of flexion. Hip PROM was within normal limits. Ankle dorsiflexion was limited to 0 degrees because of pulling pain in the calf. Marked tenderness to superficial palpation to anterior knee and posterior calf and increased temperature were also noted. The patient is experiencing calf pain and discomfort when standing during partial weight-bearing ambulation. Upon completion of the examination, what is the BEST intervention at this time?
a. Isometrics and PROM for the knee
b. Massage to knee and calf to help alleviate the expected post surgical edema
c. Ice and interferential current to alleviate edema and facilitate movement
d. Immediate referral to the surgeon
d. Immediate referral to the surgeon
Use of continuous ultrasound at 1.5 watts/cm2 can increase which of the following?
Local metabolic rate
Rate of muscle hypertrophy
Stiffness of collagen tissue
The resolution of acute inflammation
Local metabolic rate
During observation of bilateral active straight leg raising in a supine position, the patient demonstrates progressively increasing lumbar lordosis during lowering of the limbs with each successive lift. What is the MOST LIKELY cause of the observed excessive lordosis during the bilateral straight leg activity?
a. Muscle imbalance between the rectus femoris and the Sartorius muscles
b. Weakness of both quadratus lumborum muscles
c. Fatigue weakness of the rectus abdominis and oblique muscle group
d. Excessive elastic shortening of the ipsilateral hamstring muscle group
c. Fatigue weakness of the rectus abdominis and oblique muscle group
During auscultation of the heart, the therapist hears S1 and S2 heart sounds. During early diastole, the therapist also hears a low frequency sound of turbulence. What suspected abnormal sound should the therapist record this as?
S4 sound
S3 sound
Heart murmur
Pericardial friction rub
S3 sound
The therapist is treating a patient with chronic Lyme disease of more than 1 year’s duration. What joints are likely to demonstrate more arithmetic changes and therefore should be the focus of physical therapy interventions?
Small joints of the hands and feet
Large joints, especially the knee
Axial joints especially the lumbosacral spine
Axial joints, especially the cervical and thoracic spine
Large joints, especially the knee
A physical therapist observes a full-term infant in the neonatal intensive care unit (NICU) just after birth. In the supine position, the shoulders are abducted and externally rotated, elbow and fingers are flexed, hips are abducted and externally rotated, and knees are flexed. What would this posturing be an indication of?
a. Upper extremity tone is abnormal
b. Lower extremity tone is abnormal
c. Tone is abnormal in both upper and lower extremities
d. Tone is normal in both upper and lower extremities
d. Tone is normal in both upper and lower extremities
What is pain and tenderness with palpation over McBurney’s point associated with?
Acute appendicitis
Hiatal hernia
Acute cholecystitis
GERD
Acute appendicitis
A patient with type 1 diabetes mellitus has generalized osteoporosis. What is the BEST exercise to include in this patient’s plan of care?
a. Bilateral quadriceps presses against resistance in sitting
b. Aquatic exercises
c. Running on a treadmill
d. Partial squats in standing
d. Partial squats in standing
With the patient supine, the vertebral artery test is performed by passively moving the head and neck into extension and side flexion, then rotation to the same side and holding for 30 seconds. Which of the following indicates a positive test?
a. Sensory changes occur in the face along with visual changes
b. Dizziness or nystagmus occurs, indicating that the opposite side artery is being compressed
c. Hearing difficulties and facial paralysis occur
d. Dizziness or nystagmus occurs, indicating that the same side artery is being compressed
b. Dizziness or nystagmus occurs, indicating that the opposite side artery is being compressed
What is the expected hemodynamic response for a patient on a beta-adrenergic blocking agent during exercise?
a. Heart rate to be low at rest and rise minimally with exercise
b. Heart rate to be low at rest and rise continuously to expected levels as exercise intensity increases
c. Systolic blood pressure to be low at rest and not rise with exercise
d. Systolic blood pressure to be within normal limits at rest and progressively fall as exercise intensity increases
a. Heart rate to be low at rest and rise minimally with exercise
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A patient is recovering from a mild stroke with trunk weakness and postural instability, The patient complains of severe heartburn. What is the BEST choice to maximize stroke recovery and improve trunk stabilization while minimizing heartburn?
a. Perform trunk stabilization exercises with the patient in the semi-Fowler position
b. Begin with bridging exercise progressing to sitting holding
c. Perform resisted holding in sitting using rhythmic stabilization
d. Take antacids before physical therapy
c. Perform resisted holding in sitting using rhythmic stabilization
A patient suddenly falls and lands on a piece of equipment on the floor. A severe laceration with spurting blood is noted in the area of the lateral distal right thigh. To help control bleeding, where should the physical therapist apply pressure in addition to directly over the wound?
Behind the knee at the popliteal fossa
At the femoral triangle
At the antecubital fossa
At mid-thigh, directly over the profunda femoris artery
At the femoral triangle
A neonate’s APGAR score at 1 minute after birth is 8; at 5 minutes it is 9. Based on this score and expected heart rate, what can the therapist conclude about this infant?
a. The infant would have a heart rate of less than 100 beats per minute with slow and irregular respirations and not require resuscitation
b. The infant would require extensive resuscitation efforts including intubation
c. The infant would require some resuscitation and administration of supplemental oxygen
d. The infant would have a heart rate of greater than 100 beats per minutes with good respiration and not require resuscitation
d. The infant would have a heart rate of greater than 100 beats per minutes with good respiration and not require resuscitation
A child with spastic diplegia is becoming independent in using a walker. Additional goals desired by the physical therapist include improving posture and increasing the child’s energy efficiency and velocity while ambulating. In this case, which walker is most likely to help improve these goals?
A standard anterior walker with no wheels
An anterior rollator walker with two wheels
A posterior rollator walker with two wheels
A posterior rollator walker with four wheels
A posterior rollator walker with four wheels
While gait training a patient following a stroke, the therapist observes the knee on the hemiparetic side going into recurvatum during stance phase. What is the MOST LIKELY cause of this deviation?
a. Severe spasticity of the hamstrings or weakness of the gastrocnemius-soleus
b. Weakness or severe spasticity of the quadriceps
c. Weakness of the gastrocnemius-soleus or spasticity of the pretibial muscles
d. Weakness of both the gastrocnemius-soleus and pretibial muscles
b. Weakness or severe spasticity of the quadriceps
To prevent contractures in a newly admitted patient with anterior neck burns, it would be best to position the neck in which of the following?
Hyperflexion
Slight flexion
Neutral
Slight extension
Slight extension
A young adult who is comatose (GCS score of 3) is transferred to a long-term care facility for custodial care. On initial examination, the therapist determines the patient is demonstrating decerebrate posturing. Which limb or body position is indicative of this?
a. The upper extremities in flexion and the lower extremities in extension
b. Extreme hyperextension of the neck and spine with both lower extremities flexed and the heels touching the buttocks
c. All four limbs in extension
d. All for limbs in flexion
c. All four limbs in extension
A therapist wishes to examine the balance of an elderly patient with a history of falls. The Berg Balance Test is selected. Which area is NOT examined using this test?
Sit-to-stand transitions
Functional reach in standing
Turning while walking
Tandem standing
Turning while walking
The physical therapist is instructing a new mother to perform a range of motion and stretching for her newborn who has a clubfoot. In what directions should the therapist advise her to carefully stretch?
Plantarflexion and inversion
Plantarflexion and eversion
Dorsiflexion and inversion
Dorsiflexion and eversion
Dorsiflexion and eversion
Pursed lip breathing as part of the treatment regimen would be MOST appropriate for a patient with which condition?
Circumferential thoracic burns
Asbestosis
Rib fracture
Emphysema
Emphysema
A patient has normal quadriceps strength but unilateral weakness (3/5) of the hamstring muscles on the right. What might the therapist observe during the swing phase of gait?
a. Excessive compensatory hip extension on the sound side
b. Decreased hip flexion followed by increased knee flexion on the weak side
c. Excessive hip extension followed by abrupt knee extension on the weak side
d. Excessive hip flexion following by abrupt knee extension on the weak side
d. Excessive hip flexion following by abrupt knee extension on the weak side
A competitive gymnast is examined by the physical therapist. The chief complaint is nagging, localized pain in the anterior left lower leg that is consistently present at night and increases during activity with swelling. What are these complaints MOST characteristic of?
Bone tumor
Anterior compartment syndrome
Shin splints
Stress fracture
Stress fracture
Following cast immobilization for a now healed supracondylar fracture of the humerus, a patient’s elbow lacks mobility. To increase elbow range of motion, joint mobilization in the maximum loose-packed position should be performed at what position?
Full extension
90 degrees of flexion
70 degrees of flexion
30 degrees of flexion
70 degrees of flexion
A patient with a complete tetraplegia (ASIA A) at the C6 level is initially instructed to transfer using a transfer board. With shoulders externally rotated, how should the remaining upper extremity (UE) joints be positioned?
a. Forearms pronated with wrist and fingers extended
b. Forearms supinated with wrist extended and fingers flexed
c. Forearms pronated pronated with wrists and fingers flexed
d. Forearms supinated with wrists and fingers extended
b. Forearms supinated with wrist extended and fingers flexed
Four days following open-heart surgery, a patient is ambulating with a physical therapist in the hallway. The patient complains of some chest discomfort during the activity and wishes to return to his or her room. What should the therapist do?
a. Sit the patient down and call the physician immediately
b. Complete the treatment and have an aide transport the patient to the room as some discomfort is expected
c. Call the nurse and check to see if the discomfort is ongoing
d. Sit the patient down, take vital signs, and inform nursing services of the patient’s complaint
d. Sit the patient down, take vital signs, and inform nursing services of the patient’s complaint
Upon removing the dressing covering a decubitus ulcer located on the heel of an elderly patient, the physical therapist observes copious amounts of a foul-smelling, yellow-green discharge. How should the therapist document this finding in the patient’s medical record?
There is likelihood of a staphylococcus aureus infection
Maceration of the wound is evident
Wound exudate is purulent
Wound exudate is serosanguinous
Wound exudate is purulent
During examination of the right shoulder of a teenager with anterior shoulder pain, the physical therapist notices an excessive amount of scapular abduction during both shoulder flexion and abduction. Full range of glenohumeral (GH) motion is achieved at the ends flexion and abduction. The axillary border of the scapula protrudes laterally beyond the thorax much more on the right as compared to the left. Which muscle(s) would be associated with excessive lengthening during the movements of shoulder flexion and abduction?
Serratus anterior
Rhomboids
Teres major
Levator scapular
Rhomboids
A group of institutionalized elderly was examined for balance instability and fall risk using a standardized test, the Performance-Oriented Mobility Assessment (POMA). The test-retest reliability of total test (POMA-T) and the subtests, balance subtest (POMA-B) and gait subtest (POMA-G) varied between 0.77 and 0.86 the interrater reliability values ranged from 0.80 to 0.93. What is the therapist’s correct interpretation of these findings?
a. Overall, the test demonstrated moderate reliability
b. The test demonstrated moderate reliability for test-retest and good reliability for integrated comparisons
c. The test demonstrated poor reliability for test-retest and moderate reliability for interrater comparisons
d. Overall, the test demonstrated good reliability
d. Overall, the test demonstrated good reliability
A patient presents with hemosiderin changes and increased lower extremity edema. What diagnosis are these changes consistent with?
Chronic venous insufficiency
Acute venous insufficiency
Acute arterial insufficiency
Chronic arterial insufficiency
Chronic venous insufficiency
A patient experienced a cerebrovascular accident (right CVA) 2 weeks ago. The patient has motor and sensory impairments primarily in the lower extremity; the left upper extremity shows only mild impairment. There is some confusion and perseveration. Based on these findings, what type of stroke syndrome does this patient present with?
Posterior cerebral stroke
Internal carotid syndrome
Anterior cerebral artery syndrome
Middle cerebral artery syndrome
Anterior cerebral artery syndrome
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A therapist is planning to use percussion and shaking for assisting airway clearance with a patient diagnosed with chronic obstructive pulmonary disease (COPD). What major precaution might curtail selection of this form of intervention?
a. A platelet count of 30,000
b. Dyspnea when in the Trendelenburg position
c. SaO2 range of 88% to 94% on room air
d. Functional Independence Measure (FIM score of 4)
a. A platelet count of 30,000
A patient with degenerative joint disease of the right hip complains of pain in the anterior hip and groin, which is aggravated by weight bearing. There is decreased range of motion and capsular restrictions. Right gluteus medius weakness is evident during ambulation, and there is decreased tolerance of functional activities including transfers and lower extremity dressing. In this case, a capsular pattern of joint motion should be evident by which of the following?
Hip flexion, abduction, and internal rotation
Hip flexion, adduction, and internal rotation
Hip extension, abduction, and external rotation
Hip flexion, abduction and external rotation
Hip flexion, abduction, and internal rotation
Confirmation of a diagnosis of spondylolisthesis can be made when viewing an oblique radiograph of the spine. What is the relevant diagnostic finding?
Posterior displacement of L5 over S1
Bamboo appearance of the spine
Compression of the vertebral bodies of L5 and S1
Bilateral pars interarticularis defects
Bilateral pars interarticularis defects
A physical therapist and physical therapy assistant are conducting a cardiac rehabilitation session for 20 patients. The therapist is suddenly called out of the room. The physical therapist assistant should do which of the following?
a. Terminate the exercises and have the patients monitor their pulses until the therapist returns
b. Have the patients continue with the same exercise until the therapist returns
c. Have the patients switch to a less intense exercise until the therapist returns
d. Continue with the outlined exercise progression for that session
d. Continue with the outlined exercise progression for that session
A physical therapist is examining a patient who has a recent history of falls while ambulating on level surfaces. Interaction with the patient indicates that cognition is unaffected. Which test should be performed next once it has been established that cognition is not impaired?
Static balancing tests
Locomotor tests
Sensory testing
Dynamic balance tests
Sensory testing
A therapist wishes to study the progress of patients with paraplegia who are discharged from a rehabilitation setting. Starting with the patient’s discharge and once a month for 3 years, the therapist will measure their joint range of motion of both hips and knees. Accurate analysis of this time series study is heavily dependent upon which of the following?
Random sampling
Interrater reliability
Intrarater reliability
Predictive validity of the measurement
Intrarater reliability
Which of these findings is characteristic of a Boutonniere deformity of the finger?
Flexion of the distal interphalangeal joint
Contracture of the extensor digitorum communis tendon
Rupture with volar slippage of the lateral bands
Hyperextension of the proximal interphalangeal joint
Rupture with volar slippage of the lateral bands
A patient with chronic asthma has been admitted to the hospital for an acute exacerbation. What is the MOST important information the therapist needs in order to determine the patient’s prognosis with physical therapy?
A current medication list
A previous history of the disease
The most recent chest x-ray results
The most recent pulmonary function test results
The most recent pulmonary function test result
A therapist is examining the gait of a patient with a transfemoral prosthesis. The patient circumducts the prosthetic limb during swing. The therapist needs to identify the cause of the gait deviation. What is the MOST likely prosthetic cause?
Unstable knee unit
Inadequate socket flexion
Sharp or high medial wall or abducted hip joint
Inadequate suspension or loose socket
Inadequate suspension or loose socket
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An elderly patient with degenerative joint disease is seen by a physical therapist 3 days following a total knee replacement. Which of these findings would be an indication for the therapist to contact the surgeon?
a. Patient is noncompliant when learning to transfer properly
b. Patient cannot ambulate at least 50 feet with a standard walker
c. Patient fails to recognize the therapist on the third consecutive postoperative visit
d. Patient complains of soreness at the incision site
c. Patient fails to recognize the therapist on the third consecutive postoperative visit
The primary contribution of a physical therapist member of a facility emergency/disaster preparedness committee in formulating a disaster plan is describing the role of the physical therapists in providing which of the following?
a. Triage and basic life support during the disaster
b. Evaluation of soft tissue injuries and rendering appropriate care
c. Unique preparedness concerns needed for people with disabilities or special needs
d. Emotional distress management of victims or patients during crisis situations
c. Unique preparedness concerns needed for people with disabilities or special needs
Following a hard tackle, a football player exhibits signs of fractured ribs and a pneumothorax. When auscultating during inhalation over the injured area, what would the physical therapist expect to hear?
Soft, rustling sounds on inhalation
Decreased or no breath sounds crackles
Crackles
Wheezes
Decreased or no breath sounds crackles
