Musculoskeletal
Which of the following examples would MOST likely produce an end-feel classified as empty?
Passive knee flexion limited by pain
Active knee flexion limited by pain
Passive knee flexion limited by joint effusion
Active knee flexion limited by joint effusion
1. Passive knee flexion limited by pain
Which of the following tests would be MOST useful when assessing the facial nerve?
Close the eyes tightly
Listen to a watch ticking
Say “ahhh”
Assess face sensation
1. Close the eyes tightly
A patient is referred to therapy with a diagnosis of chronic bronchitis. What finding obtained with the patient interview is MOST closely associated with the patient’s medical diagnosis?
Smoking
Sedentary lifestyle
Numerous allergies
Severe scoliosis
1. Smoking
Which classification of burns would likely be the MOST painful?
Superficial burn
Superficial partial-thickness burn
Deep partial-thickness burn
Full-thickness burn
2. Superficial partial-thickness burn
When designing an ADA-compliant ramp, what is the MINIMUM recommended width?
36”
54”
60”
72”
1. 36”
Which meniscal injury would be the MOST likely to heal without surgical intervention?
The inner third of the lateral meniscus
The middle third of the lateral meniscus
The inner third of the medial meniscus
The outer third of the medial meniscus
4. The outer third of the medial meniscus
A patient has ideomotor apraxia. This condition is MOST consistent with:
Difficulty performing sequenced motor acts
Inability to carry out purposeful movement on command
Failure to recognize familiar objects
Inability to respond to stimuli presented contralateral to the side of a brain lesion
2. Inability to carry out purposeful movement on command
Which of the following statements is correct when describing typical hematocrit and hemoglobin values?
Women have higher hematocrit and hemoglobin values than men
Women have higher hematocrit and lower hemoglobin values than men
Women have lower hematocrit and higher hemoglobin values than men
Women have lower hematocrit and hemoglobin values than men.
4. Women have lower hematocrit and hemoglobin values than men.
What effect would chemotherapy have on a patient’s ability to participate in a rehabilitation program?
The patient may be susceptible to infection
The patient may experience excessive fatigue
The patient may demonstrate cardiac anomalies
The patient may exhibit signs and symptoms of gastrointestinal distress
2. The patient may experience excessive fatigue
An 8 y/o girl with juvenile rheumatoid arthritis wears a wrist splint when she is in school to assist her with writing activities. This splint would be BEST classified as a:
Resting splint
Corrective splint
Dynamic splint
Functional splint
4. Functional Splint
Which anatomical variation in females contributes to the development of Osgood-Schlatter syndrome?
Decreased Q angle
Increased femoral anteversion
Genu varus
Decreased pronation
2. Increased femoral anteversion
Which of the following muscles would a patient with a complete C5 SCI be able to utilize?
Brachioradialis
Pronator teres
Extensor carpi radialis brevis
Latissimus dorsi
To facilitate a patient’s awareness of using the diaphragm, the PT/PTA should have the patient:
Flex at the waist while standing
Perform a sit-up
Huff
Sniff
4. Sniff
A PT/PTA inspects an ulcer on the plantar surface of a patient’s foot beneath the metatarsal heads. The patient reports minimal pain in the foot primarily due to diminished sensation. The patient’s relevant medical history includes diabetes. This type of ulcer is MOST likely classified as:
Arterial insufficiency ulcer
Neuropathic ulcer
Pressure ulcer
Venous insufficiency ulcer
2. Neuropathic ulcer
Which medical diagnosis is MOST often associated with the use of reciprocating gait orthoses for children?
Cerebral palsy
Down syndrome
Legg-Calve-Perthes disease
Spina bifida
4. Spina bifida
A patient demonstrates lordotic posture. Which muscle group would you expect to be shortened?
Intercostals
Hip flexors
Scapula retractors
Abdominals
2. Hip flexors
An infant is positioned in pivot prone. Which neurodevelopmental posture would be a precursor to this position?
Bridging
Modified plantigrade
Quadruped
Prone on elbows
Which of the following would NOT be helpful when educating a patient to avoid the Valsalva maneuver?
Remind the patient not to hold her breath
Have the patient inhale during active movement
Attempt to establish a rhythmical breathing pattern
Instruct the patient to talk during exercise
2. Have the patient inhale during active movement
A patient with diabetes mellitus is seen in physical therapy for a general conditioning program. Which activity would be MOST likely to increase the risk of hypoglycemia for the patient?
Aquatic therapy in a therapeutic pool for 30 minutes
Riding a stationary bike at 60 rpm for 15 minutes
Lower extremity resistive exercises using a one pound cuff weight
Outdoor walking program at 1.5 mph for 30 minutes
3. Aquatic therapy in a therapeutic pool for 30 minutes
A patient status post CVA is treated with NMES in an attempt to decrease flexor spasticity in the forearm. The MOST appropriate position to place the electrodes is over the:
Wrist extensor and finger flexor musculature
Wrist extensor and finger extensor musculature
Wrist flexor and finger extensor musculature
Electrical stimulation is not used to treat spasticity
2. Wrist extensor and finger extensor musculature
The MOST appropriate method to selectively train the vastus medialis obliquus is: (Level 3)
Quadriceps setting exercises and biofeedback
Short-arc terminal extension with manual resistance
Straight leg raises with leg weights
Multiple angle isometric exercises
1. Quadriceps setting exercises and biofeedback
A patient with apraxia works on functional skills with the involved upper extremity. To reduce the patient’s performance errors, the PT/PTA should:
Provide the patient with novel tasks
Focus initially on strengthening of the involved upper extremity
Incorporate relevant objects and tasks into the therapy session
Provide simple verbal cues
3. Incorporate relevant objects and tasks into the therapy session
Which component of the exercise prescription should be emphasized to minimize the risk of patients developing ventricular dysrhythmias during exercise in outpatient cardiac rehabilitation?
Mode
Warm-up
Duration
Cool-down
2. Warm up
A patient with Crohn’s disease is seen in physical therapy status post abdominal surgery. Initially, the PT/PTA should emphasize:
Log rolling, breathing exercises, early ambulation
Lower extremity exercises, ultrasound to incisional area
Patient education, continuous passive motion machine use, coughing techniques
Pain management, isometric exercises, stair training
1. Log rolling, breathing exercises, early ambulation
For a patient who is PWB on the L LE, which of the following would be the MOST appropriate instructions when performing a transfer from a wheelchair to standing? (Level 3)
Push up with one hand on the wheelchair armrest and the other hand reaching for the walker.
Push up with both hands on the wheelchair armrests.
Pull on the walker with one hand while pushing up on the wheelchair armrest with the other.
Pull on the walker with two hands.
2. Push up with both hands on the wheelchair armrests.