Inpatient 1
What PPE is required for an airborne + contact room?
N95 mask, gloves, gown, eye protection
Patient presents 6 months pregnant with bilateral hand pain and numbness, with positive Phalen’s test. What is the most likely diagnosis?
carpal tunnel syndrome
A therapist is evaluating a patient who presents with a barrel chest appearance. What diagnosis is most likely present?
emphysema
You are working w/ a T1 spinal cord injury patient who has a baseline blood pressure of 110/85. While working w/ them, you notice them begin to sweat and present w/ flushed skin. The patient reports having a severe headache and requests a therapeutic rest break. You check the patients blood pressure which is 150/90. You also check their heartrate which is 40 BPM. What is currently happening to the patient?
autonomic dysreflexia
What is the proper position for the wrist to be in while typing at work?
neutral
You are evaluating a patient who is 5 days post myocardial infarction. The patient is now to the point where they can ambulate to the in room bathroom and take a shower while sitting. What MET level are they currently at?
2-3 METs
A patient with a dorsal scapular nerve injury would demonstrate impairment of which three muscles?
levator scapulae, rhomboid major, rhomboid minor
A patient is receiving PT and OT care in an inpatient rehab facility following CVA affecting R UE and LE and demonstrates a positive sulcus sign. The therapists must be aware of what specific impairment when performing transfers and UE exercises?
glenohumeral joint laxity
When performing neurologic testing on a patient with h/o severe head trauma following a motor vehicle accident, the patient has difficulty with rapid alternating movements. What is the term used to describe this impairment?
Dysdiadochokinesia
By ADA standards, a door opening must be at least what width?
32 inches
What method of transfer would be most appropriate for a bariatric patient with an L1 Asia B SCI?
hoyer lift
A patient presents with RA and finger pain. The 2nd digit has a flexed metacarpophalangeal joint, hyperextended proximal interphalangeal joint, and a flexed distal interphalangeal joint. What is the most accurate description/diagnosis of this position?
Swan neck deformity
An elderly patient is admitted to the hospital for a recent fall and multiple bruises. Upon admission, all basic lab values taken. The therapists receives an order for eval and treat. During their chart review, the therapist discovers the patient has an INR level of 6.8. What should the therapists next step be?
hold therapy d/t increased INR and risk of bleeding
An 11 year old male presents to the physical therapy clinic with signs of hypertonicity related to cerebral palsy. The boy has significant shortening of the left sternocleidomastoid, creating a severe torticollis to the right leading to a pressure ulcer forming on his right ear from contact with the wheelchair headrest. The most appropriate course of treatment is:
stretch SCM, ensure proper WC fitting
At what age should an infant be able to hold their head steady without support in prone?
4 months
You are working with a patient in the hospital who has been admitted for a GI bleed. After chart review, you notice their most recent blood draw reports a hemoglobin level of 9gm/dl. What type of treatment intervention should the patient participate in?
light exercise
Patient presents with weakness in wrist extension, sensory impairment of the thumb, and 1+ brachioradialis reflex. Which nerve or nerve root level is likely implicated?
C6
A patient presents with partial thickness burns to the entire right arm and front of the chest. Approximately what percentage of the body is burned?
~27%
What is the common acronym and correlating signs for a patient who may be experiencing a CVA?
FAST – Facial drooping, arm weakness, speech difficulty, time
A therapist is working on positioning for sleeping with a patient who is morbidly obese and has obstructive sleep apnea. What is the best sleep position to recommend for this patient?
sidelying with head of bed slightly elevated
You have a patient w/ a TBI demonstrating confusion and agitation while you are attempting to lead a therapy session. They are unable to follow commands and demonstrate non purposeful behavior. At what Ranchos level is this patient at and what level of assistance, does this patient require?
Level 4 - MaxA
Patient presents with pain and tingling in the pinky, weakness of the palmaris brevis, and negative tinel’s sign at the cubital tunnel. What is the most likely area of nerve entrapment?
Guyon's canal / ulnar tunnel
A pediatric patient presents with wrist drop, difficulty raising the arm, and lateral forearm numbness. What is the most likely diagnosis?
Erb's Palsy
You are working with a TBI patient who is now consistently oriented to person, place, and time. Will need stand by assistance for daily activities but can now make purposeful and appropriate responses to their surroundings. What Ranchos level are they demonstrating and what level of assistance do they require?
Level 8 - SBA
A patient presents to therapy with moderate pain in the bilateral distal lower extremities. He reports that the pain is better when his feet are elevated. During evaluation, the therapist notes that the skin has brown discoloration and is flaky and dry. Pedal pulses are normal and +2 pitting edema is present bilaterally. The most likely cause of the patient's leg pain is:
venous insufficiency