Ethan's Examinations
A physical therapist assistant working in acute care is asked to transfer a patient with an active hepatitis B infection. Which of the following actions would be the MOST effective to minimize transmission of the virus?
Wearing gloves to avoid contact with bodily fluids
Wearing a face mask to avoid droplet transmission
Placing a gown and mask on the patient
Washing hands before and after the transfer
Wearing gloves to avoid contact with bodily fluids
A physical therapist assistant creates a home exercise program for a patient with diabetic peripheral neuropathy. Which of the following instructions is the MOST important to prevent an injury to the patient's foot?
Moisturize the skin after exercise to prevent dryness
Always wear proper footwear when exercising
Incorporate plyometric training at least weekly
Avoid moderate to vigorous-intensity aerobic exercise
Always wear proper footwear when exercising
Which of the following conditions is LEAST likely caused by a Vitamin D deficiency?
Anemia
Osteoporosis
Osteomalacia
Rickets
Anemia
A physical therapist assistant reviews a medical chart to determine when the patient last received his pain medication. The chart indicates the patient received his medication at 2100 hours. If the time is now 10:00 am, how long ago was his last dose?
5 hours
18 hours
9 hours
13 hours
13 hours
An elderly female patient with poor vision is being prepared for discharge after a 3-week hospitalization. The physical therapy plan of care includes increasing her ambulation level and safety. Which of the following actions would be the MOST appropriate for the assistant to take?
Teach the patient to walk without wearing glasses
Recommend that the patient change the color of her walls to bright yellow
Instruct the patient to keep curtains and window shades closed to avoid glare
Practice walking in areas of high illumination and strong color contrasts
Practice walking in areas of high illumination and strong color contrasts
A physical therapist assistant working in acute care arrives to work and reports she has a minor head cold today. Which of her patients should she ask another therapist to treat?
70 y/o male with a recent cerebrovascular accident
40 y/o male following a spinal tap procedure
30 y/o female undergoing chemotherapy
45 y/o female with acute flare-up of rheumatoid arthritis
30 y/o female undergoing chemotherapy
A female runner collapses after being brought to the first aid station. The physical therapist assistant records her body temperature as 101° F (38° C). The ambient temperature is 92° F (33° C). Her respiration rate and her amount of sweating are increasing. When questioned by the PTA, she seems confused. These findings are MOST consistent with:
Hypovolemic shock
Hypervolemic shock
Anaphylactic shock
Septic shock
Hypovolemic Shock
A patient with diabetes reports feeling weak, dizzy, and nauseous after jogging on the treadmill. The patient is sweating profusely and is unsteady when standing. The physical therapist assistant's FIRST course of action should be to:
Have the patient rest and consume glucose to prevent hypoglycemia
Contact emergency services to address an insulin reaction
Insist that the patient lie down until the orthostatic hypotension resolves
Ask the nurse to administer an insulin injection for hyperglycemia
Have the patient rest and consume glucose to prevent hypoglycemia
A patient receives physical therapy for generalized muscle weakness. Before starting the therapy session, the patient informs the PTA of a recent exacerbation of irritable bowel syndrome (IBS) symptoms. Which of the following is the MOST appropriate course of action?
Decrease the intensity of exercises and ask patient to wear incontinence briefs
Withhold exercise program until symptoms of the recent exacerbation subside
The assistance should wear gloves during treatment and disinfect all exercise equipment
Proceed with the established exercise program with increased emphasis on breathing techniques
Proceed with the established exercise program with increased emphasis on breathing techniques
A physical therapist assistant treats a patient with a recent total knee arthroplasty. The patient also has a recurring hiatal hernia. Which of the following is the MOST appropriate modification to the patient's exercise program?
Incorporate lifting exercises in the home program
Encourage forceful coughing every waking hour
Perform mat exercises in the flat supine position
Encourage a regular breathing pattern during exercise
Encourage a regular breathing pattern during exercise
The plan of care for a 15 y/o boy with Ehlers Danlos syndrome (EDS) includes progressive aerobic exercise. Which of the following activities should this patient AVOID?
Swimming
Water aerobics
Cycling
Gymnastics
Gymnastics
A physical therapist assistant working in a long-term care facility treats a patient with decreased core strength. The patient has difficulty with supine strengthening exercises because of gastroesophageal reflux disease. Which of the following actions is the MOST appropriate for the assistant to take?
Modify the exercise to fast-paced walking and avoid lying down
Modify the supine position to right side-lying
Encourage the patient to increase caloric intake prior to exercise
Perform the necessary supine exercises before the patient has a meal
Perform the necessary supine exercises before the patient has a meal
An 8 y/o child with chronic juvenile rheumatoid arthritis is developing bilateral knee flexion contractures. Which of the following interventions would be LEAST appropriate?
Seated marches and clamshell exercises
Wall slides
Swimming exercises in a therapeutic pool
Moist heat with low-load, long-duration hamstring stretch
Seated marches and clamshell exercises
A physical therapist assistant treats a patient with chronic asthma. The medical management includes the bronchodilator medication Albuterol. Which of the following is the MOST common ADVERSE effect of this medication?
Swelling of the feet
Tachycardia
Congestion
Hypotension
Tachycardia
A physical therapist assistant in an outpatient setting treats a patient who is coughing and exhibiting signs and symptoms of influenza. The MOST appropriate action of the PTA is to:
Provide the other patients and staff with masks and gloves to protect them from infection
Wear a moisture barrier gown while providing care to the patient
Ensure that the patient wears a mask while exercising in the common gym area
Ensure that the patient wears gloves prior to touching equipment used by other patients
Ensure that the patient wears a mask while exercising in the common gym area
A physical therapist assistant uses conditioning exercises on a patient with hyperthyroidism. During the activity, the PTA should closely monitor the patient for:
Rheumatoid-like symptoms and muscle stiffness
Muscular and joint edema, and poor peripheral circulation
Trigger points and bradycardia
Proximal muscle weakness and potential dysrhythmia
A physical therapist assistant ambulates a patient in a private hospital room because the patient is on contact precautions secondary to a MRSA infection. When the treatment session is complete, which of the following BEST describes how the PTA should leave the room?
Wash hands thoroughly with hot water, then place mask, gloves, and protective gown in a biohazard bag, and store the gait belt at the nurses' station
Store the gait belt in the patient's room, then remove gloves and protective gown, place gown and gloves in the trash, and wash hands before leaving the room
Remove protective gown and gloves, place gown and gloves in the trash, then place the gait belt in lab coat pocket, and wash hands before leaving the room
Place the gait belt and protective equipment in a biohazard bag, take the bag to the hospital's designated laundry area, and wash hands immediately after leaving the bag
Store the gait belt in the patient's room, then remove gloves and protective gown, place gown and gloves in the trash, and wash hands before leaving the room
A home health physical therapist assistant is treating a patient with a 2-year history of pancreatic cancer. The physical therapy evaluation includes a gradual decline in walking, bed mobility, and transfers. Which of the following interventions would be the MOST effective for this patient?
Moist hot packs to decrease pain and increase circulation
Relaxation exercises that include yoga and meditation
Deep breathing exercises that increase energy levels
Low-impact aerobics that progress from sitting to standing
Low-impact aerobics that progress from sitting to standing
A physical therapist assistant treats a patient following radiation treatments for prostate cancer. After ambulating the patient, the PTA notices that he is developing edema in the right lower extremity. The MOST likely cause of the edema is:
Disuse atrophy
The onset of congestive heart failure
A lymphatic obstruction
Orthostatic hypotension
A lymphatic obstruction
A physical therapist assistant is working with an elderly female patient in a long-term care facility. She was prescribed a tricyclic antidepressant following the death of her spouse. Which of the following side effects is associated with this medication?
Dyspnea
Hyper alertness
Postural hypotension
Cardiac arrhythmias
Postural hypotension