MSK
Neuro
Cardiopulm
Integumentary
/Lymphedema
Other Systems
100

A 45-year-old male with a history of low back pain presents to therapy with complaints of increased pain and stiffness in the lower back after sitting for prolonged periods. What is the most likely cause of his symptoms?

  • A) Spinal stenosis
  • B) Facet joint dysfunction
  • C) Lumbar herniated disc
  • D) Spondylolisthesis

Answer: B) Facet joint dysfunction

100

Which of the following symptoms is most characteristic of a patient with amyotrophic lateral sclerosis (ALS)?

  • A) Unilateral weakness and facial drooping
  • B) Muscle weakness, spasticity, and dysphagia
  • C) Seizures, visual disturbances, and paralysis
  • D) Symmetrical muscle weakness, sensory deficits, and ataxia

Answer: B) Muscle weakness, spasticity, and dysphagia

100

What is the most appropriate intervention for a patient with chronic obstructive pulmonary disease (COPD) during an exacerbation?

  • A) High-intensity aerobic exercise
  • B) Postural drainage techniques
  • C) Complete bed rest
  • D) Deep breathing exercises and positioning

Answer: D) Deep breathing exercises and positioning

100

What is the most common cause of lymphedema in the upper extremity?

  • A) Autoimmune diseases
  • B) Radiation therapy for breast cancer
  • C) Venous insufficiency
  • D) Infection

Answer: B) Radiation therapy for breast cancer

100

A patient with end-stage renal disease presents with muscle cramps, nausea, and dizziness. Which of the following is the most likely cause of these symptoms?

  • A) Hypoxia and poor circulation
  • B) Musculoskeletal strain from increased activity levels
  • C) Drug-induced side effects from antihypertensives
  • D) Dehydration and electrolyte imbalance

Answer: D) Dehydration and electrolyte imbalance

200

Which of the following best describes a common finding in a patient with a rotator cuff tear?

  • A) Pain with shoulder flexion and extension
  • B) Pain with shoulder abduction and internal rotation
  • C) Pain with shoulder elevation and external rotation
  • D) Limited range of motion in all directions

Answer: C) Pain with shoulder elevation and external rotation

200

In a patient with a complete spinal cord injury at the C5 level, which of the following functions would be the most preserved?

  • A) Shoulder flexion
  • B) Elbow extension
  • C) Hand function
  • D) Wrist extension

Answer: A) Shoulder flexion

200

A patient with heart failure presents with orthopnea, fatigue, and swelling in the legs. Which of the following interventions is most appropriate?

  • A) Initiate a walking program and monitor vital signs
  • B) Deep breathing exercises and frequent positioning changes
  • C) High-intensity strength training exercises
  • D) Elevate the legs and encourage fluid restriction

Answer: D) Elevate the legs and encourage fluid restriction

200

A patient presents with redness, swelling, and warmth in the left leg, with the presence of a deep vein thrombosis (DVT). Which of the following is the most appropriate course of action?

  • A) Begin compression therapy immediately
  • B) Apply heat to the area to promote circulation
  • C) Elevate the leg and initiate anticoagulant therapy
  • D) Encourage active exercise to improve circulation

Answer: C) Elevate the leg and initiate anticoagulant therapy

200

Which of the following is most important when managing a patient with an exacerbation of Crohn's disease during physical therapy?

  • A) Emphasize high-intensity aerobic exercise to improve gastrointestinal motility
  • B) Focus on strengthening exercises and ignore flexibility training
  • C) Monitor vital signs and reduce exercise intensity if symptoms worsen
  • D) Avoid all exercises to prevent further complications

Answer: C) Monitor vital signs and reduce exercise intensity if symptoms worsen

300

A 32-year-old female is diagnosed with osteoarthritis of the knee. Which of the following is the most appropriate recommendation to improve her function?

  • A) Joint protection and strengthening exercises
  • B) Prescription of an anti-inflammatory medication only
  • C) Long periods of bed rest and no exercise
  • D) Immediate surgery for knee replacement

Answer: A) Joint protection and strengthening exercises

300

A 72-year-old male presents with resting tremor, bradykinesia, and postural instability. What is the most likely diagnosis?

  • A) Multiple sclerosis
  • B) Parkinson’s disease
  • C) Huntington’s disease
  • D) Guillain-Barré syndrome

Answer: B) Parkinson’s disease

300

What is the most appropriate exercise prescription for a patient with stable angina?

  • A) Short duration, low-intensity aerobic exercise
  • B) High-intensity interval training
  • C) Strengthening exercises with heavy weights
  • D) Long duration, high-intensity endurance exercise

Answer: A) Short duration, low-intensity aerobic exercise

300

What is most important when performing wound care for a diabetic patient with a foot ulcer?

  • A) Administer antibiotics routinely
  • B) Monitor blood sugar levels and avoid pressure on the wound
  • C) Apply a wet-to-dry dressing and avoid moisture
  • D) Use antimicrobial ointments only

Answer: B) Monitor blood sugar levels and avoid pressure on the wound

300

A patient with hypothyroidism presents with weight gain, fatigue, and muscle weakness. Which of the following is the most appropriate intervention?

  • A) Encourage low-intensity aerobic exercise and strength training
  • B) Recommend high-intensity aerobic exercises immediately
  • C) Focus on stretching exercises to improve flexibility
  • D) Prescribe high-resistance training with a low number of reps

Answer: A) Encourage low-intensity aerobic exercise and strength training

400

What is the most common cause of anterior knee pain in adolescents?

  • A) Osgood-Schlatter disease
  • B) Patellofemoral syndrome
  • C) Quadriceps strain
  • D) Patellar tendinitis

Answer: B) Patellofemoral syndrome

400

Which of the following interventions is most appropriate for a patient with hemiplegic gait due to a stroke?

  • A) Emphasis on strengthening of only the unaffected leg
  • B) Stretching the Achilles tendon only
  • C) Assistive device training and weight shifting exercises
  • D) Education to avoid gait training to prevent fatigue

Answer: C) Assistive device training and weight shifting exercises

400

A 60-year-old patient with a history of coronary artery disease and recent myocardial infarction is cleared for rehabilitation. Which of the following is the most appropriate exercise intensity for the first phase of cardiac rehab?

  • A) 60-80% of maximum heart rate
  • B) 40-60% of heart rate reserve
  • C) 70-85% of heart rate reserve
  • D) 85-95% of maximum heart rate

Answer: B) 40-60% of heart rate reserve

400

Which of the following is a characteristic of a stage 4 pressure ulcer?

  • A) Small open wound with drainage
  • B) Partial-thickness loss with exposed dermis
  • C) Full-thickness skin loss with visible bone or muscle
  • D) Skin reddening that does not blanch

Answer: C) Full-thickness skin loss with visible bone or muscle

400

Which of the following is a common symptom of hyperglycemia in a diabetic patient?

  • A) Decreased appetite and excessive fatigue
  • B) Sweating and dizziness
  • C) Blurred vision and low blood pressure
  • D) Increased thirst and frequent urination

Answer: D) Increased thirst and frequent urination

500

A 50-year-old female with a history of osteoporosis complains of severe mid-back pain after bending forward to pick up a heavy object. Which of the following is the most likely diagnosis?

  • A) Compression fracture
  • B) Spinal stenosis
  • C) Muscle strain
  • D) Sacroiliac joint dysfunction

Answer: A) Compression fracture

500

A 25-year-old patient diagnosed with multiple sclerosis complains of blurred vision, weakness in the lower extremities, and ataxia. What is the most likely pathophysiological mechanism?

  • A) Axonal degeneration of peripheral nerves
  • B) Dysfunction of the basal ganglia
  • C) Disruption of the blood-brain barrier
  • D) Demyelination of central nervous system axons

Answer: D) Demyelination of central nervous system axons

500

Which of the following is a hallmark sign of a pulmonary embolism?

  • A) Cyanosis, shortness of breath, and chest pain
  • B) Bilateral lower extremity weakness
  • C) Unilateral leg pain with erythema
  • D) Pitting edema and jugular vein distension

Answer: A) Cyanosis, shortness of breath, and chest pain

500

A patient with lymphedema is receiving manual lymphatic drainage therapy. Which of the following techniques should the therapist use?

  • A) Deep, vigorous massage over the affected limb
  • B) Compression garments applied at high pressures
  • C) Aggressive elevation to force fluid out of the limb
  • D) Gentle, rhythmic strokes starting from the unaffected limb

Answer: D) Gentle, rhythmic strokes starting from the unaffected limb

500

In a patient with a recent stroke, which of the following is the most appropriate long-term goal for rehabilitation?

  • A) Restrict all movement in the affected limb to prevent further injury
  • B) Focus solely on strengthening the affected limbs
  • C) Promote return to functional independence with emphasis on activities of daily living
  • D) Focus primarily on cognitive therapy

Answer: C) Promote return to functional independence with emphasis on activities of daily living

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