Ortho
Cardio
Neuro
GI/GU
Misc
100
Total Hip Precautions (Posterior-Lateral Approach)
Avoid hip/trunk Flex past 90 degrees, hip ADD past neutral and hip IR
100
Monitoring tx intensity for a pt on Beta Blockers
Concern of blunted HR use BORG RPE instead
100
BEFAST Acronym: What is is used for? What does each letter mean?
100
List a minimum of 2 GI/GU red flags
Persistent abdominal pain or distension
Blood in stools or urine
Severe or persistent vomiting
Unexplained weight loss
100
Shakiness, sweating, confusion, and irritability are common symptoms of this condition for pt with DM.
Hypoglycemia
200
Spinal Precautions
Avoid bending, lifting >10 lbs and twisting of the spine
200
You are working with a patient who has been bed bound for over 2 weeks. Upon sitting up the patient presents with lightheadedness, dizziness, and confusion. What is likely the cause of this presentation and what measures should be taken?
Orthostatic Hypotension. Consider gradual changes of positions and ankle pumps prior to initiating activities
200
A 55-year-old patient with cancer undergoing chemotherapy presents to your physical therapy clinic complaining of swelling and pain in their left calf. Upon further assessment, you find unilateral calf tenderness and warmth. What is the most concerning diagnosis you should consider, and what immediate action should you take?
The most concerning diagnosis to consider is deep vein thrombosis (DVT), especially in a cancer patient undergoing chemotherapy, who is at increased risk for thrombotic events. Immediate action should include referral for urgent vascular imaging (e.g., ultrasound) and potentially initiating anticoagulation therapy under medical supervision. Also consider using Well’s criteria.
200
A 55-year-old female patient with a recent colostomy is participating in a physical therapy session for post-operative rehabilitation. During the session, the patient reports feeling discomfort around the colostomy site and mentions that the colostomy bag appears to be leaking.
What action should be taken by the PT?
Stop the therapy session and assist the patient to a private area to address the issue. In the inpatient setting, contact the nurse in addition to stopping.
200
80 y/o F CVA evaluation, she asks you for a glass of water. Your next action is
Review the patient’s chart for swallowing precautions to ensure that the patient is not on fluid restrictions
300
This type of orthosis is used to stabilize the spine after surgery or injury, and is often prescribed for patients with spinal conditions to limit motion and support the spine.
TLSO
300
With CHF pts, this precaution advises contacting a healthcare provider if there is a sudden increase in ______.
What is 3 lbs wt gain per day or 5 lbs or more in a wk.
300
Your 40 y/o female OP-PT develops sudden onset of weakness and tingling in her B legs that has rapidly progressed over the past few days. She reports that the symptoms started with mild back pain and having a cold a week ago, which then progressed to weakness in her legs possibly has this diagnosis
What is GBS
300
This type of systems review is necessary for a patient post-abdominal surgery to monitor for signs of infection, proper wound healing, and to ensure there are no complications such as pressure sores, hematomas, or dehiscence.
Integumentary/Through skin Inspection
300
You are evaluating a patient immediately post TKR, what are some PT considerations required before mobilization?
WB Status
Pain
ROM
Complications such as OH, DVT, dehiscence, and infection
400
Pt presents with bone pain that is persistent and localized with acute swelling deformity that is unaccounted for. What should the therapist do? What are the concerns?
Red Flag: Stop treatment, call MD to R/O Fx, CA and infection of the bone
400
Possible red flag with diffuse or deep constant low back pain not relieved or aggravated by special tests, with pulse noted in the abdomen
Abdominal Aortic Aneurysm
400
During a routine follow-up, a 72-year-old male patient with a history of hypertension mentions experiencing some new symptoms over the past two days:
Sudden onset of numbness in the perineal region (saddle anesthesia). Loss of bladder and bowel control. Severe lower back pain. Progressive weakness in both legs.
What action should be taken by the physical therapist? What is suspected?
Refer the patient to the emergency department for immediate medical evaluation to r/o cauda equina syndrome
400
During a clinical rotation in a hospital, a physical therapist is assigned to assist in caring for a patient who has recently undergone gastric tubing placement for enteral feeding. What precautions should the physical therapist take to ensure patient safety?
Position the patient in a semi-recumbent position during and after feeding.
400
Pain not associated with tissue damage and neurologic injury
Nociplastic Pain
500
67 y/o M s/p R THR Increased pain in the right hip over the past few days.
- Feeling of warmth and swelling around the surgical site.
-Experiencing chills but no documented fever at home.General feeling of fatigue and malaise.
- Reports of difficulty bearing weight on the R leg, which was not an issue a week ago.
Objective Assessment: Vital Signs: Temp: 100.5°F (38.1°C), BP: 138/85 mmHg, HR: 92 bpm, RR: 18 breaths/minute
What do you do? Why?
Red Flag. No treatment. Call MD to r/o Infection of the surgical site.
500
For CHF pt, list three symptoms to call 911 (Red Zone)
What are:
1. a hard time breathing
2. Unrelieved SOB
3. Chest pain
4. Confusion or inability to think clearly
500
A 28-year-old male with a T6 spinal cord injury is being treated in an inpatient rehabilitation facility. He has a Foley catheter in place for urinary management. During a therapy session, the patient suddenly reports a pounding headache, feels flushed, and is sweating profusely above the level of his injury. His blood pressure is significantly elevated.
What is the appropriate action for the PT to take? What dx is expected?
Elevate the patient's head and remove noxious stimuli (catheter) or any restrictive clothing. Autonomic Dysreflexia
500
35 y/o female who has been coming to PT for a disc herniation now reports new onset of R lower quadrant abdominal pain and nausea. The pain is not like the one she has been feeling on her back. What do you suspect and what should you do?
Suspect possible appendicitis; assessment (rebound tenderness, heel drop test); refer out to ED.
500
A 52-year-old female patient visits your clinic for treatment of shoulder pain. During your evaluation, you notice a mole on her back that she reports has changed in appearance over the past few months. She mentions that it used to be smaller and less noticeable. Upon further inspection, you observe the following characteristics of the mole:
One half of the mole does not match the other half. The edges are irregular, ragged, and notched.
The mole has multiple colors, including shades of brown, black, and red. The mole is larger than 6 mm (about the size of a pencil eraser). The mole has changed in size, shape, and color over time.
WHat is an appropriate action for the PT to take?
Educate the patient on the signs of skin cancer and recommend scheduling an appointment with a dermatologist for further evaluation.