Musculoskeletal
Neuro
Random
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100

A patient presents with an acute sprain of the right ankle. According to the patient, this has occurred frequently over the past 5 years. What clinical test should the therapist use to examine the integrity of the anterior talofibular ligament?

A) Anterior Drawer test

B) Morton's test

C) Talar tilt

D) Thompson's test

A) Anterior drawer test

Explanation

- The anterior drawer test is specifically designed to assess the integrity of the anterior talofibular ligament 

Incorrect choices:

- Talar tilt: assesses the integrity of the calcaneofibular ligament

- Thompson's test assesses the integrity of the Achilles tendon

- Morton's test assesses for the presence of a stress fracture or a neuroma in the forefoot

100

A patient is referred to physical therapy for functional gait difficulties. The patient is unable to take a normal step and drags the left foot. Examination reveals muscle weakness with fasciculations in the left lower leg. What other signs and symptoms will this patient most likely exhibit?

A) Decrease tone and hyporeflexia

B) Muscle spasms and positive Babinski

C) Increase tone and hyperreflexia

D) All of the above

A) Decrease tone and hyporeflexia


Explanation:

Muscle weakness with fasciculations is symptomatic of a lower motor neuron (LMN) lesion. Other signs and symptoms include hypotonia or flaccidity, hyporeflexia or absent reflexes, and neurogenic atrophy

Incorrect Choices: all other choices are all signs and symptoms of upper motor neuron (UMN) lesions.

100

An elderly patient with diabetes and bilateral lower extremity amputation is to be discharged from an acute care hospital 2 weeks post-surgery. The incisions on the residual limbs are not healed and continue to drain. The patient is unable to transfer because the venous graft sites in the upper extremities are painful and not fully healed. Endurance out-of-bed is limited. What is the BEST choice of discharge destination for this patient?

A) Skilled nursing facility

B) Hospice

C) Home 

D) Rehabilitation Hospital

A) Skilled Nursing Faciliy

100

What is the largest organ of the human body?

Skin

200

Anatomy! Name those Carpal Bones.

Picture view below: Left hand in supination


HINT: Some Lover's Try Positions That They Can't Handle


200

What are the 3 systems that contribute to balance?

1. Somatosensory

2. Visual

3. Vestibular

200

The picture depicts a patient who is learning to take her own pulse. What is the patient doing incorrectly?

A) Taking the pulse with the forearm supinated

B) Palpating the radial artery

C) Assessing the pulse with the thumb

D) Palpating the right arm as opposed to the more accurate left arm


C) Assessing the pulse with the thumb

Explanation:

- The thumb has its own pulse which may cause an inaccurate reading when counting a patient's pulse. Use your index and middle finger.

200

How many bones is the human skeleton comprised of?

206 bones!

300

A patient who was casted for 3 weeks after a grade III right ankle sprain has been referred to physical therapy for mobility exercises. Examination shows a loss of 10 degrees of dorsiflexion. Which activity will be the MOST difficult for the patient?

A) Ambulating over rough surfaces

B) Descending stairs

C) Ambulating barefoot

D) Descending a ramp

B) Descending stairs

Explanation:

- Loss of dorsiflexion will make descending stairs most difficult because the ankle must have sufficient dorsiflexion during the single-limb support phase of descent.

Incorrect choices: Although the activity of the other answer choices will be affected, full range in dorsiflexion is not needed for the other answer choices.


300

A physical therapist is working with a patient who exhibits fluent aphasia. What is a typical characteristic of this form of aphasia?

A) Impaired auditory comprehension

B) Slow, hesitant speech

C) Good comprehension

D) Impaired articulation

A. Impaired auditory comprehension

Explanation:

- Wernicke’s aphasia. Wernicke’s aphasia is another name for receptive aphasia. It happens when the area of your brain that controls language called the Wernicke area is damaged. This condition is also called sensory aphasia or fluent aphasia. 





300

In relation to FIRE Safety, what does "RACE" stand for?


R- Rescue person from immediate danger

A- Alarm the nearest pull box

C- Contain the fire, close doors, and windows

E- Evacuate or Extinguish (if small fire)

300

The human body contains enough fat to make _____ bars of soap.

A) 13

B) 7

C) 43

D) 88

B) 7

400

A high school student is seen in a physical therapy clinic for the management of neck pain 2 weeks after a motor vehicle accident. The patient also complains of intermittent dizziness and headaches since the accident. The therapist becomes suspicious of upper cervical spine instability. Which special test is BEST to confirm this diagnosis?

A) Vertebral Artery Test

B) Cervical flexion-rotation test

C) Sharp-Purser Test

D) Cervical Distraction Test

C) Sharp-Purser Test

Explanation

- The Sharp-Purser test assesses the integrity of the transverse ligament and atlantoaxial joint (C1-C2 instability). Failure to assess the integrity of the upper cervical spine could potentially result in damage to the spinal cord or even death.

Incorrect choices:

Vertebral Artery test- used to determine the integrity if the vertebrobasilar arterial system

Cervical Flexion Test- used to identify upper cervical spine dysfunction and range of motion limitations

Cervical Distraction test- compresses neural structures at the intervertebral forament and us used to assess or cervical radiculopathy or facet condition.

400

Following a cerebrovascular accident involving the right hemisphere, a patient is exhibiting unilateral neglect. What might the patient do as a result?

A) Eat food only from the left side of a plate

B) Bump his wheel into things on the right side

C) Ignore or deny the existence of the right upper extremity

D) Shave only on the right side of the face.


D) Shave only on the right side of the face

Explanation:

- A patient with a right hemisphere lesion (left hemiplegia) will tend to ignore items or body parts on the left side while favoring items or body parts on the right side.

***All other answer choices do not match the above description and favor items or body parts on the left side.

400

A patient just underwent a Coronary Artery Bypass Graft (CAGB) Surgery. The physician has placed orders for Physical Therapy to evaluate and treat the patient the following morning in the acute care hospital. According to the Wheeling Hospital handout, what are the 4 sternal precautions the patient must adhere by?

1. Do not lift anything more than 10 pounds

2. Avoid pushing or pulling with your arms

3. Be careful when reaching behind your back, and stop if it strains your chest

4. Be careful when reaching overhead, and stop if it strains your chest

400

Under HIPAA rules, to whom is it illegal to release protected health information (PHI) without a competent patient's consent?

A) A state agency for investigating suspected abuse

B) The insurance company that is paying for the patient's treatment

C) Another health-care provider involved in the care of the patient

D) The patient's spouse

D) The patient's spouse

Explanation

- A spouse does not have the legal right to the patient's information without the patient's consent.

**The Therapist has a legal obligation to report suspected abuse whether or not consent is granted.