Neuro
A physical therapist assistant observes a patient who sustained an injury to the musculocutaneous nerve complete a number of activities of daily living and functional skills. Which of the following tasks would be the MOSTdifficult for the patient to perform based on the stated injury?
1.Picking up marbles from the floor
2.Push-ups against a wall
3.Drinking from a gallon of milk
4.Holding the arm out to the side
3.Drinking from a gallon milk
A patient with cardiovascular pathology is placed on a diuretic. Which type of laboratory test should be the MOST essential for the physical therapist assistant to monitor based on the patient’s prescribed medication?
1.Cardiac biomarkers
2.Prothrombin time
3.Serum electrolytes
4.Serum cholesterol
3.Serum electrolytes
A patient sustained a right patella fracture in a motor vehicle accident and the knee is maintained in extension using a straight leg knee immobilizer. Which of the following gait deviations would MOST likely be caused by the use of this type of immobilizer?
1.Vaulting on the right
2.Antalgic gait
3.Increased plantar flexion on the right
4.Trendelenburg gait
1.Vaulting on the right
A physical therapist assistant prepares to treat a patient with continuous ultrasound. Which general rule BEST determines the length of treatment when using ultrasound?
1.Two minutes for an area that is two times the size of the transducer face
2.Five minutes for an area that is two times the size of the transducer face
3.Five minutes is the maximum treatment time regardless of the treatment area
4.Ten minutes is the maximum treatment time regardless of the treatment area
2.Five minutes for an area that is two times the size of the transducer face
A patient sustained a superficial wound that appears as a moderate abrasion on the anterior surface of their thigh approximately four inches above the superior pole of the patella. Which type of wound dressing would MOST likely be utilized?
1.Calcium alginate dressing
2.Hydrocolloid dressing
3.Hydrogel dressing
4.Transparent film dressing
4.Transparent film dressing
A physical therapist assistant consults with a teacher regarding a child with autism who has impairments in sensory processing. Which of the following pieces of equipment would be the MOST useful to address the child’s dyspraxia?
1.Swing
2.Weighted vest
3.Sit and spin
4.Rocking chair
2.Weighted vest
A physical therapist assistant reads in a patient’s medical chart that the patient has been prescribed albuterol. Which of the following conditions would MOST likely require the use of this medication?
1.Breast cancer
2.Angina pectoris
3.Exercise-induced asthma
4.Spinal cord injury
3.Exercise-induced asthma
A patient reports recurrent ankle pain. The physical therapist directs a physical therapist assistant to perform ultrasound over the peroneus longus and brevis tendons. Which of the following locations is the MOST appropriate for the application of ultrasound?
1.Inferior to the sustentaculum tali
2.Over the sinus tarsi region
3.Posterior to the lateral malleolus
4.Anterior to the lateral malleolus
3.Posterior to the lateral malleolus
A group of physical therapists and physical therapist assistants develop a research project that examines the effect of increased abdominal muscle strength on forced vital capacity and forced expiratory volume. In order to conduct the study, the therapists are required to have the approval of the hospital Institutional Review Board. What is the PRIMARY purpose of this committee?
1.Protect the hospital from unnecessary litigation
2.Ensure the rights of research subjects are protected
3.Examine the design of the research project
4.Assess the financial ramifications of the research project
2.Ensure the rights of research subjects are protected
A patient is scheduled to undergo a transtibial amputation of the left lower extremity. In addition, the patient is one month post right total knee arthroplasty. Given the patient’s past and current surgical history, the physical therapist assistant should expect which of the following activities to be the MOST difficult for the patient following their amputation?
1.Rolling from supine to sidelying
2.Moving from supine to sitting
3.Moving from sitting to standing
4.Ambulating in the parallel bars
3.Moving from sitting to standing
A physical therapist assistant completes a developmental assessment on an infant. At what age should an infant begin to sit with hand support for an extended period of time?
1.6-7 months
2.8-9 months
3.10-11 months
4.12-15 months
1.6-7 months
A physical therapist assistant reads in the medical record that a patient was recently prescribed a thrombolytic agent. Which condition would be considered a contraindication to this type of pharmacological agent?
1.Myocardial infarction
2.Hemorrhagic stroke
3.Pulmonary embolism
4.Venous thrombosis
2.Hemorrhagic stroke
A physical therapist assistant reviews the medical record of a patient with an arthritic condition. Which piece of information would be the MOST useful to assist in the definitive diagnosis of rheumatoid arthritis?
1.Pain profile
2.Joint symptoms
3.Blood tests
4.Age of onset
3.Blood tests
A physical therapist assistant works on wheelchair mobility with a patient who has right-sided hemiparesis. Which of the following wheelchair adaptations would be the MOSTbeneficial for the patient to ensure safety during stand pivot transfers?
1.Anti-tip tubes
2.Pull-to wheel lock with brake extensions
3.Elevating leg rests
4.Removable full-length armrests
2.Pull-to wheel lock with brake extensions
A patient sustains a chemical burn on the cubital area of the elbow. What position would be the MOST appropriate for splinting of the involved upper extremity?
1.Elbow flexion and forearm pronation
2.Elbow flexion and forearm supination
3.Elbow extension and forearm pronation
4.Elbow extension and forearm supination
4.Elbow extension and forearm supination
A physical therapist assistant notices significant atrophy of the infraspinatus muscle while treating a patient with shoulder pathology. This finding is MOST consistent with an injury to which of the following nerves?
1.Axillary
2.Long thoracic
3.Spinal accessory
4.Suprascapular
4.Suprascapular
A physical therapist assistant attempts to prevent alveolar collapse in a patient post thoracic surgery. Which of the following breathing devices would be the MOST effective for the assistant to utilize in order to achieve the established goal?
1.Inspiratory muscle trainer
2.Mechanical percussors
3.Incentive spirometer
4.Flutter valve
3.Incentive spirometer
A patient is referred to physical therapy with a diagnosis of left shoulder impingement. During the session, the physical therapist assistant begins to suspect a systemic cause for the patient’s pain. Which of the following symptoms would BEST support this hypothesis?
1.Pain has been present for years
2.Pain is alleviated with the use of cryotherapy
3.Pain is aggravated by cervical rotation
4.Pain remains unrelieved with rest
4.Pain remains unrelieved with rest
A physical therapist assistant performs gait training using crutches on a patient post total hip arthroplasty. The patient has orders for partial weight bearing. Which of the following gait patterns would be the MOST appropriate for this patient?
1.Four-point
2.Two-point
3.Three-point
4.Swing-to
3.Three-point
A patient completing a resistive exercise program following an ankle injury reports to the physical therapist assistant that lifting weights often causes them to void small amounts of urine. Which of the following actions is the MOST appropriate for the assistant to take?
1.Refer the patient to a support group
2.Instruct the patient in pelvic floor muscle strengthening exercises
3.Discontinue resistive exercises as part of the established plan of care
4.Educate the patient about incontinence
4.Educate the patient about incontinence
A physical therapist assistant reporting at a team meeting indicates that a patient with a spinal cord injury should be able to perform household ambulation using knee-ankle-foot orthoses (KAFOs) and forearm crutches upon discharge. The patient’s quadriceps strength is currently Poor plus (2+/5). What level of spinal cord injury is the MOST likely based on the assistant’s prediction?
1.L1
2.L3
3.L5
4.S1
2.L3
A physical therapist treating a patient with a physical therapist assistant decides to discontinue the scheduled physical therapy session due to a suspected pulmonary embolism and requests further consultation from the attending physician. Which of the following clinical findings BEST supports the therapist’s hypothesis?
1.Partial pressure of oxygen (PaO2) of 85 mm Hg
2.Resting respiratory rate of 14 breaths per minute
3.Resting heart rate of 100 beats per minute
4.Increased cough with the presence of hemoptysis
4.Increased cough with the presence of hemoptysis
A patient successfully completes 10 anterior lunges. The physical therapist assistant would like to modify the activity to maximally challenge the patient in the sagittal plane. Which of the following modifications would be the MOSTappropriate to accomplish this goal?
1.Anterior lunge with concurrent bilateral elbow flexion to 45 degrees with five pound weights
2.Anterior lunge with concurrent bilateral shoulder flexion to 90 degrees with five pound weights
3.Anterior lunge with concurrent unilateral shoulder flexion to 90 degrees with a five pound weight
4.Anterior lunge with concurrent bilateral shoulder abduction to 45 degrees with five pound weights
2.Anterior lunge with concurrent bilateral shoulder flexion to 90 degrees with five pound weights
A physical therapist assistant uses functional electrical stimulation as part of a treatment regimen designed to improve quadriceps strength. Which of the following ratios for on:off time would result in the MOST rapid onset of muscle fatigue?
1.3:1
2.1:4
3.5:1
4.1:6
3.5:1
A physical therapist assistant observes a patient’s gait and identifies a lack of toe off. Which finding in the patient’s medical history would be MOST likely to contribute to this observation?
1.Vertigo
2.Lymphedema
3.Type 2 diabetes mellitus
4.Raynaud’s phenomenon
3.Type 2 diabetes mellitus