2nd PEAT Part IX

Which of the following clinical findings is MOST likely to be associated with a C7 nerve root lesion?

1. Pain in the medial aspect of the upper arm

2. Diminished light touch on the volar forearm

3. Inability to extend the elbow against gravity

4. Inability to supinate the forearm

3

A patient who reports back pain has increased lumbar lordosis. The MOST appropriate exercises for this patient are:

1. abdominal strengthening and iliopsoas stretching.

2. hip flexor strengthening and hamstring stretching.

3. hip flexor strengthening and erector spinae stretching.

4. erector spinae strengthening and iliopsoas stretching.

1

The medical record indicates that a patient is taking a beta-blocker for a cardiac condition. The physical therapist should expect that this medication will:

1. decrease angina pectoris and increase blood pressure.

2. increase heart rate and lower blood pressure.

3. decrease heart rate and lower blood pressure.

4. decrease heart rate and increase oxygen demand.

3

Which of the following BEST describes the huffing technique of airway clearance?

1. Cough while holding a pillow against the chest.

2. Forcefully exhale while keeping the mouth open.

3. Forcefully exhale through pursed lips.

4. Take two normal breaths, then cough firmly on the third exhalation.

2

A patient reports feeling a "pop" in the posterior leg accompanied by sudden onset of pain localized to the middle third of the posterior lower leg. There is no loss of functional strength. This injury is consistent with complete rupture of the:

1. tibialis posterior muscle.

2. popliteus muscle.

3. Achilles tendon.

4. plantaris tendon.

4

To address the illustrated impairment, which of the following is an appropriate intervention for this patient?

1. Right unilateral manual traction

2. Isometric contractions of the left gluteus maximus

3. Lateral trunk-shift correction procedures

4. A mobilization procedure to anteriorly rotate the left innominate

2

A patient is referred to physical therapy with a diagnosis of myositis ossificans in the quadriceps muscle after sustaining a contusion. The MOST appropriate treatment for the patient is:

1. progressive resistance exercises through full range.

2. active range of motion in the pain-free range.

3. passive range of motion into resistance.

4. transverse friction massage.

2

While walking with a prosthesis, a patient with a right transtibial amputation fails to flex the right knee in early stance. This gait pattern is MOST likely due to excessive:

1. dorsiflexion of the prosthetic foot.

2. posterior displacement of the socket relative to the foot.

3. medial displacement of the socket relative to the foot.

4. lateral rotation of the prosthetic foot.

2

A patient who had a recent carpal tunnel decompression surgery is referred to physical therapy. The patient also had a first rib resection and a pronator teres release on the same extremity within the past 2 years. The patient now reports burning pain in the wrist and dorsal forearm and that the wrist and hand often feel cold. These signs and symptoms MOST likely indicate:

1. T4 syndrome.

2. ulnar neuropathy.

3. cervical radiculopathy.

4. complex regional pain syndrome.

4

A patient recovering from Guillain-Barré syndrome exhibits Poor (2/5) quadriceps strength. The BEST therapeutic exercise would be active knee extensions with which of the following parameters?

1. Multiple repetitions in sidelying, maximally stressing the quadriceps

2. Limited number of repetitions in sidelying, avoiding fatigue of the quadriceps

3. Limited number of repetitions in sitting, avoiding fatigue of the quadriceps

4. Multiple repetitions in sitting, maximally stressing the quadriceps

2

Which of the following describes the use of a physical restraint for an older adult living in a long term care facility that can be used by a physical therapist without a physician's order?

1. A wheelchair tray used for proper positioning of the upper trunk that can be removed by the patient

2. A vest restraint while in bed for a patient who may wander away from the residence

3. For a patient who self propels with the lower extremities, elevating the wheelchair seat so the patient's feet do not reach the ground

4. Removing a patient's ambulatory device to control disruptive behavior

1

Which of the following strategies would be MOST appropriate when measuring the size and shape of a partial-thickness wound?

1. Hold a tape measure above the wound surface and measure the diameter.

2. Insert a cotton-tipped applicator into the wound at its deepest point and measure the distance from the wound bed to the level of the skin surface.

3. Place a sheet of plastic wrap on the wound and use a marking pen to draw a tracing of the wound's perimeter on the plastic.

4. Place normal saline in the wound, using a measured syringe to fill the wound to the level of the skin surface.

3

A physical therapist is examining a patient following open reduction internal fixation of the distal tibia and fibula. The physical therapy examination reveals active range of motion of the involved ankle from 10° of dorsiflexion to 0° of plantar flexion. What phase of gait is MOST likely affected?

1. Heel strike (initial contact)

2. Midstance

3. Toe off (preswing)

4. Acceleration (initial swing)

3

Which of the following factors has the GREATEST effect on closure and healing of an open wound?

1. Amount of wound drainage

2. Type of wound dressing

3. Overall size of the wound bed

4. Arterial perfusion to the wound area

4

A physical therapist is treating a patient with urge incontinence. Which of the following outcomes of the intervention program are MOST desirable?

1. Decrease in bladder capacity and decrease in urinary frequency

2. Increase in bladder capacity and decrease in urinary frequency

3. Decrease in bladder capacity and increase in urinary frequency

4. Increase in bladder capacity and increase in urinary frequency

2

During assessment of pressure and vibration sense, which of the following structures are responsible for transmission of the tested sensation?

1. Pacinian corpuscles

2. Krause end bulbs

3. Golgi tendon organs

4. Free nerve endings

1

Which of the following instruments is MOST appropriate for measuring patients' quality of life?

1. Lysholm knee rating scale

2. Oswestry low back pain disability index

3. Goal Attainment Scale (GAS)

4. Medical Outcomes Study 36-item short form (SF-36)

4

Which of the following factors is MOST linked to the development of osteoporosis and a greater risk of fracture?

1. Abnormally high body mass index

2. Abnormally low body mass index

3. Low cholesterol levels

4. Vegetarian diet or low intake of animal protein

2

Which of the following patient factors would MOST increase the risk for an adverse drug reaction?

1. Male gender

2. Age 55 years

3. Use of herbal compounds

4. Presence of irritable bowel syndrome

3

A patient is initiating a pelvic floor strengthening program. Which of the following positions would be considered gravity assisted?

1. Trendelenburg

2. Sitting

3. Quadruped

4. Standing

1

A physical therapist should withhold resistive exercise for a patient who has which of the following laboratory test results?

1. Platelet count of 18,000/mm3

2. White blood cell count of 8000/mm3

3. Hemoglobin of 12 g/dL

4. International normalized ratio (INR) of 1

1

Which of the following gait parameters are MOST important for independence in community mobility for an individual who had a cerebrovascular accident?

1. Stride length and knee flexion strength

2. Speed and knee extension strength

3. Endurance and knee flexion strength

4. Stride length and ankle dorsiflexion strength

2

A patient who reports neck pain radiating to the elbow is treated with cervical traction. During the treatment, the patient reports increased neck pain with radiating pain into the ring finger (4th digit) and little finger (5th digit) of the right hand. Which of the following actions is MOST appropriate for the physical therapist to take?

1. Stop the intervention and reevaluate.

2. Refer the patient back to the physician.

3. Change the angle of pull of the traction.

4. Reduce the traction force.

1

A patient who underwent a hernia repair should AVOID which of the following activities?

1. Walking at a metabolic equivalent of 3 or more during the 1st week after surgery

2. Performance of tasks using a Valsalva maneuver for 4-6 weeks after surgery

3. Stretching of the posterior spinal and hip musculature before the incision is fully healed

4. Active adduction or flexion of the lower extremities before the incision is fully healed

2

For a patient who takes a thiazide medication (hydrochlorothiazide), which of the following combinations of signs may indicate an adverse effect of the medication?

1. Agitation, dizziness, dyspnea, and hyperventilation

2. Abdominal cramps, agitation, dyspnea, and numbness

3. Clammy skin, dizziness, hyperventilation, and hypotension

4. Abdominal cramps, clammy skin, hypotension, and numbness

3