practice 4

A patient with a T1 incomplete spinal cord injury is being treated on the mat table in supine. The patient begins to complain of a rushing headache, and the therapist observes significant flushing of the face and upper extremities. Which of the following actions is the MOST appropriate next step for the therapist?

Sit the patient up

A 56-year-old female patient with a recent T1 spinal cord injury (SCI) ASIA level C is being treated using a tilt table. As the patient is lifted from supine to 60° of tilt, the patient’s systolic blood pressure drops 25 mmHg, and she reports the onset of dizziness and nausea. Which of the following steps is MOST appropriate for the therapist to complete next?

Return the patient to supine

erbs vs klumpies

erbs vs klumpies

A patient with Parkinson’s disease will MOST likely demonstrate which of the following resting tremor frequencies?

4-6 Hz

A patient with an injury to the superior gluteal nerve would MOST likely demonstrate which of the following gait abnormalities?

Contralateral hip drop during stance

A patient with a spinal cord injury is being examined by a physical therapist. The therapist notes that the patient’s medical chart indicates a complete spinal cord injury involving the sacral segments S2-S4. The injury was produced by a traumatic blow to the mid-lumbar region. When evaluating bowel and bladder function, the therapist would MOST likely expect which of the following presentations of symptoms?

Areflexic bladder, flaccid bowel

While examining a patient with a medullary lesion, which of the following deficits is MOST likely to be present?

Absent gag reflex

A physical therapist (PT) is treating a patient who recently suffered a gunshot wound to the right side of the back and spinal cord. As the physical therapist assesses the patient’s mobility, the PT notes paralysis and sensory loss of the right side. On the left side, the PT notes a loss in pain and temperature. Which of the following conditions is MOST likely given the case information?

Brown-Sequard syndrome

A physical therapist is examining a patient with complaints of lower back pain that radiates into the lateral border of the right foot. Which of the following modifications of the straight leg raise test would be MOST appropriate to perform to rule in a peripheral nerve entrapment?

Hip flexion, knee extension, ankle dorsiflexion, foot inversion

A physical therapist (PT) is working in an acute care facility and is evaluating a patient who recently sustained a traumatic brain injury. The patient is able to engage in brief responses to the PT’s questions but repeatedly falls asleep when not being attended to by the PT. Which of the following is the MOST appropriate strategy the PT should use in communicating with this patient?

Speak loudly, use simple questions

A physical therapist (PT) is evaluating a marathon runner in the outpatient setting for muscle weakness. The patient reports progressive weakness in the right calf muscle, making running, walking, and stair climbing more difficult. In addition, the patient reports neck stiffness and feels his head is heavy at times. The PT finds right-sided foot drop with no sensory deficits, hyporeflexia of the Achilles tendon, and a positive Babinski sign. The physical therapist ceases treatment and refers the patient for further medical evaluation. Which of the following is the MOST likely diagnosis?

Amyotrophic lateral sclerosis (ALS)

A physical therapist (PT) is performing an evaluation for a patient with Parkinson’s disease (PD). The PT instructs the patient to relax while the PT performs passive slow and quick stretch movements of the lower extremity. The PT notes consistent resistance regardless of the velocity of movement. Which of the following symptoms is the MOST likely being demonstrated by the patient?

Rigidity

A patient has been walking three days/week for 20 minutes, for the past three weeks. When progressing the exercise program, which of the following modifications will MOST LIKELY accomplish the weight loss goal?

Walk 6 days/week at current walking speed and increase the duration to 45 minutes