PTE Module 1-3

A patient presents with abnormal vital signs and reports fatigue.

What is the MOST appropriate next step?

A. Continue exam

B. Perform strength testing

C. Modify exam and consider referral

D. Begin treatment

C

Which BEST describes the role of the PT exam?

A. Diagnose disease

B. Identify impairments

C. Guide care and referral

D. Perform interventions

C

A patient presents with constant pain that does not change with movement and worsens at night. They also report weight loss.

What is the MOST appropriate action?

A. Continue evaluation

B. Initiate exercise

C. Perform special tests

D. Refer to physician

D

A patient presents with difficulty rising from a chair. The therapist suspects weakness and fear of falling may be contributing factors.

Which of the following BEST represents a working hypothesis?

A. The patient will improve in 2 weeks

B. The patient required less assistance today

C. The patient is unable to stand without hands

D. The patient may have difficulty due to weakness and fear

D

A PT begins strengthening exercises before completing screening.

Why is this MOST problematic?

A. Delays diagnosis

B. Ignores hypothesis

C. May miss red flags

D. Limits objective data

C

A PT asks: "Can you describe your pain and where it travels?"

This question assesses:

A. PT condition only

B. Review of systems only

C. Both

D. Neither

C

A patient presents following a fall with hip pain in a direct access setting.

What is the FIRST priority?

A. ROM

B. Strength testing

C. Screening for red flags

D. Gait training

C

A therapist generates a working hypothesis after reviewing the patient history and systems review.

What is the PRIMARY purpose of this step?

A. Establish diagnosis

B. Select interventions

C. Guide further examination

D. Determine prognosis

C

A patient's pain is not reproducible with movement.

This finding suggests:

A. Mechanical dysfunction

B. Normal healing

C. Yellow flag

D. Red flag

D

A PT asks: "Do you experience night pain or unexplained weight loss?"

What is the PRIMARY purpose of this question?

A. Assess function

B. Identify impairments

C. Screen for red flags

D. Determine prognosis

C

Which tissue is MOST likely injured due to excessive speed of movement?

A. Ligament

B. Cartilage

C. Muscle

D. Bone

C

A physical therapist is evaluating a patient in an acute care setting following surgery.

What should be the PRIMARY focus of the examination?

A. Detailed movement analysis

B. Functional independence training

C. Environmental modifications

D. Medical stability and safety

D

Which tissue has the LONGEST healing time?

A. Muscle

B. Bone

C. Tendon

D. Ligament

D

A patient expresses fear of movement due to pain.

This is BEST classified as:

A. Red flag

B. Yellow flag

C. Impairment

D. Activity limitation

B

A patient demonstrates trunk lean during reaching despite adequate strength.

What is the MOST appropriate intervention?

A. Strengthening

B. Stretching

C. Motor control training

D. Aerobic exercise

C

A patient demonstrates quadriceps strength of 3/5 and knee flexion limited to 90°.

How should these findings be classified?

A. Activity limitation

B. Participation restriction

C. Impairment

D. Diagnosis

C

A PT selects specific tests based on findings from the history.

This BEST represents:

A. Random testing

B. Protocol-driven testing

C. Hypothesis-driven examination

D. Screening

C

A patient reports: "My pain wakes me up at night."

This finding is MOST consistent with:

A. Normal healing

B. Yellow flag

C. Red flag

D. Activity limitation

C

Which BEST describes evaluation in the PT management model?

A. Data collection

B. Testing

C. Clinical judgment

D. Treatment

C

A patient reports difficulty walking to the mailbox due to knee pain.

This is BEST classified as:

A. Impairment

B. Activity limitation

C. Participation restriction

D. Contextual factor

B

Which step follows examination?

A. Intervention

B. Diagnosis

C. Evaluation

D. Prognosis

C

A patient with abnormal vitals continues exercise.

This is MOST problematic because:

A. Delays recovery

B. Increases fatigue

C. Misses safety concerns

D. Reduces outcomes

C

A PT documents: "Patient demonstrates decreased gait efficiency due to weakness."

This is BEST categorized as:

A. Subjective

B. Objective

C. Assessment

D. Plan

C

Which BEST describes relationship of systems review and tests?

A. Diagnose

B. Guide testing

C. Unrelated

D. Reverse

B

Which BEST describes prognosis?

A. Identification of impairments

B. Prediction of outcomes

C. Treatment plan

D. Documentation

B

Which BEST represents screening skill?

A. Strength

B. ROM

C. Respiratory rate

D. Gait

C

A patient is unable to return to gardening and social activities due to knee pain.

This is BEST classified as:

A. Impairment

B. Activity limitation

C. Participation restriction

D. Environmental factor

C

Which BEST confirms motor control deficit?

A. BP

B. ROM

C. Scapular control

D. Reflex

C

A patient is 10 days post TKA with elevated vital signs.

What is the MOST important finding to address first?

A. ROM

B. Strength

C. Vital signs

D. Gait

C

A patient reports difficulty completing household tasks.

This is:

A. Impairment

B. Activity limitation

C. Participation

D. Contextual

B

A PT records: "Knee flexion measured at 90°."

This is BEST classified as:

A. Subjective

B. Objective

C. Assessment

D. Plan

B

Which is MOST appropriate after identifying abnormal vitals?

A. Continue

B. Strength testing

C. Modify exam

D. Begin treatment

C

A patient has diabetes and hypertension post-operatively.

Which factor MOST impacts healing?

A. Age

B. Pain

C. Comorbidities

D. Activity level

C

A patient cannot return to hobbies.

This is:

A. Impairment

B. Activity

C. Participation

D. Contextual

C

A PT reviews MRI findings in the EMR prior to seeing the patient.

This action is part of which phase?

A. Systems review

B. History and information gathering

C. Tests and measures

D. Assessment

B

A PT uses history to guide test selection.

This is:

A. Random

B. Protocol

C. Hypothesis-driven

D. Screening

C

A patient is 70 years old.

This is classified as:

A. Impairment

B. Activity

C. Participation

D. Contextual factor

D

Which BEST reflects HOAC?

A. Diagnose structures

B. Hypothesis-driven

C. Treat first

D. Pain focus

B

A patient completes a standardized outcome measure prior to evaluation.

Where should this be documented?

A. Subjective

B. Objective

C. Assessment

D. Plan

B

A patient demonstrates fear avoidance behavior.

This is:

A. Red flag

B. Yellow flag

C. Diagnosis

D. Impairment

B

A patient has undergone total knee replacement.

This is BEST classified as:

A. Impairment

B. Activity

C. Diagnosis

D. Participation

C

Which BEST represents systems review finding?

A. MMT

B. ROM

C. Blood pressure

D. Special tests

C

During systems review, a PT assesses blood pressure, respiratory rate, and reflexes.

What is the PRIMARY purpose of this process?

A. Diagnose pathology

B. Identify impairments

C. Screen for system involvement

D. Develop treatment plan

C

Which finding requires referral?

A. Weakness

B. Pain

C. Night pain and weight loss

D. Stiffness

C

Which BEST represents an impairment?

A. Difficulty walking

B. Weakness

C. Unable to work

D. Limited participation

B

A patient presents with SOB and fatigue.

What is the MOST appropriate action?

A. Continue exam

B. Strength testing

C. Modify and consider referral

D. Balance testing

C

A PT performs myotome testing for the lower extremity.

This assesses:

A. Muscle only

B. Nerve only

C. Neurological and musculoskeletal systems

D. Joint mobility

C

A PT completes history and identifies possible cardiopulmonary issues.

What is the NEXT step?

A. Begin treatment

B. Systems review

C. Prognosis

D. Intervention

B

Which BEST represents participation restriction?

A. Pain

B. Weakness

C. Difficulty walking

D. Unable to work

D

Which BEST represents ICF impairment?

A. Difficulty walking

B. Body function deficit

C. Inability to work

D. Environmental barrier

B

A therapist performs manual muscle testing and ROM measurements.

These are considered:

A. Screening tools

B. Systems review

C. Tests and measures

D. Assessment

C

A patient states: "I feel weak."

This is:

A. Objective

B. Subjective

C. Assessment

D. Plan

B

Which BEST represents activity limitation?

A. Weakness

B. Pain

C. Difficulty walking

D. Diagnosis

C

A PT gathers ROM, strength, and gait data.

Where should this be documented?

A. Subjective

B. Objective

C. Assessment

D. Plan

B

A therapist performs a patellar reflex test.

Which system is primarily assessed?

A. Cardiovascular

B. Pulmonary

C. Neurological

D. Musculoskeletal

C

A patient demonstrates compensatory movement patterns.

This indicates:

A. Adequate strength

B. Pain-free movement

C. Motor control impairment

D. Cardiopulmonary limitation

C

Which BEST describes screening vs testing?

A. Screening is subjective

B. Screening identifies system involvement

C. Testing diagnoses

D. Screening is optional

B

Primary purpose of PT examination:

A. Diagnose pathology

B. Identify impairments

C. Guide care and referral

D. Perform tests

C

A PT measures respiratory rate before beginning treatment.

This is BEST classified as:

A. Test and measure

B. Screening

C. Assessment

D. Intervention

B

A PT measures blood pressure and respiratory rate.

These are examples of:

A. Tests

B. Screening

C. Assessment

D. Intervention

B