2nd PEAT Part VIII

Which of the following cardiovascular exercise prescription guidelines would be MOST beneficial for a patient who has dyslipidemia?

1. Exercising at 40% to 80% of heart rate reserve, 3-4 times/week

2. Exercising at 40% to 80% of heart rate reserve, 5 or more times/week

3. Exercising at a rating of perceived exertion on the Borg scale of 11-14/20, 3-4 times/week

4. Exercising at a rating of perceived exertion on the Borg scale of 9-11/20, 5 or more times/week

2

Which of the following conditions is MOST likely to be associated with the presence of spastic bowel dysfunction in a patient?

1. Myelomeningocele at S2-S3

2. Spinal cord injury at T10

3. Spinal muscular atrophy

4. Cauda equina tumor

2

A patient had a positive result on the test shown in the photograph. What is the MOST likely mechanism of injury?

1. Hyperextension of the knee

2. Vertical compression through the tibia

3. Direct impact to the anterior proximal tibia

4. Direct impact to the lateral aspect of the fibula

3

To palpate the insertion of the supraspinatus tendon, a physical therapist should place a patient's arm in which of the following positions?

1. Shoulder flexion and lateral (external) rotation

2. Shoulder flexion and medial (internal) rotation

3. Shoulder extension and lateral (external) rotation

4. Shoulder extension and medial (internal) rotation

4

A patient had a total knee arthroplasty 2 days ago. The patient now has a cough, chest pain, and a dull ache in the leg. Physical examination reveals diaphoresis and unilateral lower extremity pitting edema. The patient MOST likely has which of the following conditions?

1. Pleuritis

2. Pneumonia

3. Myocardial infarction

4. Pulmonary embolism

4

A patient reports back pain with radiating pain to the anterior right thigh. The pain increases with passive flexion of the knee in prone position. Which of the following nerve roots is MOST likely involved?

1. L1-L2

2. L2-L3

3. L4-L5

4. L5-S1

2

A 6-year-old patient who has Legg-Calvé-Perthes disease is MOST likely to have which of the following gait deviations?

1. Vaulting

2. In-toeing

3. Toe-walking

4. Trendelenburg

4

An 8-year-old child who has Duchenne muscular dystrophy would MOST likely have which of the following examination findings?

1. Swayback posture and protraction of the scapulae

2. Hamstrings contractures and excessive hip extension

3. Standing lordotic posture and winging of the scapulae

4. Quadriceps contractures and excessive hip abduction

3

A patient reports relief of pain when actively assisted by the physical therapist in the test shown in the photograph. The patient MOST likely has which of the following conditions?

1. Adhesive capsulitis

2. Sternoclavicular sprain

3. Subacromial impingement

4. Acromioclavicular degeneration

3

A patient has a Mobitz type I (Wenckebach) second-degree heart block. Which of the following electrocardiogram findings would MOST likely be present?

1. Inverted P waves in leads I, II, and III

2. A uniform PR interval that exceeds 0.20 second

3. Progressive prolongation of the PR interval until one impulse is not conducted

4. Variable P waves that are not related to QRS complexes

3

Which of the following movement patterns is MOST likely to be present in a patient who exhibits abdominal paradoxical breathing?

1. Synchronous upward and outward motion of the abdomen and upper chest

2. Upward and outward motion of the upper chest and inward motion of the abdomen

3. Upward and outward motion of the abdomen and inward motion of the upper chest

4. Excessive upper chest motion with decreased use of the sternocleidomastoid and scalene muscles

2

A patient who had a cerebrovascular accident 4 days ago is being taught to roll to the uninvolved side. Which of the following motions should the physical therapist advise the patient to AVOID?

1. Pushing against a supporting surface with the uninvolved foot.

2. Lifting the head from the surface to assist with movement initiation.

3. Using the uninvolved arm to assist bringing the involved arm forward.

4. Positioning the involved lower extremity over the uninvolved extremity.

1

When performing manual lymphatic drainage, which of the following techniques is MOST appropriate to use?

1. Decongest the distal segments before progressing to the proximal segments.

2. Decongest the involved trunk quadrant before decongesting the involved limb.

3. Decongest proximal segments before decongesting the involved trunk quadrant.

4. Decongest distal portions of the involved limb before decongesting the involved trunk quadrant.

2

Which of the following interventions is MOST appropriate for a child who had a resection of a cerebellar glioma?

1. Auditory cues to improve motor initiation

2. Balance training to promote a stable base of support

3. Somatosensory stimulation to increase limb awareness

4. Functional electrical stimulation to antagonists to reduce spasticity

2

A patient displays a hand tremor at rest. The tremor has a regular rhythm of 4 to 7 beats/second. The patient MOST likely has which of the following conditions?

1. Cerebellar lesion

2. Multiple sclerosis

3. Parkinson disease

4. Tardive dyskinesia

3

In an older adult patient, impaired proprioception may be a result of malabsorption of which of the following nutrients?

1. Potassium

2. Iron

3. Vitamin B12

4. Vitamin E

3

During an intervention session with a patient who had a recent onset of hemiplegia, a physical therapist plans to focus on transfers to and from a wheelchair, a bathtub, and an automobile. Which of the following methods is MOST effective for long-term retention of these skills?

1. Practice the activities in random order.

2. Sequence the activities from easiest to most difficult.

3. Allow the patient to determine the sequence of activities.

4. Establish a predictable but variable practice sequence.

1

Elevating a patient's lower extremity for less than 1 minute produces a noticeable pallor of the foot, followed by delayed reactive hyperemia in a dependent position. These signs are indicative of:

1. an intact circulatory system.

2. arterial insufficiency.

3. venous insufficiency.

4. thrombophlebitis.

2

Which of the following individuals is authorized to have access to the medical records of a patient who is in the intensive care unit after a motor vehicle accident?

1. The patient's attorney, while preparing a civil suit related to the accident

2. The human resource representative at the patient's employer, inquiring about a return-to-work date

3. The patient's brother, who is providing financial support to the patient's family

4. The patient's friend, who is named in the durable power of attorney for health care

4

A patient has a positive result on the test shown in the photograph. The patient's condition would be BEST addressed by stretching of which of the following muscles?

1. Levator scapulae

2. Upper trapezius

3. Pectoralis minor

4. Anterior scalene

4

A physical therapist who is examining a patient's wrist joint play finds restriction in the direction indicated by the arrow in the photograph. The therapist should suspect a decrease in which joint motion?

1. Radial deviation

2. Ulnar deviation

3. Flexion

4. Extension

1

A patient who is participating in a weight-loss program has been walking 3 days/week for 15 minutes for the past 3 weeks. When progressing the exercise program, which of the following modifications will MOST likely accomplish the weight-loss goal?

1. Maintain the current walking speed and increase the duration to 30 minutes.

2. Increase the walking speed and keep the duration at 15 minutes.

3. Walk 4 days/week and decrease the duration to 10 minutes.

4. Change from walking 3 days/week to jogging 1 day/week for 20 minutes.

1

Which dermatome is associated with the area that includes the umbilicus?

1. T3

2. T10

3. L1

4. L3

2

A patient reports dull pain over the right elbow radiating to the posterior forearm and dorsum of the hand. Activities involving wrist extension or gripping cause the patient's pain to become sharp. The pain is reproduced with full passive wrist flexion combined with ulnar deviation, forearm pronation, and elbow extension. Which of the following is MOST likely the correct diagnosis?

1. Biceps tendinosis

2. Triceps tendinosis

3. Lateral epicondylalgia

4. Medial epicondylalgia

3

An appropriate long-term goal for a young adult with a C6 spinal cord injury and no additional complicating factors is:

1. propelling a standard wheelchair on level surfaces with moderate assistance.

2. completing sliding board transfers to a level surface independently.

3. completing a respiratory muscle exercise program with minimal assistance.

4. sitting on the edge of the bed without arm support independently.

2