2nd PEAT Part X

A patient who had an uncomplicated vaginal delivery 3 months ago has a 3-cm diastasis recti and Fair minus (3-/5) strength of the abdominal muscles. Which of the following therapeutic exercises, performed with arms bracing the abdomen, is MOST appropriate for the patient INITIALLY?

1. Head lift

2. Partial sit-ups

3. Lower trunk rotation

4. Bilateral straight leg raises

1

A patient is lacking forearm supination due to associated joint restriction. Which of the following glides at the distal radioulnar joint will MOST likely be limited with testing?

1. Volar glide of the radial head on the ulna

2. Dorsal glide of the radial head on the ulna

3. Volar glide of the radius on the head of the ulna

4. Dorsal glide of the radius on the head of the ulna

4

A patient reports worsening medial foot and ankle pain. Examination reveals a loss of arch height, excessive pronation during walking, and pain with palpation of the posterior aspect of the medial malleolus. Which of the following combinations of movements is MOST likely to be weak?

1. Dorsiflexion and eversion

2. Dorsiflexion and inversion

3. Plantar flexion and eversion

4. Plantar flexion and inversion

4

The patient who has the wound shown in the photograph has received conservative care for 2 months without improvement. To promote wound healing, which of the following treatments is MOST appropriate to add at this time?

1. Antibiotic treatment

2. Total contact casting

3. Daily dressing changes

4. Sharp debridement of the callus

2

Which of the following findings BEST describes a positive result of the median nerve tension test?

1. Elicitation of numbness in the cubital fossa

2. Elicitation of numbness in the hypothenar eminence

3. Reproduction of symptoms in the dorsal and ulnar side of the hand

4. Reproduction of symptoms in the volar (palmar) and radial side of the hand

4

Based on the findings of the assessment during inspiration shown in the photographs, the patient MOST likely has restriction involving which of the following lung segments?

1. Left lingula

2. Left lower lobe

3. Right lower lobe

4. Right upper lobe

2

The photograph depicts a patient's arm that was recently removed from an immobilizer after an upper extremity laceration. Based on the position of the wrist, which of the following nerves was damaged and where did the damage occur?

1. Median nerve in the carpal tunnel

2. Radial nerve in the anatomic snuffbox

3. Radial nerve in the radial groove of the humerus

4. Ulnar nerve posterior to the medial epicondyle of the humerus

3

Which of the following conditions would MOST likely be experienced by a 7-year-old patient who has a tethered spinal cord?

1. Upper extremity hypertonicity

2. Bladder dysfunction

3. Blurred vision

4. Headache

2

A school-based physical therapist receives a referral to evaluate a 6-year-old child who falls frequently. Based on the teacher's description, the therapist suspects that the child has developmental coordination disorder. Which of the following observations would BEST support this diagnosis?

1. Pattern of sensory loss in the lower extremities

2. Inaccuracy when throwing a ball short distances

3. Pseudohypertrophy of the posterior lower leg muscles bilaterally

4. Right hip adduction and medial (internal) rotation during gait

2

A physical therapist is at a community pool leading a class for patients who have arthritis. The therapist observes an adult patient suddenly fall to the ground. Which of the following sequences of actions is MOST appropriate?

1. Assess the airway, breathing, and circulation of the patient.

2. Begin cardiopulmonary resuscitation and activate the emergency response system.

3. Give two quick breaths, activate the emergency response system, and get an automated external defibrillator.

4. Check responsiveness, activate the emergency response system, check pulse, and begin chest compressions.

4

On the basis of the test result shown in photograph, tightness is MOST likely present in which of the following structures in the left lower extremity?

1. Iliopsoas

2. Hamstrings

3. Iliotibial band

4. Gluteus maximus

1

Which of the following conditions would BEST explain the characteristics of the patient's knees shown in the photograph?

1. Long patellar tendon

2. Short patellar tendon

3. Femoral retroversion, lateral (external) tibial rotation

4. Femoral anteversion, medial (internal) tibial rotation

4

Which of the following intervention approaches for a child who has developmental coordination disorder will focus on the use of augmented feedback and practice to improve task performance?

1. Conductive education

2. Perceptual-motor training

3. Sensory Integration (SI) therapy

4. Neuromotor Task Training (NTT)

4

Which of the following test findings is MOST consistent with a diagnosis of idiopathic pulmonary arterial hypertension?

1. VO2 max of 25 mL/kg/minute

2. Cardiac index of 0.8 L/minute/m2

3. Right atrial pressure of 15 mm Hg

4. Six-minute walk test result of 1640 ft (500 m)

3

A patient has a positive result after 1 minute on the test depicted in the photographs. Which of the following additional tests is MOST appropriate to perform to establish a firm diagnosis?

1. Adson test

2. Empty can test

3. Cervical compression test

4. Acromioclavicular joint palpation

1

To conduct an experimental study on pain in postsurgical orthopedic patients, a physical therapist randomly assigns patients to two groups. One group is treated with transcutaneous electrical nerve stimulation, heat, and exercise; the second receives heat and exercise only. In this experimental design, transcutaneous electrical nerve stimulation is the:

1. continuous variable.

2. dependent variable.

3. discrete variable.

4. independent variable.

4

A patient's glenohumeral joint range of motion is limited as shown in the radiograph. Which of the following mobilization techniques would BEST address this deficit?

1. Posterior glide

2. Anterior glide

3. Inferior glide

4. Superior glide

3

Which of the following arterial blood gas readings indicates acidemia?

1. 7.3

2. 7.4

3. 7.45

4. 7.5

1

While a patient is walking in the parallel bars, the patient's pelvis drops down on the side opposite the stance extremity. This gait deviation is an indication of weakness of the hip:

1. abductors of the swing extremity.

2. adductors of the swing extremity.

3. abductors of the stance extremity.

4. adductors of the stance extremity.

3

A physical therapist is initiating intervention with a postoperative patient who has just taken a 20-mg dose of oral oxycodone (OxyContin) for pain relief. In planning an intervention for this patient, the physical therapist should anticipate that:

1. the patient may be hypertensive.

2. the medication may trigger cardiac arrhythmias in the patient.

3. the patient will have an increased likelihood for developing diarrhea.

4. the patient may demonstrate respiratory depression.

4

Which of the following changes is a result of stimulation of the sympathetic nervous system?

1. Increased blood flow to skin

2. Decreased blood glucose

3. Constriction of bronchioles

4. Rise in heart rate

4

While examining a patient with left-sided low back pain, a physical therapist notes that the left sacral sulcus is deeper and the left anterior superior iliac spine is more superior than the right. Which of the following is the MOST likely explanation for this finding?

1. The patient has a left innominate upslip.

2. The patient's left innominate has rotated posteriorly.

3. The patient has a left innominate downslip.

4. The patient's left innominate has rotated anteriorly.

2

Which of the following integumentary system observations is consistent with skin cancer?

1. Dark, raised spot that bleeds with minimal contact

2. Redness, scaling, and edema of the skin

3. Red fluid-filled vesicles that vary in size

4. Ring-shaped pigmented patches covered with scales

1

A patient had an open cholecystectomy 2 days ago and is currently having difficulty moving from supine to sitting position due to pain. Before the patient's next attempt to move, which of the following interventions would be MOST appropriate?

1. Bracing an abdominal pillow to splint

2. Using an incentive spirometer

3. Instruction in huffing

4. Tilt table regimen

1

Instructing a patient in specific movement strategies would be MOST effective in which stage of motor learning?

1. Implicit

2. Associative

3. Autonomous

4. Cognitive

4