2nd PEAT Part VI

A patient has radicular pain due to C4-C5 intervertebral foramen stenosis on the right side. In addition to cervical flexion, which of the following combinations of cervical motions is likely to provide the MOST pain relief for the patient?

1. Right side bending and left rotation

2. Right side bending and right rotation

3. Left side bending and right rotation

4. Left side bending and left rotation

4

Which of the following scenarios BEST illustrates a violation of the Health Insurance Portability and Accountability Act of 1996?

1. A physical therapist contacts a patient's physician to discuss the patient's progress without asking the patient for written consent to do so.

2. A physical therapist discusses a complicated case with a colleague while driving home together after work without first seeking the patient's consent.

3. A patient asks a physical therapist to release a copy of the evaluation and plan of care to an insurance carrier without providing written consent to do so.

4. A patient asks a physical therapist what surgery another patient underwent and is told that the second patient had a total knee arthroplasty 1 month ago.

4

Which of the following exercise combinations is MOST appropriate for a patient who has a forward head posture?

1. Strengthen the deep cervical flexors and stretch the sternocleidomastoids and upper cervical extensors.

2. Strengthen the deep cervical flexors and sternocleidomastoids and stretch the upper cervical extensors.

3. Strengthen the cervical extensors and stretch the sternocleidomastoids and deep cervical flexors.

4. Strengthen the cervical extensors and sternocleidomastoids and stretch the deep cervical flexors.

1

A patient has a resting blood pressure of 120/80 mm Hg. During an activity with a metabolic equivalent level of 4, which of the following blood pressure responses is MOST likely associated with poor left ventricular function?

1. 108/78 mm Hg

2. 129/76 mm Hg

3. 138/83 mm Hg

4. 164/84 mm Hg

1

A patient in the 3rd trimester of pregnancy has a 2-week history of progressive pain in the right wrist. The right lateral wrist appears swollen, and pain is exacerbated over the styloid process when the patient closes the fingers around the thumb (1st digit) and the wrist is passively moved into ulnar deviation. Which of the following diagnoses is MOST likely?

1. De Quervain tenosynovitis

2. Carpal tunnel syndrome

3. Scapholunate instability

4. Scaphoid fracture

1

A physical therapist is performing a supine hamstring stretch on a patient who has a T5 level spinal cord injury. The patient describes a pounding sensation in the ear. What should the therapist do FIRST?

1. Roll the patient to the left side.

2. Take the patient's blood pressure.

3. Bring the patient to an upright position.

4. Notify the patient's physician for immediate medical attention.

3

Which of the following ankle-brachial index values suggests arterial calcification?

1. 0.6

2. 0.9

3. 1.0

4. 1.4

4

Which of the following associated conditions places children with Down syndrome at GREATER risk for frequent respiratory infections?

1. Cervical instability

2. Chest muscle hypotonicity

3. Immune system dysfunction

4. Arrested alveolar development

2

A patient had a stroke 2 years ago and has been unable to land on the heel during heel strike (initial contact) for the past year. What is the MOST appropriate way for the patient to lengthen the involved muscle?

1. Use of a night splint

2. Use of a hold-relax stretch

3. A 2-minute passive stretch

4. 5 bouts of 1-minute passive stretches

1

A patient has a cerebellar dysfunction that affects both the trunk and the limbs. During examination, which of the following findings will MOST likely be observed?

1. Bradykinesia

2. Festinating gait

3. Impairments in muscle force generation

4. Impairments in the timing of muscle activation

4

What reaction is MOST likely being assessed in the photograph?

1. Moro reflex

2. Startle reflex

3. Landau reflex

4. Positive support reflex

3

A patient sustained a distal radius fracture involving the Lister tubercle 6 weeks ago. During a physical therapist's assessment, no limitation in passive range of motion in the thumb (1st digit) interphalangeal and metacarpophalangeal joints is found. What active thumb (1st digit) motion is MOST likely to be affected?

1. Interphalangeal flexion

2. Interphalangeal extension

3. Metacarpophalangeal flexion

4. Metacarpophalangeal adduction

2

A physical therapist is working with a patient who has pneumonia and who exhibits symptoms of respiratory distress while walking. Which of the following signs is the patient MOST likely to exhibit?

1. Bradypnea

2. Tachypnea

3. Sternal protraction

4. Symmetrical chest expansion

2

Which of the following muscular responses would be expected during normal micturition?

1. Relaxation of the detrusor and relaxation of the pelvic floor

2. Relaxation of the detrusor and contraction of the pelvic floor

3. Contraction of the detrusor and relaxation of the pelvic floor

4. Contraction of the detrusor and contraction of the pelvic floor

3

A patient who had a posterolateral total hip arthroplasty should AVOID which of the following movements?

1. Hip adduction and hip medial (internal) rotation

2. Hip adduction and hip lateral (external) rotation

3. Hip abduction and hip medial (internal) rotation

4. Hip abduction and hip lateral (external) rotation

1

A physical therapist has been treating a female patient with low back pain for 6 weeks. The patient reports that the pain seemed to lessen earlier in the course of treatment but has intensified again in the past week. To help identify a systemic cause for the pain, the therapist should ask the patient whether the pain:

1. decreases when she lies down.

2. corresponds with her menstrual cycle.

3. increases when she is driving to work.

4. increases when she has a bowel movement.

2

Which of the following monofilament grades indicates that only protective sensation is intact?

1. 3.61

2. 4.37

3. 5.07

4. 6.65

3

While playing recreational baseball, an individual is hit with a baseball just anterior to the ear. Later that evening, the person is drooling from the left side of the mouth and has noticeable drooping of the face on the left side. Which of the following cranial nerves is MOST likely involved?

1. Left facial (CN VII)

2. Right facial (CN VII)

3. Left trigeminal (CN V)

4. Right trigeminal (CN V)

1

A 90-year-old hospitalized patient was referred for physical therapy evaluation and intervention following a C5 fracture secondary to a fall. The patient describes neck pain and left knee pain but reports no other postinjury changes in the extremities. The rehabilitation prognosis for the patient should PRIMARILY be based on:

1. prior level of function.

2. left knee range of motion.

3. use of a cervical collar.

4. upper extremity sensory integrity.

1

An outpatient physical therapist is working with a patient who suddenly demonstrates repetitive and rhythmic head and neck movements and has an unfocused stare. Which of the following actions should the therapist perform FIRST?

1. Call emergency medical services.

2. Remove objects from the immediate area.

3. Place a tongue depressor in the patient's mouth.

4. Hold the patient's head and neck still.

2

A physical therapist is examining a patient and finds that when the patient's feet are together in standing position, the left iliac crest appears lower than the right. However, when the feet are spread apart, the iliac crests are level. This discrepancy is MOST likely caused by tightness of which of the following muscle groups?

1. Right hip abductors

2. Left hip adductors

3. Right hip adductors

4. Left hip abductors

4

Following a partial-thickness burn over the entire anterior hip and anterior knee regions, the patient should be positioned with the hip in:

1. 0° of extension and the knee in 0° of extension.

2. 0° of extension and the knee in 20° of flexion.

3. 20° of flexion and the knee in 0° of extension.

4. 20° of flexion and the knee in 20° of flexion.

2

Incentive spirometry is used to assist a patient in achieving:

1. sustained maximal inspiration.

2. rapid ventilation.

3. a shallow breathing pattern.

4. a diaphragmatic breathing pattern.

1

A patient who sits with a severely slumped forward posture may experience respiratory compromise due to which of the following factors?

1. Entrapment of the intercostal nerves with respiratory muscle weakness

2. Inability of the respiratory muscles to resist gravity

3. Hypermobility of the costovertebral joints

4. Compression of the diaphragm by abdominal contents

4

A patient experiences peripheralization of low back pain with repeated trunk flexion. Repeated trunk extension in prone centralizes the pain. Which of the following activities would MOST likely aggravate the patient's symptoms?

1. Driving a car for several hours

2. Lifting light objects with the spine maintained in neutral

3. Work that involves frequent standing

4. Sleeping all night in a supine position

1