Professor for a Day Pollev Questions

Which of the following is considered a risk factor for contracting meningococcal infection?

1) recent influenza infection

2) adults over 65 years of age

3) diet low in protein and vitamins

4) infants under 1 year of age

infants under 1 year of age

A 58 year old patient hospital with severe COVID-19 pneumonia is referred to PT in the ICU. The patient was recently extubated after 10 days of mechanical ventilation and is using supplemental oxygen via nasal cannula. Chart review reveals:

Troponin 0.06 ng/mL

Ferratin 850 ng/mL

WBC count of 26 x 10^9/L

respiratory rate of 24 bpm

BP of 108/72 mmHg

SpO2 of 96%

The patient presents with slight fatigue, dyspnea, and generalized weakness. Prior to initiating mobility training, which of the following should be the therapist's HIGHEST priority?

1) delay care: refer to care team based on lab work showing elevated WBC

2) monitor overall vital response

3) begin LE strength training to improve endurance and to decrease deconditioning due to bed rest

4) perform airway clearance techniques

monitor overall vital response

A 32 year old patient reports frequent chest pain after meals and an inability to lay down after. Which of the following conditions is most likely associated with these symptoms?

1) IBS

2) GERD

3) Crohn's Disease

4) Ulcerative colitis

GERD

Velma presents with type 1 diabetes with new symptoms of recent fatigue, unintentional weight gain within the past few months. You note she has bradycardia and brittle hair. She as decreased T3 and T4 in bloodwork. The most likely dx is

1) Hashimoto's

2) Grave's

3) Cushing's

4) Addison's

Hashimoto's

Which of the following is true about Addison's Disease vs. Cushing's Disease?

1) Cushing's is characterized by hyperkalemia and salt cravings

2) Addison's can cause increased ACTH resulting in hyperpigmentation (bronze skin)

3) Neither disease is associated with osteoporosis

4) Addison's involves excess cortisol production and Cushing's involves decreased cortisol production

Addison's can cause increased ACTH resulting in hyperpigmentation (bronze skin)

What contributes most to the formation of diverticula in the colon?

1) Low stomach acid

2) Increased pressure in the colon

3) Viral infection

4) High protein intake

Increased pressure in the colon

Which of the following is the most important modifiable risk factor for Crohn's disease?

1) High‑fiber diet

2) Smoking

3) Age under 20

4) Drinking coffee

Smoking

What is the key difference between Paget's and Osteomalacia?

1) There is no major difference between the 2.

2) Paget's happens when you are a child whereas Osteomalacia happens to adults

3) Paget's is idiopathic whereas Osteomalacia is caused by Vitamin D deficiency

4) Osteomalacia is idiopathic whereas Paget's is caused by Vitamin D deficiency

Paget's is idiopathic whereas Osteomalacia is caused by Vitamin D deficiency

Which of the following best differentiates reactive arthritis from psoriatic arthritis?

1) Reactive arthritis follows an infection and is temporary

2) Psoriatic arthritis is linked to a skin condition and occurs during flare-ups

3) Both A and B

4) Neither

Both A and B

A 68 yo patient arrives to the clinic after a fall that occurred a month ago, and reports fatigue, weakness, and difficulty concentrating. You note a past medical history of parathyroid hormone complications. What is your best intervention?

1) Heavy squat, bench, and deadlift at 90% 1RM

2) Plyometrics and sprinting to focus on increasing lower extremity strength and get ambulation speed to 6.0 m/s

3) Focus on weight bearing exercise to facilitate bone growth, as well as balance training and monitor for increasing symptoms and fracture risks

4) Encourage the patient to go home and rest because they are old and need sleep

Focus on weight bearing exercise to facilitate bone growth, as well as balance training and monitor for increasing symptoms and fracture risks

Cytomegalovirus (CMV) is a condition that develops after a ______ infection and can be transmitted through______.

1) bacterial, contact

2) bacterial, airborne

3) viral, contact

4) viral, bodily fluids

viral, bodily fluids

Which of the following would be a physical therapy consideration for a patient with osteomyelitis?

1) Weight-bearing precautions

2) Increased ROM at the infection site

3) Surgery to debride the infected wound and bone

4) Creating a personalized meal plan to help fight infection

Weight-bearing precautions

In severe cases of RSV it is best to place the patient in which position to optimize breathing?

1) Trendelenburg or upright

2) upright only

3) semi-Fowler's or upright

4) 45 degrees upright

semi-Fowler's or upright

Which statement best describes the typical clinical presentation of West Nile virus infection in human?

1) Most infected individuals will develop severe neurologic complications.

2) Most infected individuals remain asymptomatic, while some experience mild flu like symptoms (fever/headaches).

3) All infected individuals will develop encephalitis and long term deficits.

4) The infection if highly contagious between humans through close contact.

Most infected individuals remain asymptomatic, while some experience mild flu like symptoms (fever/headaches).

Which of the following are symptoms of gout?

1) pain with intense activity

2) pain with light touch

3) pain that spreads up the lower extremity

4) fever and chills

pain with light touch

A physical therapist is designing a strength and endurance program for a patient with sickle cell disease and chronic deconditioning. Which intervention is MOST appropriate to reduce risk of exercise-induced complications?

1) High-intensity continuous treadmill training to rapidly improve endurance

2) Low-moderate interval training with hydration breaks and close monitoring of fatigue

3) Cold-environment walking program to improve thermoregulation tolerance

4) Maximal exertion testing to establish precise aerobic thresholds

Low-moderate interval training with hydration breaks and close monitoring of fatigue

Which of the following best describes a common clinical presentation for a patient with a pituitary adenoma?

1) Sudden onset of metastatic disease

2) Excess hormone production leading to Cushing's disease or Acromegaly

3) Primary musculoskeletal weakness without hormonal or visual involvement

4) Progressive respiratory failure due to brainstem compression

Excess hormone production leading to Cushing's disease or Acromegaly

Celiac disease is classified as a(an)

1) nutrient deficiency

2) allergic reaction to wheat proteins

3) infectious gastrointestinal disease

4) chronic autoimmune condition

chronic autoimmune condition

A patient recently diagnosed with Hansen's disease (Leprosy) asks how the condition is typically spread. Which response by the healthcare provider is MOST accurate?

1) Leprosy is highly contagious and usually spreads after brief casual contact.

2) The disease is spread primarily through contaminated food and water.

3) Transmission occurs through mucosal droplets, usually after prolonged close contact with an infected person.

4) Leprosy is inherited genetically and cannot spread from person to person.

Transmission occurs through mucosal droplets, usually after prolonged close contact with an infected person.

A patient is in the ICU with an active, confirmed TB diagnosis. What precautions will be in place with this patient?

1) droplet precautions and positive pressure room

2) airborne precautions and negative pressure room

3) contact precautions with a negative pressure room

4) droplet precautions and a regular room

airborne precautions and negative pressure room

Each of the following are symptoms of Rocky Mountain Spotted Fever except:

1) Sudden loss of appetite

2) Encephalitis

3) Facial palsy

4) Nausea/vomiting

Facial palsy