2nd PEAT Part IV

A female patient had a radical mastectomy with axillary node removal. Which of the following signs would indicate initial development of lymphedema in the patient?

1. Increased blood pressure

2. Numbness in the antecubital fossa

3. Atrophy of the brachioradialis muscle

4. Decreased flexibility of the digits of the hand

4

A patient has impaired sensory and motor function of the left limbs and the left side of the face. The patient is unable to sit independently. In which of the following regions of the nervous system is the lesion MOST likely located?

1. Cerebrum

2. Brainstem

3. Spinal cord

4. Peripheral nerve

1

During auscultation of the chest wall, a physical therapist notes an area of decreased breath sounds. Which of the following additional findings would support the suspicion of consolidation?

1. Tympanic sound with percussion

2. Increased fremitus

3. Hypertrophy of accessory muscles

4. High-pitched wheezes

2

If the test shown in the photograph has positive findings, which of the following muscles is MOST likely affected?

1. Pronator teres

2. Adductor pollicis

3. Pronator quadratus

4. Abductor pollicis longus

4

A patient reports a burning sensation along the medial aspect of the knee and lower leg. The sensation is increased during resisted hip adduction and knee flexion. The patient MOST likely has which of the following conditions?

1. Meralgia paresthetica

2. Neuropathy of the obturator nerve

3. Complex regional pain syndrome

4. Neuropathy of the saphenous nerve

4

A patient reports audible clicking in the temporomandibular joint while chewing food. When a physical therapist is palpating the joint, which of the following pairs of active mandible motions would be MOST informative to confirm temporomandibular dysfunction?

1. Elevation and protrusion

2. Elevation and retrusion

3. Protrusion and retrusion

4. Depression and elevation

4

The parent of a 2-year-old child reports that while holding the child's hand when walking down a street, the child fell down. The parent tried to hold the child up while the child regained balance. The child now holds the arm at the side with the palm facing down. Which of the following conditions is MOST likely present?

1. Radial tunnel syndrome

2. Necrosis of the capitellum

3. Valgus extension overload syndrome

4. Partial slippage of the annular ligament

4

Rate pressure product is MOST indicative of which of the following cardiac factors?

1. Stroke volume

2. Cardiac output

3. Pulse amplitude

4. Myocardial oxygen demand

4

Which of the following examination findings MOST likely indicates a favorable prognosis for a patient who has a posterior lumbar disc herniation?

1. Centralization and ability to restore extension mobility

2. Proximal symptoms and ability to restore flexion mobility

3. Peripheralization with flexion and a positive straight leg raise result

4. Leg pain with extension and a negative crossed straight leg raise result

1

A patient who walks with an antalgic gait reports hip pain, loss of appetite, and night sweats. The patient has a low-grade fever. Which of the following tests is MOST important to perform to confirm the diagnosis?

1. Squat test

2. Patrick test

3. McBurney test

4. Iliopsoas muscle test

4

A patient who had a cerebrovascular accident 1 year ago walks independently using a standard cane. During heel strike (initial contact), the forefoot makes contact with the floor first. Which of the following reasons BEST explains this gait pattern?

1. Increased reciprocal movements

2. Excessive activity of the plantar flexors

3. Overactivity of the muscles in the lateral compartment

4. Noncontractile tissue tightness in the anterior aspect of the lower leg

2

Which of the following patient positions would be the MOST appropriate treatment for atelectasis of the lower lobes, lateral basal segment?

1. Prone position with the bed flat

2. Long-sitting position, leaning back 30°

3. Supine position with the head down 15°

4. One-quarter turn from prone position with the head down 30°

4

During a gait training session, a patient who has Parkinson disease exhibits freezing episodes when attempting to negotiate turns. Which of the following training methods would be MOST beneficial for the patient?

1. Visual cue on the floor

2. Video of correct turning

3. Feedback at the end of the session

4. Blocked practice of turns

1

A patient sustained a C6 spinal cord injury (ASIA Impairment Scale B) 2 weeks ago. Which of the following techniques would be MOST effective to reduce the risk of deep venous thrombosis in the lower extremities?

1. Ankle pumps

2. Compressive stockings

3. Standing in a standing frame

4. Gastrocnemius-soleus stretch

2

A physical therapist should anticipate that an abnormal lymph node will feel:

1. soft and nonmobile and have an increased skin temperature.

2. firm and nontender and have an increased skin temperature.

3. firm, mobile, and tender or nontender.

4. soft, mobile, and tender or nontender.

3

A patient who is a waiter has hand pain when carrying trays overhead. Which of the following nerve tension tests is MOST likely to have a positive result?

1. Ulnar

2. Median

3. Radial

4. Musculocutaneous

1

Which of the following glenohumeral joint mobilization techniques is MOST appropriate for increasing the motion required to scratch the back at the T9 level?

1. Distraction with inferior glide

2. Anterior glide with abduction

3. Superior glide with approximation

4. Distraction with posterior glide

4

A physical therapist is designing a rehabilitation program for a patient who has a recent diagnosis of ankylosing spondylitis. The therapist should anticipate that as the disease progresses, the patient is MOST likely to require:

1. special precautions for osteoporosis.

2. a wheelchair for community mobility.

3. spinal surgery.

4. bilateral ankle-foot orthoses.

1

A patient had a brainstem stroke 2 months ago and is currently able to independently walk 65 ft (20 m) over level surfaces with a straight cane and ascend stairs with minimum assistance. Which of the following activities would MOST appropriately challenge this patient's balance during a physical therapy session?

1. Ascending stairs using a single handrail

2. Standing on one leg with eyes closed

3. Walking over uneven terrain

4. Walking 130 ft (40 m) with a straight cane

3

During gait evaluation, a physical therapist notes that a patient demonstrates a shorter left step length and excessive left knee flexion during the left midstance phase. Which of the following problems is the MOST likely the cause of the gait dysfunction?

1. Left hamstrings contracture

2. Right iliopsoas weakness

3. Left hip flexion contracture

4. Right quadriceps weakness

1

A patient demonstrates wrist drop and sensory loss in the region of the anatomical snuffbox. These signs are MOST likely due to an injury to what nerve?

1. Musculocutaneous

2. Median

3. Radial

4. Ulnar

3

A physical therapist examines a patient recovering from a gunshot wound affecting the left deep fibular (peroneal) nerve. To which surface of the lower leg should the therapist apply electrodes for biofeedback therapy?

1. Posteromedial

2. Posterolateral

3. Anteromedial

4. Anterolateral

4

A patient who has chronic obstructive pulmonary disease reports severe shortness of breath after walking 80 ft (24.4 m). Which of the following positions will BEST relieve the patient's dyspnea?

1. Sitting with forward arm support

2. Supine with the feet elevated

3. Sitting with the feet elevated

4. Standing with good posture

1

A physical therapist notes an increase in an athlete's heart rate when the athlete runs on a treadmill. This increase will directly cause:

1. a decrease in stroke volume.

2. a decrease in cardiac output.

3. an increase in stroke volume.

4. an increase in cardiac output.

4

A patient has right-sided upper abdominal and shoulder pain. The physical therapist suspects that the pain is not mechanical in origin. Which of the following structures is the MOST likely source of the referred pain?

1. Urinary tract

2. Appendix

3. Kidney

4. Gallbladder

4