PTA Exam-1

100 Questions  I  By Ash6286ley
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PTA Quizzes & Trivia
Preparation for PTA licensing exam

  
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Questions and Answers

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  • 1. 
    A 32-year-old male Portuguese descent is referred to physical therapy for instruction in a home exercise program. The physician referral indicates that the patient is approved for one visit. What is the likelihood the patient will comprehend the home exercise program in the allotted time?
    • A. 

      The patient will require external assistance such as the use of an interpreter to comprehend the home exercise program.

    • B. 

      The patient will comprehend the home exercise program

    • C. 

      The patient will not be able to comprehend the home exercise program

    • D. 

      The therapist cannot make a prediction based on the supplied information


  • 2. 
    A patient diagnosed with C5 quadriplegia receives physical therapy services in a rehabilitation hospital. The patient has made good progress in therapy and is scheduled for discharge in one week. During a treatment session the patient informs the physical therapist assistant that one day in the future he will walk again. The most appropriate therapist response is:
    • A. 

      Your level of injury makes walking unrealistic.

    • B. 

      Future advances in spinal cord research may make your goal a reality.

    • C. 

      You can have a rewarding life even if confined to a wheelchair.

    • D. 

      Completing your exercises on a regular basis will help you to walk.


  • 3. 
    A physical therapist assistant prepares a presentation on preseason conditioning for a group of high school athletes. To maximize the effectiveness of the presentation the therapist should:
    • A. 

      Develop specific learning objectives

    • B. 

      Utilize a variety of audiovisual equipment

    • C. 

      Assess the needs of the target audience

    • D. 

      Provide a typewritten outline


  • 4. 
    A physical therapist assistant treats a patient referred to physical therapy diagnosed with a medial collateral ligament sprain. During the treatment session the patient appears to be relaxed and comfortable, however is extremely withdrawn. Which of the following questions would be the most appropriate to further engage the patient?
    • A. 

      Is this the first time you have injured your knee?

    • B. 

      Have you ever been to physical therapy before?

    • C. 

      How long after your injury did you see a physician?

    • D. 

      What do you hope to achieve in physical therapy?


  • 5. 
    A physical therapist and a physical therapist assistant treat a patient one day status post posterior hip dislocation. The injury was treated using closed reduction. As part of the treatment session the therapists educate the patient on hip precautions to avoid the recurrence of dislocation and implement an exercise program including gluteal sets, quadriceps sets, hamstrings sets, ankle pumps, upper extremity exercises and bed mobility. Which activity would be the most essential for the physical therapy session the following day?
    • A. 

      Review the exercise program

    • B. 

      Initiate straight leg raises

    • C. 

      Begin ambulation activities

    • D. 

      Start active-assisted range of motion


  • 6. 
    A physical therapist assistant prepares to instruct a patient in a three-point gait pattern using axillary crutches. The most appropriate initial step to facilitate patient learning is to:
    • A. 

      Distinguish a three-point gait pattern from other gait patterns

    • B. 

      Demonstrate a three-point gait pattern

    • C. 

      Provide the patient with direct feedback on his/her performance

    • D. 

      Provide a written handout which illustrates the use of a three-point gait pattern


  • 7. 
    A physical therapist assistant treats a 26-year-old male with complete C6 tetraplegia. During treatment the patient makes a culturally insensitive remark that the therapist feels is offensive. The most appropriate therapist action is to:
    • A. 

      Document the incident in the medical record

    • B. 

      Transfer the patient to another therapists schedule

    • C. 

      Discharge the patient from physical therapy

    • D. 

      Inform the patient that the remark was offensive and continue with treatment


  • 8. 
    A physical therapist assistant explains to a patient the benefits of using electrical stimulation for muscle reeducation. The patient appears to understand the therapists explanation, however seems extremely frightened and asks the therapist not to use the electrical device. The most appropriate therapist action is to:
    • A. 

      Reassure the patient that the electrical stimulation will not be harmful

    • B. 

      Use only small amounts of current

    • C. 

      Select another appropriate treatment technique

    • D. 

      Discharge the patient from physical therapy


  • 9. 
    A physical therapist assistant instructs a patient diagnosed with rotator cuff tendonitis in a home exercise program. The most important consideration when designing a home exercise program is to:
    • A. 

      Focus the program on the individual needs of the patient

    • B. 

      Limit the length of the program to ten minutes

    • C. 

      Provide written instructions that detail the frequency and duration of each exercise

    • D. 

      Limit the amount of equipment required to complete the program


  • 10. 
    A physical therapist assistant is growing more and more disenchanted with her current job because she is responsible for an unfair proportion of the current patient load. An appropriate response to this situation would be:
    • A. 

      Explain your present situation to the board of directors

    • B. 

      Confront other staff members and inform them that you are being treated unfairly

    • C. 

      Communicate directly with the supervising physical therapist and relay your concerns

    • D. 

      Refrain from addressing the topic since you will be labeled a troublemaker


  • 11. 
    A physical therapist assistant performs a number of manual muscle tests on a patient diagnosed with an incomplete spinal cord injury. The results of the testing should be recorded in the _____ section of the S.O.A.P. note?
    • A. 

      Subjective

    • B. 

      Objective

    • C. 

      Assessment

    • D. 

      Plan


  • 12. 
    In what section of a S.O.A.P. note would the following entry belong? Patient is not functional in activities of daily living due to lower extremity muscle weakness. Wife is unable to care for spouse at present level of functioning.    
    • A. 

      Subjective

    • B. 

      Objective

    • C. 

      Assessment

    • D. 

      Plan


  • 13. 
    Physical therapist assistants often ask questions of patients during exercise activities. Questions asked should not lead the patient.
    • A. 

      Does this increase your pain?

    • B. 

      Does this alter your pain in any way?

    • C. 

      Does your pain increase at night?

    • D. 

      Does your pain decrease with activity?


  • 14. 
    S.O.A.P. notes are a common form of documentation in a variety of health care settings. Which of the following would not be found in the objective section of a S.O.A.P. note?
    • A. 

      Measurement of pertinent changes in mental status

    • B. 

      Description of present treatment

    • C. 

      Vital sign measurements

    • D. 

      Short and long-term goals


  • 15. 
    A male physical therapist assistant prepares to treat a female patient using a soft tissue massage technique. The therapist would like to ensure that the patient does not misinterpret the purpose of the treatment technique. The most appropriate action is to:
    • A. 

      Transfer the patient to another therapists schedule

    • B. 

      Request a female staff member to be present during treatment

    • C. 

      Select another less invasive technique

    • D. 

      Discharge the patient from physical therapy


  • 16. 
    A physical therapist assistant provides an in-service to the rehabilitation department on the Americans with Disabilities Act. Which of the following individuals would not be covered under the act?
    • A. 

      A 28-year-old with a documented learning disability

    • B. 

      A 46-year-old with severe mental retardation

    • C. 

      A 14-year-old that is blind

    • D. 

      A 36-year-old homosexual


  • 17. 
    A physical therapist assistant treating a patient overhears two of his colleagues discussing another patients case in the charting area. The therapist is concerned that his patient may overhear the same conversation. The most appropriate action is to:
    • A. 

      Discuss the situation with the director of rehabilitation

    • B. 

      Discuss confidentiality issues at the next department meeting

    • C. 

      Move the patient away from the charting area

    • D. 

      Inform the therapists that their conversation may be audible to patients


  • 18. 
    A risk management committee identifies several examples of physical therapy malpractice. Which of the following would not be considered a potentially negligent act?
    • A. 

      Failure to follow a physicians order

    • B. 

      Application of faculty equipment

    • C. 

      Sexual misconduct

    • D. 

      Failure to achieve an established long-term goal


  • 19. 
    An attorney contacts you by phone and requests specific information on a patient he claims to represent. Questions asked include the extent of the patients disability and her willingness to return to work. The most appropriate response would be to:
    • A. 

      Answer the questions asked by the attorney

    • B. 

      Refer the attorney to the supervising physical therapist

    • C. 

      Tell the attorney not to bother you at work

    • D. 

      Instruct the attorney to complete the necessary paperwork and a copy of the patients physical therapy records will be sent


  • 20. 
    An employee with a disclosed disability informs her employer that she is unable to perform an essential function of her job unless her workstation is modified. Which of the following would provide the employer with a legitimate reason for not granting the employees request?   
    • A. 

      The accommodation would cost hundreds of dollars

    • B. 

      The accommodation would require an expansion of the employees present workstation.

    • C. 

      The accommodation would fundamentally alter the operation of the business

    • D. 

      The accommodation would not address the needs of other employees


  • 21. 
    Physical therapist assistants often encounter ethical issues in their daily clinical practice. Which of the following would be the most appropriate initial step when faced with an ethical dilemma?
    • A. 

      Determine an action plan

    • B. 

      Seek external support

    • C. 

      Gather relevant information

    • D. 

      Complete the action plan


  • 22. 
    A 12-year-old female that became anoxic in a near drowning performs dynamic activities in quadruped. The next posture to attain in the developmental sequence is:
    • A. 

      Half kneeling

    • B. 

      Tall kneeling

    • C. 

      Plantigrade

    • D. 

      Standing


  • 23. 
    A 55-year-old female diagnosed with a right hip intertrochanteric fracture is eight weeks status post open reduction and internal fixation with a plate and pinning. The patient has pain with active hip flexion and abduction. Acceptable modalities for this patient would include all of the following except:
    • A. 

      Hot packs

    • B. 

      Whirlpool

    • C. 

      Short wave diathermy

    • D. 

      Pulsed US


  • 24. 
    A 72-year-old female involved in a motor vehicle accident fractures the middle third of her femoral shaft. The patients physician is concerned about the effects of prolonged bedrest and would like the patient to begin walking as soon as possible. Which form of treatment would facilitate early weight bearing through the involved extremity?
    • A. 

      Immobilization in a hip spica cast

    • B. 

      Internal fixation with an intramedullary nail

    • C. 

      External mobilization

    • D. 

      Skeletal traction


  • 25. 
    A patient is limited to 55 degrees in an active straight leg raise. A physical therapist assistant should apply the contract-relax technique to the _____ to improve the patients active range of motion?
    • A. 

      Abductors and hip flexors

    • B. 

      Hamstrings and hip extensors

    • C. 

      Quadriceps and hip flexors

    • D. 

      Adductors and hip extensors


  • 26. 
    A patient positioned in kneeling works on weight shifting activities. Which stage of control is demonstrated with this activity?
    • A. 

      Mobility

    • B. 

      Stability

    • C. 

      Controlled mobility

    • D. 

      Skill


  • 27. 
    A patient rehabilitating from a lower extremity injury is referred to physical therapy for hydrotherapy treatments. The physical therapist assistant would like the patient to fully extend the involved lower extremity while in the hydrotherapy tank. Which type of whirlpool would not allow the patient to extend the involved lower extremity?
    • A. 

      Hubbard tank

    • B. 

      Lowboy tank

    • C. 

      Highboy tank

    • D. 

      Walk tank


  • 28. 
    A patient that sustained a lower extremity burn three months ago is treated in an outpatient physical therapy clinic. The patients burns appear to be fully healed, however the patient exhibits decreased knee flexion due to scar tissue. As part of the treatment program the physical therapist assistant performs passive stretching activities in an attempt to promote collagen extensibility. Which thermal agent would be the most beneficial to enhance the effectiveness of the treatment session?
    • A. 

      Pulsed ultrasound

    • B. 

      Continuous ultrasound

    • C. 

      Hydrotherapy

    • D. 

      Fluidotherapy


  • 29. 
    A patient with cerebellar dysfunction exhibits signs of dysmetria. Which of the following activities would be the most difficult for the patient?
    • A. 

      Alternate finger to nose

    • B. 

      Placing feet on floor markers while walking

    • C. 

      Walking at varying speeds

    • D. 

      Marching in place


  • 30. 
    A patient with complete C5 tetraplegia works on a forward raise for pressure relief with a physical therapist assistant. The patient utilizes loops that are attached to the back of the wheelchair to assist with the forward raise. Which muscles need to be particularly strong in order for the patient to be successful with the forward raise?
    • A. 

      Brachioradialis, brachialis

    • B. 

      Rhomboids, levator scapulae

    • C. 

      Biceps, deltoids

    • D. 

      Triceps, flexor digitorum


  • 31. 
    A physical therapist assistant works with a patient status post spinal cord injury. Which goal would be the most realistic for a patient with T10 paraplegia?
    • A. 

      The patient is able to ambulate with bilateral knee-ankle-foot orthoses using forearm crutches and a four-point gait pattern.

    • B. 

      The patient is able to ambulate with bilateral ankle-foot orthoses using forearm crutches and a three-point gait pattern.

    • C. 

      The patient is able to ambulate with bilateral knee-ankle-foot orthoses using forearm crutches and a swing-to gait pattern.

    • D. 

      The patient is able to ambulate independently in the parallel bars with bilateral ankle-foot orthoses and a swing-to gait pattern.


  • 32. 
    A physical therapist assistant treats a patient with superficial partial-thickness burns to the anterior surface of his lower legs. In an attempt to assist the patient to control the pain associated with the burns, the therapist rewards the patient with a lengthy rest period after successfully completing an exercise sequence. This type of psychological approach is most representative of:
    • A. 

      Distraction

    • B. 

      Extinction

    • C. 

      Classic conditioning

    • D. 

      Operant conditioning


  • 33. 
    A physical therapist assistant orders a wheelchair for a patient with C4 tetraplegia. Which power wheelchair option would be inappropriate for the patient?
    • A. 

      Full length are supports

    • B. 

      Reclining frame

    • C. 

      Hand controls

    • D. 

      Elevating leg rests


  • 34. 
    A physical therapist assistant instructs a female athlete to complete ten minutes of stretching before beginning her treadmill program. While observing the athlete stretching her hamstrings, the therapist notices repetitive bouncing and a failure to maintain the stretch for more than five seconds. Why is this type of stretching considered to be inadequate?
    • A. 

      The athlete should maintain each stretch for at least 30 seconds.

    • B. 

      The athlete should stretch only after running on the treadmill.

    • C. 

      The athlete is activating the stretch reflex.

    • D. 

      The athlete should remain activity specific and does not need to stretch the hamstrings if she running on the treadmill.


  • 35. 
    A physical therapist assistant provides preoperative training for a patient scheduled for thoracic surgery. Which activity would be most appropriate to prevent a deep vein thrombosis post surgery?
    • A. 

      Deep breathing

    • B. 

      Incentive spirometry

    • C. 

      Coughing

    • D. 

      Ankle pumps


  • 36. 
    A physical therapist assistant develops a chart detailing expected functional outcomes for a variety of spinal cord injuries. Which is the highest spinal level at which independent transfers with a sliding board would be feasible?
    • A. 

      C4

    • B. 

      C6

    • C. 

      T1

    • D. 

      T3


  • 37. 
    A physical therapist assistant uses rhythmic initiation to assist a patient in learning to roll from supine to prone. The therapists initial command should be:
    • A. 

      Slowly roll over by yourself

    • B. 

      Help me roll you over

    • C. 

      Stop me from rolling you over

    • D. 

      Relax and let me move you


  • 38. 
    A physical therapist assistant prepares to treat a patient with continuous ultrasound. Which general rule best determines the length of treatment when using ultrasound?
    • A. 

      2 minutes for each area that is 2-3 times the size of the transducer face

    • B. 

      5 minutes for each area that is 2-3 times the size of the transducer face

    • C. 

      5 minutes is the maximum treatment time regardless of the treatment area

    • D. 

      10 minutes is the maximum treatment time regardless of the treatment area


  • 39. 
    A physical therapist assistant designs an exercise program for a patient rehabilitating from a prolonged illness. Which of the following exercises is indicated for coordination training?
    • A. 

      Buerger-Allen exercises

    • B. 

      Codmans exercises

    • C. 

      DeLormes exercises

    • D. 

      Frenkels exercises


  • 40. 
    A physical therapist assistant positions a patient in supine order to perform a passive stretch to the rectus femoris on the right. In order to effectively stabilize the pelvis in a supine position, the therapist should:
    • A. 

      Passively flex the right hip to the patients chest

    • B. 

      Passively flex the right hip and knee to the patients chest

    • C. 

      Passively flex the left hip to the patients chest

    • D. 

      Passively flex the left hip and knee to the patients chest


  • 41. 
    A physical therapist assistant treats a patient status post CVA. Which action would be most likely to facilitate elbow extension in a patient with hemiplegia?
    • A. 

      Turn the head to the affected side

    • B. 

      Turn the head to the unaffected side

    • C. 

      Extend the lower extremities

    • D. 

      Flex the lower extremities


  • 42. 
    A physical therapist assistant instructs a patient in pelvic floor muscle strengthening exercises. Which of the following explanations would be the most effective to assist the patient to perform a pelvic floor contraction?
    • A. 

      Tighten your muscles like you were trying to expel a large amount of urine in a very short amount of time

    • B. 

      Pull your muscles up and in like when you have to go to the bathroom, but there is no toilet

    • C. 

      Tighten your abdominal muscles and anteriorly rotate your pelvis

    • D. 

      Gently push out as if you had to pass gas


  • 43. 
    A physical therapist assistant attempts to secure a wheelchair for a patient with an incomplete spinal cord injury. The patient is a 28-year-old female that is very active and relies on a wheelchair as her primary mode of transportation. Which type of wheelchair design would be the most appropriate for the patient?
    • A. 

      Standard chair with a rigid frame

    • B. 

      Lightweight chair with a rigid frame

    • C. 

      Standard chair with a folding frame

    • D. 

      Lightweight chair with a folding frame


  • 44. 
    A physical therapist assistant performs a gross muscle screening on a patient prior to initiating ambulation activities. Weakness in the _____ would make it extremely difficult to ambulate on crutches?
    • A. 

      Medial deltoid

    • B. 

      Erector spinae

    • C. 

      Latissimus dorsi

    • D. 

      Rhomboids


  • 45. 
    A physical therapist assistant implements an exercise program for a patient rehabilitating from anterior cruciate ligament reconstruction. Which of the following treatment options would place the least amount of stress on the reconstructed ligament?
    • A. 

      Walking with crutches

    • B. 

      Stationary cycling

    • C. 

      Walking

    • D. 

      Jogging at a slow speed on a level surface


  • 46. 
    A physical therapist assistant works with a 70-year-old patient diagnosed with generalized deconditioning. The patient is pleasant and cooperative, however has short-term memory deficits. The therapist initiates an exercise program that the patient is able to complete with verbal cueing. Which of the following home exercise programs would be the most beneficial for the patient?
    • A. 

      A program that allows for individual exercise selection.

    • B. 

      A program that requires significant attention to detail

    • C. 

      A program that alternates exercises on consecutive days

    • D. 

      A program that varies based on the results from a subjective pain scale


  • 47. 
    A physical therapist assistant implements an exercise program for a patient rehabilitating from a lower extremity injury. The single most important factor in an exercise program designed to increase muscular strength is:
    • A. 

      The recovery time between exercise sets

    • B. 

      The number of repetitions per set

    • C. 

      The duration of the exercise session

    • D. 

      The intensity of the exercise


  • 48. 
    A physical therapist assistant instructs a patient with pulmonary disease in energy conversation techniques. Which of the following techniques would be the most effective when assisting a patient to complete a selected activity without dyspnea?
    • A. 

      Diaphragmatic breathing

    • B. 

      Pacing

    • C. 

      Pursed lip breathing

    • D. 

      Ventillary muscle training


  • 49. 
    A physical therapist assistant instructs a patient how to transfer to a wheelchair after ambulating 125 feet with a walker. The most appropriate instruction to assist the patient when beginning to sit is:
    • A. 

      Let go of the walker and reach backwards for the wheelchair while sitting down

    • B. 

      Let go of the walker and reach backwards for the wheelchair before beginning to sit down

    • C. 

      Maintain contact with the walker with both hands until seated in the wheelchair

    • D. 

      Maintain contact with the walker with one hand and reach backwards for the wheelchair with the other while sitting down


  • 50. 
    A physical therapist assistant applied electrical stimulation to a patient rehabilitating from an Achilles tendon rupture. Which of the following types of current has the lowest total average current?
    • A. 

      Low volt

    • B. 

      High volt

    • C. 

      Russian

    • D. 

      Interferential


  • 51. 
    A physical therapist assistant attempts to reduce a childs genu recurvatum using an ankle-foot orthosis. Which ankle setting would be the most effective to achieve the therapists objective?
    • A. 

      5-10 degrees of dorsiflexion

    • B. 

      Neutral

    • C. 

      5-10 degrees of plantar flexion

    • D. 

      15-20 degrees of plantar flexion


  • 52. 
    A physical therapist assistant discusses risk factors associated with coronary artery disease with a patient in a phase I cardiac rehabilitation program. Which of the following risk factors is not modifiable?
    • A. 

      Family history of coronary artery disease

    • B. 

      Increased serum cholesterol

    • C. 

      Hypertension

    • D. 

      Sedentary life style


  • 53. 
    A physical therapy treatment plan for a patient rehabilitating from an anterior shoulder dislocation includes progressive resistive exercises. Which muscle groups should be emphasized during rehabilitation?
    • A. 

      Abductors, lateral rotators

    • B. 

      Adductors, lateral rotators

    • C. 

      Abductors, medial rotators

    • D. 

      Adductors, medial rotators


  • 54. 
    A short-term goal for a patient with a neurological deficit is as follows: The patient will transfer from tall kneeling to half-kneeling with supervision. This activity is an example of:
    • A. 

      Mobility

    • B. 

      Controlled mobility

    • C. 

      Stability

    • D. 

      Skill


  • 55. 
    An 86-year-old female is restricted to partial weight bearing on the left leg after a total hip replacement. Her upper extremity strength is 3+/5 and she resides alone. Which assistive device would be the most appropriate for the patient?
    • A. 

      Lofstrand crutches

    • B. 

      Axillary crutches

    • C. 

      Large base quad cane

    • D. 

      Walker


  • 56. 
    An individual with an anterior cruciate ligament insufficiency, who elects not to have surgical reconstruction, could probably expect to reach which minimal functional level?
    • A. 

      Able to participate in all sports

    • B. 

      Able to participate in light recreational sports

    • C. 

      Cannot participate in sports

    • D. 

      Problems with normal walking


  • 57. 
    Secretion removal techniques are an integral component of a pulmonary rehabilitation program. What is the simplest method to clear secretions from the upper airways?
    • A. 

      Cough

    • B. 

      Percussion

    • C. 

      Vibration

    • D. 

      Shaking


  • 58. 
    Which of the following exercises would be inappropriate for a woman who gave birth via cesarean section two days ago?
    • A. 

      Pelvic tilts

    • B. 

      Walking

    • C. 

      Deep breathing

    • D. 

      Partial sit-ups


  • 59. 
    While talking to a patient about a previous exercise program, the patient mentions that he used to exclusively perform negative work. Negative work or a negative muscular contraction is best defined as:
    • A. 

      The muscle develops tension and increases in length

    • B. 

      The muscle develops tension and decreases in length

    • C. 

      Muscle length remains constant as tension is developed

    • D. 

      Purposeful voluntary motion


  • 60. 
    A 45-year-old female involved in a phase II cardiac rehabilitation program refuses to take part in a group exercise session. The most appropriate physical therapist assistant action is to:
    • A. 

      Ask the patient why she is unwilling to participate

    • B. 

      Inform the patient that she is only hurting herself

    • C. 

      Notify the patients insurance provider

    • D. 

      Discharge the patient from therapy


  • 61. 
    A female patient three weeks status post lateral ankle sprain reports for a treatment session wearing a pair of shorts and an oversized tank top that exposes a portion of her breast. The physical therapist assistant feels the tank top is inappropriate and is concerned that other patients in the clinic may be offended. The patients present treatment regimen includes lower extremity resistive exercises and various functional activities. The most appropriate therapist action is:
    • A. 

      Drape the patient with a sheet

    • B. 

      Provide the patient with a shirt

    • C. 

      Treat the patient in a private room

    • D. 

      Discontinue the treatment session


  • 62. 
    A group of health care professionals participates in a family conference for a patient with a spinal cord injury. During the conference one of the participants summarizes the patients progress with bathing and dressing activities. This type of information is typically conveyed by a/an:
    • A. 

      Nurse

    • B. 

      Physical therapist

    • C. 

      Occupational therapist

    • D. 

      Case manager


  • 63. 
    A health care provider negotiates with an insurance company to provide health care services. As part of the agreement, the insurance company agrees to pay the health care provider a predetermined amount for each member in the plan on an annual basis. This type of arrangement is best termed:
    • A. 

      Capitation

    • B. 

      Fee for service

    • C. 

      Case pricing

    • D. 

      Negotiated compensation


  • 64. 
    A patient ambulating with crutches trips over an object on the floor and falls to the ground. The patient appears to be uninjured, however complains of diffuse pain in the involved knee. The most formal mechanism to document the patients fall is to:
    • A. 

      Send a memo to the director of rehabilitation

    • B. 

      Write a letter to the patients insurance company

    • C. 

      Complete an incident report

    • D. 

      Dictate a letter to the referring physician


  • 65. 
    A patient being treated in an outpatient physical therapy clinic explains that he has felt nauseous since having his methotrexate medication level altered. The most appropriate physical therapist assistant action is to:
    • A. 

      Explain to the patient that nausea is very common when altering medication levels

    • B. 

      Ask the patient to stop taking the prescribed medication

    • C. 

      Request that the patient make an appointment with the physician

    • D. 

      Request that the patient contact the physicians office to discuss the situation


  • 66. 
    A patient eight weeks status post right total hip replacement loses his balance and falls to the ground. The patient is visibly shaken by the fall, but insists that he is uninjured. The physical therapist assistant examines the right hip and although active motion elicits pain, all other findings are inconclusive. The therapist should:
    • A. 

      Continue with the current treatment so the patient does not focus on the incident

    • B. 

      Notify the supervising physical therapist

    • C. 

      Contact the director of rehabilitation

    • D. 

      Document the incident and gradually resume prior treatment


  • 67. 
    A patient in a rehabilitation hospital confides to a physical therapist assistant that she has been physically abused by her husband in the past and is concerned about returning home following discharge. The most appropriate therapist action is to:
    • A. 

      Call a law enforcement agency

    • B. 

      Contact the patients case manager

    • C. 

      Ask the patient to leave her husband

    • D. 

      Question the patients spouse


  • 68. 
    A patient prepares for discharge from a rehabilitation hospital after completing three months of physical therapy. The patient has made significant progress in his rehabilitation, however, expresses concern that his previous employer may not want him to return to work due to his injury. The most appropriate action is to:
    • A. 

      Explain to the patient that to return to work after a serious injury is very difficult

    • B. 

      Inform the patient of his rights according to the Americans with Disabilities Act

    • C. 

      Request that the patient consider vocational retraining

    • D. 

      Refer the patient to a psychologist to assist with the transition back to work


  • 69. 
    A patient returns to an outpatient physical therapy clinic two hours after completing a treatment session complaining of increased back pain. The patient has been seen in physical therapy for three previous visits and has had little difficulty with a program consisting of palliative modalities and pelvic stabilization exercises. The patient was referred to physical therapy after straining his back two weeks ago while lifting his daughter out of a car seat. The most appropriate physical therapist assistant action is:
    • A. 

      Inform the supervising physical therapist about the recent development

    • B. 

      Instruct the patient to discontinue the pelvic stabilization exercises and have the physical therapist re-examine the patient at the next scheduled visit

    • C. 

      Refer the patient to the emergency room of a local hospital

    • D. 

      Instruct the patient to cancel existing physical therapy visits and schedule an appointment with the physician


  • 70. 
    A patient with superficial partial-thickness burns on the dorsal surface of her right foot refuses physical therapy services after being transported to the hydrotherapy area. The most immediate physical therapist assistant action is to
    • A. 

      Continue with the treatment session

    • B. 

      Discontinue the treatment session

    • C. 

      Explain to the patient the expected consequences of refusing treatment

    • D. 

      Notify the referring physician


  • 71. 
    A physical therapist assistant is treating a patient status post left knee replacement with goals of general conditioning and independence for household mobility. Which component of the patients treatment program would be the most appropriate to delegate to a physical therapy aide?
    • A. 

      Stair training

    • B. 

      Progressive gait training with a straight cane

    • C. 

      Patient education regarding the surgical procedure

    • D. 

      Ambulation with a walker for endurance


  • 72. 
    A physical therapist and a physical therapist assistant are employed in a skilled nursing facility. Which of the following activities would be the most appropriate for the physical therapist assistant?
    • A. 

      Fitting of an assistive device

    • B. 

      Development of a plan of care

    • C. 

      Reexamination of a patient

    • D. 

      Establishment of a discharge plan


  • 73. 
    A physical therapist assistant examines the developmental status of an infant. Which of the following would not be recommended when treating an infant?
    • A. 

      Various therapists should be involved at each visit so that the child feels secure with a number of social contacts.

    • B. 

      Treatment should be given in small spaces since large spaces can seem frightening to children.

    • C. 

      The infant should be encouraged and praised for each success.

    • D. 

      A fall off in performance, an increase in irritability or a refusal to perform often signals the conclusion of productive treatment.


  • 74. 
    A physical therapist assistant employed by a home health agency routinely conducts patient visits without direct on-site supervision from a physical therapist. Which guideline is most appropriate when determining the frequency of supervisory visits?
    • A. 

      Supervisory visits should take place when convenient for the physical therapist and the physical therapist assistant

    • B. 

      Supervisory visits should take place in accordance with patient need

    • C. 

      Supervisory visits should take place on a weekly basis

    • D. 

      Supervisory visits should take place at least once every third visit


  • 75. 
    A physical therapist assistant treats a 54-year-old male rehabilitating from a tibial plateau fracture. While completing a resistive exercise the patient indicates that lifting weights often causes him to void small amounts of urine. The most appropriate therapist action is:
    • A. 

      Offer sympathy for the patient

    • B. 

      Instruct the patient in pelvic floor muscle strengthening exercises

    • C. 

      Discontinue resistive exercises as part of the established plan of care

    • D. 

      Educate the patient about incontinence


  • 76. 
    A physical therapist assistant instructs a patient to descend a flight of stairs with crutches. During the training session the patient loses his balance and falls to the ground. Although the patient denies being injured the therapist summons a physician to examine the patient. After completing an incident report the therapist should:
    • A. 

      Document the daily treatment entry, however avoid describing any of the details associated with the incident

    • B. 

      Document the daily treatment entry and include the details associated with the incident

    • C. 

      Document the daily treatment entry and reference the completed incident report

    • D. 

      Document the daily treatment entry after receiving an update on the patients condition from the physician


  • 77. 
    A physical therapist assistant is instructed by a physical therapist to initiate lumbar traction on a 61-year-old female diagnosed with chronic lumbar pain. During the history the patient states that she sustained a compression fracture t the L4 level four weeks ago. The most appropriate action is:
    • A. 

      Initiate lumbar traction in a prone position only

    • B. 

      Initiate lumbar traction since the compression fracture was six weeks ago

    • C. 

      Inform the physical therapist that the treatment may be contraindicated

    • D. 

      Seek clarification from the referring physician


  • 78. 
    A physical therapist assistant completes a family training session with a patient rehabilitating from a spinal cord injury. During the training the family asks a general question regarding the functional status of the patient following rehabilitation. The most appropriate therapist response is to:
    • A. 

      Treat the patient as indicated on the referral form

    • B. 

      Request that the patient obtain a new referral from the physician

    • C. 

      Use another more acceptable modality

    • D. 

      Contact the referring physician


  • 79. 
    An audit attempts to determine the quality of patient care through a review of patient records. All of the following are recommended to ensure that the results of an audit are accurate except:
    • A. 

      A comparison of the actual practices level of care to the expected level of care

    • B. 

      Specific objectives of the audit are defined prior to the collection of data

    • C. 

      An audit should not exceed a sample size of 15 to 20 charts

    • D. 

      The study should include records over a prolonged period to ensure a diverse sample


  • 80. 
    As part of a total quality management program, a physical therapy department decides to collect patient satisfaction data. The most appropriate initial action is to:
    • A. 

      Identify appropriate statistical techniques to analyze the data

    • B. 

      Design questionnaire for therapists

    • C. 

      Design a patient satisfaction survey

    • D. 

      Modify patient care standards based on the collected data


  • 81. 
    Health maintenance organizations have been more successful than the majority of private health insurance companies in controlling escalating medical costs. The primary method used by health maintenance organizations to contain medical costs is:
    • A. 

      Increase premiums to discourage the unnecessary use of health care

    • B. 

      Restrict the duration of physical therapy services

    • C. 

      Limit services to specific health care providers

    • D. 

      Have the providers of care share in some aspect of the financial risk


  • 82. 
    A 32-year-old female rehabilitating from a medial meniscus repair has been instructed by an orthopedic surgeon to remain non-weight bearing for two weeks following surgery. The patient has no significant past medical history and is expected to make a full recovery. Which of the following would be the most appropriate assistive device for the patient?
    • A. 

      Straight cane

    • B. 

      Axillary crutches

    • C. 

      Parapodium

    • D. 

      Walker


  • 83. 
    A home visit is conducted for a patient status post total hip replacement who will be discharged to a two story home using a walker. All of the following physical therapist assistant recommendations are appropriate except:
    • A. 

      Use area rugs small than 5 feet by 7 feet

    • B. 

      Use nonskid rubber cups under bed posts

    • C. 

      Use a tub bench and hand held shower

    • D. 

      Place frequently used items on the kitchen counter top


  • 84. 
    A patient involved in a cardiac rehabilitation program exercises on a treadmill. While exercising the patient reports his level of perceived exertion as a 7 on Borgs ten-point scale. Which words best describe the patients rate of perceived exertion?
    • A. 

      Weak

    • B. 

      Moderate

    • C. 

      Strong

    • D. 

      Very strong


  • 85. 
    A patient rehabilitating from a spinal cord injury works on self range of motion activities in sitting. Suddenly the patient begins to demonstrate signs and symptoms of autonomic dysreflexia. The most appropriate physical therapist assistant action is:
    • A. 

      Keep the patient in sitting, monitor blood pressure, and check the bowel and bladder for impairment

    • B. 

      Lie the patient flat, monitor blood pressure, and check the bowel and bladder for impairment

    • C. 

      Lie the patient flat, monitor blood pressure, and give the patient fluids

    • D. 

      Keep the patient sitting, monitor blood pressure, wait for medical assistance


  • 86. 
    A patient rehabilitating from a bone marrow transplant is referred to physical therapy for instruction in an exercise program. The physical therapist assistant plans to use oxygen saturation measurements to gain additional objective data related to the patients exercise tolerance. Assuming the patients oxygen saturation rate was measured as 95% at rest, which of the following guidelines would be the most appropriate?
    • A. 

      Discontinue exercise if the patients oxygen saturation rate is below 95%

    • B. 

      Discontinue exercise if the patients oxygen saturation rate is below 90%

    • C. 

      Discontinue exercise if the patients oxygen saturation rate is below 85%

    • D. 

      Discontinue exercise if the patients oxygen saturation rate is below 80%


  • 87. 
    A physical therapist assistant works with a patient injured in a motor vehicle accident. The patients injuries include a Colles fracture and a right tibial plateau fracture. The patient is mentally alert and does not exhibit any balance or coordination deficits. Assuming the patient is toe touch weight bearing, the most appropriate assistive device for the patient is:
    • A. 

      Lofstrand crutches

    • B. 

      Rolling walker with platform attachments

    • C. 

      Axillary crutch and a straight crutch

    • D. 

      Walker with a platform attachment


  • 88. 
    A physical therapist assistant employed by a home health agency treats a patient in a home that is dirty and unsanitary. When treating the patient, the most appropriate location for the therapists treatment and supply bag is:
    • A. 

      In the car

    • B. 

      On a countertop in the patients house

    • C. 

      On a piece of newspaper supplied by the therapist

    • D. 

      On a chair in the treatment area


  • 89. 
    A physical therapist assistant alerts a nurse to skin breakdown on a patients right heel. Which position would leave the patient most susceptible to additional tissue damage?
    • A. 

      Right-side lying

    • B. 

      Left-side lying

    • C. 

      Prone

    • D. 

      Supine


  • 90. 
    A physical therapist assistant uses patient care gloves to prevent the transmission of infection. When is it appropriate to reuse patient care gloves?
    • A. 

      When the gloves are used to treat the same patient

    • B. 

      When the gloves are used by the same therapist

    • C. 

      When the gloves do not come in contact with any potentially infectious material

    • D. 

      Gloves should never be reused


  • 91. 
    A physical therapist assistant plans to administer ultraviolet radiation to the anterior trunk of a patient with psoriasis. Which form of protective equipment would be the most appropriate for the therapist to utilize?    
    • A. 

      Lead shield

    • B. 

      Gloves, gown, mask

    • C. 

      Eye goggles

    • D. 

      Protective equipment is not necessary


  • 92. 
    A physical therapist assistant works with a 28-year-old male with burns covering 30 percent of his body. The patient sustained the burns approximately 24 hours earlier in a house fire. The medical record indicates an unremarkable medical history with the exception of a benign cardiac arrhythmia. Which of the following emergent conditions is the patient most susceptible to?
    • A. 

      Aortic aneurysm

    • B. 

      Autonomic dysreflexia

    • C. 

      Diabetic coma

    • D. 

      Shock


  • 93. 
    A physical therapist assistant prepares to apply a topical antibiotic to a small portion of the upper arm of a patient with a burn. When applying the topical antibiotic the therapist should utilize which form of medical asepsis?
    • A. 

      Gloves

    • B. 

      Sterile gloves

    • C. 

      Sterile gloves, gown

    • D. 

      Sterile gloves, gown, mask


  • 94. 
    A physical therapist assistant employed in an acute care hospital prepares to work on standing balance with a patient rehabilitating from abdominal surgery. The patient has been on extended bedrest following the surgical procedure and has only been out of bed a few times with the assistance of the nursing staff. The most important objective measures to assess after assisting the patient from supine to sitting is:
    • A. 

      Systolic blood pressure

    • B. 

      Diastolic blood pressure

    • C. 

      Perceived exertion

    • D. 

      Oxygen saturation rate


  • 95. 
    A physical therapist assistant examines a 25-year-old male rehabilitating from a tibial plateau fracture. The physician orders indicate the patient is non-weight bearing on the involved lower extremity. The most appropriate gait pattern for the patient is:
    • A. 

      Two point

    • B. 

      Three point

    • C. 

      Four point

    • D. 

      Swing to


  • 96. 
    A physical therapist assistant employed in an acute care hospital treats a patient diagnosed with asthma. In order to assess the patients activity tolerance the therapist elects to use oximetry. The most appropriate time periods to conduct formal oximetry measurements are:
    • A. 

      During and after the exercise session

    • B. 

      Before and during the exercise session

    • C. 

      Before and after the exercise session

    • D. 

      Before, during, and after the exercise session


  • 97. 
    A physical therapist assistant discusses the plan of care for a patient rehabilitating from total hip replacement surgery with patients surgeon. During the discussion the surgeon indicates that he would like the patient to continue to wear a knee immobilizer in order to help prevent hip dislocation. The primary rationale for this action is:
    • A. 

      The knee immobilizer serves as a constant reminder to the patient that the hip is susceptible to injury.

    • B. 

      The knee immobilizer reduces hip flexion by maintaining knee extension.

    • C. 

      The knee immobilizer facilitates quadriceps contraction during weight bearing activities.

    • D. 

      The knee immobilizer limits postoperative edema and as a result promotes lower extremity stability.


  • 98. 
    A physical therapist assistant instructs a patient ambulating with axillary crutches to move cautiously and deliberately on potentially hazardous surfaces. Which gait pattern would allow the patient maximum security?
    • A. 

      Swing to

    • B. 

      Swing through

    • C. 

      Three point

    • D. 

      Four point


  • 99. 
    It is extremely important to thoroughly instruct patients about specific precautions before and after total hip replacement surgery. Patients that do not understand or choose to disregard this information often experience subluxation or dislocation. Which of the following would be considered good advice after total hip replacement surgery?
    • A. 

      Use a raised toilet seat

    • B. 

      Use an abduction pillow for one week postoperatively

    • C. 

      Avoid sitting in high and hard chairs

    • D. 

      Slowly bend forward when picking objects up from the floor


  • 100. 
    While performing high level balance activities, a patient falls into a piece of equipment that causes a deep laceration to the calf. Immediate first aid includes direct pressure to the area and elevation; however the bleeding does not stop. The physical therapist assistant should continue to administer first aid by providing:
    • A. 

      Heat to the laceration site

    • B. 

      Ice to the laceration site

    • C. 

      Pressure to the dorsalis pedis artery pressure point

    • D. 

      Pressure to the femoral artery pressure point


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