Pta Exam-1

100 Questions  I  By Ash6286ley
PTA Exam-1
Preparation for PTA licensing exam

  
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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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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 During the treatment session the patient appears to be relaxed and comfortable, however is extremely withdrawn.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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
13.  Physical therapist assistants often ask questions of patients during exercise activities. Questions asked should not lead the patient.
A.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
26.  A patient positioned in kneeling works on weight shifting activities. Which stage of control is demonstrated with this activity?
A.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
29.  A patient with cerebellar dysfunction exhibits signs of dysmetria. Which of the following activities would be the most difficult for the patient?
A.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
58.  Which of the following exercises would be inappropriate for a woman who gave birth via cesarean section two days ago?
A.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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.
B.
C.
D.
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