Ot/Pt Haad Simulation 6

100 Questions | By Prcrenew | Updated: Mar 21, 2022 | Attempts: 863

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. This is a Simulated Examination for Gulf Physical Therapy/ Occupational Therapy Examinations taken from Last Month's HAAD Feedbacks. This examination contains 100 of the most UPDATED EXAMS from Abu Dhabi, KSA, and UAE. Take this examination for 120 minutes. You need to get 86% to pass the HAAD. 60% to pass MOH, DHA, or Prometrics. Please text 0919-286-29-29 in the Philippines or visit our website www. Ptonline. Weebly. ComTHIS IS YOUR ASSESSMENT FOR ANY GULF Physical Therapy/ Occupational Therapy EXAMINATIONS INCLUDING HAAD, SAUDI PROMETRICS, DUBAI DHA, AND UAE MOH. THE QUESTIONS HERE ARE TAKEN FROM THIS ACTUAL EXAMINATIONS, SO PASSING THIS ASSESSMENT EXAM WILL GIVE YOU A HIGH PROBABILITY OF PASSING

Questions and Answers

1.

A forty-eight year-old female sustained a fracture to her left shoulder. Treatment is proceeding well except that with left shoulder flexion you notice the scapula protract and elevate early and it continues to move excessively. Physical therapy intervention should emphasize:
- A.
  
  Glenohumeral mobilization and strengthening of scapular stabilizers to regain normal scapulohumeral movement.
- B.
  
  Glenohumeral mobilization, and strengthening of the rotator cuff muscles to regain muscle balance
- C.
  
  Scapulothoracic mobilization and strengthening of the pectoralis major and minor muscles to regain normal scapulohumeral rhythm.
- D.
  
  Stretching of scapular stabilizers and strengthening of the pectoralis major and minor muscles to regain muscle balance.
2.

A 59 year-old ex-machinist demonstrates significant age-related hearing loss, presbycusis. When trying to communicate with this patient you would NOT suspect:
- A.
  
  Bilateral hearing loss, at all frequencies since he has had this problem for a number of years.
- B.
  
  Decreased language comprehension.
- C.
  
  Poor auditory discrimination
- D.
  
  unilateral hearing loss.
3.

You are supervising the exercise of cardiac rehabilitation outpatient class on a very hot day, with temperatures expected to be above 90 degrees F. Your class is scheduled for 2 p.m. and the facility is not air conditioned. The strategy that is unacceptable is to:
- A.
  
  Change the time of the exercise class to early morning or evening.
- B.
  
  Decrease the exercise intensity by slowing the pace of exercise.
- C.
  
  Increase the warm-up and cool-down periods to equal the total aerobic interval in time.
- D.
  
  Make the exercise intermittent by adding rest cycles
4.

A patient has a transtibial amputation and has recently been fitted with a PTB socket. During your initial prosthetic checkout, you instruct the patient to walk several times in the parallel bars. You then have him sit down and take the prosthesis off. You inspect the skin. You would expect no redness in the area of the:
- A.
  
  anterior tibia, tibial crest, and fibular head.
- B.
  
  Patellar tendon and tibial tuberosity.
- C.
  
  Medial tibial and fibular plateaus.
- D.
  
  Distal end of the residual limb.
5.

A patient who is terminally ill with cancer is in tears, unable to cope with the changes in her life and with her current hospitalization. You have a referral for gait training so she can be discharged to home under hospice care. The BEST approach for you to take is:
- A.
  
  ask the patient questions so you can gain a detailed history.
- B.
  
  Encourage denial so she can cope better with her life’s challenges.
- C.
  
  Ignore her tears and focus on her therapy but in a compassionate manner.
- D.
  
  take time now to allow the patient to express her fears and frustrations.
6.

Your examination reveals muscle spasms of the deep hip rotators, which are compressing the sciatic nerve and producing pain in the posterior hip region. The MOST effective setting of ultrasound in this case is:
- A.
  
  1 MHz continuous at 1.0 W/cm2.
- B.
  
  1 MHz pulsed at 1.0 W/cm2.
- C.
  
  3 MHz continuous at 1.0 W/cm2.
- D.
  
  3 MHz pulsed at 1.0 W/cm2.
7.

A 17 year-old patient is recovering from a complete spinal cord injury, at the level of L2. The expected outcome in this case would MOST likely include:
- A.
  
  A spastic or reflex bladder.
- B.
  
  greater loss of arm function than leg function with early loss of pain & temperature sensation.
- C.
  
  Loss of motor function, pain & temperature sensation below the level of the lesion with light touch, proprioception and position sense preserved.
- D.
  
  Some recovery of function since damage is to peripheral nerve roots
8.

A physical therapist is gait training a patient with left hemiplegia. The patient’s new AFO arrives, but the therapist is overwhelmed with too many patients and asks the physical therapy student to take over. This is the student’s first affiliation (second day) and she has never performed an orthotic checkout for a patient with an AFO. The supervising therapist will be in the same vicinity treating other patients. This task should:
- A.
  
  Be considered an advanced task, but allowable for the student to perform as a good learning experience.
- B.
  
  be designated as a more advanced task and more appropriately delegated to another physical therapist.
- C.
  
  be designated as a routine task and appropriate for the student who could call out to the supervisor if problems arose.
- D.
  
  not be completed now and the patient sent back to his room.
9.

A patient has been diagnosed with acute synovitis of the temporomandibular joint. Early intervention should focus on:
- A.
  
  application of an intraoral appliance and phonophoresis.
- B.
  
  instruction to eat a soft food diet and phonophoresis.
- C.
  
  Joint mobilization and postural awareness.
- D.
  
  temporalis stretching and joint mobilization.
10.

During a cervical spine examination you observe restricted left rotation of the C7-T1 spinal level. After stabilizing the thoracic spine, your hand placement for mobilization to improve left rotation should be at the:
- A.
  
  posterior left C6 articular pillar.
- B.
  
  Posterior left C7 articular pillar.
- C.
  
  posterior right C7 articular pillar.
- D.
  
  T1 spinous process.
11.

An appropriate fine motor behavior that should be established by 9 months of age would be the ability to:
- A.
  
  build a tower of 4 blocks.
- B.
  
  hold a cup by the handle while drinking.
- C.
  
  pick up a raisin with a fine pincer grasp.
- D.
  
  Transfer objects from one hand to another.
12.

A patient with a 10 year history of Parkinson’s disease has been taking L-dopa for the last 5 years. He presents in your clinic with deteriorating function. He is not longer able to transfer or walk independently. During the oral interview, you observe facial grimacing with twitching of the lips and tongue protrusion. He appears restless, with constant dancing, athetoid-like movements of his legs. Your BEST course of action is to:
- A.
  
  Complete your evaluation focusing specifically on his main problems of rigidity and bradykinesia.
- B.
  
  Document your observations and refer him back to his physician for evaluation of possible dopamine toxicity.
- C.
  
  Talk to his wife to see if he is taking any drugs with hallucinogenic effects.
- D.
  
  Use isokinetic dynamometry to assess his inability to generate torque output during fast movements.
13.

A patient who is to undergo surgery for a chronic shoulder dislocation asks you to explain the rehabilitation following a surgical reconstructive procedure he is scheduled to undergo. Your BEST response is to:
- A.
  
  explain how patients typically respond to the surgery and outline the progression of exercises.
- B.
  
  explain in detail about the surgical procedure.
- C.
  
  refer the patient to a physical therapy clinical specialist who is an expert of shoulder reconstructive rehabilitation.
- D.
  
  Tell the patient to ask his surgeon for this information
14.

Which of the following is NOT an appropriate reason to terminate a maximum exercise tolerance test for a patient with pulmonary dysfunction?
- A.
  
  ECG monitoring reveals diagnostic ischemia.
- B.
  
  PaO2 decreases 20 mmHg.
- C.
  
  patient reaches age-predicted maximal heart rate.
- D.
  
  Patient states he is maximally short of breath.
15.

A patient with a complete T10 paraplegia is receiving his initial ambulation training. He has received bilateral Craig-Scott knee-ankle-foot orthoses and is being trained with axillary crutches. Since a reciprocal gait pattern is problematic for him, the BEST initial gait pattern to teach him is:
- A.
  
  Four-point.
- B.
  
  Swing-through.
- C.
  
  swing-to.
- D.
  
  Two-point.
16.

After mastectomy, a patient cannot accept the loss of her breast. She reports being weepy all the time with loss of sleep. She is constantly tired and has no energy to do anything. The BEST action you can take is:
- A.
  
  observe her closely for possible suicide.
- B.
  
  request her primary physician to refer her for psychological evaluation.
- C.
  
  tell her she’s over-reacting, she has to get on with her therapy.
- D.
  
  Tell the nurse case manager to monitor her behavior.
17.

A 23 year-old college volleyball player complains of moderate pain resulting from a left hamstring strain four weeks ago. The focal point of pain and tightness is noted where a hematoma developed initially. The specific massage technique that would be MOST beneficial in this case is:
- A.
  
  friction.
- B.
  
  kneading.
- C.
  
  Stroking
- D.
  
  Tapotement.
18.

A six year-old boy born with myelomeningocele at the L2 level is referred for physical therapy treatment at home. In determining the physical therapy plan of care, it would NOT be appropriate to emphasize:
- A.
  
  Gait training with a reciprocating gait orthosis.
- B.
  
  Transfer training from floor to wheelchair.
- C.
  
  upper extremity strengthening with weights.
- D.
  
  vigorous range of motion of the lower extremities.
19.

During your examination of a patient who complains of back pain you found pain with end range AROM into hip flexion, abduction and external/lateral rotation. The structure most likely causing the patient’s pain is the:
- A.
  
  Hamstring muscle.
- B.
  
  Hip joint.
- C.
  
  piriformis muscle.
- D.
  
  SI joint.
20.

A therapist wants to compare frequencies of carpal tunnel syndrome occurring in different groups of individuals: assembly line workers and computer programmers. The MOST appropriate statistical tool to use for analysis of the data is:
- A.
  
  chi square test.
- B.
  
  normal distribution curve.
- C.
  
  Simple one-way ANOVA.
- D.
  
  t test.
21.

In a research study in which there is a skewed distribution with extreme scores on a balance measure that deviate from the performance of the total group, the MOST accurate representation of central tendency is:
- A.
  
  mean.
- B.
  
  Median.
- C.
  
  Mode.
- D.
  
  Standard deviation
22.

A 54 year-old factory worker injured his right arm in a factory press with damage to the ulnar nerve at the elbow. A diagnostic EMG was performed with evidence of spontaneous fibrillation potentials. In this case, the physical therapy plan of care should consider that:
- A.
  
  Axonotmesis is occurring.
- B.
  
  Denervation atrophy has occurred.
- C.
  
  Reinnervation is complete.
- D.
  
  Reinnervation is in process.
23.

A 67 year-old patient is recovering from a left CVA resulting in severe right hemiplegia. Additionally, he has a large diabetic ulcer on his left foot with pitting edema, requiring elevation of that extremity. The MOST appropriate wheelchair prescription for this patient would be a:
- A.
  
  hemiplegic chair.
- B.
  
  Lightweight active duty wheelchair.
- C.
  
  A. one-arm drive chair.
- D.
  
  Powered wheelchair with joystick
24.

A 14 year-old boy with advanced Duchenne muscular dystrophy is administered a pulmonary function test. The value that is UNLIKELY to show any deviation from normal is:
- A.
  
  FEV1.
- B.
  
  Functional residual capacity.
- C.
  
  Total lung capacity.
- D.
  
  A. vital capacity.
25.

A 29 year-old woman fractured her right midtibia in a skiing accident three months ago. After cast removal, a severe foot drop was noted. The patient desires to try electrical stimulation orthotic substitution. You would set up the functional electrical stimulation to contract the appropriate muscles during:
- A.
  
  Foot flat.
- B.
  
  Push off.
- C.
  
  swing phase.
- D.
  
  toe off.