Pqg3 Part 1 Of 4

50 Questions | Total Attempts: 112

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Pqg3 Part 1 Of 4

PQG3 Part 1 of 4


Questions and Answers
  • 1. 
    While working with a T6 spinal cord injured patient a physical therapist identifies a small, reddened area over the patient’s right ischial tuberosity region. The physical therapist should immediately:
    • A. 

      Notify nursing and remind the patient of their role in proper skin care

    • B. 

      Order a water mattress for the patient

    • C. 

      Alert the patient to the potential dangers of skin breakdown

    • D. 

      Notify the primary physician and declare a medical emergency

  • 2. 
    A patient falls to the ground during gait activities and appears to be in cardiac arrest. After performing a primary survey you call for help and begin cardiopulmonary resuscitation. CPR should be continued until all of the following EXCEPT
    • A. 

      The patient regains full consciousness

    • B. 

      The heart starts beating again

    • C. 

      A second rescuer trained in CPR takes over

    • D. 

      You are too exhausted to continue

  • 3. 
    A physical therapist observes a video on the biomechanics of normal gait. The therapist notes that the subject’s knee remains flexed during all of the components of the stance phase EXCEPT:
    • A. 

      Foot flat

    • B. 

      Heel strike

    • C. 

      Midstance

    • D. 

      Toe off

  • 4. 
    A therapist monitors a patient’s blood pressure by auscultation. When recording the patient’s blood pressure in the medical record, which of the following is usually not required?
    • A. 

      Systolic blood pressure value

    • B. 

      Extremity used

    • C. 

      Patient position

    • D. 

      Type of stethoscope used

  • 5. 
    After completing an initial examination, it is determined that a patient is exhibiting disability behaviors that are out of proportion to the physical therapist’s clinical findings. The therapist’s next course of action should be to:
    • A. 

      Confront the patient with the findings before initiating the treatment plan

    • B. 

      Immediately contact the patent’s physician and explain the findings

    • C. 

      Initiate the treatment plan, however consider the possibility that the disease state is being maintained by external consequences

    • D. 

      Continue with the current treatment plan without further delay and dismiss the findings

  • 6. 
    A physical therapist elects to use ultrasound on a  patient diagnosed with a second degree lateral ankle sprain.  The therapist uses the underwater technique because of the uneven joint surface and patient’s extreme sensitivity to pressure.  Which description of ultrasound using the underwater technique is true?
    • A. 

      The transducer should be placed directly on the skin.

    • B. 

      A commercial gel is appropriate for a coupling medium.

    • C. 

      The transducer should be held one-half to one inch from the skin and moved throughout the entire session.

    • D. 

      The patient should independently move the transducer once it is immersed in the water.

  • 7. 
    A physical therapist treats a patient with quadriceps weakness using repeated contractions. This proprioceptive neuromuscular facilitation technique should be applied:
    • A. 

      At the initiation of movement

    • B. 

      At the point where the desired muscular response begins to diminish

    • C. 

      Throughout the full active range of motion

    • D. 

      Only after a manual stretch to the quadriceps

  • 8. 
    A patient diagnosed with spastic hemiplegia wears an ankle-foot orthosis set in dorsiflexion to prevent foot drop. If the orthosis was set in excessive dorsiflexion, which of the following would you expect to observe during the stance phase?
    • A. 

      Increased knee stability

    • B. 

      Decreased knee stability

    • C. 

      Have no effect on knee stability

    • D. 

      Cause genu recurvatum

  • 9. 
    A patient is referred to physical therapy with a twenty degree restriction in wrist extension. Which mobilization technique would facilitate wrist extension?
    • A. 

      Dorsal glide of the carpals

    • B. 

      Stabilize lunate, volar glide radius

    • C. 

      Stabilize capitate, volar glide lunate

    • D. 

      Stabilize radius, volar glide scaphoid

  • 10. 
    To test for possible anterior shoulder instability a physical therapist would:
    • A. 

      Abduct the affected arm to 90 degrees and internally rotate

    • B. 

      Abduct the affected arm to 90 degrees, move into forward flexion, adduct and internally rotate

    • C. 

      Abduct the affected arm to 90 degrees and externally rotate

    • D. 

      Adduct the affected arm to 90 degrees and externally rotate

  • 11. 
    Which of the following exercises would be inappropriate for a woman who gave birth via cesarean section three days ago?
    • A. 

      Pelvic tilts

    • B. 

      Walking

    • C. 

      Deep breathing

    • D. 

      All are acceptable

  • 12. 
    Sensory stimulation for either muscle contraction or relaxation was introduced by:
    • A. 

      Bobath

    • B. 

      Fay

    • C. 

      Knott

    • D. 

      Rood

  • 13. 
    If a plumb line is positioned laterally to a patient so it runs along the line of gravity, where would it fall with respect to the knee joint?
    • A. 

      Anterior

    • B. 

      Posterior

    • C. 

      Directly through the knee joint

    • D. 

      All of these are incorrect

  • 14. 
    A patient diagnosed with shoulder pain of unknown etiology is referred by his physician for magnetic resonance imaging. The results of the test reveal a partial tear of the infraspinatus muscle. Based on the information obtained, which muscle group would you expect to be the most seriously affected?
    • A. 

      Shoulder external rotators

    • B. 

      Shoulder internal rotators

    • C. 

      Shoulder abductors

    • D. 

      Shoulder adductors

  • 15. 
    All of the following are true concerning scoliosis EXCEPT:
    • A. 

      A 15-20 degree curve is considered to be mild scoliosis

    • B. 

      Bracing can be an effective treatment tool

    • C. 

      Scoliosis is named by the direction of the concavity

    • D. 

      Early detection through school screening is essential

  • 16. 
    A patient has limited accessory joint motion in the right hip. You are unsure if joint mobilization techniques are indicated since the patient’s condition is relatively acute. Which of the following would be the best course of action?
    • A. 

      Active stretching exercises only

    • B. 

      Grade I and II mobilization

    • C. 

      Grade IV and V mobilization

    • D. 

      Avoid all stretching or mobilization until the patient is pain free

  • 17. 
    A patient exhibits pain and sensory loss in the posterior leg, calf, and dorsal foot. Extension of the hallux is poor, however, the Achilles reflex is normal. What spinal level would you expect to be involved?
    • A. 

      L4

    • B. 

      L5

    • C. 

      S1

    • D. 

      S2

  • 18. 
    An 18-year-old male six weeks status post open reduction of a Colles’ fracture is referred to as physical therapy. Examination reveals mild swelling on the dorsum of the hand and limited flexion in the metacarpophalangeal joint in all digits. The most appropriate heating agent is 
    • A. 

      Paraffin

    • B. 

      Hot packs

    • C. 

      Vapocoolant sprays

    • D. 

      Fluidotherapy

  • 19. 
    A patient scheduled for total hip replacement in three days is referred to as physical therapy for preoperative instruction. All of the following should be incorporated into total hip replacement preoperative instruction EXCEPT:
    • A. 

      Deep breathing and coughing exercises

    • B. 

      Gait training with an appropriate assistive device that will be used postoperatively

    • C. 

      Basic precautions for early bed mobility

    • D. 

      Proper use of an abduction pillow for 1-2 weeks postoperatively

  • 20. 
    A 26-year-old male involved in a motorcycle accident sustains a T10 vertebral fracture. The patient’s physician would like to restrict forward thoracic flexion by using an externally applied device. Which of the following would be the most appropriate selection?
    • A. 

      Minerva cervical thoracic orthosis

    • B. 

      Philadelphia collar

    • C. 

      Sternal-occipital-mandibular immobilizer

    • D. 

      Thoracolumbar-sacral orthosis

  • 21. 
    Which clinical finding is not indicative of a ruptured Achilles tendon?
    • A. 

      Negative Thompson test

    • B. 

      Absent Achilles reflex

    • C. 

      Lack of toe off during gait

    • D. 

      All of these are indicative of a ruptured Achilles tendon

  • 22. 
    A physical therapist evaluates a patient’s hip range of motion. Which pattern of limitation is typically considered to be a capsular pattern?
    • A. 

      Gross limitation of flexion, abduction and internal rotation

    • B. 

      Gross limitation of flexion, adduction and external rotation

    • C. 

      Gross limitation of extension, abduction and external rotation

    • D. 

      Gross limitation of extension, adduction and internal rotation

  • 23. 
    Relative contraindications for exercise during pregnancy include all of the following EXCEPT:
    • A. 

      Diabetes

    • B. 

      Thyroid disease

    • C. 

      History of precipitous labor

    • D. 

      Mild hypotension

  • 24. 
    Cardiac catheterization is performed by inserting a catheter into the femoral, brachial or axillary artery and advancing it through the aorta to the heart. Specific lesions, areas of low perfusion, and ventricular aneurysms are defined through
    • A. 

      The heart’s resistance to the presence of the catheter

    • B. 

      The catheter releasing dye into the coronary arteries

    • C. 

      The catheter monitoring the pressure within the arteries

    • D. 

      The catheter obtaining samples of cells which line the arteries

  • 25. 
    A patient diagnosed with pure athetoid cerebral palsy would most likely demonstrate:
    • A. 

      Disturbed sense of balance and faulty depth perception

    • B. 

      Hypertonicity, contractures and clonus

    • C. 

      Slow involuntary uncontrolled movements

    • D. 

      Severe intention tremor

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