Pqg4 Part 1 Of 4

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Pqg4 Part 1 Of 4

PQG4 Part 1 of 4


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  • 1. 
    A physical therapist is treating a six month-old infant with spina bifida.  The infant suddenly begins to act strangely at the conclusion of the treatment session.  A primary survey reveals the infant is not breathing but does have a pulse.  The most immediate response would be to
    • A. 

      Begin chest compressions

    • B. 

      Begin mouth to mouth breathing

    • C. 

      Begin mouth to nose breathing

    • D. 

      Begin mouth to mouth and nose breathing

  • 2. 
    A physical therapy treatment plan for a patient rehabilitation from an anterior shoulder dislocation includes progressive resistive exercises.  Which muscle groups should be emphasized during rehabilitation?
    • A. 

      Abductors, external rotators

    • B. 

      Adductors, external rotators

    • C. 

      Abductors, internal rotators

    • D. 

      Adductors, internal rotators

  • 3. 
    A physical therapist is treating a patient diagnosed with anterior cruciate ligament insufficiency.  The physician referral specifies closed kinetic chain rehabilitation.  Which exercise would not be appropriate based on the physician order?
    • A. 

      Exercise on a stair machine

    • B. 

      Limited squats to 45 degrees

    • C. 

      Walking backwards on a treadmill

    • D. 

      Isokinetic knee extension and flexion

  • 4. 
    A 65 year-old female reports to physical therapy diagnosed with degenerative joint disease of the right hip.  Which of the following clinical findings would you not expect to identify?
    • A. 

      Tendency to stand with the hip and knee extended and the lumbar spine flexed

    • B. 

      Painful limitation of hip motion in a capsular pattern

    • C. 

      Marked limitation of hip internal rotation and abduction

    • D. 

      Tendency to incline the trunk toward the involved side during the stance phase of gait.

  • 5. 
    Physical therapy clinics should have a detailed infection control program.  Which of the following is not an example of effective infection control?
    • A. 

      Universal precautions shall be observed to prevent contact with blood or other potentially infectious materials

    • B. 

      Infectious waste must be placed in closable, labeled waste containers after use.

    • C. 

      Equipment and working surfaces must be decontaminated after contact with potentially infectious material

    • D. 

      Employees shall purchase, maintain, repair and lauder their personal protective clothing.

  • 6. 
    A study designed to determine if different therapists can be expected to measure an identical joint angle, on the same patient, and obtain similar results would be
    • A. 

      Intertester reliability

    • B. 

      Intratester reliability

    • C. 

      Intertester validity

    • D. 

      Intratester validity

  • 7. 
    Patients are often placed on diuretics to control high blood pressure and fluid retention.  Which of the following side effects of diuretics can require immediate medical attention?
    • A. 

      Elevated cholesterol and lipoprotein levels

    • B. 

      Nausea

    • C. 

      Drowsiness

    • D. 

      Dizziness

  • 8. 
    A physical therapist is palpating along the lateral portion of the hamstring musculature.  The therapist continues to palpate the muscle to its tendinous attachment on the fibular head.  The hamstring muscle should be identified as the
    • A. 

      Biceps femoris

    • B. 

      Gracilis

    • C. 

      Sartorius

    • D. 

      Semitendinosus

  • 9. 
    A physical therapist instructs a patient to reach behind their head and touch the superior medial angle of the opposite scapula.   Which shoulder motions are necessary in order to follow this command?
    • A. 

      Flexion and external rotation

    • B. 

      Flexion and internal rotation

    • C. 

      Abduction and external rotation

    • D. 

      Abduction and internal rotation

  • 10. 
    • A. 

      Shoulder setting exercises

    • B. 

      Gentle manual resistive exercises

    • C. 

      Codman’s pendulum exercises

    • D. 

      Passive range of motion in a pain-free range emphasizing forward flexion, abduction, and external rotation

  • 11. 
    A high school basketball player is treated in physical therapy after spraining her ankle.  Palpation reveals an extremely painful area extending from the anterior portion of the lateral malleolus to the lateral aspect of the talar neck.  The ligament most likely associated with the discomfort is the
    • A. 

      Deltoid

    • B. 

      Calcaneofibular

    • C. 

      Posterior talofibular

    • D. 

      Anterior talofibular

  • 12. 
    Ultrasound using the stationary technique is not recommended by most physical therapists because of all of the following EXCEPT
    • A. 

      It is difficult for the therapist to hold the transducer in a fixed position for the duration of the treatment

    • B. 

      The treatment area can only be as large as the radiating surface of the transducer

    • C. 

      Thermal effects are not possible using the stationary technique

    • D. 

      The patient must be relaxed and not move the involved area during treatment

  • 13. 
    In designing a wheelchair for a bilateral above knee amputee, the wheels should be moved in what direction?
    • A. 

      Two inches laterally

    • B. 

      Two inches backward

    • C. 

      Two inches forward

    • D. 

      Normal standardized position is appropriate

  • 14. 
    A manager is responsible for motivating staff members to take on the organization’s goals as their own goals.  Useful guidelines for a successful manager would include all of the following EXCEPT
    • A. 

      Managing by results with emphasis on upward communication

    • B. 

      Maintaining morale with emphasis on productivity and revenue generated

    • C. 

      Negotiating and maintaining a mutual commitment to goals

    • D. 

      Using performance appraisals for setting future goals

  • 15. 
    A patient reports pain radiating down his posterior leg into the foot.  She also exhibits weakness in plantarflexion and an absent Achilles reflex.  What spinal level would you expect to be involved?
    • A. 

      L4

    • B. 

      L5

    • C. 

      S1

    • D. 

      S2

  • 16. 
    Carpal tunnel syndrome results from compression of the median nerve in the volar aspect of the wrist.  This syndrome may be caused by all of the following EXCEPT
    • A. 

      Anterior dislocation of the lunate

    • B. 

      Inflammation of the extensor retinaculum

    • C. 

      Tenosynovitis of the flexor tendons

    • D. 

      Direct trauma

  • 17. 
    Weakness in this muscle would make it extremely difficult to ambulate on crutches.
    • A. 

      Medial deltoid

    • B. 

      Erector spinae

    • C. 

      Latissimus dorsi

    • D. 

      Rhomboids

  • 18. 
    Transverse friction massage is a valuable treatment technique in a variety of common musculoskeletal disorders.  Which of the following statements does not accurately describe the application technique of transverse friction massage?
    • A. 

      The therapist moves the skin back and forth in a direction perpendicular to the normal orientation of the fibers

    • B. 

      A lubricant is used to prevent excessive skin friction

    • C. 

      Fingers that are not involved directly in the massage are used to provide stabilization

    • D. 

      The rate of movement is 2-3 cycles per second and rhythmical

  • 19. 
    A patient’s right shoulder is immobilized in a sling following a fall two days ago.  The referring physician indicates that x-rays of the involved shoulder were negative, however he expresses concern about the patient developing secondary upper extremity problems during the two-week immobilization period.  Which of the following activities would not be recommended during this two week period?
    • A. 

      Active range of motion to the elbow, forearm, wrist and fingers several times a day

    • B. 

      Repetitive squeezing of a soft object with the hand

    • C. 

      Position the hand below the level of the heart when edema is noted in the hand

    • D. 

      Instruct the patient in the importance of keeping all distal joints as active as possible

  • 20. 
    Mobilization is often indicated with a loss of accessory joint movement.  It is however important to determine the exact cause for the loss of accessory motion.  Which of the following would be an acceptable condition for joint mobilization?
    • A. 

      Capsuloligamentous adherence

    • B. 

      Internal derangement

    • C. 

      Reflex muscle guarding

    • D. 

      Bony blockage

  • 21. 
    If the radial nerve is severed above the origin of the triceps muscle, what motion of the elbow joint is impossible?
    • A. 

      Flexion

    • B. 

      Extension

    • C. 

      Pronation

    • D. 

      Supination

  • 22. 
    • A. 

      Provides decreased joint compressive forces at high speeds

    • B. 

      Provides maximal resistance throughout the velocity spectrum

    • C. 

      Provides increased reciprocal innervation time of agonist/antagonist contractions

    • D. 

      Provides objective permanent recording

  • 23. 
    A caesarian section might be indicated for all of the following EXCEPT
    • A. 

      Cephalopelvic disproportion

    • B. 

      Prolonged labor

    • C. 

      Transverse lie of the baby

    • D. 

      Full effacement and dilation of the cervix

  • 24. 
    The most effective strengthening exercise for muscles with disuse atrophy is
    • A. 

      Passive motion

    • B. 

      Active assistive motion

    • C. 

      Active motion

    • D. 

      Resistive motion

  • 25. 
    All of the following are used frequently by a physical therapist to treat temporomandibular joint disorders EXCEPT
    • A. 

      Postural training

    • B. 

      Diathermy

    • C. 

      Electrical stimulation

    • D. 

      Ultrasound

  • 26. 
    • A. 

      Knee-ankle-foot orthosis with a locked knee

    • B. 

      Plastic articulating ankle-foot orthosis

    • C. 

      Metal upright ankle-foot orthosis

    • D. 

      Prefabricated posterior leaf orthosis

  • 27. 
    All of the following can be used clinically in the treatment of a hemiplegic’s flaccid subluxed shoulder EXCEPT
    • A. 

      Progressive resistive exercises

    • B. 

      Weight bearing/facilitation

    • C. 

      Functional electrical stimulation

    • D. 

      Approximation

  • 28. 
    A physical therapist observes that a patient’s medial longitudinal arch is extremely depressed.  What ligament helps to maintain the medial longitudinal arch?
    • A. 

      Talonavicular

    • B. 

      Anterior talofibular

    • C. 

      Calcaneofibular

    • D. 

      Posterior talofibular

  • 29. 
    Tests for the length of the hamstring muscles typically involve stabilization of the uninvolved leg while raising the leg to be tested.  It is important to stabilize the uninvolved leg because it
    • A. 

      Prevents excessive posterior pelvic tilt and excessive flexion of the lumbar spine

    • B. 

      Prevents excessive posterior pelvic tilt and excessive extension of the lumbar spine

    • C. 

      Prevents excessive anterior pelvic tilt and excessive flexion of the lumbar spine

    • D. 

      Prevents excessive anterior pelvic tilt and excessive extension of the lumbar spine

  • 30. 
    A physical therapist is conducting an initial evaluation on a patient diagnosed with Parkinson’s disease.  Which of the following clinical findings would you expect the therapist to identify?
    • A. 

      Aphasia

    • B. 

      Ballistic movements

    • C. 

      Severe muscle atrophy

    • D. 

      Cogwheel rigidity

  • 31. 
    • A. 

      Training effects can be maintained by one or two days of exercise per week

    • B. 

      The changes resulting from training are influenced by the frequency, duration, and intensity of training.

    • C. 

      Training induces physiological changes in the skeletal muscles and the cardiorespiratory system

    • D. 

      Prior training hastens the rate and increases the magnitude of training benefits gained from subsequent training programs

  • 32. 
    What percentage of physical therapy students taking their state board examination would you expect to score within plus and minus one standard deviation of the mean?
    • A. 

      48%

    • B. 

      58%

    • C. 

      68%

    • D. 

      88%

  • 33. 
    According to the “Standards of Practice for Physical Therapy” as written by the American Physical Therapy Association, all of the following statements are correct EXCEPT
    • A. 

      The physical therapist shall render care within the scope of his or her education and experience

    • B. 

      The physical therapist utilizes subjective measures to establish a baseline at the time of the initial evaluation

    • C. 

      The physical therapist establishes and records a plan of care for the individual, based on the results of the evaluation

    • D. 

      The physical therapist involves the individual in the plan, implementation and revision of the treatment program

  • 34. 
    Which aquatic exercise would be the most effective in reducing tone in a spinal cord injured patient?
    • A. 

      Slow passive movements of the neck and upper extremities with the patient floating in supine

    • B. 

      Passive abduction and adduction of the upper extremities with the patient in short sitting

    • C. 

      Approximation of the trunk with the patient floating in supine

    • D. 

      Gentle rocking of the trunk with the patient in short sitting

  • 35. 
    A two year-old male with infectious meningitis is referred to physical therapy for respiratory therapy.  Which treatment precaution would not be accurate?
    • A. 

      Avoid undue oblique stress on any bone

    • B. 

      Use only prone postural drainage positions

    • C. 

      Maintain activities below the point of fatigue

    • D. 

      Elevate the patient toward the vertical position slowly

  • 36. 
    A therapist prepares to treat a patient in isolation by donning a mask.  Which of the following isolation categories would require the use of a mask?
    • A. 

      Strict isolation

    • B. 

      Contact isolation

    • C. 

      Respiratory isolation

    • D. 

      Enteric precautions

  • 37. 
    A physical therapist is evaluating a 15 year-old female distance runner for foot pain of unknown etiology.  As the therapist palpates along the medial aspect of the foot and ankle, she palpates the head of the first metatarsal bone and the metatarsophalangeal joint.  Immediately proximal to this she identifies the first cuneiform.  What large bony prominence would you expect the therapist to identify next if she continues to move in a proximal direction?
    • A. 

      Talar head

    • B. 

      Navicular

    • C. 

      Medial malleolus

    • D. 

      Cuboid

  • 38. 
    A 14 year-old girl presents with a twenty degree left thoracic scoliotic curvature.  All of the following are appropriate immediate forms of treatment EXCEPT
    • A. 

      Use of corset/bracing

    • B. 

      Postural exercises

    • C. 

      Deep breathing

    • D. 

      Surgical intervention

  • 39. 
    A physical therapist receives an order for 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 at the L4 level three months ago.  Recognizing that an unstable spine is a contraindication to lumbar traction you decide to
    • A. 

      Initiate lumbar traction in a prone position only

    • B. 

      Initiate lumbar traction since the compression fracture was three months ago

    • C. 

      Contact the physician and discuss your concerns about the treatment orders

    • D. 

      Contact the physician and relay that the treatment order showed poor judgment

  • 40. 
    A fracture of the femoral neck which disrupts the blood supply causing the femur to degenerate is termed
    • A. 

      Congenital dislocating hip

    • B. 

      Aseptic necrosis

    • C. 

      Hip pointer

    • D. 

      Myositis ossificans

  • 41. 
    A cardiac rehabilitation phase I program should begin 3-6 days after the patient’s infarct and should consist of all of the following prior to discharge EXCEPT
    • A. 

      Progressive resistive exercise program for the upper and lower extremities

    • B. 

      Monitor heart rate and blood pressure during exercise

    • C. 

      Patient and family education

    • D. 

      Submaximal low level treadmill test

  • 42. 
    When is it appropriate to initiate an exercise program for a patient who has second degree burns over 27% of their body?
    • A. 

      Immediately to tolerance

    • B. 

      Normal healing will occur regardless of whether or not an exercise program is initiated

    • C. 

      When wound healing is completed

    • D. 

      Not until the patient experiences only minimal pain with active exercise

  • 43. 
    Upon inspecting a patient’s residual limb after prosthetic training, you note a reddened area proximal to the patella tendon and over the anterior and distal end of the limb.   Before continuing with future gait training sessions you would first
    • A. 

      Decrease the ply in the socks worn by the patient

    • B. 

      Place cotton/gauze in the bottom of the prosthesis socket in order to support the limb

    • C. 

      Ask the prosthetist to flare out the bottom of the socket

    • D. 

      Increase the ply of the socks word by the patient

  • 44. 
    When two therapists get drastically different manual muscle testing results on the same patient it is an example of poor
    • A. 

      Intrarater reliability

    • B. 

      Interrater reliability

    • C. 

      Internal validity

    • D. 

      External validity

  • 45. 
    A traumatic brain injury patient, which presents with right hemiplegia is to receive an ankle foot orthosis to assist with ambulation.  The patient’s right knee will occasionally buckle during the stance phase of gait on the right.  A modification to the ankle foot orthosis that would enhance knee extension during loading and stance on the right is to
    • A. 

      Position the ankle joint in 5 degrees of dorsiflexion

    • B. 

      Shorten the toe plate

    • C. 

      Extend the foot plate

    • D. 

      Add a soft anterior shelf

  • 46. 
    A patient diagnosed with an incomplete spinal cord lesion that presents with muscle paralysis on the ipsilateral side of the lesion and a loss of pain, temperature and sensitivity on the contralateral side of the lesion describes
    • A. 

      Steinert’s disease

    • B. 

      Central cord syndrome

    • C. 

      Anterior spinal artery syndrome

    • D. 

      Brown-Sequard syndrome

  • 47. 
    When developing a treatment program for a patient diagnosed with cystic fibrosis, it is important to include all of the following.  Perhaps the most critical element of the program is
    • A. 

      Gait training

    • B. 

      Patient and family education

    • C. 

      Postural drainage/chest physical therapy

    • D. 

      Home adaptations

  • 48. 
    A physical therapist debrides a decubitus ulcer after a whirlpool treatment.  The therapist should take off sterile patient care gloves after
    • A. 

      Completing debridement and transporting the patient to the patient waiting area

    • B. 

      Completing debridement

    • C. 

      Contact with the patient’s decubitus ulcer

    • D. 

      Cleaning the whirlpool at the conclusion of patient treatment

  • 49. 
    A home visit is performed for a patient who resides alone and is four weeks status post total hip replacement.  The patient is presently partial weight bearing on the affected side.  The most appropriate recommendations for the patient to increase safety in the bathroom are
    • A. 

      Raised toilet seat with rails, tub bench, hand held shower

    • B. 

      Grab bars in the shower and next to the toilet

    • C. 

      Hand rails for the toilet, tub bench, hand held shower

    • D. 

      Patient should not shower until their weight bearing status increases

  • 50. 
    Rhythmic stabilization is a/an ______ technique that can be implemented to increase joint stability.
    • A. 

      Isometric

    • B. 

      Isotonic

    • C. 

      Isokinetic

    • D. 

      Eccentric