Pqg4 Part 1 Of 4

50 Questions | Total Attempts: 106

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Pqg4 Part 1 Of 4

PQG4 Part 1 of 4


Questions and Answers
  • 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 65 year-old female is referred to physical therapy two weeks after surgical repair of the rotator cuff.  Which of the following exercises would not be appropriate for the patient?
    • 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. 
    Isokinetic training and testing are becoming increasingly popular in both clinical settings and research.  Advantages of isokinetic testing include all of the following EXCEPT
    • 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

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