Pqg4 Part 3 Of 4

51 Questions | Total Attempts: 520

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Pqg4 Part 3 Of 4

PQG4 Part 2 of 4


Questions and Answers
  • 1. 
    A patient sustained a deep partial thickness burn to the left forearm.  A reduction in the cellular and protein constituents of hypertrophic scarring can be accomplished through
    • A. 

      Pressure garments

    • B. 

      Passing range of motion

    • C. 

      Surgical intervention only

    • D. 

      Correct positioning

  • 2. 
    A therapist identifies a bluish discoloration of the skin and nail beds of a 55 year-old male referred to physical therapy for pulmonary rehabilitation.  What does this objective finding indicate?
    • A. 

      Hyperoxemia

    • B. 

      Hyperoxia

    • C. 

      Hypokalemia

    • D. 

      Hypoxemia

  • 3. 
    A therapist employed in a large medical center reviews the chart of a 63 year-old male referred to physical therapy for pulmonary rehabilitation.  The chart indicates the patient has smoked 1-2 packs of cigarettes a day since the age of 25.  The admitting physician also documented that the patient’s thorax appeared to be enlarged with flaring of the costal margins and widening of the costochondral angle.  What pulmonary disease does the chart most accurately describe?
    • A. 

      Asthma

    • B. 

      Bronchiectasis

    • C. 

      Chronic bronchitis

    • D. 

      Emphysema

  • 4. 
    A physical therapist positions a patient’s hip in the loose packed position.  This position for the hip is
    • A. 

      30o hip flexion, 30o abduction, 5o lateral rotation

    • B. 

      60o hip flexion, 30o abduction, 15o lateral rotation

    • C. 

      90o hip flexion, 15o abduction, 5o lateral rotation

    • D. 

      120o hip flexion, 15o abduction and 15o lateral rotation

  • 5. 
    A therapist attempts to obtain information on the ability of noncontractile tissue to allow motion at a specific joint.  What selective tissue tension test would provide the therapist with the most valuable information?
    • A. 

      Active range of motion

    • B. 

      Active assistive range of motion

    • C. 

      Passive range of motion

    • D. 

      Resisted isometrics

  • 6. 
    A patient reports to her physician complaining of increasing discomfort with activities of daily living.  The physician orders x-rays which reveal evidence of osteoporosis with mild subchondral bone destruction.  The physician refers the patient to physical therapy for instruction in a home exercise program.  The physical therapy evaluation identifies the following general findings.1. absence of specific joint deformity2. limitation in joint mobility3. adjacent muscle atrophy       What stage of rheumatoid arthritis best describes this patient’s condition?
    • A. 

      Early

    • B. 

      Moderate

    • C. 

      Severe

    • D. 

      Terminal

  • 7. 
    Physical therapy aides are commonly employed in a variety of physical therapy clinics.  Which statement does not accurately describe the American Physical Therapy Association’s prerequisites needed to be employed as a physical therapy aide?
    • A. 

      The individual must be a minimum of 18 years of age.

    • B. 

      The individual must be in good physical and emotional health.

    • C. 

      The individual must have a history of school and/or work performance

    • D. 

      The individual must have successfully completed a formalized program which meets the criteria established by the American Physical Therapy Association

  • 8. 
    Limitations of movement at a specific joint often occur in predictable patterns.  When a limitation at a given joint falls into a predictable pattern it is often termed capsular.  Which of the following patterns is considered to be a capsular pattern of the glenohumeral joint?
    • A. 

      Greatest limitation in flexion, followed by internal rotation

    • B. 

      Greatest limitation in external rotation, followed by abduction

    • C. 

      Greatest limitation in internal rotation, followed by abduction

    • D. 

      Greatest limitation in extension and external rotation

  • 9. 
    The reliability of goniometric measurements taken by different therapists is measured by interrater reliability.  Which joint motion would you expect to have the poorest interrater reliability?
    • A. 

      Ankle eversion

    • B. 

      Elbow flexion

    • C. 

      Knee flexion

    • D. 

      Shoulder external rotation

  • 10. 
    There are a variety of systems used to record goniometric measurements.  Using the 0 to 180 system the anatomical position is used for the starting position for all movements EXCEPT
    • A. 

      Ankle inversion and eversion

    • B. 

      Forearm pronation and supination

    • C. 

      Shoulder flexion and extension

    • D. 

      Wrist flexion and extension

  • 11. 
    A physician instructs a therapist to begin gait training with a patient three days status post cemented total hip replacement.  Assuming the patient has not had any significant problems postoperatively, which weight bearing status would be the most probable?
    • A. 

      Non weight bearing

    • B. 

      Partial weight bearing

    • C. 

      Weight bearing as tolerated

    • D. 

      Full weight bearing

  • 12. 
    A physical therapist performs a manual muscle test on a patient with bilateral upper extremity weakness.  The therapist should test the patient’s scapular adductors with the patient positioned in
    • A. 

      Prone

    • B. 

      Sidelying

    • C. 

      Standing

    • D. 

      Supine

  • 13. 
    A therapist palpates proximally along the second metacarpal.  Which carpal bone does not articulate with the second metacarpal?
    • A. 

      Capitate

    • B. 

      Hamate

    • C. 

      Trapezoid

    • D. 

      Trapezium

  • 14. 
    Assuming normal development which of the following activities should a child first accomplish?
    • A. 

      Rolling from prone to supine

    • B. 

      Rolling from supine to prone

    • C. 

      Turning from side to supine

    • D. 

      Turning supine to side

  • 15. 
    A therapist employed in a nursing home routinely treats patients in excess of 70 years of age.  The therapist has noted several consistent postural changes in her patients.  Which of the following does not accurately describe the postural changes associated with aging?
    • A. 

      Shortening of the trunk flexor muscles

    • B. 

      Lengthening of the trunk extensor muscles

    • C. 

      Increase in flexion at the atlanto-occipital joint

    • D. 

      Increase in flexion of the cervical spine

  • 16. 
    A therapist orders a wheelchair for a C7 quadriplegic.  What type of wheelchair would be the most appropriate for the patient?
    • A. 

      Electric wheelchair

    • B. 

      Manual wheelchair with handrim projections

    • C. 

      Manual wheelchair with friction surface handrims

    • D. 

      Manual wheelchair with standard handrims

  • 17. 
    A patient is instructed by the nursing staff to increase their dietary consumption of food sources that are rich in vitamin A.  Which of the following food groups would be the most appropriate to meet this goal?
    • A. 

      Green leaves, nuts, seafood

    • B. 

      Fish liver oils, butter, yellow vegetables

    • C. 

      Milk, cheese, liver

    • D. 

      Vegetable oil, wheat germ, dried yeast

  • 18. 
    A therapist reviews a patient’s medical chart to determine when they were last medicated.  The chart indicates the patient received medication at 2300 hours.  Assuming it is now 8:00 a.m., how long ago did the patient receive their medication?
    • A. 

      5 hours

    • B. 

      9 hours

    • C. 

      15 hours

    • D. 

      18 hours

  • 19. 
    A patient rehabilitating from a fractured ankle is referred to physical therapy for gait training.  The patient is in a short leg cast and is not permitted to bear weight through the involved lower extremity.  What gait pattern is the most appropriate for the patient?
    • A. 

      Two point gait using axillary crutches

    • B. 

      Three point swing through using Lofstrand crutches

    • C. 

      Three point swing through using a walker

    • D. 

      Four point alternating gait using axillary crutches

  • 20. 
    During an evaluation a male patient tells their therapist they are 160 centimeters tall and weigh 120 kilograms.  The patient’s weight would most accurately be classified as
    • A. 

      Within normal limits

    • B. 

      Mildly obese

    • C. 

      Moderately obese

    • D. 

      Grossly obese

  • 21. 
    A therapist attempts to auscultate over the aortic valve.  Which of the following areas is the most appropriate to isolate the desired valve?
    • A. 

      Second left intercostal space at the sternal border

    • B. 

      Second right intercostal space at the right sternal border

    • C. 

      Fourth left intercostal space along the lower left sternal border

    • D. 

      Fifth left intercostal space at the midclavicular line

  • 22. 
    A therapist presents the results of a research project entitle ”Effects of an Aerobic Exercise Program on Heart Rate and Blood Pressure”.  The independent variable in the therapist’s study is
    • A. 

      Exercise program

    • B. 

      Exercise program and heart rate

    • C. 

      Exercise program and blood pressure

    • D. 

      Heart rate and blood pressure

  • 23. 
    A therapist completes a pulmonary function test on a patient admitted to the hospital three days ago.  Assuming normal values, the patient’s residual volume should be approximately ____ percent of the patient’s total lung capacity?
    • A. 

      10

    • B. 

      25

    • C. 

      35

    • D. 

      50

  • 24. 
    A therapist positions a patient for bronchial drainage to the anterior segments of the upper lobes.  The most appropriate patient position is
    • A. 

      Supine with a pillow under their knees

    • B. 

      Supine with the head of the bed elevated 16 inches

    • C. 

      Supine with the foot of the bed elevated 16 inches

    • D. 

      Prone with the head of the bed elevated 12 inches

  • 25. 
    A therapist attempts to estimate the energy expenditure in calories for a cardiac patient performing a selected number of activities.  Assuming the therapist has a metabolic equivalent value for each of the activities of daily living, what other variables are necessary to obtain an estimate of the patient’s energy expenditure?
    • A. 

      Patient’s height and weight

    • B. 

      Patient’s weight and oxygen consumption

    • C. 

      Patient’s stroke volume and heart rate

    • D. 

      Patient’s residual volume and heart rate

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