Pqg4 Part 4 Of 4

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Pqg4 Part 4 Of 4

PQG4 Part 4 of 4


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  • 1. 
    While discussing a patient’s progress with the referring physician, the physician asks if the patient has demonstrate any signs of thoracodynia.  Thoracodynia can be described as
    • A. 

      Hypoventilation

    • B. 

      Inadequate chest expansion

    • C. 

      Diaphragmatic spasm

    • D. 

      Chest pain

  • 2. 
    Which type of joint receptor would a therapist expect to be most sensitive to high frequency vibration, acceleration and high velocity changes in joint position?
    • A. 

      Free nerve endings

    • B. 

      Golgi-Mazzoni corpuscles

    • C. 

      Pacinian corpuscles

    • D. 

      Ruffini endings

  • 3. 
    A physical therapist is treating a patient with a dorsal scapular nerve injury.  Which muscles would you expect to be most affected by this condition?
    • A. 

      Serratus anterior, pectoralis minor

    • B. 

      Levator scapulae, rhomboids

    • C. 

      Latissimus dorsi, teres major

    • D. 

      Supraspinatus, infraspinatus

  • 4. 
    A physical therapist is treating a patient with unilateral lower extremity weakness.  As the patient performs hip flexion in supine, the therapist helps the patient complete the full range of motion.  This would best be described as
    • A. 

      Active exercise

    • B. 

      Passive exercise

    • C. 

      Resistive exercise

    • D. 

      Active-assistive exercise

  • 5. 
    While reviewing the results of a goniometric evaluation, a physical therapist notes that active horizontal adduction was recorded at 80 degrees.  This recording should be considered
    • A. 

      Hypermobile

    • B. 

      Hypomobile

    • C. 

      Within normal limits

    • D. 

      Not enough information is given to make an accurate assessment

  • 6. 
    A physical therapist positions a patient in prone to measure passive knee flexion.  Range of motion may be limited in this position due to
    • A. 

      Active insufficiency of the knee extensors

    • B. 

      Active insufficiency of the knee flexors

    • C. 

      Passive insufficiency of the knee extensors

    • D. 

      Passive insufficiency of the knee flexors

  • 7. 
    Treating a patient diagnosed with reflex sympathetic dystrophy can be at times frustrating for a physical therapist.  The most important ingredient of productive treatment is
    • A. 

      The selection of appropriate therapeutic modalities

    • B. 

      The selection of appropriate range of motion exercises

    • C. 

      The use of transcutaneous electrical nerve stimulation

    • D. 

      The attitude of the rehabilitation team

  • 8. 
    According to the Standards of Ethical Conduct for Physical Therapist Assistants as written by the American Physical Therapy Association, all of the following are correct EXCEPT
    • A. 

      Physical therapist assistants shall work under the supervision and direction of a physical therapist or senior physical therapist assistant.

    • B. 

      Physical therapist assistants may not initiate or alter a treatment program without prior evaluation by and approval of the supervising physical therapist

    • C. 

      Physical therapist assistants may not interpret data beyond the scope of their physical therapist assistant education

    • D. 

      Physical therapist assistants shall refer inquiries regarding patient prognosis to a supervising physical therapist

  • 9. 
    Health Maintenance Organizations continue to grow in popularity throughout the United States.  Health Maintenance Organizations are most likely to restrict physical therapy coverage based on
    • A. 

      Duration of individual treatment sessions

    • B. 

      Period of delivery

    • C. 

      Number of visits

    • D. 

      Frequency of visits

  • 10. 
    A physical therapist assistant is providing patient coverage for a physical therapist who is on vacation.  The physical therapist assistant should be allowed to perform all of the following EXCEPT
    • A. 

      Supervise exercise activities

    • B. 

      Modify treatment plan

    • C. 

      Gait training activities

    • D. 

      Write daily progress notes

  • 11. 
    Which of the following fractures involving the cranium is the least likely to produce a brain injury?
    • A. 

      Depressed

    • B. 

      Linear

    • C. 

      Compound

    • D. 

      Comminuted

  • 12. 
    A physical therapist is treating a four month-old infant.  During mat activities the infant suddenly becomes unconscious.  The most appropriate location to check the infant’s pulse is the
    • A. 

      Femoral artery

    • B. 

      Brachial artery

    • C. 

      Popliteal artery

    • D. 

      Carotid artery

  • 13. 
    A patient diagnosed with Parkinson’s disease has difficulty initiating movement.  What proprioceptive neuromuscular technique would be most appropriate to treat this problem?
    • A. 

      Contract-relax

    • B. 

      Rhythmic initiation

    • C. 

      Rhythmic stabilization

    • D. 

      Slow reversal

  • 14. 
    A physical therapist instructs a patient to move from sitting to quadruped to tall kneeling.  By moving through the developmental sequence a patient gains ____ control during movement and ___ during balance activities.
    • A. 

      Isometric, isotonic

    • B. 

      Isotonic, isometric

    • C. 

      Isometric, isokinetic

    • D. 

      Isokinetic, isotonic

  • 15. 
    The long term goal of a CVA patient is to return to driving.  The primary deficit that the patient must learn to compensate for is
    • A. 

      Hemianopsia

    • B. 

      Expressive aphasia

    • C. 

      Agraphia

    • D. 

      Dysarthria

  • 16. 
    • A. 

      Patient has excessive forefoot pronation

    • B. 

      Patient has limited hamstring length

    • C. 

      Patient has limited plantarflexion

    • D. 

      Patient has limited dorsiflexion

  • 17. 
    A physical therapist is treating a CVA patient with apraxia.  All of the following techniques are commonly used to treat apraxia EXCEPT
    • A. 

      The therapist should speak slowly and directly to the patient

    • B. 

      Multiple step commands should be used for activities of daily living

    • C. 

      A new task should be broken down into smaller components

    • D. 

      Repetition of tasks may be necessary

  • 18. 
    All of the following are true statements regarding associated reactions EXCEPT
    • A. 

      A stimulus is needed to produce an associated reaction

    • B. 

      Associated reactions are volitional

    • C. 

      The Raimiste’s phenomenon is an example of an associated reaction

    • D. 

      Associated reactions tend to occur in predictable patterns

  • 19. 
    A physician orders an immediate postoperative prosthesis for a patient with a below knee amputation.  All of the following are benefits of the rigid dressing EXCEPT
    • A. 

      It limits the development of edema

    • B. 

      It allows for early ambulation with the pylon/foot attachment

    • C. 

      It is custom made to each individual residual limb

    • D. 

      It allows for daily wound inspection and dressing changes

  • 20. 
    A physical therapist is evaluating a right hemiplegic four days status post CVA.  All of the following would be appropriate short term goals EXCEPT
    • A. 

      Improve trunk control and sitting balance

    • B. 

      Initiate self care activities

    • C. 

      Promote awareness and use of the hemiplegic side

    • D. 

      Perform lower extremity exercises without assistance

  • 21. 
    Which clinical observation is not usually characteristic with a rupture of the rotator cuff?
    • A. 

      The typical patient is less than 40 years old

    • B. 

      The patient is often unable to move the arm actively without pain

    • C. 

      Scapulohumeral rhythm is altered

    • D. 

      Night pain is a common patient complaint

  • 22. 
    • A. 

      The position can cause shoulder-hand syndrome

    • B. 

      The position increases an inferior subluxation

    • C. 

      The position increases and reinforces increased tone in the scapula and shoulder

    • D. 

      The position increases tone in the pectoralis

  • 23. 
    A physical therapist might select a metal upright ankle foot orthosis instead of a plastic ankle foot orthosis if the patient exhibits
    • A. 

      Mild sensory loss

    • B. 

      Severe fluctuating edema

    • C. 

      Cosmetic concerns

    • D. 

      Mediolateral ankle instability

  • 24. 
    A manual muscle test is repeated by three therapists who obtain the same grade each time.  This activity demonstrates
    • A. 

      Intrarater reliability

    • B. 

      Interrater reliability

    • C. 

      Intrarater validity

    • D. 

      Interrater validity

  • 25. 
    A physical therapist evaluates a patient diagnosed with patellofemoral syndrome.  The therapist identifies significant genu recurvatum bilaterally.  Which of the following is not usually associated with genu recurvatum?
    • A. 

      Tightness of the quadriceps

    • B. 

      Tight popliteus and hamstring muscles at the knee

    • C. 

      Increased compression forces anteriorly

    • D. 

      Tightness of the gastrocnemius and soleus

  • 26. 
    A physical therapist evaluates a patient status post medial meniscectomy.  The patient reports a chronic history of medial knee pain.  Static posture assessment reveals significant genu valgum bilaterally.  Causes of genu valgum include all of the following EXCEPT
    • A. 

      Tightness of the iliotibial band and lateral knee joint structures

    • B. 

      Lengthened medial knee joint structures

    • C. 

      Femoral retroversion

    • D. 

      Foot pronation

  • 27. 
    A therapist performs a muscle screening test on a 16 year-old male.  The therapist positions the patient in supine with his hips and knees flexed and the soles of his feet in contact with the table.  The therapist instructs the patient to raise his hips from the table.  The therapist uses these instructions to assess the patient’s
    • A. 

      Hip abductors

    • B. 

      Hip adductors

    • C. 

      Hip extensors

    • D. 

      Hip flexors

  • 28. 
    Using proper techniques for goniometry ensures reliability, validity and objectivity.  Which of the following is considered appropriate technique when conducting goniometric measurements?
    • A. 

      Place the movable arm of the goniometer parallel to the longitudinal axis of the midline of the fixed segment in line with the designated bony landmark

    • B. 

      Align the goniometer and take readings at the middle and at the completion of each movement

    • C. 

      Perform the motion passively two or three times to eliminate substitutions and tightness due to inactivity

    • D. 

      Stabilize the distal body segment

  • 29. 
    A group of physical therapy students gathers data on the public’s perception of physical therapy.  The students use a questionnaire of closed end questions which is randomly distributed to individuals throughout the country.  All of the following are advantages of using closed end questions EXCEPT
    • A. 

      Quicker and relatively inexpensive to analyze

    • B. 

      Helps to ensure that answers are given in a frame of reference relevant to the research

    • C. 

      Forces the respondent to choose an answer even if the choice that corresponds to that of the respondent is not listed

    • D. 

      Makes the meaning of the question clearer

  • 30. 
    Physical therapy intervention for a child with chronic asthma include all of the following EXCEPT
    • A. 

      Parental education in drainage positioning and manual techniques

    • B. 

      Education in relaxation techniques

    • C. 

      Education in decreasing diaphragmatic breathing and increasing accessory muscle use

    • D. 

      Education in the use of nasal breathing

  • 31. 
    Which therapeutic modality would be contraindicated in a pediatric patient with juvenile rheumatoid arthritis?
    • A. 

      Superficial heat

    • B. 

      Ultrasound

    • C. 

      Transcutaneous electrical nerve stimulation

    • D. 

      Ice

  • 32. 
    A clinical instructor notices that his senior student is unmotivated and occasionally noncompliant with the facility’s policies and procedures.  The therapist’s immediate response to assist the student would be to
    • A. 

      Ask the student to discuss the problems in a formal setting with the director of the department

    • B. 

      Meet formally with the student to discuss the situation

    • C. 

      Contact the student’s school and discuss the student’s difficulty with the academic coordinator of clinical education

    • D. 

      Give the student a short term deadline to improve his level of motivation

  • 33. 
    A physical therapist evaluates a patient with a suspected acutely torn medial meniscus.  Which symptom is not commonly associated with a medial meniscus tear?
    • A. 

      Tenderness along the medial joint line

    • B. 

      Moderate to severe pain

    • C. 

      Joint locking

    • D. 

      Hamstring atrophy

  • 34. 
    A therapist observes the gait of a 55 year-old male diagnosed with peripheral vascular disease.  The therapist identifies an increase in the base of support during stance phase and circumduction of the right lower extremity during swing phase.  Possible causes include all of the following EXCEPT
    • A. 

      Decrease in active dorsiflexion

    • B. 

      Increase in active hip flexion

    • C. 

      Weakness in the adductor muscles

    • D. 

      General lack of coordination and balance

  • 35. 
    Studies using intradiscal pressures in the lumbar spine have given physical therapists valuable information on the importance of body position.  Which body position would you expect to place the most pressure on the lumbar spine?
    • A. 

      Standing in the anatomical position

    • B. 

      Standing with a 45 degrees of hip flexion

    • C. 

      Sitting in a chair

    • D. 

      Sitting in a chair with reduced lumbar lordosis

  • 36. 
    A physical therapist performs a test to measure the strength of a patient’s lower abdominal muscles.  The most appropriate technique to evaluate this is
    • A. 

      Partial sit up

    • B. 

      Full sit up with rotation

    • C. 

      Single leg raise

    • D. 

      Double leg raise

  • 37. 
    A female distance runner complains of recurrent friction blisters whenever she increases the intensity of her training regimen.  Appropriate physical therapy care of friction blisters include all of the following EXCEPT
    • A. 

      Pad the blister with a pressure pad

    • B. 

      Use of skin tougheners with astringents

    • C. 

      Soak regularly in ice water after activity

    • D. 

      Cut a large incision along the periphery of the blister with a sterile instrument

  • 38. 
    Reflex sympathetic dystrophy syndrome can be a painful and debilitating problem.  All of the following techniques are commonly used to treat reflex sympathetic dystrophy syndrome EXCEPT
    • A. 

      Active and passive range of motion exercises in a warm whirlpool

    • B. 

      Topical stimulation using a towel or soft cloth

    • C. 

      Transcutaneous electrical nerve stimulation

    • D. 

      Resistive exercises

  • 39. 
    Experimental evidence exists that immobilization following surgery can facilitate faster healing with a better end result.  Which statement regarding immobilization is not true?
    • A. 

      The position of a limb during immobilization affects the end result

    • B. 

      Prolonged immobilization can be detrimental to certain body parts

    • C. 

      Immobilization can lead to abnormal cross-linking of collagen fibers and an increase in tissue elasticity

    • D. 

      Immobilization does not always produce a good result when applied indiscriminately

  • 40. 
    An effective supervisor should adhere to all of the following guidelines EXCEPT
    • A. 

      Create a climate of involvement for all staff

    • B. 

      Delegate responsibility with commensurate authority

    • C. 

      Use intuition in the selection of new employees, rather than selection techniques and interviews

    • D. 

      Maintain open channels of communication for all levels of staff

  • 41. 
    To assess joint play movement a therapist places the joint in the loose packed or resting position.  Which statement describing this position is not accurate?
    • A. 

      The loose packed position is the position of a joint in its range of motion where the joint is under the least amount of stress.

    • B. 

      The loose packed position is equivalent to the anatomic resting position for each joint

    • C. 

      The loose packed position allows the movement of spin, slide and roll in a joint.

    • D. 

      The loose packed position is one of minimal congruency between the articular surface and joint capsule

  • 42. 
    A physical therapist uses proprioceptive neuromuscular facilitation to increase muscular strength.  The therapist instructs the patient to actively perform a pattern of hip extension, abduction and internal rotation.  The pattern emphasizes strengthening of the
    • A. 

      Psoas major and minor, iliacus

    • B. 

      Tensor fasciae latae, biceps femoris

    • C. 

      Gluteus maximus, medius and minimus

    • D. 

      Gluteus maximus, piriformis, adductor magnus

  • 43. 
    A patient diagnosed with multiple sclerosis is instructed in cane walking using two canes.  Which gait pattern is most appropriate using two canes?
    • A. 

      Swing to

    • B. 

      Swing through

    • C. 

      Three point gait

    • D. 

      Four point gait

  • 44. 
    Therapists often have an extremely busy schedule and must therefore make the most of the scheduled time they have with each patient.  Which of the following would not improve the quality of time a therapist spends with a patient?
    • A. 

      Sit down when talking to the patient

    • B. 

      Call attention to how busy you are but let the patient know you enjoy the time you spend with them

    • C. 

      Remove the patient from hospital traffic or busy areas where distractions may occur

    • D. 

      Look the patient in the eye during conversation

  • 45. 
    A physical therapist performs deep transverse friction massage to the supraspinatus tendon.  The most appropriate position to administer this technique would be with the patient
    • A. 

      Sitting with the upper arm in a neutral to slightly extended position with the lower arm supported

    • B. 

      Sitting with the upper arm extended and externally rotated

    • C. 

      Supine with the upper arm fully flexed

    • D. 

      Supine with the upper arm abducted to 45 degrees and the lower arm supported

  • 46. 
    A patient is treated for a brachial plexus injury sustained in a stabbing.  The patient presents with winging of the scapula.  Which nerve is commonly involved with this condition?
    • A. 

      Long thoracic

    • B. 

      Musculocutaneous

    • C. 

      Subscapular

    • D. 

      Ulnar

  • 47. 
    A patient sustains an injury to the dorsal scapular nerve.  Which muscle not innervated by this nerve can elevate the scapula?
    • A. 

      Latissimus dorsi

    • B. 

      Levator scapulae

    • C. 

      Rhomboid minor

    • D. 

      Trapezius

  • 48. 
    A physical therapist often utilizes therapeutic massage as part of a patient’s treatment program.  Which of the following statements describing massage is correct?
    • A. 

      The therapist should avoid prolonged massage in painful areas

    • B. 

      Massage will not provide relaxation and decrease stress

    • C. 

      Massage prior to mobilization is contraindicated

    • D. 

      The therapist should use deep massage aggressively with acute conditions

  • 49. 
    A forearm laceration causes damage to the median nerve.  Which muscle not innervated by the medial nerve can flex the wrist?
    • A. 

      Flexor carpi radialis

    • B. 

      Flexor carpi ulnaris

    • C. 

      Flexor digitorum superficialis

    • D. 

      Palmaris longus

  • 50. 
    A therapist tests a small area of skin for hypersensitivity prior to using a cold immersion bath.  The patient begins to demonstrate evidence of cold insensitivity within 60 seconds after cold application.  The most appropriate response is to
    • A. 

      Limit cold exposure to ten minutes or less

    • B. 

      Select an alternative cryotherapeutic agent

    • C. 

      Continue with the cold immersion bath

    • D. 

      Discontinue cold treatment and document your findings