Ptw Clinical Competencies Post Training Assessment
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This assessment is designed to measure knowledge retention from the training module that you just completed. Please choose the best answer to each multiple-choice question.
Note: you must achieve a score of 90% or above in order to successfully pass the training course.
After successful completion of the assessment, please print your certificate and present to the Director of Clinical Staff Development (Andrew Seo)
- 1.
What position is the wrist in when performing a dynamometer strength test of wrist flexion?
- A.
Forearm in supination, wrist in neutral
- B.
Forearm in pronation, wrist in neutral
- C.
Forearm in neutral, wrist in flexion
- D.
Forearm in supination, wrist in flexion
Correct Answer
A. Forearm in supination, wrist in neutralExplanation
During a dynamometer strength test of wrist flexion, the forearm is positioned in supination, which means that the palm is facing upwards. The wrist, on the other hand, is in a neutral position, neither flexed nor extended. This position allows for optimal engagement of the muscles responsible for wrist flexion and ensures accurate measurement of strength.Rate this question:
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- 2.
What position is the patient in while performing a dynamometer strength test of shoulder external rotation
- A.
Seated
- B.
Supine
- C.
Standing
- D.
Prone
Correct Answer
B. SupineExplanation
During a dynamometer strength test of shoulder external rotation, the patient is positioned in a supine position. This means that the patient is lying on their back, facing upward. This position allows for better access to the shoulder joint and facilitates accurate measurement of the strength and range of motion during the test.Rate this question:
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- 3.
Where is the fulcrum while performing cervical spine AROM lateral flexion?
- A.
Tip of the nose
- B.
Spinous process of C7
- C.
Spinous process of T1
- D.
Mouth
Correct Answer
B. Spinous process of C7Explanation
The correct answer is the spinous process of C7. The spinous process of C7 is the most prominent and easily palpable landmark in the cervical spine. During active range of motion (AROM) lateral flexion of the cervical spine, the fulcrum or pivot point is located at the spinous process of C7. This means that the movement primarily occurs at the level of C7, allowing the head and neck to tilt laterally towards the shoulder. The tip of the nose, spinous process of T1, and mouth are not involved in the fulcrum or movement during cervical spine AROM lateral flexion.Rate this question:
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- 4.
The patient is in _______ position while hip internal rotation and external rotation ROM are being performed
- A.
Supine
- B.
Sidelying
- C.
Seated
- D.
Standing
Correct Answer
A. SupineExplanation
During hip internal rotation and external rotation range of motion (ROM) exercises, the patient is positioned supine. In this position, the patient lies on their back with their face upward. This position allows for better access to the hip joint and facilitates the movement of the hip during the ROM exercises. Sidelying, seated, and standing positions may be used for other types of exercises or assessments, but for hip internal and external rotation ROM, the supine position is most appropriate.Rate this question:
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- 5.
When performing the Functional Internal Rotation/Scratch Test, you would measure the difference of what?
- A.
Affected vs non-affected thumb in centimeters
- B.
Affected vs non-affected thumb in inches
- C.
Affected vs non-affected wrist joint in inches
- D.
Affected vs non-affected wrist joint in centimeters
Correct Answer
B. Affected vs non-affected thumb in inchesExplanation
The Functional Internal Rotation/Scratch Test is used to assess the range of motion and flexibility of the shoulder joint. It involves the individual attempting to touch their opposite scapula (shoulder blade) with their hand by internally rotating their shoulder. The test measures the difference in distance between the affected and non-affected thumb in inches. This measurement helps determine the degree of restriction or limitation in shoulder internal rotation and can aid in diagnosing shoulder conditions or injuries.Rate this question:
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- 6.
You are taking an AROM measurement of elbow in flexion and extension with a goniometer during an initial evaluation. However, patient’s supination is only 45 degrees. What is the best method to take flexion and extension measurement?
- A.
Have the patient supinate as much as possible and measure flexion and extension.
- B.
Have the patient supinate as much as possible and measure flexion and extension. Document the degrees in supination while flexion and extension were measured
- C.
Take flexion and extension measurement in forearm in neutral.
Correct Answer
C. Take flexion and extension measurement in forearm in neutral. -
- 7.
While taking a measurement for trunk flexion AROM in stance, patient begins to flex his knees immediately. You tried to correct the patient; but he was not able to bend forward without bending his knees. What is the best method to documents this scenario?
- A.
Have the patient perform trunk flexion with knees bent. Measure the 3rd fingertip to the floor in inches.
- B.
Have the patient perform trunk flexion with knees bent. Measure the tip tip of the thumb to the floor in centimeter.
- C.
Have the patient place his hands in front of him. Measure the 3rd fingertip to the floor in inches.
- D.
Document that he could not perform this task.
Correct Answer
C. Have the patient place his hands in front of him. Measure the 3rd fingertip to the floor in inches.Explanation
The best method to document this scenario is to have the patient place his hands in front of him and measure the 3rd fingertip to the floor in inches. This method allows for the measurement of trunk flexion while taking into account the patient's inability to bend forward without bending his knees. By measuring the distance between the 3rd fingertip and the floor, it provides an objective measurement of the patient's trunk flexion range of motion in this specific scenario.Rate this question:
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- 8.
You are taking a hip internal and external rotation ROM; however, patient can not tolerate supine position. What is the best position to take IR/ER ROM if the patient can not tolerate supine position?
- A.
Seated
- B.
Longsit
- C.
Standing
- D.
Do not take this position and document that patient could not tolerate supine position.
Correct Answer
A. SeatedExplanation
The best position to take hip internal and external rotation range of motion (ROM) if the patient cannot tolerate the supine position is seated. In a seated position, the patient can comfortably perform the required movements without experiencing any discomfort or difficulty. This position allows for better access to the hip joint and provides stability and support to the patient. It is important to document the patient's inability to tolerate the supine position and choose an alternative position to ensure a safe and effective assessment of hip ROM.Rate this question:
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- 9.
You are performing shoulder examination on a direct access patient. She was playing tennis for 4 hours for the first time this season. C/C: constant 9/10 pain over the deltoid tuberosity. You perform PROM of shoulder and she is guarded and ROM is limited by pain and muscle guarding. You suspect an acute rotator cuff strain. You want to take a strength measurement. What is the best method to perform a strength test of shoulder abductors?
- A.
Dynamomter strength test of shoulder abductors in supine
- B.
Dynamomter strength test of shoulder abductors in seated
- C.
Gentle isometric strength test of shoulder abductors in supine
- D.
Manual muscle of shoulder abductors in seated
Correct Answer
C. Gentle isometric strength test of shoulder abductors in supineExplanation
The best method to perform a strength test of shoulder abductors in this case would be a gentle isometric strength test in supine position. This is because the patient is experiencing severe pain and muscle guarding, which means that performing a dynamometer strength test or a manual muscle test may exacerbate the pain and further limit the range of motion. The gentle isometric strength test allows for a controlled assessment of the strength without causing additional pain or discomfort to the patient.Rate this question:
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- 10.
What is the best method to document any changes in strength?
- A.
Manual muscle test
- B.
Strength test via dynamometer
- C.
Subjective reports on their strength
- D.
None of the above
Correct Answer
B. Strength test via dynamometerExplanation
The best method to document any changes in strength is through a strength test via dynamometer. A dynamometer is a device that measures the amount of force exerted by a muscle or group of muscles. This objective measurement provides accurate and reliable data on an individual's strength, allowing for precise documentation of any changes over time. Manual muscle tests and subjective reports on strength may be less reliable and more subjective, making the dynamometer a preferred method for documenting changes in strength.Rate this question:
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- 11.
Why is it crucial to take ROM and strength test via Dynamometer every week?
- A.
To document changes in patients objectively
- B.
To assess patient’s change and revise Tx plan
- C.
Ability to write a progress report to physicians with recent measurements
- D.
To provide support/documentation for a utilization review requsted from a third party payer.
- E.
A and b
- F.
A and c
- G.
C and d
- H.
All of the above
Correct Answer
H. All of the aboveExplanation
Taking ROM (Range of Motion) and strength tests via Dynamometer every week is crucial for several reasons. Firstly, it allows healthcare professionals to document changes in patients objectively, providing a clear record of progress. Secondly, it helps assess the patient's changes and revise the treatment plan accordingly. Additionally, these measurements enable the ability to write a progress report to physicians, keeping them informed of recent measurements and developments. Lastly, they provide support and documentation for a utilization review requested from a third-party payer, ensuring that the patient receives appropriate coverage for their treatment. Therefore, all of the above reasons highlight the importance of taking these tests regularly.Rate this question:
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May 07, 2024Quiz Edited by
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Mar 07, 2012Quiz Created by
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