- A PT is evaluating the gait of a 5-year-old girl. PT notices that the child is unsteady and has a wide base
support. She appears to lurch at times with minimal truncal bobbing in an anterior and posterior position. The
child cannot maintain standing position with the feet placed together for more than 5 seconds. The area of the brain MOST LIKELY affected is the
a. cerebellar hemisphere
b. substantia nigra
c. corticospinal tracts
d. basal gangli
a. cerebellar hemisphere
- A TBI injured patient is sometimes disoriented to time and place, has poor memory for recent events and
almost no carry over for new learning. The MOST important goal in this case is
a. different daily tasks to increase ease of cognitive retrieval
b. daily structure to reduce distraction
c. independence to tasks with varying environments
d. increase arousal and attention through sensory stimulation
b. daily structure to reduce distraction
- An injury of the median nerve at the level of the wrist and hand can cause the following functional loss EXCEPT
a. thumb opposition
b. weak or no pinch
c. flexion of the little finger
d. thumb flexion
c. flexion of the little finger (FDM - Ulnar nerve)
- Patients with peripheral nerve injury demonstrate optimal peripheral nerve integrity and muscle performance over the course of months.
a. 18-24 months
b. 2-3 months
c. 9-12 months
d. 4-8 mont
d. 4-8 months
- A 54 year old female bank executive was referred to the clinic after right breast lumpectomy with axillary
lymph node dissection. PT noted that scapular control is poor when upper extremity flexion or abduction
is began. Given the limitation, the PT intervention at this time should focus on .
a. Active assistive pulley exercises to assist rotator cuff muscles following damage to the
suprascapular nerve
b. Strengthening of the right deltoids to help stabilize the shoulder, which compensates for damage to the dorsal scapular nerve
c. Strengthening of the right rhomboid to promote normal function of the scapula as a result of
damage to the dorsal scapular nerve
d. Gravity-assistive right upper extremity exercises to promote scapular control following damage
to the long thoracic nerve
d. Gravity-assistive right upper extremity exercises to promote scapular control following damage
to the long thoracic nerve
*** “…scapular control is poor when upper extremity flexion or abduction
is began…” => Serratus Ant affectation (LTN)
- A child stimulated for negative support reaction will respond positive through increased .
a. Extensor tone in lower extremities
b. Flexor tone in upper extremities
c. Flexor tone in lower extremities
d. Extensor tone in upper extremities
c. Flexor tone in lower extremities
(a. Extensor tone in lower extremities = Positive Support Reaction)
- Ultrasound vibrations propagated through the housing of the applicator into the hand of the PT are
called .
a. Parasitic vibrations
b. Oscillating conversion
c. Ultrasonic conversion
d. Bactericidal vibrations
a. Parasitic vibrations
- In comparing the clinical features of cerebral artery thrombosis with cerebral embolism, the former
a. presents an abrupt onset with rapidly developing symptoms
b. has the most common site of occlusion in the internal carotid artery
c. usually includes a sudden loss of consciousness
d. includes more generalized disturbance of cerebral function
b. has the most common site of occlusion in the internal carotid artery
- A patient is on immune suppressants following renal transplantation was referred to the clinic for mobility
training using crutches. Initial evaluation revealed paresthesia in both lower extremities with peripheral weakness in both hands and feet. PT suspects that patient is MOST LIKELY experiencing
a. leukopenia
b. peripheral neuropathy
c. myopathy
d. quadriparesis
b. peripheral neuropathy
- The correct sequence in the hierarchy of the criteria of a profession is
a. lifetime commitment, representative organization, specialized education, service to clients, autonomy of judgment
b. representative organization, lifetime commitment, service to clients, specialized education, autonomy of judgment
c. autonomy of judgment, lifetime commitment, specialized education, representative organization, service to clients
d. service to clients, autonomy of judgment, specialized education, representative organization, lifetime
commitment
a. lifetime commitment, representative organization, specialized education, service to clients, autonomy of judgment
- A PT working in the provincial hospital was asked to cover an interscholastic football league competition. During a game, a player is knocked down on the field. The PT rushed to the scene and determines that the player is unconscious. What should be the NEXT action of the PT?
a. Proceed to give mouth to mouth resuscitation check for shock
b.Start with the head and determine first if there is any bleeding or fluid coming from the nose, ears, eyes, or mouth
c.Check the carotid pulse for a heart beat
d.Check breathing and if it is impaired, clear the airway, and if necessary
d.Check breathing and if it is impaired, clear the airway, and if necessary
- A 63-year-old male CVA patient was applied functional electrical
stimulation on the affected ankle dorsiflexors in conjunction with her gait training program. The rationale for the application of FES for this case
is _______.
a. to promote substituting actions
b. all of these
c. used as an orthotic device
d. to delay muscle atrophy
c. used as an orthotic device
- On initial standing, a patient with a chronic stroke is pushing strongly backward, displacing the center of mass at or near the posterior limits of stability. The MOST LIKELY cause of this is ________.
a. contraction of the hip extensors
b. contracture of the hamstrings
c. spasticity of the tibialis anterior
d. spasticity, of the gastrocnemius soleus
d. spasticity, of the gastrocnemius soleus
- The following impairments may result in patients with a lesion in the temporal lobe of the brain, EXCEPT:
a. emotional liability
b. difficulty with memory loss
c. Wernicke’s aphasia
d. learning deficits
a. emotional liability (FRONTAL lobe lesion)
- A newborn with whole arm paralysis resulting from a traction injury at birth was referred to physical
therapy. The initial plan of care for the patient should include
a. passive mobilization of the shoulder in overhead motions
b. age-appropriate task training of the upper extremity
c. splinting the shoulder in abduction and internal rotation
d. partial immobilization of the limb across the abdomen, followed by gentle ROM after
immobilization
d. partial immobilization of the limb across the abdomen, followed by gentle ROM after
immobilization
***choices A and C is C/I d/t dislocation or hyper flexibility of the SH jt
choice B will be done LATER
17.The functional outcome reporting method of writing notes must be ___________.
a. meaningful, quantifiable, sustainable
b. sustainable, simple, quantifiable
c. meaningful, utilitarian, sustainable
d. utilitarian, meaningful, quantifiable
c. meaningful, utilitarian, sustainable
- This is a tool to asses and treat balance dysfunction but does not assist to diagnose the cause of balance dysfunction. It consists of eight test conditions used in the battery with each leg measured on two counts, the
time spent in each test position and the number of steps that a patient are performed.
a. Functional Reach
b. Berg Balance Scale
c. Fugl Meyer Sensory Assessment
d. Fregley Graybiel Ataxia Test Battery
d. Fregley Graybiel Ataxia Test Battery
- A 58-year-old female is recovering from a surgical resection of an acoustic neuroma and presents with
symptoms of dizziness, vertigo, horizontal nystagmus and postural instability. To manage these problems, the program should include
a. strengthening exercises focusing on spinal extensors
b. repetition of movements and positions that provoke dizziness and vertigo
c. Hallpike’s exercises to improve speed in movement transitions
d. prolonged bedrest to allow vestibular recovery to occur
b. repetition of movements and positions that provoke dizziness and vertigo
- What is the FIRST step in controlling organizational behavior in a PT Department?
a. establish system of measuring performance
b. develop system of review
c. determine types of jobs and skills needed
d. monitor performance and provide feedback
c. determine types of jobs and skills needed
21.A 75-year-old male patient with persistent balance difficulty and a history of recent falls (2 in the past month) is referred for evaluation and management. During the initial session, it is important to examine
the:
a. level of dyspnea during functional transfers
b. sensory losses and sensory organization of balance
c. spinal musculoskeletal changes secondary to degenerative joint disease (DJD)
d. cardiovascular endurance during a 5-minute walking test
b. sensory losses and sensory organization of balance
- A 64-year-old female patient who underwent a minimally invasive total knee replacement was referred
to PT. The referring physician stated in the chart that patient ha stage 1 Alzheimer’s disease. The PT will
therefore NOT expect to find
a. memory loss
b. anxiety and irritability
c. cannot concentrate
d. profound communication deficit
d. profound communication deficit
- The following are guidelines during vestibulo-ocular retraining EXCEPT
a. Use of gravity, varying surface conditions, visual conditions and environmental cues should
included in therapeutic planning
b. The center of gravity is allowed to move at each stage of treatment
c. Individualize each program based on the patient’s specific impairments (rehabilitation versus compensation training)
d. Use of practice, feedback and repetition are vital for skill refinement
b. The center of gravity is allowed to move (*** it should be CONTROLLED not “allowed to move”) at each stage of treatment
- This inner ear disease that affects balance has the following symptoms: intense vertigo, occasionally unilateral deafness, buzzing or ringing in the ear.
a. otitis media, chronic
b. bulging disc C4-C5
c. otitis externa
d. Meniere’s disease
d. Meniere’s disease
- The primary objective for record keeping in the PT clinic is:
a. Quality of care assessment
b. Betterment of patient care
c. Communication of patient care
d. Medical-legal issues
b. Betterment of patient care
