THERA 2

Question 1

Postnatal or postpartum rehabilitation may be necessary for patients with which of the following?
a. All of the answers
b. Caesarian section
c. Incontinence
d. Perineal trauma

Answer 1

a. All of the answers

Question 2

Inpatient therapy for post-partum patients is very important. In post-caesarean section patients, the following should be included EXCEPT:
a. Pelvic floor and abduction exercises
b. Bed exercises
c. Respiratory exercises
d. Delayed mobilization

Answer 2

d. Delayed mobilization

Question 3

Which of the following exercises would be most appropriate for a patient two weeks post transurethral resection of the prostate without complications?
a. Trunk stabilization
b. Kegel exercises
c. Hip and leg presses
d. Proprioception training

Answer 3

b. Kegel exercises

Question 4

Which of the following advice may best help prevent or manage pregnancy-related back pains?
a. Plan your day
b. Rest when needed
c. All of the answers
d. Avoid activities which aggravate the pain

Answer 4

c. All of the answers

Question 5

Which of the following is least likely in a woman in the eighth month of pregnancy?
a. Center of gravity anteriorly displaced
b. Heart rate decreased with rest and increased with activity compared to heart rate prior to the pregnancy
c. Edema in bilateral lower extremities
d. Blood pressure increased by 5% compared with blood pressure before pregnancy

Answer 5

b. Heart rate decreased with rest and increased with activity compared to heart rate prior to the pregnancy

Question 6

What are the contraindications to aquatic exercise?
I. Presence of colostomy
II. Severe respiratory and cardiac dysfunctions
III. Bleeding
IV. Bowel/bladder incontinence
V. Ataxic patient with postural instability
a. I, II and III
b. I, III and V
c. I, II, III and IV
d. I, II, III, IV and V

Answer 6

c. I, II, III and IV

Question 7

It is the pressure exerted by the water on immersed objects?
a. Buoyancy
b. Surface tension
c. Hydrostatic pressure
d. Viscosity

Answer 7

c. Hydrostatic pressure

Question 8

What is the percentage of weight bearing with immersion at the level of xiphoid process?
a. 10%
c. 50%
b. 33%
d. 65%

Answer 8

b. 33%

Question 9

For general flexibility, strengthening, gait training and relaxation, the range may be between __________________.
a. 26°C and 28°C
c. 28°C and 37°C
b. 26°C and 35°C
d. 30°C and 38°C

Answer 9

b. 26°C and 35°C

Question 10

A patient with Rheumatoid Arthritis is scheduled for Pool Therapy. The patient is very weak and can barely walk on land. How should Aquatic Gait training for this patient be administered?
a. Initially, the therapist should walk behind the patient; to progress, the therapist should walk in front of the patient
b. Initially, the therapist should walk in front of the patient; to progress, the therapist should walk behind the patient
c. The therapist should not be in the pool
d. The therapist can walk anywhere

Answer 10

b. Initially, the therapist should walk in front of the patient; to progress, the therapist should walk behind the patient

Question 11

Duration of exercise is the second component and refers to the time you’ve spent exercising. The cardio work out plan, not including the warm-up and cool-down, should vary from 20-60 minutes to gain significant cardiorespiratory work out plans and fat burning benefits. Which statement is incorrect in terms of duration of exercise?
a. Obese individuals should exercise at lower durations and longer intensities.
b. Multiple sessions of short durations are also indicated when intensity is limited by environmental conditions.
c. Obesity increases the mechanical work of the heart and can lead to cardiac and left ventricular dysfunction.
d. Duration is increased when intensity is limited.

Answer 11

a. Obese individuals should exercise at lower durations and longer intensities.

should be longer duration, lower intensities

Question 12

This term is frequently used to refer specifically to injury of a ligament and is graded as a first (mild), second (moderate), or third (severe) degree:
a. Strain
c. Tendinopathy
b. Sprain
d. Contusion

Answer 12

b. Sprain

Question 13

An incomplete or partial dislocation of the bony partners in a joint that often involves secondary trauma to surrounding soft tissue:
a. Dislocation
c. Tendon rupture
b. Subluxation
d. Synovitis

Answer 13

b. Subluxation

Question 14

It is degeneration of the tendon due to repetitive microtrauma:
a. Tendinitis
c. Tendinosis
b. Tenosynovitis
d. Tenovaginitis

Answer 14

c. Tendinosis

Question 15

Bruising from a direct blow, resulting in capillary rupture, bleeding, edema, and an inflammatory response is termed as:
a. Hemarthrosis
c. Contusion
b. Ganglion
d. Bursitis

Answer 15

c. Contusion

Question 16

What are the different causes of chronic inflammation?
I. Cumulative trauma
II. Contractures or poor mobility
III. Overuse syndrome
IV. Re-injury of an old scar
V. Repetitive strain injury

a. I, II and III
b. I, III and V
c. I, II, III and IV
d. I, II, III, IV and V

Answer 16

d. I, II, III, IV and V

Question 17

What is the phase of rehabilitation for the chronic stage?
a. Protection phase
b. Controlled-motion phase
c. Return to function phase
d. None of the above

Answer 17

c. Return to function phase

Question 18

You are about to perform an ice massage for an acutely sprained knee. This is the first time the patient has had an ice massage. In order to prepare the patient, you should tell the patient that he/she will experience:
a. Aching, then numbness, & then burning, followed by intense cold
b. Burning, then intense cold, & then aching, followed by numbness
c. Numbness, then aching, & then intense cold, followed by burning
d. Intense cold, then burning, & then aching, followed by numbness

Answer 18

d. Intense cold, then burning, & then aching, followed by numbness

Question 19

The therapist routinely places ice on the ankle of a patient with an acute ankle sprain. Ice application has many therapeutic benefits. Which of the following is the body’s first response to application of ice?
a. Vasoconstriction of local vessels
b. Decreased nerve conduction velocity
c. Decreased local sensitivity
d. All occur simultaneously

Answer 19

a. Vasoconstriction of local vessels

Question 20

At what weeks the scar tissue is considered unresponsive to remodeling?
a. 8-10 weeks
c. 12 weeks
b. 10-12 weeks
d. 14 weeks

Answer 20

d. 14 weeks

Question 21

Mild pain at the time of injury or within the first 24 hours. Mild swelling, local tenderness, and pain occur when the tissue is stressed. What is the severity of injury?
a. Grade 1 (first degree)
b. Grade 2 (second degree)
c. Grade 3 (third degree)
d. Grade 4 (4th degree)

Answer 21

a. Grade 1 (first degree)

Question 22

A PT discusses the importance if the cool-down following an exercise session with a patient participating in cardiac rehabilitation program. The patient is 4 week S/P MI and has had an uncomplicated recovery. Which of the following best describes the cool-down period?
a. Prevent pooling of the blood in the extremities
b. Minimize ventricular arrhythmias
c. Diminished patient nausea and vertigo
d. Provide an opportunity to monitor vital signs following exercise termination

Answer 22

a. Prevent pooling of the blood in the extremities

Question 23

A 20-year-old woman is referred to a therapist with a diagnosis of recurrent ankle sprains. The patient has a history of several inversion ankle sprains within the past year. No edema or redness is noted at this time. Which of the following is the best treatment plan?
a. Rest, ice, compression, elevation and ankle strengthening
b. Ankle strengthening and a proprioception program
c. Rest, ice, compression, elevation and gastrocnemius stretching
d. Gastrocnemius stretching, ankle strengthening, and ice

Answer 23

b. Ankle strengthening and a proprioception program

Question 24

Upon assessment of the patient, you have noticed clinical signs such as decreasing inflammation and pain synchronous with tissue resistance on the injured area. You therefore noted that the injury is in what stage of healing?
a. Inflammatory Reaction
b. Repair and Healing
c. Maturation and Remodeling
d. Cannot be determined

Answer 24

b. Repair and Healing

Question 25

A 21-year-old female is examined in physical therapy after sustaining a grade I ankle sprain two days ago in a marching band competition. The patient’s description of the mechanism of injury is consistent with inversion and plantar flexion. Which of the following ligaments would MOST likely be affected? a. Anterior talofibular ligament b. Calcaneofibular ligament c. Anterior tibiofibular ligament d. Deltoid ligament

Answer 25

a. Anterior talofibular ligament

Question 26

Precautions to obstetric exercise? I. Valsalva maneuver II. Faintness III. Supine position should be limited to 5 minutes IV. Tachycardia V. Difficulty in walking a. I and III only b. II and IV only c. I, II, III and IV d. All are correct

Answer 26

a. I and III only

Question 27

Poor recruitment and decreased strength of the following muscles, have been shown to be of great importance in the occurrence of pelvic girdle pain in pregnancy. These muscles are: a. Hip adductors and flexors b. Hip flexors and extensors c. Hip internal and external rotators d. Hip abductors and extensors

Answer 27

a. Hip adductors and flexors

Question 28

The 34-year-old pregnant patient with severe back pain may have which of the following conditions which is most common? a. Lumbar zygapophyscal joint problems b. Coccydynia c. Any of the answers d. Unilateral sacroiliac dysfunction e. Symphysis pubis dysfunction

Answer 28

c. Any of the answers

Question 29

In pelvic girdle pain of pregnancy, which muscles are found to be most tight? a. Pubococcygeus b. Piriformis c. Quadratus Lumborum d. Psoas

Answer 29

a. Pubococcygeus

Question 30

What are the contraindicated exercises in obstetric patients? a. Standing on one leg c. SLR b. Quadruped hip extension d. All of the above

Answer 30

d. All of the above

Question 31

Water temperature used for wound care? a. Neutral (33.5 – 35.5 degrees Celsius) b. Warm (35.5 – 36.5 degrees Celsius) c. Tepid (27 – 33.5 degrees Celsius) d. Hot (36.5 – 40 degrees Celsius)

Answer 31

a. Neutral (33.5 – 35.5 degrees Celsius)

Question 32

Which of the following is NOT a treatment benefit of bridging exercises? a. Hyperextends the shoulders b. Increase lower extremity control c. Hip stabilizers strengthening d. Improve lower trunk control

Answer 32

a. Hyperextends the shoulders

Question 33

Causes of lumbopelvic pain during pregnancy are many and multifactorial. Among the most common would be: a. Postural adaptations c. Any of the answers b. Weight gain d. Fatigue

Answer 33

c. Any of the answers

Question 34

Acute olecranon bursitis is known as: a. Tennis elbow c. Student’s elbow b. Nursemaid’s elbow d. Miner’s elbow

Answer 34

c. Student’s elbow

Question 35

A patient is immersed up to the neck in a therapeutic pool. While exercising this patient, the therapist should take into consideration the physiological effects of immersion which result in significantly: a. increased forced vital capacity b. increased expiratory reserve volume c. decreased pulmonary blood flow d. increased work of breathing

Answer 35

d. increased work of breathing

Question 36

A patient recently diagnosed with multiple sclerosis presents to a physical therapy clinic. The patient asks the therapist what she needs to avoid with this condition. Which of the following should the patient avoid? a. Slightly increased intake of fluids b. Application of ice packs c. Strength training d. Aquatic therapy in 37 degrees Celsius of water

Answer 36

d. Aquatic therapy in 37 degrees Celsius of water

Question 37

A PT decides to exercise a patient with fibromyalgia using aquatic therapy. The patient is moderately deconditioned from months of inactivity and has a history of a mild MI 4 years ago. Hydrostatic pressure exerted by a water can be expected to: a. Provide joint unloading and enhance ease of active movement b. Reduce effusion and assist venous return c. Increases resistance as speed of movement increases d. Increase cardiovascular demands at rest and with exercise

Answer 37

b. Reduce effusion and assist venous return

Question 38

Which of the following is correctly indicated for aquatic exercises? a. Enhancing relaxation and movement in patient with fibromyalgia b. Promotion of increase in venous return and hydrostatic pressure in edematous CHF patients c. AAROM and weight bearing exercises of children with poliomyelitis d. Ambulation and exercise in patient with severe peripheral artery disease

Answer 38

a. Enhancing relaxation and movement in patient with fibromyalgia

Question 39

If the patient has a sudden epileptic attack during aquatic therapy session, what should be the FIRST thing that the therapist should do? a. support the patient’s head and bring him to the center of pool b. bring patient to pool side c. ignore the patient d. call a lifeguard

Answer 39

a. support the patient’s head and bring him to the center of pool

Question 40

Special equipment used for aquatic exercise: I. Collars, rings, belts and vests II. Buoyant dumbbells (swim bars) III. Fins and hydro-tone boots IV. Kickboards a. I and III only b. II and IV only c. I, II and III only d. All are correct

Answer 40

d. All are correct

Question 41

A patient has been referred to your facility for aquatic therapy. Which of the following information derived from the patient would be considered a contraindication to aquatic therapy? a. Chronic pain c. Urinary tract infection b. Cerebral palsy d. Multiple sclerosis

Answer 41

c. Urinary tract infection

Question 42

Multiple angle isometrics should be applied at least every: a. 20 degrees c. 40 degrees b. 30 degrees d. 50 degrees

Answer 42

a. 20 degrees

Question 43

You have been referred a patient with a prescription that reads “Knee Strengthening, Open Kinematic Chain Exercise only”. Which of the following is not an open chain exercise? a. Knee extension b. Hamstring curls c. Squat d. Straight leg raising

Answer 43

c. Squat

Question 44

A college athlete sprained the left ankle 4 days ago. The patient complains of pain (4/10) and there is moderate swelling that is getting worse. At this time, which intervention would be BEST to use? a. Intermittent compression followed by elevation b. Contrast baths followed by limb elevation c. Cold whirlpool, followed by massage d. Cold/intermittent compression combination with the limb elevated

Answer 44

d. Cold/intermittent compression combination with the limb elevated

Question 45

The purpose of a warm-up and cool down is to encourage the adjustments to occur gradually, by commencing your exercise session at an easy level and increasing the intensity gradually. Each exercise session includes a 5 to 15-minute warm-up and a 5 to 15-minute cool-down period. Which statement is incorrect in terms of warm up and cool down sessions? a. The warm-up period prevents the heart and circulatory system from being suddenly taxed. b. Longer warm-up and cool-down periods may be needed for deconditioned or older individuals. c. The cool-down period consists of exercising at a higher intensity. d. Primes your nerve-to-muscle pathways to be ready for exercise.

Answer 45

c. The cool-down period consists of exercising at a higher intensity. should be lower intensity

Question 46

A fitness instructor who is 8 months pregnant was recently diagnosed with placenta previa. The therapist’s most important instructions to her are to continue: a. Proper breathing and discontinue any abdominal exercises b. Pelvic floor and discontinue any abdominal exercises c. With partial sit-ups and pelvic floor exercises d. With training in a therapeutic pool at waist-deep level

Answer 46

b. Pelvic floor and discontinue any abdominal exercises

Question 47

In developing the plan of care for a 28-year-old pregnant woman which of the following muscles should be the focus of the strengthening exercises to maintain a strong pelvic floor? a. Obturator internus, pubococcygeus and coccygeus b. Rectus abdominis, iliococcygeus, and piriformis c. Iliococcygeus, pubococcygeus, and coccygeus d. Piriformis, obturator internus, and pubococcygeus

Answer 47

c. Iliococcygeus, pubococcygeus, and coccygeus

Question 48

The following is the suggested sequence for an obstetric exercise class: a. Abdominal exercises, pelvic floor exercises, post-partum exercises, aerobic conditioning b. Aerobic conditioning, abdominal exercises, pelvic floor exercises, post-partum exercises c. Abdominal exercises, pelvic floor exercises, aerobic conditioning, post-partum exercises d. Aerobic conditioning, pelvic floor exercises, abdominal exercises, post-partum exercises

Answer 48

b. Aerobic conditioning, abdominal exercises, pelvic floor exercises, post-partum exercises

Question 49

A woman recently delivered twins. After delivery she developed a 4 cm diastasis recti abdominis. The BEST initial intervention for this problem is to teach: a. Pelvic tilts and bilateral SLR b. Pelvic floor exercises and sit-ups c. Gentle stretching of hamstrings and hip flexors d. Protection and splinting of the abdominal musculature

Answer 49

d. Protection and splinting of the abdominal musculature

Question 50

A 43-year-old patient is referred for rehabilitation of s/p ganglion cyst excision of the posterior wrist two weeks ago. Sutures are removed and short-arm splint is allowed by the surgeon to be temporarily removed during therapy. Which of the following is the most applicable management for this patient? a. AROM of wrist extension and flexion b. Theraband exercises of wrist flexors and extensors c. Mobilization with movement of the elbow and wrist d. Suggest discontinuation of short arm splint

Answer 50

a. AROM of wrist extension and flexion