A 22-month-old child with Down syndrome and moderate developmental delay is being treated at an early intervention program. Daily training activities that should be considered include ________.
A. Stimulation to postural extensors in sitting using rhythmic stabilization
B. Holding and weight shifting in sitting and standing using tactile and verbal cueing
B. Holding and weight shifting in sitting and standing using tactile and verbal cueing
A patient who sustained a CVA a month ago is starting to exhibit ability to produce movement patterns outside the limb synergies. According to Brunnstrom, this is in the stage of recovery.
A. fourth
B. fifth
A. fourth
A 76-year-old woman received a cemented right total hip arthroplasty (THA) 24 hours ago. The surgeon documented that he used a posterolateral incision. Which of the following suggestions is inappropriate for the next 24 hours?
A. Avoid hip internal rotation.
B. Avoid hip adduction past midline.
C. Avoid hip flexion past 30 degrees.
D. Avoid abduction past 15 degrees.
D. Avoid abduction past 15 degrees.
A physical therapist is treating an 18- year-old male who had an ASIA T1 spinal cord injury (SCI) 6 months ago. Given the level and completeness of the lesion, what would be his EXPECTED functional capability for transfers?
A. Dependent with mat mobility
B. Dependent with wheelchair to mat transfers
C. Independent with wheelchair to mat transfers
C. Independent with wheelchair to mat transfers
A patient who has suffered a zone 2 rupture of the extensor tendon of the third digit presents to physical therapy. This patient had a surgical fixation of the avulsed tendon. During the period of immobilization, which of the following deformities is most likely to develop?
A. Boutonniere deformity
B. Mallet Finger
C. Swan neck deformity
C. Swan neck deformity
A patient presents with tachypnea, cor pulmonale, hypoxemia, rales on inspiration, and decreased diffusing capacity. What is the probable cause?
A. Restrictive lung dysfunction
B. Chronic obstructive pulmonary disease
A. Restrictive lung dysfunction
A 14-year-old girl with right thoracic scoliosis is referred to physical therapy. The therapist should expect which of the following findings?
A. Right shoulder low, right scapula prominent, and left hip high
B. Left shoulder low, right scapula prominent, and left hip high
B. Left shoulder low, right scapula prominent, and left hip high
A 16-year-old male is diagnosed with a spinal tumor and has undergone surgery to resect the mass. After the procedure, the patient presents with variable motor paralysis and loss of pain and temperature sensation below the level of the injury. The patient would be diagnosed with what spinal cord syndrome?
A. Cauda Equina
B. Anterior Cord
B. Anterior Cord
After performing an examination, a therapist notes the following information: severe spasticity of plantar flexors in the involved lower extremity; complete loss of active dorsiflexion in the involved lower extremity; minimal spasticity between 0 degrees and 5 degrees of dorsiflexion, with increased spasticity when the ankle is taken into more than 5 degrees of dorsiflexion. Which ankle-foot orthosis (AFO) is most likely contraindicated for the patient, an 87-year-old man who had a stroke 4 weeks ago?
A. Dorsiflexion spring assist AFO
B. Posterior leaf spring AFO
A. Dorsiflexion spring assist AFO
During a physical therapy session, a patient recovering from a mild back strain frequently expresses concern that the pain signifies a severe spinal condition. Despite normal test results and reassurance, the patient insists on limiting movement and repeatedly requests further medical tests. Which condition does the therapist’s observation most likely indicate?
A. Psychogenic Pain Disorder
B. Hypochondria
B. Hypochondria
At discharge from physical therapy, when formulating a home program for a patient, the MOST IMPORTANT element of consideration is the:
A. Informed consent of the patient
B. Ability of the patient to carry out the plan independently
A. Informed consent of the patient
A patient who uses a transfemoral prosthesis is observed to have a circumducted gait deviation during swing phase on the involved side. The MOST likely cause is:
A. Excessive friction of the prosthetic knee
B. Tightness of the involved gluteus medius muscle
A. Excessive friction of the prosthetic knee
A 32-year-old female presents with decreased joint play of the glenohumeral medial rotation. The most appropriate mobilization technique to improve the patient’s medial rotation is
A. Anterior glide
B. Posterior glide
B. Posterior glide
A patient is observed using a toothbrush as an eating utensil. When asked, the patient is not able to name the toothbrush and is also unable to describe the toothbrush’s use. This is an example of:
A. Anomia
B. Visual agnosia
B. Visual agnosia
A 68-year-old man is being treated by a physical therapist after a right below-knee amputation. The patient is beginning ambulation with a preparatory prosthesis. In the early stance phase of the involved lower extremity, the therapist notes an increase in knee flexion. Which of the following are possible causes of this gait deviation?
A. The heel is too stiff
B. The foot is set too far anterior in relation to the knee
A. The heel is too stiff
You are a physical therapist who has been sent out to consult with a nursing home secondary to ulcers on the ischial tuberosities of several patients. Upon entering the nursing home, you begin to observe the patients. You notice redness, edema, blistering, and hardening of tissue. The inflammation has extended into the fat layer and there is superficial necrosis. Which of the following stages is characterized by such symptoms?
A. Stage three
B. Stage two
B. Stage two
A patient is referred to physical therapy with a diagnosis of congestive heart failure. During the initial session, the physical therapist examines the skin for suspected changes. What appearance can be expected?
A. Pale, washed-out color
B. Slightly bluish, slate-colored discoloration
B. Slightly bluish, slate-colored discoloration
A patient has developed a thick eschar secondary to a full-thickness burn. What is the antibacterial agent MOST effective for infection control for this type of burn?
A. Sulfamylon
B. Silver nitrate
A. Sulfamylon
The patient is a 26-year-old male, status post ankle fracture. The physician orders mobilization to increase joint range of motion. Which of the following is the maximum loose-packed position of the ankle joint?
A. 10degrees plantarflexion
B. 15degrees plantarflexion
A. 10degrees plantarflexion
The physician has sent a patient to the clinic for a brace that will assist in controlling knee rotation and adduction. Which of the following ligaments was not likely injured?
A. Medial collateral ligament
B. Lateral collateral ligament
B. Lateral collateral ligament
Athletes participating in competition need energy sources to activate their muscles. Which of the following is the best prime energy source for active muscles?
A. Glucose
B. Starches
A. Glucose
You are assisting in implementing a cardiopulmonary treatment program for an inpatient at the hospital. You need to perform chest physical therapy to the left lingual aspect of the upper lobe. Which of the following listed below would be the appropriate positioning for this patient?
A. Patient is in right sidelying position, rotated backward one quarter of a turn, with bed elevated 14 to 18 inches
B. Sitting in a chair, the patient leans forward to approximately 20degrees to 30degrees resting on pillows
B. Sitting in a chair, the patient leans forward to approximately 20degrees to 30degrees resting on pillows
You are treating a patient in a nursing home with a stage two ulcer of the greater trochanter. The patient’s condition is deteriorating over a period of months with an increase of infection in the area. Which of the following is the correct description of the body’s first defense against bacterial infection?
A. Neutrophils
B. Macrophages
A. Neutrophils
An 86-year-old female falls down the stairs into her basement and breaks her hip. During the course of therapy, rehabilitation goes exceptionally well and the patient is completely healed except for the hip adductor muscle group, where nerves appear to have been permanently damage and will not recover. Which nerve or nerves innervate the hip adductor muscles?
A. Obturator and sciatic
B. Obturator
A. Obturator and sciatic