Physical Therapy Evaluation Tool (PEAT) 1 Practice Exam

These questions are part of the practice quiz. Start practicing

• In a patient with a pacemaker, which intervention is NOT contraindicated and can be used with supervision?
• A 6-year-old child with spastic diplegia is walking in parallel bars and presents with increased trunk and hip flexion. Which assistive device is MOST appropriate?
• A 1-year-old child with cerebral palsy presents with strong trunk and limb extensor tone. Which handling position is MOST appropriate?
• During inspiration, which muscle is primarily responsible for elevating or stabilizing the clavicle?
• A 25-year-old patient with cystic fibrosis has been experiencing successful mobilization of thickened secretions by standard percussion and postural drainage. During the current treatment session, the patient coughs up sputum that has small, brownish streak of blood. The PT should:
• An attorney seeks information about a patient undergoing rehabilitation after total knee surgery. The PT department should:
• In planning the most effective lower extremity exercise program for a patient with mild closed head injury and bilateral femur fractures, what is MOST critical to assess at the initial visit?
• According to standards of practice, who develops the plan of care, including discharge planning, in physical therapy?
• Before discharge, a patient with multiple sclerosis requiring training in bathing, dressing, and eating should be seen by which professional?
• The plantar grasp reflex is considered normal to be present up to which age in infants?
• When treating a patient with ankylosing spondylitis, the muscle requiring the MOST emphasis for strengthening exercises are the:
• If a data set has a mean of 32 and a median of 35, the distribution is skewed toward the left. Which statement best expresses this?
• Redness on the inferior aspect of the patella upon removal of a patellar tendon bearing prosthesis indicates the residual limb:
• A patient with paresthesias on the palmar surface of the thumb, index, and middle fingers and a positive Tinel’s sign at the wrist most likely has compression of which nerve?
• A patient complains of anterolateral shoulder pain with insidious onset. Examination shows full passive ROM, pain on passive lateral rotation and pain on resistive internal rotation. These signs are consistent with a diagnosis of:
• In first aid for a bleeding cut, what is the FIRST action the physical therapist should take?
• In a patient with multiple sclerosis during an exacerbation who is independent with bed mobility, can sit at edge of bed, and requires physical assistance to stand with a walker, which ADL is most important initially?
• A 3-month-old child has motor and sensory loss in the right upper extremity in the C5–C6 distribution. Which birth injury is most likely?
• In adhesive capsulitis, which ROM is typically most restricted early?
• A patient with bilateral leg pain and purple discoloration that improves when the feet are elevated most strongly indicates which condition?
• An adult patient involved in a motor vehicle accident has multiple traumas and right-lower-lobe infiltration on chest radiographs. The patient is unconscious and intubated. Which chest therapy program is MOST appropriate?
• When the arms are exercised, which statement helps explain angina risk during upper-extremity activity?
• Which statement best reflects the elements of a well-formed physical therapy goal?
• Compared with knee extension with the knee bent, patellofemoral compression forces during a straight leg raise are generally:
• During exercise testing, repeated palpation of the carotid pulse is likely to result in:
• Cerebellar hemisphere lesions typically produce which of the following?
• During cardiac rehabilitation, a patient on a bicycle ergometer shows ST segment depression of 2 mm. If no guidelines are provided, the physical therapist should:
• In a patient with low back pain undergoing extension exercises, centralization occurs but pain remains intense. What is the most appropriate action?
• To reduce the risk of low back injuries in a rehabilitation department, what is the FIRST step necessary to develop the program?
• For teaching a C6 quadriplegia patient to transfer from a wheelchair to a mat, which direction should the head and shoulders rotate?
• A patient has right hemiparesis after traumatic brain injury. While standing, the patient cannot extend the hip when the knee is flexed, or flex the hip when the knee is extended. In which functional activity will this deficit be MOST evident?
• A patient with rheumatoid arthritis presents with signs of muscle atrophy, ecchymosis, puffy cheeks, and osteoporosis. This pattern suggests high dosage of which medication?
• For carpal tunnel syndrome in pregnancy, which wrist position is commonly recommended when using a cock-up splint?
• Which finding is most characteristic of chronic venous insufficiency?
• A patient who recently completed a 12 week program of phase III cardiac rehabilitation will MOST likely demonstrate a decrease in:
• The brainstem reticular activating system is involved in maintaining what state?
• A therapist is evaluating a patient for a wheelchair prescription. The patient can transfer independently with a sliding board. The MOST appropriate wheelchair would have
• For a child with Duchenne muscular dystrophy, the MOST appropriate rehabilitation goal is:
• Which nerve is most commonly compressed in carpal tunnel syndrome?
• In a two-group pretest-posttest design, what distinguishes it from a posttest-only control group?
• A 14-month-old child with spastic diplegia holds a tiptoe standing posture with curled toes when supported in standing. This position is most characteristic of which reflex?
• Passive mobilization after a well-healed distal tibia fracture should include:
• For a patient with right middle lobe pneumonia, which bronchial drainage position is most appropriate?
• If a BK prosthesis has an excessively firm heel wedge, the patient is MOST likely to walk with:
• A patient with chronic neck pain aggravated by long periods of sitting has forward head posture and thoracic kyphosis. ROM and strength are within normal limits. The MOST appropriate exercise program would include:
• In jaw protrusion, which arthrokinematic component of the condyles is responsible for the protrusion?
• A PT is treating a patient with iontophoresis. If the current is set at 4 mA, the duration at 15 minutes, and the dexamethasone solution at 0.4%, with an electrode area of 4 cm2, how would the therapist record the current dosage?
• When a terminally ill patient expresses a desire to discuss prognosis, the most appropriate intervention is to
• During pregnancy, which exercise is contraindicated?
• In a suction socket prosthesis, the valve in the lower and medial part of the socket primarily serves to permit air to:
• Excessive upward rotation of the scapula is most likely due to weakness of which muscles?
• Which statement about straight leg raising and quadriceps setting in chondromalacia patella is true?
• Which statement best describes how platelet count is used clinically?
• The difference between the mean and the median (mean 32, median 35) indicates:
• Which technique is MOST appropriate for a patient with low postural tone?
• To address kyphotic posture in Parkinson's disease, intervention should include back extensor strengthening, balance exercise, and reciprocal movement.
• In ice massage dosing, the duration is determined by patient response rather than a fixed time. Which option correctly reflects this principle?
• Klumpke's paralysis involves which nerve roots?
• A patient presents with hemiparesis and demonstrates a foot drop during swing phase of gait. It would be MOST appropriate to administer FES to the tibialis anterior and the:
• In immobilization, which position constitutes the functional position of the hand and wrist?
• In the early rehabilitation period after complete severance of the common peroneal nerve, which exercise is necessary to prevent contracture formation?
• For an acute right-sided torticollis, which neck movement is the most effective stretch to lengthen the sternocleidomastoid?
• Which symptom helps distinguish reflex sympathetic dystrophy from raynaud's phenomenon?
• Why does a physical therapist include quadriceps setting and straight leg raise in a home program for a patient with chondromalacia patella?
• Which activity is MOST difficult for a 14-month-old child with a brachial nerve palsy affecting C5–C6?
• In the eighth month of pregnancy, a patient presents with numbness and tingling in the left hand (except the fifth digit), hand edema, a positive Tinel's sign at the wrist, and preserved wrist/finger flexor strength. The most appropriate intervention would be
• Weak hip extensors may cause which trunk posture after initial contact?
• For ice massage used to manage pain in lateral epicondylitis, the most appropriate endpoint is:
• A patient with a permanent prosthesis reports the prosthesis feels too heavy two weeks after final approval. The patient will benefit MOST from:
• A patient with left hemiparesis and a demand-type cardiac pacemaker should have which intervention used only with extreme caution?
• Excessive upward rotation of the right scapula is noted during shoulder flexion. Which exercise is MOST appropriate to correct this pattern?
• Nerve conduction velocity testing is MOST appropriate for which condition?
• Which of the following would NOT be a goal of a prenatal exercise program?
• Which statement about the vastus medialis and straight leg raise is NOT true?
• Which of the following is a reliability measure?
• For individuals with lower-extremity peripheral neuropathies due to diabetes, which information is MOST important to recommend to prevent foot injury?
• A lesion of the median nerve would most affect which combination of forearm and hand actions?
• Which is MOST appropriate for juvenile rheumatoid arthritis with painful swelling in both knees?
• Which of the following is a documented adverse effect of long-term prednisone use that is relevant to PT planning?
• Which muscle is NOT innervated by the common peroneal nerve?
• For a patient who had a mild stroke 3 weeks ago and is being prepared for discharge to home, which health professional is MOST appropriate to consult?
• A physical therapist is teaching a patient with T12 paraplegia to fall. The patient uses bilateral KAFO and forearm crutches with swing-to gait. The MOST appropriate method to prevent injury is to
• Inwardly pointing patellae during standing is most commonly caused by which deformity?
• Which finding is most suggestive of congestive heart failure with pulmonary edema during physical therapy evaluation?
• Following removal of a long leg cast, a patient has limited knee flexion. The MOST appropriate direction of patellar mobilization would be:
• Why is instruction in energy conservation and joint protection provided for patients with rheumatoid arthritis?
• An elderly man with a hip fracture and THR is admitted to a skilled nursing facility for rehabilitation and intends to return home. What is the MOST appropriate action for the therapist?
• A patient with traumatic brain injury is receiving outpatient physical therapy. The therapist notes that the patient becomes agitated during therapy sessions. To which professional should the patient be referred for assessment and diagnosis?
• What is the desired end effect of ice massage when used for pain relief?
• Which statement best explains why isometric quadriceps setting is often chosen for strengthening in chondromalacia patella?
• Elevation of the limb tends to relieve pain in which condition?
• A knee flexion contracture of 20 degrees after knee arthroscopy: which intervention is NOT appropriate to improve extension?
• In pediatric patients, ultrasound should not be used over growth plates (epiphyseal areas) because
• In the early management of a patient with partial peripheral nerve injury, the primary physical therapy goal is to prevent which of the following?
• When delegating a patient with an established gait training program to a physical therapy assistant, which patient is MOST appropriate to assign?
• In a randomized study comparing TENS plus heat and exercises vs heat and exercises alone, TENS represents which variable?
• Which statement about ligament laxity in pregnancy is correct?
• Following a traumatic spinal cord injury at the C5 level, 24 hours later there are no reflexes, sensation, or voluntary motor activity below the injury. This pattern indicates:
• On the fourth day after ORIF for a hip fracture, a patient develops a large ecchymosis over the unaffected hip. This most likely indicates which of the following?
• In subacute knee hemarthrosis due to hemophilia, which intervention is MOST appropriate initially?
• Which statement best describes the hemodynamic change causing orthostatic hypotension after prolonged bed rest?
• For a patient with lymphedema in the right lower extremity, the clinician uses mechanical intermittent pneumatic compression with a sleeve covering the foot to thigh. On the first treatment, which inflation pressure is most appropriate?
• What is the most appropriate first step in discharge planning for an elderly patient who has had a hip fracture and desires to return home?
• To transfer from a wheelchair to a mat for a patient with C6 quadriplegia, which wrist/hand position is part of the functional transfer?
• In lower motor neuron injuries, spasticity is typically not present. Which statement is true?
• Which imaging modality is commonly used to evaluate soft tissue causes of low back pain such as disc herniation?
• In knee hemarthrosis with immobilization, which action would promote a contracture?
• Grasping a cup primarily requires muscles innervated by which nerve roots?
• A patient with complete spinal cord injury at C4-C5 demonstrates a weak cough. Which technique would MOST effectively augment coughing?
• To increase shoulder extension, which glide is used?
• When monitoring exercise intensity in patients taking beta-blockers, which method is most appropriate?
• Prior to starting an exercise training program, a patient with cardiac problems on beta-blocking medication should be told which of the following about determining exercise intensity.
• What is the typical sequence of sensory responses during ice massage, ending with the desired analgesia?
• To document education about skin care for a patient with spinal cord injury, which statement demonstrates understanding?
• To maximize lymph drainage after a mastectomy in the upper extremity, which sequence of massage segments is most important?
• Which muscle is innervated by C7–C8 rather than C5–C6?
• Which skin change associated with aging has the GREATEST effect on wound healing?
• During cystic fibrosis chest therapy, brownish sputum indicates what?
• A patient with left hemiparesis is being discharged and the therapist has been unable to obtain cooperation from the family to instruct them in transfers, bed mobility and safety precautions. The MOST appropriate action is to:
• To help patients better understand education materials that are too difficult to read, the PT should use:
• A measurable objective for a community education program exercise techniques would be for participants to:
• A patient reports severe pain over the greater trochanter that worsens with walking; palpation elicits tenderness over the greater trochanter. The MOST likely diagnosis is:
• A patient is referred to physical therapy with a diagnosis of low back pain. Radiographic studies, including MRI, have ruled out disc pathology. The patient reports pain that radiates toward the thorax and anteriorly into the abdominal region. Which area should the therapist consider as a potential source of discomfort?
• In the functional hand position used for immobilization, the thumb should be in which position?
• A patient with moderately well-controlled type I diabetes starts an exercise program. Regular exercise will generally:
• If imaging rules out disc pathology in a patient with thoracic pain, which organ could be considered as a potential source of discomfort?
• Following a posterolateral total hip arthroplasty, which movement is typically postponed for about 5-6 weeks post-op?
• When are long-term goals for discharge typically determined in physical therapy practice?
• Which diagnostic procedure is LEAST likely to confirm suspected disc herniation in a patient with low back pain?
• During an assessment of a high school athlete, the therapist finds an open weeping rash on the instep. The therapist should FIRST:
• Following a burn to the right arm, the therapist should PRIMARILY emphasize which intervention to facilitate optimal function?
• For a C6 quadriplegia patient, which PROM position is MOST critical to maximize long-term hand function via tenodesis?
• A patient presents with adhesive capsulitis of the shoulder joint. The ROM examination reveals restricted external rotation and abduction of the shoulder. The FIRST mobilization procedure that should be done for this patient is:
• During a lower-extremity exercise session, a patient with incomplete C6 quadriparesis reports new tingling in both hands and an overall strength decrease of one grade. The MOST appropriate action is to:
• To avoid the appearance of increased motion during goniometric measurement of shoulder abduction, which movement must be prevented?
• Which of the following is an early warning sign of hydrocephalus in a child with myelomeningocele after surgical closure?
• A patient is entering a cardiac rehabilitation program. The physical therapist should FIRST ask the patient to:
• In progressive relaxation for tension headaches, which factor is MOST essential to reduce muscle tension?
• Which lower extremity PNF pattern is MOST appropriate for a patient who needs strengthening of the tibialis posterior?
• For home electrical stimulation with Bell's palsy, which muscle should be stimulated as part of the home program?
• If soreness occurs after a spinal joint mobilization, which modification to the treatment plan would be appropriate?
• Knee rotation is possible when the knee is positioned at 90 degrees or more of flexion mainly because in this position the
• During a 12-minute walk test for a COPD patient on 2 L/min supplemental oxygen, the oxygen flow should be increased if:
• Starting at the coracoid process and moving laterally, which sequence of structures is palpated?
• Exercise is known to increase insulin sensitivity; which statement best explains why this would affect insulin needs?
• In an athlete with a severe inversion ankle sprain, tape should be applied over the tendons of which muscles for support?
• For discharge after myocardial infarction, which objective is appropriate to teach as part of safe exercise?
• A prone standing board is recommended for a 5-year-old child with severe hypotonia. The PRIMARY purpose is to:
• Regarding diabetic neuropathy and orthoses, which statement is true?
• Elevating a limb for less than 1 minute produces pallor followed by delayed reactive hyperemia in a dependent position. These signs indicate which of the following?
• Following a bone marrow transplant for leukemia, which laboratory value best indicates thrombocytopenia status?
• Which actions are performed by the sartorius muscle at the hip?
• During inspiration, increased upper chest expansion with retraction of the epigastric area suggests weakness of which muscle?
• A patient with piriformis syndrome and a right total hip replacement is referred to therapy. Which intervention should be used with precaution?
• During a hand examination, if flexors of the 4th and 5th digits at the DIP are weak while the 2nd and 3rd digits are normal, the lesion is most consistent with injury to which nerve?
• Which assignment is most appropriate for a physical therapy volunteer to perform?
• A patient with excessive foot pronation and forefoot varus seeks a temporary orthotics solution in running shoes. Which insert is most appropriate?
• A postural screening for a young adult reveals a right thoracic, left lumbar scoliosis. The commonly observed postural deviation in this condition is
• A patient with Parkinson's disease is dependent in transfers and requires moderate assistance to walk 30 feet with a standard walker. To facilitate carryover, instruction of the family should occur:
• The medical record is the property of which entity, and release to a patient or their representative requires what?
• Excessive femoral anteversion is associated with which combination of patellar and foot orientation?
• Following a spinal joint mobilization, a patient reports a minor dull ache lasting several hours. What is the most appropriate therapist response?
• For a patient with a complete spinal cord lesion at C8, which long-term independence goal is most realistic?
• It is important to perform cool down exercises immediately following a general aerobic program primarily in order to prevent:
• A therapist is assigned to planning and implementing services for all members of the community. The therapist's FIRST step would be to:
• Tenodesis grasp is described by which of the following statements?
• Which assistive device is MOST likely to promote an upright posture during pediatric gait training for spastic diplegia?
• Which of the following should be recommended for a patient following a medial meniscectomy if the PT plans to exercise the quadriceps femoris against accommodating resistance?
• In knee flexion, the ability to achieve tibial rotation is primarily due to laxity in which structures?
• The hematocrit value represents which component of blood?
• In the recovery phase after spinal shock, which development is commonly observed as reflexes begin to return and motor function improves?
• A patient with cervical radiculopathy reports numbness of the right little finger. The therapist would MOST likely find a diminished DTR in the:
• A therapist evaluating a patient with an acute lumbar disc protrusion and a right lateral shift of the thoracic spine. Which finding would be the BEST indicator that the symptoms will respond positively to the PT intervention?
• A patient with a severe brain stem injury one week ago has demonstrated minimal change since the incident. The patient's cognitive status is most likely to include:
• Rocking in a quadruped position could be included in physical therapy for a 40-year-old patient to increase ROM at the:
• Which type of resistance does an isokinetic exercise device provide?
• Which combination of muscles would be best to stimulate with functional electrical stimulation (FES) to improve dorsiflexion and foot clearance during swing in a patient with foot drop?
• Which of the following is the BEST documentation exercise of a goal?
• What teaching approach is most effective when training a patient to perform a foot inspection with feedback?
• Three days after vaginal delivery, a patient has a 2-cm diastasis of the rectus abdominis. How should she address this problem?
• Which of the following would be least appropriate as part of the exercise program for a patient with forward head posture and thoracic kyphosis?
• For chronic lateral epicondylitis, which is the MOST appropriate home program?
• A patient is undergoing a treadmill stress test. The appearance of abnormally wide, irregularly spaced QRS complexes on the ECG represents
• Which type of exercise is MOST stressful to the cardiovascular system in a healthy elderly person?
• A patient who had an organ transplant 4 years ago and takes prednisone and immunosuppressive drugs: which issue would the therapist MOST likely need to consider?
• A patient spilled boiling water on the right arm and presents blistering, redness, swelling, and tenderness over the forearm, elbow, and lower arm. To facilitate optimal function, the therapist should PRIMARILY emphasize:
• A therapist uses lumbar traction for a patient with nerve root impingement at L4-L5. Which position best relieves pressure on the affected nerve root?
• To minimize skin irritation during functional electrical nerve stimulation, which combination should be used?
• Which position on the traction table would best open the intervertebral foramen?
• A patient with a left below-knee amputation 3 weeks post-surgery is being evaluated for prosthetic ambulation. Which factor is MOST relevant?
• Which technique would be most appropriate to increase stability in a patient with low postural tone?
• For increasing shoulder flexion and medial rotation, which glide is most appropriate?
• Which nerve innervates the frontalis muscle and is therefore responsible for frontalis activation during facial movement?
• Which plan for prophylactic respiratory care is MOST appropriate for a 90-year-old patient with chronic CHF who is non-ambulatory?
• Which combination of neck movements best stretches the neck muscles in acute torticollis?
• A therapist is planning a patient education program for a group of patients with chronic LBP. To increase the likelihood that the patients will utilize the proper body mechanics at the work site, the therapist should:
• While ascending stairs, an elderly patient leans forward with increased hip flexion. Which muscle is BEST utilized in this forward posture?
• A patient who has COPD is being treated with pursed lip breathing to PRIMARY purpose:
• A therapist treating a young athlete with gastrocnemius strength of fair plus (3+/5) in the prone position; which exercise is MOST appropriate to maximize strengthening?
• During gait training after a right total hip arthroplasty, using one crutch, the crutch should be held in which hand to appropriately reduce load on the right hip abductors?
• The anterior tibialis shows poor strength, and during swing phase weakness is most likely to cause which gait deviation?
• Which statement describes the relationship between heart rate and oxygen uptake during aerobic training?
• The PT is positioning a patient for postural drainage. To BEST drain the posterior segment of both lower lobes, which position is used?
• A corrective program for forward head posture with kyphosis and increased lumbar lordosis would include all of the following EXCEPT
• A 4-month-old infant screening suggests possible right hip dislocation. Which findings are MOST consistent with this diagnosis?
• To increase knee flexion after immobilization, patellar mobilization should be performed in which direction?
• Which practice would NOT help reduce skin irritation during functional electrical nerve stimulation?
• Which technique would most effectively augment coughing in a patient with a high-level spinal cord injury?
• Static knee alignment for stability is achieved when the lateral reference line falls relative to the knee joint axis:
• In a patient with complete spinal cord injury in a wheelchair, how frequently should pressure-relief maneuvers be performed?
• Involving interdisciplinary team members in decision-making has which EXCEPT?
• In a patient with a right above-knee amputation and a long history of bilateral lower-extremity vascular insufficiency, which factor is MOST important to consider when establishing long-term goals for functional walking?
• An initial physical therapy evaluation 1 day post total hip arthroplasty via a posterolateral approach includes several goals. Which activity is NOT appropriate in the first week?
• Which statement does NOT document patient outcome?
• During examination of a TMJ problem, early protrusion of the mandible is observed. Which mandibular movement most likely causes the protrusion?
• Which technique is MOST important prior to discharge for a patient who has had a myocardial infarction?
• A patient is lying supine with hips and knees extended and hands behind the head. The patient can raise the head, shoulders, and thorax but cannot reach a long-sitting position. Which muscle should be targeted for strengthening?
• Following trauma at the C5 spinal cord level, 24 hours later the patient shows no reflexes, sensation, or voluntary motor activity below the level of injury. These findings indicate which condition?
• To prevent contractures in a transfemoral amputation, emphasis should be placed on designing a positioning program that maintains ROM in the hip:
• A patient sustained a Colle's fracture 8 weeks ago and has been in a cast since that time. Immediately after cast removal, the physical therapy intervention for the wrist and hand should MOST appropriately include:
• A patient completed a Phase I cardiac rehabilitation program. What outcome should be expected?
• During an examination of elbow strength using manual muscle testing, the patient supinates the forearm when attempting elbow flexion. Which muscle is MOST likely doing the major part of the work?
• While a patient is walking in the parallel bars, the pelvis drops down on the side opposite the stance extremity. This gait deviation is an indication of weakness of the hip:
• For a child with cerebral palsy, what is the BEST method to ensure correct implementation and carryover of a home exercise program?
• What is the most likely cause of reduced vital capacity in a person with quadriplegia at C5–C6?
• Damage to which cranial nerve would most likely cause medial strabismus due to unopposed medial rectus action?
• When documenting physical therapy services for a neurological patient, which change is MOST important to record?
• In a C6 quadriplegia patient, to optimize tenodesis grasp during range-of-motion exercises, which wrist position should be used while passively extending the fingers?
• During quadriceps setting, which muscle acts as a dynamic medial stabilizer to promote proper patellar tracking?
• A clean, well granulating stage II pressure ulcer with minimal serous drainage is most appropriately dressed with which option?
• In the management of ankylosing spondylitis, which muscle group should receive the greatest emphasis for strengthening to address thoracic kyphosis?
• What is the primary purpose of determining a target heart rate for someone starting an exercise program?
• To maximize lymph drainage after mastectomy in the upper extremity, which massage sequence is most important?
• In a suction socket prosthesis, the purpose of the air-release valve is to enable suction suspension to function during which phase of gait?
• A 6x6 inch sacral pressure ulcer with necrotic tissue and moderate serous drainage but no infection should be debrided by which method?
• Utilization review and peer review are activities part of a comprehensive:
• To help students apply a newly learned skill to clinical practice, what is the MOST effective action for the clinical instructor to take?
• To maximize balance in a wheelchair for a patient with bilateral below-knee amputations, the rear wheels should be positioned more:
• Lesion of which muscle would cause ptosis due to loss of lifting the eyelid?
• A patient with weak hip abduction may compensate by which movement during midstance?
• A patient with a right above-knee prosthesis will be able to maintain the knee in extension while weight bearing if the center of gravity falls which side of the axis?
• Which sign is most indicative of a hip fracture as opposed to bursitis or sacroiliac joint derangement?
• A client on a weight loss program has been walking 3 days a week for 15 minutes for the past 3 weeks. To progress the exercise program, which of the following will MOST likely accomplish the weight loss goal?
• During therapy, a 5-year-old with a closed head injury becomes combative. Which technique is MOST effective to calm them?
• The intervention for a patient with right sciatic pain due to piriformis compression would NOT include:
• A patient is referred for wheelchair dimensions. Sitting measurements: 16 inches across widest hips; 18 inches from posterior buttocks to popliteal crease. Which wheelchair dimensions are BEST?
• In a patient presenting with congestive heart failure and pulmonary edema, which position best relieves dyspnea?
• Lack of 10 degrees of passive ankle dorsiflexion with the knee flexed and extended equally suggests tightness of which muscle?
• A patient develops dyspnea and pink frothy sputum after 15 minutes of activity. What should the physical therapist do first?
• An inpatient following total hip arthroplasty reports persistent low energy. Which laboratory value would best clarify this complaint?
• Which muscle is NOT typically part of the C5–C6 myotomes?
• Which muscles are innervated by the common peroneal nerve?
• A patient with chronic adhesive capsulitis of the shoulder is to be treated with joint mobilization to increase shoulder abduction. Which technique would be most appropriate?
• An elderly patient has diabetic neuropathy. Upon examination he shows marked mediolateral instability of the left ankle while walking. The MOST appropriate orthotics aid would be:
• A therapist receives a telephone inquiry from a friend of a patient asking about the patient’s status. What should the therapist do?
• The parents of a 1-month-old child with myelomeningocele report irritability and vomiting over the past three days. What is the MOST appropriate action for the therapist to take?
• To enhance dorsiflexor strength in a patient with tibial fracture and disuse atrophy, which electrical waveform is most appropriate?
• To maximize continuity of patient care, the PT should begin discharge planning when the:
• Centralization of pain during repeated movements in acute lumbar disc protrusion indicates potential improvement and responsiveness to PT. Which option best describes this implication?
• Why is a non-adherent dressing preferred for a stage II pressure ulcer with granulating tissue?
• During resisted hip flexion in the sitting position, the thigh shows lateral rotation and abduction when resistance is applied. Which muscle is the most likely substitute for hip flexion under these circumstances?
• A complete long thoracic nerve injury would primarily affect which functional task?
• In wheelchair evaluation for a child with cerebral palsy, the therapist should FIRST examine which anatomical region?
• A patient sustained a severe TBI 3 months ago. During the exam of passive ROM, the therapist notices decreased passive knee extension and moderate hamstring spasticity. Palpation reveals a firm mass on the lateral aspect of the joint. The therapist should refer the patient to a physician for a review of probable:
• Which end feel is typical for a joint with capsular involvement when motion is restricted?
• In the context of ambulation after above-knee amputation due to vascular disease, the plan should emphasize the health and function of which limb?
• A therapist assesses a psoriasis patient for ultraviolet radiation therapy. Which factor requires extra caution?
• A MMT of a patient with a partial median nerve injury shows weakness in forearm pronation and finger flexion with preserved thumb movement. The PT should emphasize strengthening for which combination of actions?
• Which of the following best describes the typical presentation for chronic venous insufficiency in the lower extremity?
• A herniated nucleus pulposus at the L3-L4 disc typically causes numbness and weakness in which distribution?
• When using EMG biofeedback to increase muscle activity, how should the therapist adjust the sensitivity?
• In ankle dorsiflexion, which direction does the talus move relative to the tibia?
• For an IDDM patient undergoing a cardiovascular fitness program, which change in diabetes management is most likely as fitness increases?
• Which technique is MOST effective in teaching an IDDM patient about foot care?
• A patient on bed rest exhibits orthostatic hypotension upon standing. This would MOST likely be characterized by
• In patients on prednisone with immunosuppressive therapy, which PT consideration is most likely?
• Which sign is most characteristic of a palsy of the oculomotor nerve?
• Which nerve root supplies sensation to the little finger?
• When considering a special test for orthopedic assessment of a client, the validity of the test is important because the:
• A therapist treating a patient for limitation of motion after knee surgery notes passive knee extension lacking 15 degrees from full extension and knee flexion limited to 95 degrees, with capsular end feel for both movements. Which mobilization technique is MOST appropriate to increase knee flexion?
• Betadine (povidone-iodine) is sometimes cytotoxic and should be avoided in necrotic wounds to prevent damage to viable tissue. Which agent is known to be cytotoxic in this context?