PT- Scorebuilders exam 1 all incorrect

  1. A physical therapist completes a respiratory assessment on a patient in an acute care hospital. The examination reveals decreased breath sounds and decreased fremitus. This finding is MOST indicative of:
    1.pleural effusion
    2.pulmonary edema
    3.consolidation
    4.atelectasis
    1.pleural effusion
  2. A physical therapist performs gait training activities with an eight-year-old child who utilizes a reciprocating gait orthosis. Which medical diagnosis is MOST often associated with the use of this type of orthotic device?
    1.cerebral palsy
    2.Down syndrome
    3.Legg-Calve-Perthes disease
    4.spina bifida
    4.spina bifida
  3. A physical therapist provides pre-operative instructions for a patient scheduled for hip arthroplasty surgery. As part of the session, the therapist discusses the importance of preventing deep vein thrombosis following surgery. Which finding is the BEST indicator that the patient is at minimal risk of acquiring a deep vein thrombosis?
    1.ability to perform ankle pumps and muscle setting exercises
    2.ability to ambulate on a frequent schedule
    3.ability to achieve full hip range of motion within the allowable limits
    4.ability to utilize pneumatic compression devices and elastic stockings
    2.ability to ambulate on a frequent schedule
  4. A physical therapist treats a patient status post femur fracture with external fixation. While monitoring the patient during an exercise session, the therapist observes clear drainage from a distal pin site. The MOST appropriate therapist action is:
    1.discontinue the exercise session and contact the referring physician
    2.use a gauze pad to absorb the drainage and notify nursing
    3.use a gauze pad to absorb the drainage and continue with the exercise session
    4.document the finding and discontinue the exercise session
    3.use a gauze pad to absorb the drainage and continue with the exercise session
  5. A physical therapist is scheduled to treat a patient requiring droplet precautions. What type of protective equipment would be necessary prior to entering the patient’s room?
    1.gloves
    2.mask
    3.gloves and mask
    4.gloves, gown, and mask
    2.mask
  6. A physical therapist works on transfer activities with a patient diagnosed with a complete C5 spinal cord injury. Which of the following muscles would the patient be able to utilize during the training session?
    1.brachioradialis
    2.pronator teres
    3.extensor carpi radialis brevis
    4.latissimus dorsi
    1.brachioradialis
  7. During a balance assessment of a patient with left hemiplegia, it is noted that in sitting the patient requires minimal assistance to maintain the position and cannot accept any additional challenge. The physical therapist would appropriately document the patient’s sitting balance as:
    1.normal
    2.good
    3.fair
    4.poor
    4.poor
  8. A physical therapist examines a patient three days following shoulder surgery. The patient complains of general malaise and reports a slightly elevated body temperature during the last twenty-four hours. Physical examination reveals an edematous shoulder that is warm to the touch. A small amount of yellow fluid is observed seeping from the incision. The MOST appropriate therapist action is:
    1.send the patient to the emergency room
    2.communicate the information to the referring physician
    3.document the findings in the medical record
    4.ask the patient to make an appointment with the referring physician
    2.communicate the information to the referring physician
  9. A patient with an acute burn is referred to physical therapy less than 24 hours after being admitted to the hospital. The patient’s burns range from superficial partial-thickness to deep partial-thickness and encompass approximately 35 percent of the patient’s total body surface area. Which of the following findings would be MOST predictable based on the patient’s injury?
    1.increased oxygen consumption
    2.hypernatremia
    3.increased intravascular fluid
    4.decreased core temperature
    1.increased oxygen consumption
  10. A physical therapist treats a 12-year-old with spastic diplegia that recently underwent an iliopsoas tendon release. The MOST likely associated finding with this surgical procedure is:
    1.crouched gait
    2.lower limb scissoring
    3.equinovarus deformity
    4.knee flexion contracture
    1.crouched gait
  11. A physical therapist completes a developmental assessment on a seven-month-old infant. Assuming normal development, which of the following reflexes would NOT be integrated?
    1.asymmetrical tonic neck reflex
    2.Moro reflex
    3.Landau reflex
    4.symmetrical tonic neck reflex
    3.Landau reflex
  12. A 30-year-old female is seen in physical therapy secondary to benign paroxysmal positional vertigo. Which of the following physical therapy treatments would MOST benefit this patient?
    1.Dix-Hallpike maneuver
    2.canalith repositioning maneuvers
    3.singular neurectomy
    4.gaze stability exercises
    2.canalith repositioning maneuvers
  13. A physical therapist uses the Modified Ashworth Scale when assessing a patient status post stroke. Which of the following assessment procedures would be the MOST appropriate when using the Modified Ashworth Scale?
    1.strength testing
    2.deep tendon reflex testing
    3.active range of motion
    4.passive range of motion
    4.passive range of motion
  14. A patient’s job requires him to move boxes weighing 35 pounds from a transport cart to an elevated conveyor belt. The patient can complete the activity, however, is unable to prevent hyperextension of the spine. The MOST appropriate physical therapist action is to:
    1.implement a pelvic stabilization program
    2.design an abdominal strengthening program
    3.review proper body mechanics
    4.use an elevated platform when placing boxes on the belt
    4.use an elevated platform when placing boxes on the belt
  15. A patient is referred to physical therapy with a C6 nerve root injury. Which of the following clinical findings would NOT be expected with this type of injury?
    1.diminished sensation on the anterior arm and the index finger
    2.weakness in the biceps and supinator
    3.diminished brachioradialis reflex
    4.paresthesias of the long and ring fingers
    4.paresthesias of the long and ring fingers
  16. A physical therapist treats a nine-year-old child diagnosed with cystic fibrosis. As part of the treatment session the therapist attempts to improve the efficiency of the patient’s breathing. The MOST appropriate technique to encourage full expansion at the base of the lungs is:
    1.manual percussion over the posterior portion of the ribs with the patient in prone
    2.manual contacts with pressure over the lateral borders of the ribs with the patient in supine
    3.manual vibration over the lateral portion of the ribs with the patient in sidelying
    4.manual cues over the epigastric area with the patient in supine
    2.manual contacts with pressure over the lateral borders of the ribs with the patient in supine
  17. A patient’s medical record indicates the presence of a significant electrolyte imbalance. Which condition would MOST commonly be associated with an increased risk of cardiac arrest if left untreated?
    1.hypercalcemia
    2.hyperkalemia
    3.hypermagnesemia
    4.hypernatremia
    2.hyperkalemia
  18. If the forced expiratory volume in one second (FEV1) test is negative for airway obstruction in 99% of individuals without lung disease, then the measurement of FEV1 is:
    1.sensitive
    2.specific
    3.reliable
    4.valid
    2.specific
  19. A physical therapist applies an automated external defibrillator (AED) to a patient in cardiac arrest. In addition to ventricular fibrillation, what condition is capable of being identified and treated with the AED?
    1.atrial fibrillation
    2.premature atrial contractions
    3.ventricular tachycardia
    4.first degree ventricular heart block
    3.ventricular tachycardia
  20. A physical therapist completes a developmental assessment on an infant. Which pediatric reflex would the therapist expect to be integrated at the youngest age?
    1.plantar grasp reflex
    2.Moro reflex
    3.Landau reflex
    4.Galant reflex
    4.Galant reflex
  21. A physical therapist treats a patient with a sacral pressure ulcer by applying a foam dressing impregnated with charcoal. This type of dressing would be MOST beneficial in treating which type of wound?
    1.a dry wound that is infected
    2.a dry wound that has a fetid odor
    3.a heavily exuding wound that is infected
    4.a heavily exuding wound that has a fetid odor
    4.a heavily exuding wound that has a fetid odor
  22. A physical therapist monitors a patient’s vital signs while exercising in a phase I cardiac rehabilitation program. The patient is status post myocardial infarction and has progressed without difficulty while involved in the program. Which of the following vital sign recordings would exceed the typical limits of a phase I program?
    1.heart rate elevated 18 beats per minute above resting level
    2.respiration rate of 18 breaths per minute
    3.systolic blood pressure decreased by 25 mm Hg from resting level
    4.diastolic blood pressure less than 100 mm Hg
    3.systolic blood pressure decreased by 25 mm Hg from resting level
  23. A physical therapist treats a patient with a colostomy that is capable of producing solid stool on a fairly regular schedule. Which type of colostomy would be MOST consistent with this description?
    1.ascending colostomy
    2.descending colostomy
    3.sigmoid colostomy
    4.transverse colostomy
    3.sigmoid colostomy
  24. A physical therapist inspects the skin of a child recently admitted to the hospital after sustaining a scald burn from hot water on his torso. The burn is moist and red with several areas of blister formation. The burn covers an area approximately four inches by three inches and blanches with direct pressure. The MOST likely burn classification is:
    1.superficial
    2.superficial partial-thickness
    3.deep partial-thickness
    4.full-thickness
    2.superficial partial-thickness
  25. A physical therapist completes an upper quarter screening examination on a patient with a suspected cervical spine lesion. Which objective finding is NOT consistent with C5 involvement?
    1.muscle weakness in the supinator and wrist extensors
    2.diminished sensation in the deltoid area
    3.muscle weakness in the deltoid and biceps
    4.diminished biceps and brachioradialis reflexes
    1.muscle weakness in the supinator and wrist extensors
  26. A physical therapist treats a 54-year-old male rehabilitating from a tibial plateau fracture. While completing a resistive exercise, the patient indicates that lifting weights often causes him to void small amounts of urine. The MOST appropriate therapist action is:
    1.refer the patient to a support group
    2.instruct the patient in pelvic floor muscle strengthening exercises
    3.discontinue resistive exercises as part of the established plan of care
    4.educate the patient about incontinence
    4.educate the patient about incontinence
  27. A physical therapist prepares to apply a sterile dressing to a wound after debridement. The therapist begins the process by drying the wound using a towel. The therapist applies medication to the wound using a gauze pad and then applies a series of dressings that are secured using a bandage. Which step would NOT warrant the use of sterile technique?
    1.bandage
    2.dressings
    3.medication
    4.towel
    1.bandage
  28. A physical therapist reviews the medical record of a patient that has experienced recurrent angina. A recent entry indicated that an exercise stress test ordered by the physician was positive. The MOST accurate interpretation of this finding is:
    1.presence of balanced oxygen demand and supply
    2.presence of ischemia
    3.presence of normal vital signs
    4.presence of cardiac arrhythmias
    2.presence of ischemia
  29. A physical therapist reviews the parameters of several pain modulation theories using transcutaneous electrical nerve stimulation (TENS). When comparing sensory stimulation to motor stimulation, sensory stimulation requires:
    1.greater phase duration
    2.greater frequency
    3.stronger amplitude
    4.shorter treatment time
    2.greater frequency
  30. .

    A physical therapist performs segmental breathing exercises with a patient following atelectasis. Which manual contact would be the MOST appropriate to emphasize lingula expansion?
    1.place the hands on the left side of the chest below the axilla
    2.place the hands below the clavicle on the anterior chest wall
    3.place the hands over the posterior aspect of the lower ribs
    4.place the hands on the right side of the chest below the axilla
    1.place the hands on the left side of the chest below the axilla
  31. A physical therapist utilizes a manual assisted cough technique on a patient with a mid-thoracic spinal cord injury. When completing this technique with the patient in supine, the MOST appropriate location for the therapist’s hand placement is:
    1.manubrium
    2.epigastric area
    3.xiphoid process
    4.umbilical region
    2.epigastric area
  32. An entry in the medical record indicates that electromyography revealed denervation of the flexor pollicis longus, flexor digitorum profundus, and pronator quadratus muscles. This finding would MOST likely be associated with:
    1.anterior compartment syndrome
    2.anterior interosseous syndrome
    3.cubital tunnel syndrome
    4.Erb’s palsy
    2.anterior interosseous syndrome
  33. A physical therapist treats a patient with a CVA that presents with speech and language deficits. The therapist incorporates phonetics into the plan of care. This intervention would be MOST essential for a patient diagnosed with:
    1.Broca’s aphasia
    2.dysarthria
    3.verbal apraxia
    4.dysphagia
    2.dysarthria
  34. A physical therapist performs postural drainage to the anterior basal segments of the lower lobes. During the treatment session the patient suddenly complains of dizziness and mild dyspnea. The MOST appropriate therapist action is to:
    1.reassure the patient that the response is normal
    2.assess the patient’s vital signs
    3.elevate the patient’s head
    4.call for assistance
    3.elevate the patient’s head
  35. A patient is asked to complete a pain questionnaire. The patient selects words such as cramping, dull, and aching to describe the pain. What related structure is MOST consistent with the pain description?
    1.nerve root
    2.muscle
    3.bone
    4.vascular
    2.muscle
  36. A physical therapist enters a private treatment area and observes a patient collapsed on the floor. The patient appears to be moving slightly, however, seems to be in need of medical assistance. The MOST immediate therapist action is:
    1.check for unresponsiveness
    2.monitor airway, breathing, and circulation
    3.position the patient
    4.phone emergency medical services
    1.check for unresponsiveness
  37. A physical therapist works with a patient who experiences hyperfunction of the parathyroid glands secondary to a tumor. This condition would MOST likely contribute to the development of:
    1.cardiac arrhythmias
    2.osteopenia
    3.muscle spasms
    4.obesity
    2.osteopenia
  38. A patient coverage form indicates selective debridement is to be performed on a patient rehabilitating from a lower extremity burn. Based on the coverage form, the MOST likely intervention would be:
    1.whirlpool
    2.wet-to-dry dressings
    3.enzymatic debridement
    4.wound irrigation
    3.enzymatic debridement
  39. A physical therapist serves as an accessibility consultant for a local retail store. What is the MINIMUM width required for a patient using a wheelchair to safely traverse through a doorway?
    1.24 inches
    2.30 inches
    3.32 inches
    4.36 inches
    3.32 inches
  40. A physical therapist reviews the medical record of a 52-year-old male status post myocardial infarction. The patient is currently in the coronary care unit and is scheduled to begin cardiac rehabilitation tomorrow. Which potential complication of a myocardial infarction is the patient MOST susceptible to?
    1.heart failure
    2.arrhythmias
    3.thrombus formation
    4.heart structural damage
    2.arrhythmias
  41. A physical therapist positions a patient in prone on a treatment plinth in preparation for a hot pack. When preparing the hot pack for the low back, the therapist should utilize:
    1.2-4 towel layers
    2.4-6 towel layers
    3.6-8 towel layers
    4.8-10 towel layers
    3.6-8 towel layers
  42. A patient with right upper extremity lymphedema following a radical mastectomy discusses the cause of lymphedema with her physician. The physician explains that both the venous system and the lymphatic system are responsible for collecting and transporting interstitial fluid. What percentage of interstitial fluid is collected by a normally functioning lymphatic system?
    1.15%
    2.35%
    3.55%
    4.75%
    1.15%
  43. A physical therapist prepares to treat a patient with continuous ultrasound. Which general rule BEST determines the length of treatment when using ultrasound?
    1.two minutes for an area that is two times the size of the transducer face
    2.five minutes for an area that is two times the size of the transducer face
    3.five minutes is the maximum treatment time regardless of the treatment area
    4.ten minutes is the maximum treatment time regardless of the treatment area
    2.five minutes for an area that is two times the size of the transducer face
  44. A physical therapist attempts to obtain the body temperature of a patient in an acute care hospital. Which method would likely result in the LOWEST obtained temperature value?
    1.tympanic membrane temperature
    2.rectal temperature
    3.oral temperature
    4.axillary temperature
    4.axillary temperature
  45. A group of physical therapists designs a research study in which they record the shoulder range of motion before and after treatment in three different age groups: adolescents, teenagers, and young adults. The therapists want to determine if there is a difference in the treatment effect based on the age of the patient. Which statistical test would be used to compare the differences between the three groups?
    1.t-test
    2.z-test
    3.chi-square test
    4.analysis of variance (ANOVA) test
    4.analysis of variance (ANOVA) test
  46. A physical therapist recognizes that a child has significant difficulty flexing the neck while in a supine position. Failure to integrate which reflex could explain the child’s difficulty?
    1.symmetrical tonic labyrinthine reflex
    2.Moro reflex
    3.asymmetrical tonic neck reflex
    4.symmetrical tonic neck reflex
    1.symmetrical tonic labyrinthine reflex
  47. An older adult is referred to physical therapy secondary to a recent fall. The patient reports difficulty seeing objects directly in front of them. This description is MOST consistent with the presence of:
    1.cataracts
    2.macular degeneration
    3.presbyopia
    4.glaucoma
    2.macular degeneration
  48. A five-month-old infant is able to sit in a propped position. Which objective finding would be MOST essential for the child to progress to ring sitting?
    1.increased strength of the trunk flexors
    2.increased strength of the trunk extensors
    3.integration of the symmetrical tonic neck reflex
    4.integration of the asymmetrical tonic neck reflex
    2.increased strength of the trunk extensors
Author
Bykan
ID
351169
Card Set
PT- Scorebuilders exam 1 all incorrect
Description
PT- Scorebuilders exam 1 all incorrect
Updated