dunnaway reviewer 1

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Practice Questions

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The therapist is ambulating a patient with an above knee amputation. The new prosthesis causes the heel on the involved foot to move laterally at toe-off. Which of the following is the most likely cause of this deviation? A. Too much internal rotation of the prosthetic knee. B. Too much external rotation of the prosthetic knee. C. Too much outset of the prosthetic foot. D. None of the above would cause this deviation A therapist is testing key muscles on a patient who recently suffered a spinal cord injury. The current test assesses the strength of the long toe extensors. Which nerve segment primarily innervates this key muscle group? A. L2 B. L3 C. L4 D. L5 A patient asks the therapist to explain the function of his medication verapamil (a calcium antagonist). Which of the following points should be conveyed in the therapists explanation? A. Verapamil causes decreased contractility of the heart and vasodilation of the coronary arteries. B. Verapamil causes decreased contractility of the heart and vasoconstriction of the coronary arteries. C. Verapamil causes increased contractility of the heart and vasodilation of the coronary arteries. D. Verapamil causes increased contractility of the heart and vasoconstriction of the coronary arteries. While assessing the standing posture of a patient, the therapist notes that a spinous process in the thoracic region is shifted laterally. The therapist estimates that T2 is the involved vertebra because he or she notes that it is at the approximate level of the A. inferior angle of the scapula B. superior angle of the scapula C. spine of the scapula D. xiphoid process of the sternum A patient comes to the therapist because she has noted a pronounced tuft of hair on the center of her spinal column in the lumbar area. The therapist notes no loss in motor or sensory function. This patient most likely has what form of spina bifida? A. Meningocele B. Meningomyelocele C. Spina bifida occulta D. Syringomyelocele Persuading a sedentary patient to become more active, the therapist explains the benefits of exercise. Which of the following is an inappropriate list of benefits? A. Increased efficiency of the myocardium to obtain oxygen, decreased high-density lipoprotein (HDL) and decreased cholesterol. B. Decreased low-density lipoprotein (LDL), decreased triglycerides, and decreased blood pressure. C. Increased efficiency of the myocardium to obtain oxygen, decreased cholesterol, and decreased LDL. D. Both B and C are inappropriate lists. A therapist instructed to provide electrical stimulation to a patient with a venous stasis ulcer on the right lower extremity. What is the correct type of electrical stimulation to promote wound healing? A. Biphasic pulsed current B. Direct current C. Interferential current D. Transcutaneous electrical stimulation While ambulating a stroke patient (right side is the involved side), the therapist notes increased circumduction of the right lower extremity. Which of the following is an unlikely cause of this deviation? A. Increased spasticity of the right gastrocnemius. B. Increased spasticity of the right quadriceps. C. Weak hip flexors. D. Weak knee extensors.

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Practice Questions

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Which of the following is contraindicated to ultrasound at 1.5 watts/cm2 with a 1 MHz sound head? A. Over a recent fracture site. B. Over non-cemented metal implant. C. Over a recently surgically repaired tendon. D. Over the quadriceps muscle belly. The therapist is treating a 52-year-old woman after right total hip replacement. The patient complains of being self-conscious about a limp. She carries a heavy briefcase to and from work every day. The therapist notes a Trendelenburg gait during ambulation on level surfaces. What advice can the therapist give the patient to minimize gait deviation? A. Carry the briefcase in the right hand B. Carry the briefcase in the left hand C. The patient should not carry a briefcase at all. D. It does not matter in which hand the briefcase is carried. The supervisor of a rehabilitative facility insists on a weekly meeting to discuss drops in productivity. The supervisor is not concerned with the increased demand placed on the already overworked employees. According to the managerial grid, what is the best classification of this manager? A. 5.5 B. 9.9 C. 1.9 D. 9.1 What is the major concern of the physical therapist treating a patient with an acute deep partial thickness burn covering 27% of the total body? The patient was admitted to the intensive care burn unit 2 days ago. A. Range of motion B. Fluid retention C. Helping the family cope with the injured patient. D. Home modification on discharge. A pitcher is exercising in a clinic with a sports cord mounted behind and above his head. The pitcher simulates pitching motion using the sports cord as resistance. Which proprioceptive neuromuscular facilitation (PNF) diagonal is the pitcher using to strengthen the muscles involved in pitching a baseball? A. D1 extension B. D1 flexion C. D2 extension D. D2 flexion. The therapist is evaluating a 32-year-old woman for complaints of right hip pain. The patient has injured the strongest ligament of the hip. The therapist places the patient in the prone position on the plinth and passively extends the involved hip. The therapist notes an abnormal amount of increase in passive hip extension. Which of the following ligaments is damaged? A. Ischiofemoral ligament B. Iliofemoral ligament (Y ligament of Bigelow) C. Pubofemoral ligament D. Ligamentum teres While obtaining the history from a 62-year-old woman weighing 147 pounds, the therapist discovers that the patient has a history of rheumatoid arthritis. The order for outpatient physical therapy includes continuous traction due to a L2 disc protrusion. What is the best course of action for the therapist? A. Follow the order. B. Consult with the physician because rheumatoid arthritis is a contraindication. C. Apply intermittent traction instead of continuous traction. Use continuous traction with the weight setting at 110 pounds.The therapist in an outpatient physical therapy clinic receives an order to obtain a shoe orthotic for a patient. After evaluating the patient, the therapist finds a stage I pressure ulcer on the first metatarsal head. Weight-bearing surfaces need to be transferred posteriorly. Which orthotic is the most appropriate for this patient? A. Scaphoid pad. B. Thomas heel. 94869130.doc.ms_office

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Practice Questions

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C. Metatarsal pad D. Cushion heel. 17. On examination of a cross section of the spinal cord of a cadaver, the examiner notes plaques. The finding is most characteristic of what condition? A. Parkinsons disease B. Myasthenia gravis C. Multiple sclerosis. D. Dementia. Which of the following actions places the greatest stress on the patellofemoral joint? A. When the foot first contacts the ground during the gait cycle. B. Exercising on a stair stepper machine. C. Running down a smooth decline of 30o D. Squats to 120o of knee flexion. A therapist working at a hospital calls another therapist in an outpatient facility to provide a brief history of a patient who is scheduled to leave the hospital and receive outpatient therapy. The acute care therapist states that the patient received an injury to the somatic sensory association cortex in one hemisphere. From this information only, the outpatient therapist knows that the patient will most likely A. ignore someone talking to him or her on the involved side B. be unable to find one of his or her extremities. C. have no trouble putting on clothes. D. be unable to understand speech. 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. Hot tubs. B. Slightly increased intake of fluids. C. Application of ice packs. D. Strength training. The therapist is evaluating a patient with a diagnosis of cerebral palsy. The therapist notes that all of the extremities and the trunk are involved. Further assessment also reveals that the lower extremities are more involved than the upper extremities and that the right side is more involved than the left. This patient most likely has which classification of cerebral palsy? A. Spastic hemiplegia. B. Spastic triplegia. C. Spastic quadriplegia. D. Spastic diplegia. A therapist is treating a 35-year-old man diagnosed with lumbar disc degeneration in an outpatient clinic. Through conversation with the patient, the therapist learns that he is also being treated by a chiropractor for cervical dysfunction. What is the best course of action by the therapist? A. Continue with the current treatment plan and ignore the chiropractors treatment. B. Ask the patient what the chiropractor is doing and try the same approach. C. Stop physical therapy at once and consult with the referring physician. Contact the chiropractor to coordinate his or her plan of care with the physical therapy plan of care.A therapist is mobilizing a patients right shoulder. The movement taking place at the joint capsule is not completely to end range. It is a large amplitude movement from near the beginning of available range to near the end of available range. What grade of mobilization according to Maitland, is being performed? A. Grade I B. Grade II C. Grade III D. Grade IV While observing the ambulation of a 57-year-old man with an arthritic right hip, the therapist observes a right lateral trunk lean. Why does the patient present with this gait deviation? A. To move weight toward the involved hip and increase joint compression force. 94869130.doc.ms_office

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