إختبار كابلن شامل 1 اترك تعليقاً / كويزات / بواسطة Fatma Qeshta إختبار شامل من كتاب كابلن للاختبار الدولي للعلاج الطبيعي 17 Kaplan Comprehensive Quiz 1 Comprehensive Quiz 1 from Kaplan NPTE book 1 / 25 A physical therapist is treating a patient in a nursing home with ROM and gait training, following kneesurgery. Today, the patient refuses physical therapy, stating she is in too much pain. The physical therapistinforms the patient of the benefits of treatment and the risks of missing treatment, but the patient stillrefuses. What would be the therapist's MOST appro-priate action? Continue on with ROM only, since the patient refuses further treatment Explain to the patient she is making a big mis-take, and leave the room Document the refusal and try again later Discharge the patient 2 / 25 A physical therapist is performing manual cervical traction on a patient. The patient's head is known toweigh approximately 10 lb. Since the therapist is holding the patient's head, the coefficient of friction isnearly 0. What amount of force should the physical therapist apply to achieve joint distraction? 15 lb 10 lb 25 lb 5 lb 3 / 25 A physical therapist is evaluating a woman who is 20 weeks pregnant. He suspects she may have acervical disc herniation. Which of the following diagnostic tests is NOT contraindicated during pregnancy? Magnetic resonance imaging with contrast Computed tomography scan Magnetic resonance imaging Plain X-ray 4 / 25 An outpatient physical therapist is treating a patient after a cerebrovascular accident. A patient presentswith weakness of the left side and difficulty maintain-ing dynamic sitting balance. The therapist decides tohave the patient perform a proprioceptive neuromus-cular facilitation technique of D1 flexion and extension. What is the starting position of D1 flexion when used for the left upper extremity? Left elbow flexion, shoulder extension and adduc-tion Left elbow extension, shoulder flexion and abduction Left elbow flexion, shoulder flexion and adduction Left elbow extension, shoulder extension and abduction 5 / 25 A physical therapist has chosen to issue a TENS unit for home pain management. According to the gatecontrol theory, electrical stimulation affects large sen-sory nerve fibers to decrease the awareness of pain. Iftreatment is successful, how long after treatment do the analgesic effects of TENS last? 24 hours Up to 30 minutes 30-60 minutes 2-6 hours 6 / 25 A patient presents to physical therapy with difficulty with gait. Upon inspection of the skin of the lowerextremities, the physical therapist finds dark-brown staining of the skin. The patient complains of leg painthat worsens throughout the day. There is edema of bilateral lower extremities. The skin is moist to the touchthrough the lower extremities. The physical therapist takes a thorough health history, in which the patientrelates that she has had a deep vein thrombosis in the past. The physical therapist places the patient at riskfor what type of wound? Neoplastic ulcer Pressure ulcer Arterial ulcer Venous ulcer 7 / 25 A physical therapist is instructing a patient in proper body mechanics when lifting a 40 lb box of paperfrom the floor to the desk. When attempting to lift the box, the patient should follow which of the followingprin-ciples of mechanics? Wide base of support, bend at the knees, slight increase in lumbar lordosis Wide base of support, bend at the waist, neutral spine Narrow base of support, bend at the knees, slight increase in lumbar lordosis Wide base of support, bend at the knees, neutral spine 8 / 25 A physical therapist is assisting the front desk in fill-ing out paperwork before patient appointments. Heis presenting paperwork regarding informed consent to each patient to allow physical therapy evaluation andintervention. For which one of the following patients is the informed consent done legally? The Hispanic patient who reads no English The patient who is 17 years old The patient who does not have insurance The patient who is unable to communicate 9 / 25 A patient has been referred to physical therapy for evaluation and treatment of knee pain. The patient isalso undergoing chemotherapy for breast cancer. Which of the following treatment interventions wouldNOT be appropriate for this patient? Moderate-resistance strength training Joint mobilization to the tibia-femoral joint Cryotherapy Cycling for 20 minutes at 50 percent max heart rate 10 / 25 What is the thickest layer of the heart wall called? Myocardium Epicardium Pericardium Endocardium 11 / 25 A patient who lives in a senior retirement village is having trouble with recurrent bladder infections. Herphysician has recommended a referral to physical therapy for evaluation of muscle imbalance contribut-ingto the infections. Which of the following muscles, when displaying soft-tissue tightness, can contribute toincreased urinary frequency and urgency? Obturator internus Hamstrings Quadratus lumborum Quadriceps 12 / 25 A physical therapist is evaluating a patient in the hospital 24 hours after a right total hip replacement.The physician's orders are for gait training. On evalu-ation of the patient in his bed, the physical therapistnotes redness and edema present in the right calf. The patient complains of pain and tightness there also.What plan of action should the therapist take? Notifying the patient's nurse of the findings, and postponing any activity Postponing gait training for the time being and checking back later that day Assisting the patient to sit at the edge of bed, and performing gait training with a walker Assisting the patient to sit at the edge of bed, and reassessing the pain 13 / 25 What is an example of declarative knowledge? The temperature of the pool is 82°F. To tread water, alternate upper- and lower-extrem-ity motion To test the temperature of the water, look at the thermometer that is tied to the ladder rail. To get into the pool, walk down the steps. 14 / 25 A physical therapist is working with a patient in a home health setting. The physical therapist is treatinga patient who has had a recent myocardial infarction. During the physical therapist's second treatment withthe patient, the patient starts to complain of severe chest pain, then becomes diaphoretic and weak. Thephysical therapist calls 911. Which drug (if prescribed and available to the patient) should the patient take inthis situation? Drugs are contraindicated in this situation. Diuretic Nitroglycerin Corticosteroid 15 / 25 A physical therapist is treating a patient for low back pain using interferential current (IFC). Whenadmin-istering the IFC for sensory level pain management, what sensation should the patient be expected tofeel? Strong, comfortable tingling No sensation at all Strong muscular contraction Strong, noxious tingling 16 / 25 A physical therapist is explaining to a patient the mechanics of glenohumeral joint impingement. Whatrole does the rotator cuff play in lessening the occur-rence of shoulder impingement? Provides an inferior pull on the humeral head Provides a superior pull on the humeral head Aids in humeral elevation Provides an anterior pull on the humeral head 17 / 25 A patient is seen by a physical therapist following a contusion injury to the hand. The patient describesthe pain as "sharp and pricking" and well localized to the dorsum of his hand. Which peripheral neuronrelays localized sharp pain sensation? A-gamma fibers A-delta fibers C fibers A-beta fibers 18 / 25 A patient referred to physical therapy has been diag-nosed with pulmonary edema. What is the BESTdescription of pulmonary edema? Output from the right side of the heart is greater than output from the left side of the heart, resulting in accumulation of fluid in the lungs Output from the left side of the heart is greater than output from the right side of the heart, resulting in accumulation of fluid in the lungs. Output from the left side of the heart is greater than output from the right side of the heart, resulting in edema in extremities. Output from the heart is minimal and results in accumulation of fluid in the heart itself. 19 / 25 A physical therapist is examining a patient that he suspects may have nerve root irritation. When performing manual muscle testing, what is the BEST way to identify myotomal weakness? Hold the contraction until it breaks Hold the contraction for three seconds Hold the contraction for ten seconds Hold the contraction for five seconds 20 / 25 A researcher is writing a questionnaire that is to be sent to patients after discharge from outpatient physical therapy. The researcher would like to use open-ended questions in the questionnaire. Which of thefollowing is an example of an open-ended question? Did your symptoms improve due to your physical therapy? How have your symptoms changed since you first were seen by a physical therapist? Did physical therapy help to decrease your pain? Did you have a good outcome following physical therapy? 21 / 25 A physical therapist is helping an orthotist cast a mold for an ankle-foot orthosis. Which of the followingis the correct position for the foot? Subtalar inversion Subtalar neutral Dorsiflexion Subtalar eversion 22 / 25 A patient has been referred to physical therapy with shoulder pain and a diagnosis of chronic rotator cufftendonitis. Prior to the referral, the patient received his third injection of hydrocortisone. Which of the following is NOT a physiologic effect of hydrocortisone on the body? Decreases the muscle's ability to contract Decreases bone formation Delays healing Decreases the inflammatory response 23 / 25 A patient is being seen for physical therapy evaluation and treatment three days post-ACL reconstructionwith a hamstring graft. Which of the following would be the MOST appropriate home exercise program togive this patient on his initial surgical follow-up visit? Heel slides and short arc quad exercise Heel slides and wall squats to 90° Heel slides and quad sets Quad sets and straight leg raises 24 / 25 A physical therapist is treating a patient following a cerebrovascular accident with left-sided hemiplegia. The patient complains of pain in the left upper extremity. The therapist examines the shoulder and findsthe humerus to be inferiorly displaced within the glenoid fossa. The patient's complaints of pain decreasewith superior pressure on the humerus. What does the therapist suspect is the patient's problem? Shoulder subluxation Complex regional pain syndrome Increased tone Upper extremity edema 25 / 25 A physical therapist is evaluating a woman who has mid-scapular pain that began when her body shapewent through pregnancy-related changes. Which of the following components of posture is the correctchange during pregnancy? Base of support narrows. Weight-bearing shifts toward the heels of the feet. The plumb line for posture moves posterior. Center of gravity moves posterior. Your score isThe average score is 26% LinkedIn Facebook VKontakte 0% Restart quiz