Comprehensive kaplan Quiz 1 Leave a Comment / Quizzes / By Fatma Qeshta Comprehensive Quiz 1 from Kaplan NPTE book 21 Kaplan Comprehensive Quiz 1 Comprehensive Quiz 1 from Kaplan NPTE book 1 / 25 A physical therapist is performing manual cervical traction on a patient. The patient's head is known to weigh approximately 10 lb. Since the therapist is holding the patient's head, the coefficient of friction is nearly 0. What amount of force should the physical therapist apply to achieve joint distraction? 25 lb 10 lb 15 lb 5 lb 2 / 25 A physical therapist is instructing a patient in proper body mechanics when lifting a 40 lb box of paper from the floor to the desk. When attempting to lift the box, the patient should follow which of the following prin-ciples of mechanics? Wide base of support, bend at the waist, neutral spine Wide base of support, bend at the knees, slight increase in lumbar lordosis Wide base of support, bend at the knees, neutral spine Narrow base of support, bend at the knees, slight increase in lumbar lordosis 3 / 25 A patient referred to physical therapy has been diag-nosed with pulmonary edema. What is the BEST description of pulmonary edema? Output from the heart is minimal and results in accumulation of fluid in the heart itself. 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 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 edema in extremities. 4 / 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 therapist notes 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 Assisting the patient to sit at the edge of bed, and performing gait training with a walker Postponing gait training for the time being and checking back later that day Assisting the patient to sit at the edge of bed, and reassessing the pain 5 / 25 What is an example of declarative knowledge? To get into the pool, walk down the steps. To tread water, alternate upper- and lower-extrem-ity motion The temperature of the pool is 82°F. To test the temperature of the water, look at the thermometer that is tied to the ladder rail. 6 / 25 A physical therapist is working with a patient in a home health setting. The physical therapist is treating a patient who has had a recent myocardial infarction. During the physical therapist's second treatment with the patient, the patient starts to complain of severe chest pain, then becomes diaphoretic and weak. The physical therapist calls 911. Which drug (if prescribed and available to the patient) should the patient take in this situation? Corticosteroid Diuretic Drugs are contraindicated in this situation. Nitroglycerin 7 / 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 for five seconds Hold the contraction until it breaks Hold the contraction for ten seconds Hold the contraction for three seconds 8 / 25 A patient has been referred to physical therapy with shoulder pain and a diagnosis of chronic rotator cuff tendonitis. 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 bone formation Delays healing Decreases the inflammatory response Decreases the muscle's ability to contract 9 / 25 A physical therapist is assisting the front desk in fill-ing out paperwork before patient appointments. He is presenting paperwork regarding informed consent to each patient to allow physical therapy evaluation and intervention. For which one of the following patients is the informed consent done legally? The patient who is unable to communicate The Hispanic patient who reads no English The patient who does not have insurance The patient who is 17 years old 10 / 25 A physical therapist is evaluating a woman who has mid-scapular pain that began when her body shape went through pregnancy-related changes. Which of the following components of posture is the correct change during pregnancy? The plumb line for posture moves posterior. Weight-bearing shifts toward the heels of the feet. Center of gravity moves posterior. Base of support narrows. 11 / 25 A physical therapist is treating a patient for low back pain using interferential current (IFC). When admin-istering the IFC for sensory level pain management, what sensation should the patient be expected to feel? Strong, noxious tingling Strong, comfortable tingling No sensation at all Strong muscular contraction 12 / 25 A physical therapist is explaining to a patient the mechanics of glenohumeral joint impingement. What role does the rotator cuff play in lessening the occur-rence of shoulder impingement? Provides an anterior pull on the humeral head Aids in humeral elevation Provides an inferior pull on the humeral head Provides a superior pull on the humeral head 13 / 25 A physical therapist is evaluating a woman who is 20 weeks pregnant. He suspects she may have a cervical disc herniation. Which of the following diagnostic tests is NOT contraindicated during pregnancy? Magnetic resonance imaging with contrast Magnetic resonance imaging Computed tomography scan Plain X-ray 14 / 25 A patient has been referred to physical therapy for evaluation and treatment of knee pain. The patient is also undergoing chemotherapy for breast cancer. Which of the following treatment interventions would NOT be appropriate for this patient? Cryotherapy Joint mobilization to the tibia-femoral joint Cycling for 20 minutes at 50 percent max heart rate Moderate-resistance strength training 15 / 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 finds the humerus to be inferiorly displaced within the glenoid fossa. The patient's complaints of pain decrease with superior pressure on the humerus. What does the therapist suspect is the patient's problem? Complex regional pain syndrome Increased tone Upper extremity edema Shoulder subluxation 16 / 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 the following is an example of an open-ended question? Did your symptoms improve due to your physical therapy? Did you have a good outcome following physical therapy? Did physical therapy help to decrease your pain? How have your symptoms changed since you first were seen by a physical therapist? 17 / 25 A patient who lives in a senior retirement village is having trouble with recurrent bladder infections. Her physician has recommended a referral to physical therapy for evaluation of muscle imbalance contribut-ing to the infections. Which of the following muscles, when displaying soft-tissue tightness, can contribute to increased urinary frequency and urgency? Quadratus lumborum Hamstrings Obturator internus Quadriceps 18 / 25 A physical therapist has chosen to issue a TENS unit for home pain management. According to the gate control theory, electrical stimulation affects large sen-sory nerve fibers to decrease the awareness of pain. If treatment is successful, how long after treatment do the analgesic effects of TENS last? 2-6 hours 30-60 minutes Up to 30 minutes 24 hours 19 / 25 A physical therapist is treating a patient in a nursing home with ROM and gait training, following knee surgery. Today, the patient refuses physical therapy, stating she is in too much pain. The physical therapist informs the patient of the benefits of treatment and the risks of missing treatment, but the patient still refuses. What would be the therapist's MOST appro-priate action? Explain to the patient she is making a big mis-take, and leave the room Discharge the patient Document the refusal and try again later Continue on with ROM only, since the patient refuses further treatment 20 / 25 A patient presents to physical therapy with difficulty with gait. Upon inspection of the skin of the lower extremities, the physical therapist finds dark-brown staining of the skin. The patient complains of leg pain that worsens throughout the day. There is edema of bilateral lower extremities. The skin is moist to the touch through the lower extremities. The physical therapist takes a thorough health history, in which the patient relates that she has had a deep vein thrombosis in the past. The physical therapist places the patient at risk for what type of wound? Venous ulcer Arterial ulcer Pressure ulcer Neoplastic ulcer 21 / 25 A patient is being seen for physical therapy evaluation and treatment three days post-ACL reconstruction with a hamstring graft. Which of the following would be the MOST appropriate home exercise program to give 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 22 / 25 What is the thickest layer of the heart wall called? Endocardium Pericardium Epicardium Myocardium 23 / 25 A patient is seen by a physical therapist following a contusion injury to the hand. The patient describes the pain as "sharp and pricking" and well localized to the dorsum of his hand. Which peripheral neuron relays localized sharp pain sensation? A-gamma fibers A-delta fibers C fibers A-beta fibers 24 / 25 A physical therapist is helping an orthotist cast a mold for an ankle-foot orthosis. Which of the following is the correct position for the foot? Subtalar neutral Subtalar eversion Dorsiflexion Subtalar inversion 25 / 25 An outpatient physical therapist is treating a patient after a cerebrovascular accident. A patient presents with weakness of the left side and difficulty maintain-ing dynamic sitting balance. The therapist decides to have 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 extension, shoulder extension and abduction Left elbow extension, shoulder flexion and abduction Left elbow flexion, shoulder extension and adduc-tion Left elbow flexion, shoulder flexion and adduction Your score isThe average score is 27% LinkedIn Facebook VKontakte 0% Restart quiz