Comprehensive kaplan Quiz 1

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?

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?

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?

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?

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?

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?

What is the thickest layer of the heart wall called?

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?

What is an example of declarative knowledge?

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?

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?

A patient referred to physical therapy has been diag-nosed with pulmonary edema. What is the BEST
description of pulmonary edema?

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?

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?

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?

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?

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?

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?

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 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?

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?

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?

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?

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?

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?