Comprehensive Kaplan Quiz 2

A patient presents to physical therapy with diagnosis of a countercoup head injury. Her hearing is
impaired and she has difficulty understanding spoken commu-nication. Which lobe of the cerebral cortex is
MOST likely injured?

A physical therapist is reviewing the past medical his-tory of a home health patient he is going to
evaluate. The physician's referral indicates she has multi-joint pain, decreased functional mobility, and
decreased lung function. Which of the following secondary pathologies could be considered a disorder that
affects multiple body systems?

A patient demonstrates 0/5 strength of the left tibialis anterior muscle. She ambulates with a steppage gait
of the left lower extremity. The patient has had recent surgery of the left hip. She had a prolonged course of
bed rest in which her left leg was held in abduction and external rotation. She does not complain of any pain
of the left lower leg. With what condition is this patient presenting?

A physical therapist is designing a home exercise program for a patient with chronic knee pain. The
patient also has a past medical history of irritable bowel syndrome (IBS). What is the physical therapist's
recommendation for moderate-intensity exercise for this patient?

A physical therapist provides education on lung dis-ease to a freshman health class at a local college.
The physical therapist describes chronic obstructive pulmonary disease (COPD) and the risk factors for
developing this disease. What should the physical therapist tell the students is the biggest risk factor for
developing COPD?

A patient presents to physical therapy with cervical and upper thoracic pain following a motor vehicle
accident five weeks ago. She says the pain is much less than it was initially but that she has nagging
tightness in her mid-scapular region and neck. Which response to pain could account for her complaints?

A physical therapist is evaluating a patient with shoul-der pain. Evaluation reveals decreased
scapulothoracic motion during active flexion on one side more than the other. What is the normal ratio of
glenohumeral to scapulothoracic joint motion of the shoulder?

A physical therapist is preparing a list of home exer-cise for a patient who is 3.5 weeks post-left shoulder
dislocation. Which of the following exercises is MOST appropriate for the patient at this stage?

A physical therapist has given six treatments to a woman with rotator cuff tendonitis. She does not appear
to be responding as expected to the interven-tion techniques. When asked about other symptoms, she
describes a slight tremor, weight loss (although hungry), poor coordination, and unusual swelling in the front
of her neck. What underlying pathology may be contributing to her wrist pain and stiffness?

What techniques can be used to increase the rate of return of a mailed questionnaire that asks about
patients' experience with physical therapy?

A physical therapist and her patient are mutually set-ting goals for physical therapy. The patient is four
days post-total knee replacement. Which of the following would be the BEST example of a short-term goal?

A physical therapy school keeps track of the states in which applicants live. This data would be
classified as what level of measurement?

A five-year-old boy demonstrates these signs and symptoms: weakness of the shoulder and hip girdles,
contractures, scoliosis, and respiratory impairments. The boy's mother states that he walked much later than
his older brother did. What pathology do you suspect?

A five-year-old boy demonstrates these signs and symptoms: weakness of the shoulder and hip girdles,
contractures, scoliosis, and respiratory impairments. The boy's mother states that he began walking much
later than his older brother did. What pathology do you suspect?

A patient is referred to physical therapy for evalua-tion and treatment of right-sided low back pain with
radiculopathy to the anterolateral thigh. Her radicular pain is reduced with manual lumbar traction. Where
would be the BEST area to apply the ultrasound using a 5 cm sound head?

A physical therapist working with a 75-year-old patient in a phase II cardiac rehab takes an initial blood
pres-sure measurement of 130/70 mm Hg. After five min-utes of walking on a treadmill, the patient's blood
pressure is 142/76 mm Hg. Normally, the systolic blood pressure riscs with submaximal exercise. How does
the diastolic blood pressure normally respond with submaximal exercise?

A physical therapist is developing an exercise program focused on endurance training of postural
stabilizers. Which one of the following is NOT considered to be primarily a postural stabilizer made of
mostly type I muscle fibers?

A physical therapist is assessing a patient's ankle edema with volumetric water displacement. The volume of the water displaced on the initial assessment was 17 oz. Two weeks later the volume displaced was
19 oz. What does this indicate?

A woman is referred to physical therapy for pelvic floor muscle strengthening to aid in urinary incontinence. She describes her incontinence as being stress-related and reports that she cannot get to the
bathroom in time. She is unfamiliar with pelvic floor exercise. Teaching the patient to feel which muscles
need to contract to slow or stop the flow of urine is an example of what kind of activity?

A patient who calls himself a "weekend warrior" is being evaluated by a physical therapist after he
injured his right ankle while sliding into third base two days ago. He states he immediately iced the ankle for
one hour after his injury and then one hour again later that night. Today he complains of pain and numbness
on the lateral side of his right foot. On evaluation, he is found to have weakness with ankle aversion but no
pain. What is the MOST probable cause of this patient's presentation?

A physical therapist is performing an active range of motion assessment of the lumbar spine. During
active flexion, what accessory motion is happening at the facet joints?

A patient is referred to physical therapy for right but-tock and posterior leg pain. Even before any assessment, the physical therapist makes a mental list of possible differential diagnoses. Which of the following
would NOT be on the therapist's list?

A physical therapist is evaluating a patient following a shoulder scope. The patient's medication list
includes recent short-term use of a corticosteroid. What impact does this have on the patient's outcome?

A physical therapist is positioning a patient for mechanical cervical traction. What position of the neck
provides the greatest amount of intervertebral foraminal separation?

A patient with a complete spinal cord needs preserva-tion of what motion to use tenodesis grasp to
replace active grasping?