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which is not correct about oxford scale
0 no contraction
flicker contraction
4 can make full ROM against resistance
Which of the following is the most likely cause of mechanical joint instability
Mal-alignment
Muscle weakness
Ligamentous injury
Loss of proprioception
A physician is preparing a patient for an upcoming procedure. The physician explains that the procedure will provide a detailed image that appears to be a slice of the brain. This image is obtained with a highly concentrated x-ray beam. What procedure is the patient scheduled to undergo?
Angiogram
Magnetic resonance imaging (MRI)
Positron emission tomography (PET)
Computed tomography (CT)
In acute bronchitis there is
Dry cough
Cyanosis
Extended clear mucus secretions
Edema in lower limbs
A patient at an outpatient facility experiences the onset of a grand mal seizure. Which of the following is the most appropriate course of action by the therapist?
Assist patient to a lying position, move away close furniture, loosen tight clothes, and prop the patient’s mouth open
Assist patient to a lying position, move away close furniture, and loosen tight clothes
Assist the patient to a seated position, move away close furniture, and loosen tight clothes
Assist the patient to a seated position, move away close furniture, loosen tight clothing, and prop the patient’s mouth open
A physician indicates that a patient rehabilitating from a cerebrovascular accident has significant perceptual deficits. Which anatomical region would most likely be affected by the stroke?
primary motor cortex
sensory cortex
basal ganglia
cerebellum
A physical therapist is treating a 24-year-old woman with lumbar muscle spasm. Part of the patient’s treatment involves receiving instruction on correct sleeping positions. Which of the following would be most comfortable
Supine with no pillows under the head or extremities.
Prone with a pillow under the head only.
Sidelying with a pillow between flexed knees.
Percussion is applied from
1 to 3 min
2 to 4 min
2 to 5 min
2 to 6 min
A 40-year-old patient complaining of radiating pain in his left leg with a tingling sensation in the anterior part of his leg. Visual examination showed that he is walking with a foot drop. Which of the following nerves is the most likely cause of these symptoms?
Sciatic nerve
L1 nerve root
L5 nerve root
Deep peroneal nerve
The type exercise where distal part is fixed and proximal part moving over distal part
open pack position
closed pack position
circuit exercise
isometric exercise
guyon tunnel Injury of which nerve:
ulnar
radial
median
peroneal
A 36-year-old woman comes to the Physical Therapy Clinic with right heel pain for more than 3 months. The physical therapist decides to do a gait analysis to this patient. Which of the following is the most appropriate step length?
Distance between 2 consecutive foot flat.
Distance between 2 consecutive heel strikes.
Distance between 2 consecutive foot flat by the same leg.
Distance between 2 consecutive heel strikes by the same leg.
A 60-year-old hemiplegic patient is treated in the outpatient Physical Therapy Clinic, the therapist recommended splint to be used with extended elbow joint. Which of the following is the aim of splint application?
Reducing spasticity and pain.
Increase strength of elbow flexors.
Decreasing flexibility of olbow flexors.
Enhancing the proprioception of elbow joint.
Muscle that participate in respiration?
SCM ms
abdominals ms
intercostals ms
A physical therapist is searching for evidence to support the use of eccentric exercises to decrease the pain in the patient with tendinopathy. Which of the following study designs should be a priority during the search?
Cross-sectional
Prospective cohort
Quasi-experimental
Randomized control trial
A physical therapist examines the gait of a 62-year-old male with peripheral neuropathy. The therapist observes that the patient’s right foot has a tendency to slap the ground during the loading response. The observation can best be explained by weakness of the:
iliopsoas
tibialis anterior
tibialis posterior
gastrocnemius
To test righting - equilibrium in child
Sudden push him from side
Turn his head
Tilt the child to one side
It is most likely than when treating a patient with Lyme Disease of more than one year’s duration, the physical therapy focus will be on management of arthritic changes primarily affecting the:
small joints of the hands and fee
large joints of the body; especially the knee
axial joints, especially the lumbosacral spine
axial joints, especially the cervical and thoracic spine
A 25-year-old man referred to the Physical Therapy Clinic for hip pain. The physical therapist needs to apply an evidence-based intervention. What is the first step of the evidence-based practice process?
Critically analyze the pertinent evidence
Integrate the appraised evidence into practice
Identify the problem and convert it into a specific question
Search the literature and collect clinically relevant scientific studies
Closed pack position of knee is
ext. knee
flex knee
ext knee with lat tibial rotation
In the terminal swing phase of gait, what muscles of the foot and ankle are active?
Extensor digitorum longus
Gastrocnemius
Tibialis posterior
B and C
Evaluating the gait of a patient with left hemiplegia, you note toe drag during mid swing on the left. The least likely cause of this deviation would be:
inadequate concentric activity of the ankle dorsiflexors.
excessive extensor synergy.
knee and ankle joint pain.
decreased proprioception.
A therapist is evaluating a patient in an intensive care unit. The therapist notes no eye open- ing, no verbal response, and no motor response. On the 67/ A patient has been referred to a therapist complaining of neck pain, nerve root compression, sensation changes over the middle finger and weakness of triceps. What is the nerveroot that is compressed?
c6
c7
c5
c3
In an attempt to establish a home exercise program, the therapist gives a patient written exercise. After 1 week, the patient returns and has not performed any of the exercises. After further questioning, the therapist determines that the patient is illiterate. What is the best course of action?
Go over the exercises in a one-on-one review session
Give the patient a picture of the exercises
Give a copy of the exercises to a literate family member
All of the above
Volkmann’s ischemic contracture occur due to :
fracture of medial condyle of humerus
fracture of lateral condyle of humerus
fracture lower third of humerus
surgical neck fracture
patient have problems in ROM and muscle weakness is classified as
participation limitation
functional impairment
personal factors
activity limitation
In controlled diabetes, physiotherapist orders patient to do exercise to?
increase blood glucose uptake by ms
NO effect
increase
Perform a blind finger sweep of the throat Which of the following circumstances would normally decrease body temperature in a healthy person?
Exercising on a treadmill
Pregnancy
Normal ovulation
Reaching age of 65 years or older
A 70-year-old woman complains of a weak bladder. She reports occasional leakage of urine with coughing and sneezing over the past year. She has 6 to 7 episodes of urge incontinence per day. “Physical examination reveals she has a large cystocele and reduced rectal sphincter tone “. Which of the following is the most appropriate management?
Surgical
Stretching
Biofeedback
Hormone replacement therapy
The use of compression stockings on the feet and ankles is contraindicated in which patient population?
Chronic venous disease
Recent total knee replacement
Burn patients
Chronic arterial disease
A 43-year-old woman with walking dysfunction and inability to clear her foot from the ground during swing phase. The physical therapist assessed her gait and found the following in mid-swing: 25-degree hip flexion, 25-degree knee flexion, and 25-degree ankle planterflexion. Where is the expected dysfunctional site that needs intervention?
Hip
Knee
Ankle
Spine and pelvic
A 55-year-old patient with a cardiac problem and used artificial pacemaker to regulate the heartbeat instead of the sinus node, which is the heart’s natural pacemaker. Where is the sinus node located in the heart?
Left atrium
Right atrium
Left ventricle
Right ventricle
At a team meeting. the respiratory therapist informs the rest of the team that the patient, just admitted to the subacute floor, experienced breathing difficulty in the acute care department. The respiratory therapist describes the breathing problem as a pause before exhaling after a full inspiration. Which of the following is the therapist describing?
Apnea
Orthopnea
Eupnea
Apneusis
All of the following are objective measurements used in evaluation except
time used for performance activity
visual analogue scale
goniometric ROM
disability devices
An injury of one of the following roots of brachial plexus cause erb’s palsy:
C5 toT1
T1&T2
C8&T1
C5 & C6
An infant with Erb’s palsy presents with the involved upper extremity in which of the follow- ing positions?
Hand supinated and wrist extended
Hand supinated and wrist flexed
Hand pronated and wrist extended
Hand pronated and wrist flexed
Which of the following sources of stimulation is least effective in obtaining functional goals when treating an infant with decreased muscular tone?
Vestibular
Weight-bearing
Cutaneous (scratch , quick stretch ,painful stimulation )
Vibratory
Pt has 32 years with spinal deformity & dyspnea due to :
Muscle weakness
Spinal orthosis
Decrease lung volume
when you sit-up a patient from long sitting after prolonged period of bed rest following major back surgery, patient experience an orthostatic -hypotension and suddenly will fall what is your response?
immediately return patient to original long sitting
call the physician
rite down this in patient`s review
assure him it`s O.K don’t worry it`s normal decrease in Blood Pressure due to a long rest period
A 37-year-old man referred to the Physical Therapy Clinic for back pain. The physical therapist needs to implement an intervention according to the prognosis. Which of the following refers to the term “prognosis”?
Predictable course of the condition
Determining the nature of the condition
Tests and measures findings related to the physical exam
Tests and measures findings related to medical history
In Erb’s paralysis, the deformity is called:
claw hand
ape hand
wrist drop
policeman’s tip position
A physical therapist is setting up a portable whirlpool unit in the room of a severely immobile patient. What is the most important task of the physical therapist before the patient is placed in the whirlpool?
Check for a ground fault circuit interruption outlet
Check to make sure the water temperature is below 110o
Make sure the whirlpool agitator is immersed in the water
Obtain the appropriate assistance to perform a transfer
Lung doesn’t collapse because?
dead space and compliance of lung
inspiratory reserve volume
expiratory reserve volume
A physical therapist is evaluating a patient with muscular dystrophy. The patient seems to “waddle” when she walks. She rolls the right hip forward when advancing the right lower ex tremity and the left hip forward wheadvancing the left lower extremity. Which of the following gait patterns is the patient demonstrating?
Gluteus maximus gait
Dystrophic gait
Arthrogenic gait
Antalgic gait
Bursed lip tech used in
Asthma
emphysema
Segmental breathing
normal person
A 37-year-old man fell and struck his left temple area on the corner of a mat table. He begins to bleed profusely but remains conscious and alert. Attempts to stop blood flow with direct pressure to the area of injury are unsuccessful. Of the following, which is an additional area to which pressure should be applied to stop bleeding?
Left parietal bone one-inch posterior to the ear
Left temporal bone just anterior to the ear
Zygomatic arch of the frontal bone
Zygomatic arch superior to the mastoid process
A 23 - year - old football player suffered a knee injury during a During the assessment of the knee, the physical therapist is .game Which of the following is .thinking about anterior cruciate ligament injury? the most appropriate radiological examination
X – ray
Ultrasound
Computed tomography scan
Magnetic resonance imaging
Old pt comes with fever; productive cough ;and pulmonary congestion diagnosis is
cystic fibrosis
pulmonary odema
heart disease
bacterial & viral pneumoni
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?
Carry the briefcase in the right hand.
Carry the briefcase in the left hand.
The patient should not carry a briefcase at all.
It does not matter in which hand the briefcase is carried.
A 67-year-old man has some difficulty reaching overhead and grooming his hair. The physical therapist decided to give him some exercises to help him achieve his goal of improving this. Which of the following aspects of the function according to the International Classification of Functioning (ICF) the PT is looking to improve?
Personal factors
Activity limitation
Physical Impairment
Participation restriction
A physical therapist is ordered to provide gait training for an 18-year-old girl who received a partial medial meniscectomy of the right knee one day earlier. The patient was independent in ambulation without an assistive device before surgery and has no cognitive deficits. The patient’s weight bearing status is currently partial weight bearing on the involved lower extremity. Which of the following is the most appropriate assistive device and gait pattern?
Crutches, three-point gait pattern.
Standard walker, three-point gait pattern.
Standard walker, four-point gait pattern.
Crutches, swing-to gait pattern.
a college student presents with pain in the shoulder that began the week after finals, but she cannot recall any mechanism of injury. Upon inspection, the examiner notes scapular winging on the dominant side. During evaluation the patient has difficulty with elevation greater than 120 degree. She has normal scapular elevation. What would be the best differ- ential diagnosis ?
acute rotator cuff tendonitis
shoulder impingement
long thoracic nerve lesion
accessory nerve lesion
volkmans ischemic disease most dependable sign for this patient is-
Pain
cyanosed color of hand
weak extensors
weak flexion
Muscle strength depend on all except
size of muscle
lever arm
number of muscle spindle
type of ex
Which of the following is involved in the perception of dull aching pain?
spinotectal tract
spino-olivary tract
spinoreticular tract
What is the body mass index for someone who is overweight
25 - 30
30 – 35
35 - 40
A 19-year-old man presented to the Physical Therapy Department with severe pain (8 out of 10 on the pain scale) and swelling in the front of the knee and around the patella. Which of the following is the most appropriate initial treatment?
TENS, rest, ice, compression and exercise
Heat, TENS, rest, compression and elevation
Heat, exercise, rest, compression and elevation
Protection, rest, ice, compression and Elevation
A 23 - year - old man presents to the clinic with pain in his right knee before 10 days ago. During treatment, the physical therapist observed a difficult knee joint flexion during motion at heel strike. What is the degree of knee flexion during normal gait?
10
20
30
40
A patient presents to therapy with an ankle injury. The therapist has determined that the injury is at the junction of the distal tibia and fibul1. Which of the following functions most in preventing excessive external rotation and posterior displacement of the fibula?
Anterior inferior tibiofibular ligament
Posterior inferior tibiofibular ligament
Interosseous membrane
None of the above
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?
5.5
9.9
1.9
9.1
A physiotherapist receives a referral for a patient. The referring physician has outlined all clinical findings in the referral, one of which is “aphasia”. What does this term mean?
Double vision
Difficulty swallowing
Slowness of movement
Speech related problems
Which of the following should a therapist evaluate first when performing a jo2.site analysis
Job description and duties
Bathroom accessibility
Lighting conditions
Parking conditions
If there is weakness of right gluteus medius dropping pelvis of occurs at
right pelvic drop at stance phase.
left pelvic drop at stance phase.
right pelvic drop at swing phase.
left pelvic drop at swing phase.
A 29-year-old woman referred to physical therapy for post-operative rehabilitation. The physical therapist decided to use therapeutic exercises as part of the intervention. What is the ultimate goal of therapeutic exercises in physical therapy?
Restore function
Improve balance
increase strength and ROM
Improve cardiopulmonary fitness
Sacral dimple at what level?
s1
s2
s3
A patient reports to therapy stating that his “sugar is too high” for exercise. What is the minimal blood glucose level that is considered too high for a diabetic patient to begin ex- ercise?
300 mg/dl
400 mg/dl
300 g/dl
400 g/dl
Which of the following minutes of running are most commonly required in a cardiovascular fitness field test?
10
12
14
16
A 27-year-old man with a diagnosis of incomplete spinal cord injury at the L4 level is being evaluated by a physical therapist. The patient is nearing discharge from the rehabilitation unit. Manual muscle testing reveals the following: right hip flexion = 3+/5, right hip adduction = 5/5, right knee flexion = 2/5, right knee extension = 3+/5, right ankle plantarflexion = 1/5, and right ankle dorsiflexion = 2-/5; left hip flexion = 4+/5, left hip adduction = 4+/5, left knee flexion = 2+/5, left knee extension = 3+/5, left ankle plantarflexion = 2-/5, and left ankle dorsiflexion = 2-/5. What is the appropriate orthotic for this patient? What is his most likely functional outcome?
Hip-knee-ankle-foot orthosis (HKAFO) with forearm crutches – household ambulator.
Knee-ankle-foot orthosis (KAFO) with forearm crutches – household ambulator
KAFO with forearm crutches – functional ambulator
HKAFO with forearm crutches – functional ambulator
Which of the following statements is not a common physiologic change of aging?
Blood pressure taken at rest and during exercise increases
Maximal oxygen uptake decreases
Residual volume decreases
Bone mass decreases
Rickets is due to deficiency of vitamin:
c
b
k
d
A physical therapist is scheduled to evaluate the shoulder of a patient with hepatitis 2. The therapist notices no open wounds or abrasions and also notices that the patient has good hygiene. The physician has ordered passive range of motion to the right shoulder because of adhesive capsulitis. Which of the following precautions is absolutely necessary to prevent the therapist from being infected?
The therapist must wear a gown
The therapist must wear a mask
The therapist must wear gloves
None of the above
What is the T source of a bone mineral density (BMD) scan as per the World Health Organization criteria for the diagnosis of osteoporosis?
1.1 to 2.0
1.0 to - 0.
2.5 or less
1.0 to - 2.4
The tissue of body that consider the best conductor to the electric:
nerve
fat
muscles
bones
which statement correct during training with cane up and down stairs
unaffected leg put first during upstairs.
unaffected leg put down during up stairs.
affected leg put first in down stairs.
A 53-year-old patient complains of difficulty in walking. Manual muscle testing reveals weak (grade 3) abductors of the left hip joint. Which of the following findings will be observed during the stance phase of the affected leg when the patient is asked to walk
lifting of the pelvis on the left side.
Lifting of the pelvis on the right side.
Dropping of the pelvis on the left side.
Dropping of the pelvis on the right side.
When O2 demand in heart decrease what happened ?
decrease HR multiplied by systolic pressure
decrease diastolic pressure
increase coronary arteries
increase HR multiplied by systolic pressure
Rock-port 1 mile test used to test?
muscles
cardiovascular fitness
CNS
A motor unit is the smallest functional unit of the motor system, and it consists of which of the following?
Motor neuron, its axon, and all the muscle fibres innervated by the axon
Sensory neuron, its axon, and all the muscle fibres innervated by the axon
Neurons in the white matter of the spinal cord, their axons, and all the muscle fibres innervated by these neurons.
Neurons in the posterior horm of the spinal cord, their axons, and all the muscle fibres innervated by these neurons
A middle-aged man is admitted to the Stroke Unit following basal ganglia bleed. After 2 days, he is referred for chest physiotherapy. Radiological examination confirms left basal lobe collapse. Which of the following is the most appropriate auscultation location for the posterior segment of the basal lobe”?
Between C7-T3
Between L5-S1
Between T3-T10
Between 6th intercostal space
Exercise guidelines for the well-trained, well-controlled insulin dependent athlete with dia- betes recommend all of the following except:
decreasing or omitting carbohydrate snacks just following intense exercise or activity.
decreasing or omitting the insulin dose just prior to exercise or athletic activity.
decreasing or omitting the insulin dose just following the exercise or athletic activity.
ingesting up to 30 grams of additional carbohydrate for every 30 minutes interval of intense ex-ercise or activity
While examining a patient’s gait, the physical therapist observes muscle weakness in right side hip abductors and also shows lateral deviation of trunk as compensatory reaction. What is the compensatory gait the patient used?
Vaulting
Crouched
Scissoring
Trendelenburg
A therapist is teaching a family to care for a family member at home. The patient is totally bedboun4. To prevent pressure ulcers most effectively, what should be the maximal amount of time between position changes?
One hour
Two hours
Six hours
Eight hours
Which of the following is the most suitable for airway management?
Jaw lift
Chin lift
Jaw thrust
Modified jaw thrust
While evaluating a patient who suffered a complete spinal cord lesion, the therapist notes the following strength grades with manual muscle testing: wrist extensors = 3+/5, elbow extensors = 2+/5, and intrinsic muscles of the hand = 0/5. What is the highest possible level of this lesion?
c3
c4
c7
A 6-month-old patient with Erb’s palsy, leading to loss of elbow flexion power and supina- tion of the forearm, is being treated in the Physical Therapy Pediatric Clinic. Which nerve root is affected?
C3-C4
C5-C6
C7-C8
T1-T2
Which negative factor you treat if you increase strength of ms and ROM
Personal factor
Activity limitation
Participant
Impairment
A 13-year-old female diagnosed with cerebral palsy is referred to physical therapy. The patient exhibits slow, involuntary, continuous writhing movements of the upper and lower extremities. This type of motor disturbance is most representative of:
spasticity
ataxia
hypotonia
athetosis
Which of the following is categorized as illegal or malpractice?
Burn caused by prolonged use of hot pack
Prolong and detailed physical examination
Muscle soreness after high-intensity exercise
Strict attitudes and behavior with the patient
SWD transfers energy by:
convection
conversion
conduction
radiofrequency
A 30-year-old patient has a fracture-dislocation of the 4th and 5th lumbar vertebrae (L4 and L5) as a result of a car accident. Which of the following complications easily result from this type of fracture?
Spastic diplegia
Flaccid paraplegia
Spastic paraplegia
Flaccid quadriplegia
In angina pectoris chest pain present in
pain at pectoral region
pain at base of the heart
pain referred to shoulder
At the beginning of the muscle activity which make increase of blood supply to it
sympathetic adrenergic
sympathetic cholerigric
parasympathetic
C.O.G during locomotion observation can change the gait due to:
c.o.g go upward and oblique to stance phase.
downward during double limb support.
side to side oscillation.
move forward and backward.
A patient presents to an outpatient facility with complaints of pain in the groin area (along the medial left thigh). With manual muscle testing of the involved lower extremity a thera- pist determines the following: hip flexion = 4+/5, hip extension = 4+/5, hip abduction = 4+/5, hip adduction = 2+/5, hip internal rotation = 2+/5, and hip external rotation = 2+/5. Which nerve on the involved side is most likely injured?
Lateral cutaneous nerve of the upper thigh.
Obturator nerve
Femoral nerve.
Ilioinguinal nerve
Following a cerebrovascular accident involving the dominant right hemisphere, a patient exhibiting unilateral neglect would generally not
eat food only from the right side of the plate.
bump a one-arm driven wheelchair into things on the left side
ignore or deny the existence of the left-sided limbs.
shave or put make-up only on the left side of the face
CORF is an abbreviation for which of the following
Certified Owner of a Rehabilitation Facility
Certified Outpatient Rehabilitation Facility
Control Organization for Rehabilitation Facilities
Corporation for Organization of Rehabilitation Facilities
The rate of electrical nerve stimulation through the skin:
10-70 cycle/second or Hz
35-120 cycle/second or Hz
50-150 cycle/second or Hz
15-200 cycle/second or Hz
A physical therapist completes a vertebral artery test on a patient diagnosed with a cervical strain. Which component of the vertebral artery test is most likely to assess the patency of the intervertebral foramen?
rotation
lateral flexion
flexion
extension
The therapist is treating a male patient for a secon4.degree acromioclavicular sprain. The patient has just finished the doctor’s prescription of 3 sessions/week for 4 weeks. The therapist is treating the patient with iontophoresis (driving dexamethasone), deltoid strengthening exercises, pectoral strengthening exercises, and ice. The patient reports no decline in pain level since the initial evaluation. Which of the following is the best course of action for the therapist?
Phone the doctor and request continued physical therapy
Tell the patient to go back to the doctor because he is not making appropriate progress
Discharge the patient because he will improve on his own
Take the problem to the supervisor of the facility
Applied electrical stimulation to area for long lasting period cause:
skin irritation
weakness of ms
edema occure
with affection of phrenic nerve we stretch?
sternocleidomastoid
trapezius
diaphragm
masseter
The therapist is treating a patient who recently received a below- knee amputation. The therapist notices in the patient’s chart that a psychiatrist has stated that the patient is in the second stage of the grieving process. Which stage of the grieving process is this patient most likely exhibiting?
Denial
Acceptance
Depression
Anger
In yellow and red flags which of the following not considered as red flag in these situations
history of carcinoma
psychosocial factor
bowel problems
excess weight loss
Which of the following are tests for peripheral arterial involvement in a patient with complaints of calf musculature pain?
Claudication time
Homan’s sign
Percussion test
None of the above
You apply TENS for a patient and you find sever pain, what would you do?
decrease frequency
increase wave length
decrease pulse width
switch off device
What is your best first treatment/ intervention of chronic tennis elbow patient?
immobilization
range of motion exercises ROM
pulsed current / US
splint
A 70 - year - old man presented with a history of frequent falls. He has been screened for visual acuity issues, which was normal with glasses. His clinical examination was unremarkable, except signs of vestibular dysfunction. His blood tests including plasma glucose levels are well and within normal limits. Which of the following is the most appropriate management to prevent future falls?
Electronystagmography
Snellen chart assessment
Frenkel coordination exercises
Hip girdle strengthening exercises
A patient with”Buerger’s disease” has been referred to aphysical therapist to assist in re- ducing leg pain. Which of the following goals of treatment should be planned?
Improving venous return
Establishing collateral circulation
Increasing strength of the calf muscles
Reducing muscle spasm to reduce pain
when detect target heart rate in unstable angina we don`t make
valsalva maneuver
isometric ex
heavy arm ex
isotonic ex
A therapist is evaluating a wound in a patient with the following signs: the right foot has a toe that is gangrenous, the skin on the dorsum of the foot is shiny in appearance, and no calluses are present. The patient has what type of ulcer?
Venous insufficiency ulcer
Arterial insufficiency ulcer
Decubitus ulcer
Trophic ulcer
A physical therapist in an outpatient clinic is called into a room to assist an infant who is unconscious and not breathing. The therapist opens the airway of the infant and attempts ventilation. The breaths do not make the chest rise. After the infant’s head is repositioned, the breaths still do not cause the chest to move. What should the therapist do next?
Give five back blows
Look into the throat for a foreign body
Have someone call 911
Patient walking on slippery surface we teach him to do:
COG keeping close to the body
Wide base of support
Walking fast
patient during walking raise his hip to clear toes from ground due to
paralysis of dorsiflexors
paralysis of planter flexors
paralysis of quadriceps
Sudden after using E.S in back pain there’s irritable sensation you must:
decrease pulse duration
continue treatment
switch off the device ,.
Doctors see on patient door word (terminal illness) what do this mean
disease with elderly people
with adult people
irreversible course
neurologic origin
A physiotherapist receives a referal for a patient The referring physician has outlined all clinical findings in the referral, one of which is “agnosia”. What does this term mean?
Absence of sensation
Slowness of movement
Loss of ability to perceive objects
Loss of coordination in movement
Carpal tunnel syndrome causes:
claw hand
wrist drop.
paralysis of all muscles of the hand
ape-like hand
Child can walk tip to what age
3 years
3.5 years
4 years
A 72-year-old woman complains of axial skeletal pain. Her T score on DEXA scan is -3.5. Which of the following is the most appropriate Borg scale of perceived exertion for trunk exercise in osteoporosis
12/20
14/20
16/20
18/20
Max Knee flexion occur in any phase from this:
mid stance
toe off
mid swing
heel strike
What motion takes place in the lumbar spine with right lower extremity single limb support during the gait cycle?
Left lateral flexion
Right lateral flexion
extension
Flexion
A 14-year old girl place excessive valgus stress to the right elbow during a fall from a bicy- cle. Her forearm was in supination at the moment the valgus stress was applied. Which of the following is most likely involved in this type of injury?
Ulnar nerve
Extensor carpi radialis
Brachioradialis
Annular ligament
Supracondylar ridge of humerus injury to:
radial nerve
brachial artery
radial artery
patient can’t make hyperextension of shoulder and put his hand in his pocket according to CIF?
activity limitation
impairment
disability
All of the following are considered as low frequency current except:
faradic current
diadynamic
interferential
galvanic
A therapist places a pen in front of a patient and asks him to pick it up and hold it as he normally would to write. The patient picks the pen up and holds it between the pad of the thumb and the middle and index fingers. Why type of grasp or prehension is the patient using?
Palmar prehension
Fingertip prehension
Lateral prehension
Hook grasp
During evaluation of a patient, the therapist observes significant posterior trunk lean at initial contact (heel strike). Which of the following is the most likely muscle that the therapist needs to focus on during the exercise session in order to minimize this gait deviation?
Gluteus medius
Gluteus Maximus
Quadriceps
Hamstrings
A physical therapist is beginning the evaluation of a patient with AIDS. The patient was admitted to the acute floor of the hospital on the previous night after receiving a right total hip replacement. The physician has ordered gait training and dressing change of the surgical site. Of the following precautions, which is the least necessary?
Mask
Gloves
Hand washing
Gown
bronchitis is:
dry cough
wheezing sound
peripheral cyanosis
cough with expectoration
Transfer chemical stimulation to mechanical:
Small intestine
Stomach
Skeletal muscle
A 22-year-old male status posttraumatic brain injury receives physical therapy services in a rehabilitation hospital. The patient is presently functioning at Rancho Los Amigos Level VI. The patient has progressed well in therapy, however, has been bothered by diplopia. Which treatment strategy would be the most appropriate to address diplopia?
provide verbal and non-verbal instructions within the patient’s direct line of sight.
place a patch over one of the patient’s eyes
ask the patient to turn his head to one side when he experiences diplopia
instruct the patient to carefully focus on a single object
What is the closed packed position of the shoulder
Internal rotation and abduction
External rotation and abduction
Internal rotation and adduction
External rotation and adduction
Patient close his eyes and move his shoulder and then ask him about degree and position of limb so we test
light touch
fine touch
proprioception
Baby from prone can support chest at any month?
1 month
3 month
5 month
7 month
A gait pattem of narrow base support, short step length bilaterally, and decreased trunk rotation is observed in a patient with pathology in which of the following?
Basal ganglia
Motor area 4
Lumbar spine
Cerebral cortex
A patient who has suffered a recent fracture of the right tibia and fibula has developed foot drop of the right foot during gait. Which nerve is causing this loss of motor function?
Posterior tibial
Superficial peroneals
Deep peroneals
Anterior tibial
A 75-year-old patient with severe osteoarthritis has been admitted to a nursing home. Which of the following is the best modality that the therapist should recommend to assist in reducing knee pain?
Cane
Walker
Hot modalities, exercises and walking program
Cold application, exercises and walking Program
To assist head control in infant what position first?
head control
righting reaction
crawling
rolling
what is not a part of stance phase?
deceleration
midstance
intial contact
preswing
What is the blood flow for an athlete at rest?
1 to 2 ml/min/110g
6 to 7 ml/min/110g
60 to 80 ml/min/110g
Which of the following is widely considered the most accurate body composition assess- ment?
Hydrostatic weighting
Electrical impedance
Anthropometric measurement
None of the above
How often dose the joint commission on accreditation of healthcare organization ( JCAHO ) require that all electrical equipment in hospitals be inspected ?
Every 3 months
Every 6 months
Every 12 months
Every 3 years
Barrel chest deformity:
Flattened epigastric angle
decrease intercostal space
Take position of inspiration
Take position of expiration
Which of the following nerve injury blocks the nerve conduction without degeneration?
Neuropathy
Neurapraxia
Axonotmesis
Neurotmesis
In erb’s palsy the most affected muscle:
elbow flexors and supinators.
shoulder flexor and abductors
medial rotators
a and b
At what age does a human have the greatest amount of fluid in the intervertebral disc?
1 year
4 years
7 years
10 years
Which of the following is most effective in mobility in patients with asthma?
Hypnotics
Beta agonist
H2 receptor antagonist
Beta adrenergic blockers
A patient presents to an outpatient physical therapy clinic with 140 degree kyphoscoliosis curve. What is the therapist’s greatest concern?
The patient’s complaint of low back pain
Gait deviation.
Pulmonary status.
Poor upright standing posture
Muscle that work the most in respiration?
Intercostal
diaphragm
abdominal
A 66-year-old patient complains of sensory changes due to a narrowed spinal canal as a result of degeneration. Which of the following postures is most likely recommended to increase the canal size?
0-degree Flexion
15-degree Flexion
0-degree extension
15-degree extension
main aim of ICF (international classification function)
Impairment
Activity limitation
Participation
In Klumpke’s paralysis, the deformity is called:
claw hand
ape hand
wrist drop
policeman’s tip position
Which of the following durations, in months, is the time frame for the presence of an in- creased level of hormones post-partum?
03-05
06-09
10-12
13-15
patient came to clinic with morning pain and stiffness this disease mean
systemic degenerative
muscle spasm
joint infection
Light touch loss, in which tract may happened?
sensory tract
spinothalamic tract
motor tract
A 60-year-old man underwent cardiac surgery yesterday. His SpO2, is currently 84, and crack- les are heard on breathing. Which of the following is the most appropriate mouth position to perform forced expiration?:
Any
Open
Close
Alternate
Normal action potential:
30 to -60 mVolt
60 to -90 mVolt
30 to -90 mv
30 to -80 mv
Which of the following is the minimum separation, in cm, of the rectus abdominis muscles in pregnancy that is considered clinically significant?
1 Cm
2 Cm
3 Cm
4 Cm
all of the following are physiological effect of electrical stimulation except:
Vasoconstriction of blood vessels
Increase blood flow
Increase metabolic rate
Which of the following is the main moral duty of a physical therapist
Respect the patient’s dignity
Disclose the patient’s autonomy
Promote and protect the hospital interest
D Protect the privacy and regards the employer
While gait training a patient following a cerebral vascular accident, you observe the knee on the affected side going into recurvatum during stance phase. The most likely cause of this deviation can be attributed to:
Severe spasticity of the hamstrings or weakness of the gastrocnemius- soleus.
weakness or severe spasticity of the quadriceps.
Weakness of the gastrocnemius-soleus or spasticity of the pretibial muscles.
Weakness of both the gastrocnemius-soleus and pretibial muscles.
physical therapist working with a patient to improve the difficulty to reaching overhead and brushing hair , what is that according to ICF?
participation restriction
activity limitation
impairment
Which assessment test is the most reliable to calculate exercise capacity?
Chair - stand
6 - minute walk
Time up and go
Physical performance OD
Visceral diseases of the abdomen and pelvis are likely to refer pain where?
shoulders
back
arms
legs
A therapist starts on the bed training program of a stroke patient. Left upper limb and lower limb power 1/5 and GCS is 8/15. Which of the following positions result in more complications?
Sitting in a chair with the head and trunk in the midline.
Lying on supine position with arm extended abducted .
Lateral side flexion of the head and trunk toward the affected side.
Lying on the sound side with straight trunk and arm extended and resting on a pillow.
A patient has been diagnosed with systemic lupus erythematosus. Which of the following is not a sign of this autoimmune disease?
Increased photosensitivity
Oral ulcers
Butterfly rash.
Increased number of white blood cells
What is the mean age for a baby in months to start developing the ability to walk upstairs?
12
18
24
32
A local orthopedic doctor, who is a main referral source for an outpatient clinic, insists on an all open-chain exercise program for all patients who have undergone anterior cruciate ligament reconstruction. The therapist feels a close4.chain and open-chain program is the best course of therapy. What is the best course of action to convince the doctor? 1. Call the physician’s nurse and discuss with him or her the new treatment protocol.
Phone the doctor and request continued physical therapy
Tell the patient to go back to the doctor because he is not making appropriate progress
Discharge the patient because he will improve on his own
Take the problem to the supervisor of the facility
A 42-year old female is admitted to a rehabilitation hospital after sustaining a stroke. During the examination the physical therapist identifies significant sensory deficits in the anterolateral spinothalamic system. Which sensation would be most affected?
barognosis
kinesthesia
temperature
graphesthesia
infant with Erb’s palsy he can full recover with good biceps & deltoid at:
3 months
6 months
9 months
12 months
During a treatment session in a rehabilitation hospital a patient asks the physical therapist assistant to let him see the physical therapy progress notes in his medical recor4. The physical therapist assistant should
contact the patient’s physician and explain the situation.
refuse to let the patient see the record
allow the patient to see the notes
get the permission of the physical therapist supervisor before giving the patient the chart
PT is assessing a patient’s ability to perform basic activities of daily living. The assessment tool measures bathing, toileting, dressing, transfers, continence and feeding. The tool does not assess the patient’s ability to maneuver in a wheel chair The therapist is using which of the following tests?
Barthel Index
Katz Index of Activities of Daily Living
Kenny Self-Care Evaluation
Functional Status Index
ulnar nerve give supply to:
outer 3 +1/2 fingers
whole hand
inner 1+1/2 fingers
Supracondylar ridge of humerus injury to
Ulnar n nerve
brachial nerve
median nerve
Electrotherapy has physiological effect of heat that not dependent on which of the folloing
type of the wave
size of the area to be treated
duration of the application
way application
How many weeks gestation (fetal development) is considered normal for a full term baby?
30 weeks
32 weeks
36 weeks
37 weeks
A therapist is instructing a physical therapy student in writing a SOAP note. The student has misplaced the following phrase: Patient reports a functional goal of returning to playing baseball in 5 weeks. Where should this phrase be placed in a SOAP note?
Subjective
Objective
Assessment
Plan
A 30 - year - old man presents to the clinic with right foot pain 2 weeks ago and starts treatment. The physical therapist conducts a gait analysis to detect any gait abnormalities. What is the percentage of the swing phase in the normal gait cycle?
20
40
60
80
Which of these joints is classified as a biaxial diarthrosis
the metacarpophalangeal joint
the elbow joint
the hip joint
the pubic symphysis
Rate of regeneration of severed nerve is:
0.1 mm /day
1 mm /day
1 cm /day
none
Which plan of care is typically recommended during the chronic stage of injury
Reduce joint swelling
Progress functional activities
Control pain, edema and spasm
Promote healing of injured tissues
A 65-year-old patient who suffered a stroke has been referred to rehabilitation with a re- quest to improve stability. Which therapeutic technique should be selected to improve the patient’s stability?
Slow reversal hold
Rhythmic initiation
Placing and holding
Alternating isometrics
A therapist places a pen in front of a patient and asks him to pick it up and hold it as he normally would to write. The patient picks the pen up and holds it between the pad of the thumb and the middle and index fingers. Why type of grasp or prehension is the patient using?
Call the physician’s nurse and discuss with him or her the new treatment protocol
Schedule a face-to-face meeting with the doctor to discuss the correct treatment plan.
Fax the doctor research supporting use of a combined open- and close4.chain program
Have one of the doctor’s colleagues convince him that the new protocol is best
A 9-month old boy presents to the Physical Therapy Department with Erb’s palsy. Which of the following is the most likely cause?
Sacral plexus injury
Cranial nerve injury
Lumbar plexus injury
Brachial plexus injury
In which location is the median nerve frequently or mostly entrapped?
Forearm
Arm
Elbow
Wrist
In poliomylitis which is incorrect:
Hyper reflex
Reflex absent
Ms weakness
A part of the musculoskeletal exam may include measuring the end feeling. Which of the following relates to this test?
Smoking, physical inactivity, obesity, diet
Hypertension, Smoking, diabetes mellitus, diet
Physical inactivity, heart disease, obesity, elevated Low – density lipoprotein cholesterol (LDL) cholesterol
Hypertension, heart disease, diabetes mellitus, elevated Low – density lipoprotein cholesterol (LDL) cholesterol
Bone pain at night is a red flag symptom of what disease:
cáncer
diabetes
osteoporosis
Paget’s disease
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?
Continue with the current treatment plan and ignore the chiropractor’s treatment
Ask the patient what the chiropractor is doing and try the same approach
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 59 year-old ex-machinist demonstrates significant age-related hearing loss, presbycusis. When trying to communicate with this patient you would NOT suspect:
Bilateral hearing loss, at all frequencies since he has had this problem for a number of years
Decreased language comprehension
Poor auditory discrimination
unilateral hearing loss.
In order to determine if an exercise session should be terminated, the patient is asked to assess level of exertion using the Borg Rating of Perceived Exertion Scale (RPE). The patient rates the level of exertion as 9 on the 6-19 scale. A rating of 9 corresponds to which of the following?
Very, very light
Very light
Somewhat hard
Hard
Fracture of Lower third of humerus cause stiffness in elbow physiotherapist must do very gentle stretch to avoid
disuse muscle atrophy
hypertrophy
muscle and tendon tear
What is the blood flow for an athlete at resting?
1 to 2 ml/min/110g
6 to7 ml/min/110g
60 to 80 ml/min/110g
Which of the following is the deconditioning effect on heart associated with bed rest?
decrease VO2 max .
Decrease heart rate .
Increase plasma volume .
Increase cardiac output
Which of the following factors is classified as a yellow flag?
Psychosocial factors.
History of carcinoma
Bladder and bowel malfunction.
Neurological signs and unexplained weight loss.
A physiotherapist receives a referral for a patient. The referring physician has outlined all clinical findings in the referral, one of which is “tremor”. What does this term mean?
Involuntary rhythmic oscillation of eyeball .
Fine type of repetitive involuntary movement
Inability to perform purposeful voluntary movements
Involuntary repetitive movement characterized by twisting
Baby with flaccid klumps’ palsy need stimulation by:
interrupted galvanic stimulation
reciprocal stimulation
Diadynamic
A therapist evaluating a patient with a neurological disorder assesses that the patient has delayed relaxation of previously contracted muscles associated with muscle stiffness. Which of the following is the most likely diagnosis?
Myotonia
Myopathies
Myasthenia gravis
Motor neuron disorders
patient coming to you suffering from pain at calves due to walking 200 feets this patient has?
calf strain
arterial insufficiency
thrombosis
varicose vein
A therapist is preparing a poster that will clarify some of the data in an in-service presentation. The poster reflects the mode, median, and mean of a set of dat1. The data consist of the numbers 2, 2, 4, 9, and 13. If presented in the above order (mode, median mean), which of the following is the correct list of answers calculated from the data?
4,2,6
2,4,6
6,2,4
6, 4, 2.
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