Physical Therapy Evaluation Tool (PEAT) 2 Practice Exam

These questions are part of the practice quiz. Start practicing

• A patient involved in a motor vehicle crash is non-weight-bearing bilaterally and will be discharged soon. Which transfer is MOST appropriate?
• The main advantage of closed kinetic chain exercises after ACL reconstruction is due to what effect?
• To help students apply a newly learned clinical skill in practice, which action by the instructor is most effective?
• Elevating a patient's lower extremity produces pallor followed by delayed reactive hyperemia in a dependent position. These signs are indicative of:
• After removing a wet-to-dry dressing from a draining wound, the skin around the wound is macerated. What should you recommend for future wound care?
• A patient with right facial weakness and Bell's phenomenon is examined by the therapist. Which additional finding is most likely to be present?
• Which condition is most suggested by pain, swelling, color and temperature changes, and hyperhidrosis in the hand and wrist region?
• For a patient with carpal tunnel syndrome seeking long-term functional improvement at work, which long-term goal is most appropriate?
• Which test would be most appropriate to measure independence in activities of daily living?
• Which sock-based device would most improve independence for activities of daily living in a patient with limited hip flexion?
• A patient who recently had chemotherapy is being treated to measure endurance changes over time. Which test is MOST appropriate?
• Which muscle should be targeted by electromyographic biofeedback to improve dorsiflexion control in a patient with foot drop after stroke?
• A patient with a cerebellar stroke has undergone functional balance training for 4 weeks. Which test is MOST appropriate to measure the effectiveness of the intervention?
• A physical therapist is treating a patient with back pain using transcutaneous electrical nerve stimulation with biphasic pulsed current and conventional parameters. The patient reports a painful response during the initial treatment. Which modification is MOST appropriate?
• Which of the following pulmonary function tests measures the average total amount of air moved during inspiration at normal breathing?
• A patient with right piriformis syndrome and a history of right total hip arthroplasty 2 years ago requires added precautions for which intervention?
• A 90 year-old patient with chronic congestive heart failure has been non-ambulatory and a nursing home resident for the past year. The patient was recently admitted to the hospital following an episode of dehydration. Which of the following plans for prophylactic respiratory care is MOST appropriate?
• Which finding is most consistent with chronic venous insufficiency?
• Which test best assesses dynamic balance and mobility in a patient with neurological impairment?
• During gait training, a patient suddenly becomes weak and unresponsive. What is the FIRST action the therapist should take?
• The brother of a patient requests a copy of the medical record. The physical therapist should explain that the medical record is the property of the:
• A physical therapist is setting up a home program of electrical stimulation for a patient who has Bell's palsy. Which of the following muscles should be stimulated as part of the home program?
• If a patient is right-handed and has a complete blockage of the left middle cerebral artery, which finding is MOST likely to be observed during a physical therapy evaluation?
• For a patient with chronic low back pain and lumbosacral dysfunction, which modality and instrument are MOST appropriate to deliver motor-level stimulation?
• During an athletic tape removal, a high school athlete develops an open weepy rash on the instep; the first action should be to:
• Which activity is described as monitoring the use of healthcare services to ensure they are appropriate and efficient within a quality framework?
• A physical therapist is examining a patient for possible lower extremity weakness. The patient is seated and passive ROM is normal. When attempting to dorsiflex and invert the right foot, the patient cannot move through full ROM and cannot tolerate external resistance. During gait, which deviation is most likely to be observed?
• In an inpatient department with limited staff, which patient scenario is MOST appropriate to delegate to the assistant?
• For a patient with left Achilles tendinitis and no structural abnormalities, which shoe insert is most appropriate?
• During a 12-minute walk test in COPD patient on 2 L/min of oxygen, the oxygen flow should be increased if which occurs?
• A patient undergoing a treadmill stress test shows abnormally wide, irregularly spaced QRS complexes on the electrocardiogram. This appearance represents:
• In a home health PT encounter with a patient who has diabetes and reports he is no longer taking insulin, what is the FIRST course of action?
• Which test would best document improvement in functional mobility and independence in activities of daily living in a patient with a neurological impairment?
• In an ICU patient who is intubated and on a ventilator with a suspected right lower lobe infection, which chest physical therapy program is MOST appropriate?
• Which modality BEST addresses the cause of calcific tendinitis in the bicipital tendon?
• Which lower-extremity proprioceptive neuromuscular facilitation pattern is most appropriate for strengthening the tibialis posterior?
• Which assistive device is most suitable for a patient who is nonweight-bearing and must navigate stairs in a second-floor apartment?
• During gait in parallel bars, if the pelvis drops to the side opposite the stance leg, this indicates weakness of which muscle group?
• If a data set has a mean that is smaller than its median, what does this imply about the distribution?
• For a patient with a complete C7 spinal cord injury, which functional outcome is the highest expected?
• During manual muscle testing of the hip flexors in the sitting position, the patient exhibits lateral external rotation with abduction of the thigh as resistance is applied. The physical therapist should suspect muscle substitution by:
• For maximum reduction of lymphedema after mastectomy, which sequence of massage is correct?
• Which shoulder mobilization approach directly increases glenohumeral joint play and is useful early in adhesive capsulitis management?
• Following a gunshot wound to the spine at L1 with left-sided weakness, hyperreflexia on the left, proprioception loss on the left, and contralateral loss of pain and temperature with normal cranial nerves, the injury is BEST described as:
• Which statement is not a documented patient outcome?
• Which factor should alert the therapist to extra caution when applying ultraviolet light to a psoriasis patient?
• Which rehabilitation practice best prevents contractures during upper-extremity burn recovery?
• Which criterion BEST differentiates fibromyalgia from other painful conditions?
• A 70-year-old female with long smoking history and prednisone presents with constant midback pain worsened by deep breathing and limited thoracic ROM. Which pathology is most likely?
• In the early management of a partial peripheral nerve injury, the focus is to prevent which outcome?
• A physical therapist observes an abnormal ECG pattern during gait in a patient 2 days after total knee arthroplasty. What is the best action?
• A new clinical evaluation tool has a specificity of 0.88, which means that this tool has a high percentage of:
• A patient who sustained a mild cerebrovascular accident 3 weeks ago is being prepared for discharge to home; which health professional should be consulted to facilitate the discharge plan?
• During EMG biofeedback training, the therapist should adjust sensitivity in which way?
• Which measure specifically assesses independence in activities of daily living?
• In diabetes foot-care education for an insulin-dependent patient, which sequence best promotes skill acquisition?
• An abnormal lymph node exam reveals a node that is:
• A physical therapist examines a patient who reports foot pain while jogging. The examination shows excessive foot pronation and forefoot varus. The therapist decides to try a temporary orthotic insert in the patient's running shoe. Which of the following is the MOST appropriate orthotic insert?
• In an eighth-month pregnant patient with numbness and tingling of the left hand, edema, a positive Tinel's sign at the wrist, and diminished wrist and finger flexor strength, the most appropriate intervention is:
• Two weeks after open rotator cuff repair, which ROM is most likely to remain limited and performed passively?
• During gait evaluation, a patient demonstrates a shorter left step length and excessive left knee flexion during the left midstance phase. Which problem is MOST likely the cause of this gait dysfunction?
• In deciding to use phonophoresis, what is the correct FIRST step in the decision making process?
• Which patient would most benefit from a proprioceptive balance training program?
• In a child with medulloblastoma, the right eye deviates medially. Impairment of which cranial nerve?
• Which soft tissue structure is located in the subacromial space?
• A patient with a severe traumatic brain injury presents 3 months post-injury with decreased passive knee extension and a firm mass on the lateral aspect of the knee joint. The most probable condition requiring physician evaluation is?
• Which of the following adverse effects should be monitored in a postoperative patient taking 20 mg of oxycodone during rehabilitation?
• Which method is most effective for teaching foot care to a patient with insulin-dependent diabetes?
• In forward head posture with kyphosis and increased lumbar lordosis, which intervention best addresses the postural imbalance?
• A patient with a left hemisphere stroke and gastroesophageal reflux disease is undergoing therapeutic exercises. Which position should be avoided during these exercises?
• During a posture examination, a patient’s patellae point inward when viewed from the front. The most likely cause is excessive:
• A young athlete with gastrocnemius strength of Fair plus (3+/5) is in the prone position. Which exercise is most appropriate to maximize strengthening?
• Which objective is MOST important prior to discharge after a myocardial infarction?
• Which structure is the greater tubercle of the humerus?
• A physical therapist initiates intervention with a postoperative patient taking 20 mg of oral oxycodone for pain relief. The therapist should anticipate which effect?
• Which assignment is most appropriate for a physical therapist to delegate to a volunteer?
• In a patient with inward-pointing patellae due to probable excessive femoral anteversion, which additional assessment would most support this diagnosis?
• Which position should be avoided to minimize reflux risk during therapy for a patient with GERD?
• After a left middle cerebral artery stroke in a right-handed patient, which deficit is MOST likely to be observed?
• Intermittent claudication is suspected when walking produces a predictable pattern of symptoms; which finding best confirms the diagnosis?
• A patient with frequent tension headaches has been referred to physical therapy for instruction in a program of progressive relaxation exercises. Which of the following is MOST essential in a program of progressive relaxation to reduce muscle tension?
• Which adaptation is least likely to explain rapid strength gains in the first week of a resistance training program?
• For individuals with lower-extremity peripheral neuropathy due to diabetes, which information is MOST important for preventing foot injuries?
• Tinel's sign at the wrist is most indicative of compression of which nerve?
• After a fall on the outstretched hand with tenderness between the tendons of APL and EPL, which structure is most likely injured?
• Which combination of signs best represents Brown-Séquard syndrome (left spinal cord hemisection)?
• In splinting or immobilization, the functional position of the hand includes wrist extension, finger flexion, and which of the following for the first digit?
• While working in a private practice clinic, a patient falls in the parking lot outside the office and sustains a severe forearm laceration. The therapist applies a pressure dressing, but blood is soaking through. Which action should be performed NEXT?
• Restriction of shoulder flexion and internal rotation can be addressed with mobilization. Which glide is most appropriate to increase these restricted motions?
• An adult male presents with morning stiffness and reduced spinal mobility; radiographs show blurred sacroiliac joint margins. Which additional finding is most likely?
• For a patient with chronic lateral epicondylitis, which home program is MOST appropriate?
• Long-term corticosteroid therapy in rheumatoid arthritis increases the risk of which complication?
• In a 22-year-old cystic fibrosis patient awaiting a lung transplant, which objective test is MOST appropriate to measure preoperative endurance?
• In outpatient physical therapy, after knee surgery, a patient is asked by a relative about how much weight can be borne on the leg. What is the most appropriate action for the therapist?
• During the 12-minute walk test in COPD, which sign indicates that the O2 flow should be adjusted?
• In a patient with a tibial length discrepancy where the left tibia is longer than the right, which muscle tightness on the right side is most likely observed?
• After bilateral vascular insufficiency, a patient later had a right transfemoral amputation. For long-term goals for functional walking, which factor is MOST important?
• To facilitate carryover for activities in a patient with Parkinson's disease, when should family training for transfers occur?
• A patient with mild pulmonary obstructive disease has an FEV1/FEV ratio of 60%. The therapist should recognize that the patient:
• Guillain-Barré Syndrome typically presents with weakness affecting which distribution?
• During cognitive evaluation after stroke, stacking wooden blocks; patient cannot determine how to use a block after picking it up. Which impairment is most likely?
• A patient presents with adhesive capsulitis of the shoulder with restricted external rotation and abduction. The FIRST mobilization procedure should be:
• When a patient develops pink frothy sputum during PT, what is the recommended course of action?
• Which inspiratory muscle training prescription is correct for an improving SCI patient?
• Which transfer method best facilitates a safe transfer for a patient with moderate upper-extremity strength and significant leg weakness?
• Energy conservation and joint protection education should be provided to a patient with rheumatoid arthritis because:
• In a suction-socket prosthesis, the primary function of the valve in the lower and medial part of the socket is to permit air to:
• A patient with low back pain and no disc pathology reports pain radiating upward toward the thorax and anteriorly into the abdomen. Which structure should be considered as a potential source of discomfort?
• For maximum reduction of lymphedema after mastectomy, which massage sequence is most important?
• Which of the following is a commonly observed sign in Complex Regional Pain Syndrome affecting the hand and wrist?
• What distance is specified in the functional goal to walk with a straight cane?
• In chronic obstructive pulmonary disease management, the primary purpose of pursed-lip breathing is to:
• Following removal of a long-leg cast, with limited knee flexion, the most appropriate direction of patellar mobilization is:
• In a study investigating the effect of cold therapy on range of motion, which design is most appropriate?
• During a grand mal seizure in a patient with an astrocytoma, what is the most appropriate immediate action by the therapist?
• Which handling position is MOST appropriate for a 1-year-old with cerebral palsy who has strong trunk and extremity extensor tone?
• To minimize skin irritation during functional electrical nerve stimulation, the physical therapist should use:
• A patient with a recent ankle injury reports anterior ankle pain during walking. When seated, the therapist grasps the heel and, with the foot neutral, applies a lateral rotation force. Pain is reproduced, but not with inversion/eversion tests. The most likely injury is?
• For a patient with a severe cerebellar lesion who can sit independently, stand with minimal assistance, and requires moderate assistance to walk safely, which transfer technique is MOST appropriate to help the patient move from a wheelchair to a bed?
• Which proprioceptive neuromuscular facilitation pattern is used to strengthen the tibialis posterior with hip extension, adduction, and lateral rotation and ankle plantarflexion with inversion?
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• A patient with a history of diabetes, hypertension, and chronic heart failure has venous filling time <15 seconds, negative Homan’s sign, and rubor dependency not slowed. This supports which diagnosis?
• Using a monophasic waveform with a ramp-up and ramp-down surge of amplitude, which rationale BEST explains this choice?
• A therapist measures passive knee ROM with hip flexed versus extended; the knee flexion is greater when the hip is flexed. The most likely cause is:
• A patient with bilateral leg amputations wants a ramp to travel from the back deck to the pool. The vertical distance is 5 ft (1.5 m). Which ramp specification is BEST?
• Anterolateral shoulder pain with insidious onset. Examination shows full passive range of motion but pain with passive external rotation and pain with resisted internal rotation. These signs are most consistent with which diagnosis?
• In a spinal cord injury rehabilitation program, which muscle group is primarily targeted during seated push-ups for strengthening?
• During ascending stairs, an elderly patient leans forward with increased hip flexion. Which muscle is being used to best advantage with this forward posture?
• For a patient with aspiration pneumonia in the right middle lobe who recently had craniotomy, which postural drainage position is MOST appropriate?
• Which diagnosis is most consistent with morning stiffness and sacroiliac joint involvement with blurred margins on radiographs?
• A patient who had a right tibial fracture one year ago and is fully healed shows a tibial length of 14 in on the right and 15 in on the left. Which muscle tightness is most likely?
• Which cranial nerve innervates the trapezius muscle and would explain preserved shoulder shrug after a brain injury?
• When prescribing a wheelchair, which statement describes a critical consideration?
• In the early postoperative period after a total hip arthroplasty via a posterior approach, which movement is commonly restricted?
• Which technique best addresses improving standing balance in a patient with a cerebellar lesion who sits well but has trouble standing?
• In evaluating endurance for a patient with cystic fibrosis awaiting lung transplant, which test best assesses endurance in a safe, functional way?
• A patient with a right transtibial prosthesis describes right-knee buckling in the foot flat stance during gait. The most likely cause is which condition?
• To prevent contractures in a transfemoral amputation, emphasis should be placed on a positioning program that maintains hip ROM in which pairs?
• A patient in outpatient cardiac rehabilitation has a fungal infection on both feet and no improvement with an OTC ointment. What should the physical therapist do?
• A burn injury to the right upper extremity with blistering and swelling should primarly emphasize which rehabilitation focus?
• Which knee position is typically used to maximize gastrocnemius activation during resisted plantarflexion exercises?
• After anterior cruciate ligament reconstruction, the advantage of closed kinetic chain exercises over open kinetic chain exercises is PRIMARILY the:
• During stair descent with partial weight-bearing on the right and using a cane, which instructional method should the physical therapist use to teach the activity?
• Which technique is most appropriate for a patient with low postural tone to improve trunk stability?
• A patient who has had a mild myocardial infarction and is on propranolol will perform a home exercise program on a stationary bike and treadmill. Which method should monitor exercise intensity during home sessions?
• Which symptom is most typical of Guillain-Barré Syndrome?
• In upper lumbar radiculitis, which movement pattern is most likely to reproduce radicular pain?
• Which pulmonary function test measures the maximum amount of air that can be inspired after a normal tidal inspiration?
• Which term best describes the distribution in the fibromyalgia functional loss scale example?
• A physical therapy student has an education preference for active experimentation and concrete experience. For mastering evaluation of musculoskeletal dysfunction, which educational strategy would be the LEAST effective for the supervising therapist to use?
• Which test assesses static balance with eyes closed and is commonly used to screen for sensory ataxia?
• A client on a weight-loss program has been walking 3 days/week for 15 minutes, for the past 3 weeks. To progress the weight-loss goal, which change is most likely to accomplish this?
• Which resistance training prescription is most appropriate for fibromyalgia to minimize pain while improving strength?
• A patient with foot slap due to dorsiflexor weakness would be most directly addressed by strengthening which muscle group?
• In a normal distribution of a fibromyalgia functional loss scale, where 33 is two standard deviations below the mean and 55 is two standard deviations above the mean, what percentage scored between 33 and 55?
• An individual with a C6 spinal cord injury is prescribed inspiratory muscle training. Which prescription is MOST appropriate to begin training?
• A prone standing board has been recommended for a 5 year-old child with severe hypotonia. The PRIMARY purpose for the use of a prone stander is to:
• During shoulder examination, active and passive flexion is 110 degrees with a hard end feel at the end of the range. Which diagnosis is most likely?
• A patient with rheumatoid arthritis presents with signs of muscle atrophy, ecchymosis, puffy cheeks, and osteoporosis. This pattern is most consistent with high dosage of which medication?
• A patient with complete spinal cord lesion at C4-C5 demonstrates a weak cough mechanism. Which technique would MOST effectively augment coughing?
• In wound care, to minimize maceration, the dressing should be selected with which property?
• A patient presents with the right scapula significantly lower than the left. Shortening of which muscle on the right is most likely to contribute to this postural presentation?
• An outpatient with stroke who lives in an assisted-living facility: which functional goal is most appropriate?
• For a student who learns best through active experimentation, which educational strategy would be most beneficial?
• A physical therapist is applying electrotherapy for a patient with a 2-year history of lumbosacral dysfunction and low back pain. Using which modality and instrument is MOST appropriate?
• Which position or technique is MOST appropriate to optimize drainage of the right lower lobe in an intubated patient?
• Which information is MOST important for preventing foot injuries in diabetic peripheral neuropathy?
• In a patient with weakness on the right side and sensory losses described as loss of pressure on the right thigh/leg and loss of pain and temperature on the left thigh/leg, with a Babinski sign on the right, which associated finding is MOST likely on examination?
• Which technique is least appropriate for a patient with low postural tone?
• Which presentation best describes intermittent claudication?
• A brainstem stroke 2 months ago; patient can independently walk 65 ft (20 m) on level surfaces with a straight cane and ascend stairs with minimum assistance. Which activity would MOST appropriately challenge this patient's balance during a physical therapy session?
• A patient who recently had a CABG presents with edema and dyspnea that worsen when lying down. Which diagnosis is most likely?
• Which justification MOST accurately supports selecting a monophasic ramp waveform in electrotherapy to prioritize patient comfort?
• A patient is being evaluated for possible carpal tunnel syndrome and a nerve conduction velocity test is performed. Which of the following findings would MOST strongly support the diagnosis?
• To progress weight loss in a walking program that has been three days per week at 15 minutes, which progression is most likely to be effective?
• After a forceful blow to the anterolateral lower leg, which examination procedure is MOST important to include?
• A patient with left transtibial amputation 2 years ago and a right transtibial amputation 3 weeks ago is being evaluated for possible walking with a prosthesis. Which factor is MOST relevant?
• A patient with a closed reduction with cast fixation for an ankle fracture 1 day ago and currently non-weight-bearing reports foot pain. Based on the patient's report, which examination is most appropriate to perform INITIALLY?
• Which description best characterizes chronic venous insufficiency of the lower extremities?
• A patient with muscular dystrophy was weaned from mechanical ventilation 1 day ago and is unable to independently clear secretions despite instruction in bronchopulmonary hygiene techniques. Which intervention is MOST appropriate to help this patient clear the secretions?
• A patient with chondromalacia patellae is planned for home exercises. Quadriceps setting and straight-leg raises are included because:
• During a physical therapy examination for low back and leg pain, centralization of symptoms with extension suggests introducing which exercise first?
• During gait evaluation of a transfemoral prosthesis, the patient laterally bends excessively toward the prosthetic side during midstance. Which of the following is MOST likely to cause this gait deviation?
• Which is the most plausible cause of reduced vital capacity in a patient with quadriplegia at the C5-C6 level?
• A patient with a 1.5 m vertical rise requires a ramp configuration. Which ramp arrangement is BEST?
• A physical therapist notes that a patient is taking 180 mg of codeine orally every 3 to 4 hours. Which of the following resulting side effects is the patient MOST likely to have?
• In a pelvis alignment test, when the patient moves from supine to long sitting, the right malleolus shifts inferiorly; what is the most likely cause?
• A patient is entering a cardiac rehabilitation program. The physical therapist should FIRST ask the patient to:
• A patient who has fallen three times on uneven surfaces and shows no difficulty maintaining balance with eyes closed: which intervention is most appropriate?
• For a patient with lumbar spinal stenosis and central back pain, which traction position is most appropriate?
• Which transfer cue is MOST appropriate for teaching a patient with C6 quadriplegia to transfer from a wheelchair to a mat?
• A physically new graduate is initiating inpatient rehabilitation with a comatose patient. A relative asks the therapist to find a more experienced clinician. Which response is MOST appropriate for the therapist to provide?
• A patient recently diagnosed with fibromyalgia asks for a general strengthening plan. Which is MOST appropriate?
• Results of pulmonary function tests of a patient with which of the following diseases is LEAST likely to show increased residual volume?
• A patient with bilateral lower-extremity fractures who is non-weight-bearing and will be discharged to live with an elderly caregiver needs assistance transferring. Which transfer is MOST appropriate?
• During transfer training for a C6 quadriplegia patient, which technique helps prevent shoulder strain?
• A therapist is examining muscle strength in a patient. The patient moves through a motion path and is able to take maximal resistance. This intervention should address which of the following problems?
• Which statement supports prescribing energy-conservation and joint-protection training for rheumatoid arthritis?
• In rheumatoid arthritis in remission, strengthening exercises primarily target which outcome?
• Which statement demonstrates the most appropriate professional boundary when a relative questions a newly graduated physical therapist's competence?
• Following spinal joint mobilization, a patient reports a minor dull ache in the treated area lasting 2-3 hours. Based on this symptom, the therapist should:
• Which mobilization technique is MOST likely to assist increased shoulder abduction in a patient with limited ROM?
• A patient with a cerebellar lesion can maintain adequate sitting posture but has mild difficulty standing and tends to lose balance in standing. Which intervention is MOST appropriate to address this disability?
• An audible slap of the foot at heel strike indicates weakness in which muscle?
• Which assessment is used to measure motor recovery after a stroke?
• During shoulder examination, a capsular pattern is observed without radicular pain. To help establish the cause, the clinician should NEXT:
• During tilt-table testing, which sign requires stopping further incline progression?
• Which movement combination is MOST likely to reproduce pain in a patient with upper lumbar radiculitis?
• Which test is most specific for detecting a meniscal tear?
• A patient 2 days after knee arthroplasty shows ECG changes during gait training. What is the best action for the physical therapist to take at this time?
• In a long-distance runner with insidious lower leg pain and weakness of toe flexion and ankle inversion, palpation at which location is most likely to reveal diminished arterial pulses?
• To address limited knee flexion after immobilization, patellar mobilization should be directed distally.
• During active and resistive mat exercises, after 15 minutes the patient becomes short of breath and pink frothy sputum is produced; what should the PT do next?
• In the early management of a patient with a partial peripheral nerve injury, the goal of physical therapy intervention will MOST likely be to prevent:
• A 3-month-old with motor and sensory loss in the right upper extremity in the C5–C6 distribution MOST likely has which birth injury?
• A physical therapist evaluating a patient with a chest tube knocks over the collection reservoir. The reservoir should be returned to the upright position and:
• A postural correction program for forward head, kyphosis, and increased lumbar lordosis should include all of the following EXCEPT which?
• A patient with rheumatoid arthritis is in remission. Which intervention is MOST appropriate for this patient?
• Two weeks after an open rotator cuff repair, which measure should the patient expect to have achieved at this time?
• A patient with Guillain-Barre syndrome requires an assisted transfer from a wheelchair to a mat. The patient has weaker lower extremities and a stronger right upper extremity. Which transfer is MOST appropriate for the initial session?
• A patient presents with a suspected medial meniscus tear of the knee. Which sign MOST strongly supports this diagnosis?
• Independence is the most realistic long-term goal for a patient with a complete spinal cord lesion at C8 in which activity?
• During an initial evaluation, which of the following tests is MOST appropriate to perform with a patient who has acute right-sided congestive heart failure?
• Which finding is most specific to fibromyalgia when differentiating it from other pain syndromes?
• After a right cerebrovascular accident, a patient demonstrates shoulder shrug with the left shoulder; which nerve innervating the trapezius is not affected?
• A patient with an L4–L5 posterolateral herniated nucleus pulposus is MOST likely to have sensory deficits in which location?
• A physical therapist is working with a patient who has a complete T6 spinal cord injury. The therapist has the patient perform seated push-ups on a mat by having the patient push down on the mat with both upper extremities and attempting to lift the buttocks off the mat. Which muscle group is being trained during this activity?
• A physical therapy article shows a length-tension curve; which intervention is BEST explained by this concept?
• Which statement best documents patient outcome?
• Which of the following is a common side effect of opioid analgesics such as codeine?
• For improving shoulder abduction through joint mobilization, which glide direction is most effective?
• A patient with peripheral vascular disease reports leg pain during walking that improves with limb dependency. Which finding is most consistent with this diagnosis?
• Long-term corticosteroid therapy can increase the risk of osteoporosis; which imaging finding would most directly reflect this risk?
• In physical therapy program planning for geriatric patients, which age-related change should be considered?
• During a balance assessment, you apply a gentle backward perturbation. Which strategy is the patient MOST likely to use to correct the perturbation?
• A patient with cervical radiculopathy presenting numbness in the right little finger is most likely to have a diminished tendon reflex in which muscle?
• Which dressing property reduces peri-wound maceration?
• During a wrist mobility assessment with the forearm in mid-position and the ulnar border resting on the table, restriction is observed when the hand is moved in which direction?
• Which assessment best reflects functional leg power and mobility during walking in rehabilitation?
• In a patient with a complete spinal cord lesion at C8, which activity is most likely to be independent in the long term?
• A brainstem CVA patient with ataxia in all four extremities and a high level of extensor tone in the lower extremities, with fair trunk control, which transfer is BEST?
• Which sign is included among the features of Complex Regional Pain Syndrome?
• Repeated palpation of the carotid pulse during exercise is most likely to cause which physiologic response?
• Following a fall on an outstretched hand, tenderness between the abductor pollicis longus and extensor pollicis longus indicates injury to which bone?
• Based on the length-tension curve interpretation, which exercise is best to increase muscle power?
• A 55-year-old patient with a right femur fracture, nonweight-bearing, living on second floor; which assistive device is MOST appropriate?
• In a patient with thoracic pain and risk factors (smoking, prednisone use), which diagnosis is most likely?
• A 14 month-old child with spastic diplegia is up on the tiptoes with the toes curled when held in supported standing. This position is characteristic of a:
• The physical therapist is positioning a patient for postural drainage. To best drain the posterior segment of both lower lobes, the patient should be placed in which position?
• Which nerve entrapment presents with proximal forearm pain and sensory changes in the dorsolateral hand?
• A physical therapist is assessing a lifting technique in a patient with back pain who lifts a light weight with no knee bend and shows excessive lumbar flexion. Limitation of which factor MOST strongly contributes to this finding?
• Treatment of a patient with hemophilia who has a subacute hemarthrosis of the knee should initially include:
• A patient reports numbness and tingling along the lateral aspect of the right lower leg, sometimes extending to the dorsum of the foot. Which structure is most likely involved?
• Tibial rotation is possible when the knee is flexed 90 degrees or more because in this position which of the following occurs?
• The most appropriate exercise program for neck pain aggravated by long periods of sitting with forward head posture and thoracic kyphosis includes which combination?
• Which history factor should alert the therapist to use extra caution when applying ultraviolet light to a patient with psoriasis?
• A 72 year-old patient reports bilateral calf pain experienced while walking. The pain has been gradually increasing, and sitting decreases the symptoms. History includes smoking and diabetes. Which pathology is MOST likely?
• A patient with a newly fitted permanent prosthesis reports the device is too heavy. The most beneficial next step is which assessment?
• Which aging-related skin change has the greatest effect on wound healing?
• During a Phase I inpatient cardiac rehabilitation exercise session, which change from resting level would warrant terminating low-level activity?
• A diagnostic test with high specificity is best described as:
• In a waitress with thenar weakness and carpal tunnel symptoms, which long-term PT goal is most appropriate?
• Utilization review and peer review are activities that are part of a comprehensive:
• Erb-Duchenne paralysis presents with which limb position?
• A patient after stroke has poor foot and ankle control; when lifting the foot during midswing, dorsiflexion occurs with excessive eversion. Facilitatory electromyographic biofeedback should target which muscle?
• Which is the correct end position to mobilize the radial nerve?
• An initial physical therapy evaluation is performed on an elderly patient who is 1 day post total left hip arthroplasty (non-cemented) using a posterior-lateral approach. The patient has no complicating medical history and was active and independent preoperatively. Which of the following activities is NOT an appropriate goal for the first week of therapy?
• Which muscle is most involved in preventing knee valgus during single-leg stance?
• If a knee ROM test shows greater knee flexion with the hip flexed than with the hip extended due to muscle tightness, which muscle is most likely tight?
• A home health patient who recently underwent a three-vessel coronary artery bypass graft reports bilateral lower-extremity swelling, leg pain, and shortness of breath that worsens when lying down. Which diagnosis is most likely?
• A patient with hip flexion limited to 105 degrees would benefit most from which ADL modification to improve independence?
• The mean age is 32 and the median age is 35 in a study. The difference indicates:
• A patient with a right transfemoral prosthesis will be able to maintain the knee in extension while weight bearing if the center of gravity of the body is shifted so that the gravitational line falls:
• A patient presents with slight loss of taste on the right, inability to close the right eye, and dryness in that eye. Which question would be most consistent with these signs and symptoms?
• Which test would best measure motor recovery after a stroke, distinct from balance assessment?
• Which statement most accurately distinguishes fibromyalgia from other chronic pain conditions?
• A patient requires a wheelchair; measurements show hips across 16 inches and from buttocks to popliteal crease 18 inches. Which wheelchair dimensions are BEST?
• A physical therapist places a patient on a resistance training program to increase strength in both lower extremities. After 1 week, the patient shows a 10-lb (4.5-kg) increase in the amount of weight able to be lifted. What is the MOST likely cause of the patient's increase in strength?
• Which respiratory management strategy is appropriate for patients with high-level spinal cord injury?
• Which pulse is used to assess distal perfusion of the foot?
• Which of the following orthoses is most appropriate for a patient with foot drop due to peroneal nerve palsy to improve toe clearance during gait?
• A patient with shoulder abduction and internal rotation, forearm pronated and wrist ulnarly deviated, reports poorly localized pain over the proximal radial forearm with tingling on the dorsoradial hand. The most likely diagnosis is?
• A patient recovering from mild myocardial infarction performs home exercise; to monitor intensity which method should be used?