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:
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
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?
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?
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?
Rickets is due to deficiency of vitamin:
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?
In acute bronchitis there is
In controlled diabetes, physiotherapist orders patient to do exercise to?
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?
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:
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?
patient can’t make hyperextension of shoulder and put his hand in his pocket according to CIF?
Patient close his eyes and move his shoulder and then ask him about degree and position of limb so we test
To assist head control in infant what position first?
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:
Supracondylar ridge of humerus injury to:
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
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.
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?
Transfer chemical stimulation to mechanical:
What is the closed packed position of the shoulder
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?
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?
At the beginning of the muscle activity which make increase of blood supply to it
In angina pectoris chest pain present in
Following a cerebrovascular accident involving the dominant right hemisphere, a patient exhibiting unilateral neglect would generally not
Which of the following nerve injury blocks the nerve conduction without degeneration?
Carpal tunnel syndrome causes:
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?
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?
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?
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?
At what age does a human have the greatest amount of fluid in the intervertebral disc?
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?
long jumping athlete female 23 years , comes to outpatient clinic with complain of insta- bility after touching ground after jump she also says that no previous trauma to knee or hip what is the cause?
Lung doesn’t collapse because?
All of the following are considered as low frequency current except:
Bone pain at night is a red flag symptom of what disease:
what is not a part of stance phase?
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?
Volkmann’s ischemic contracture occur due to :
Applied electrical stimulation to area for long lasting period cause:
Patient walking on slippery surface we teach him to do:
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?
To test righting - equilibrium in child
with affection of phrenic nerve we stretch?
Child can walk tip to what age
physical therapist working with a patient to improve the difficulty to reaching overhead and brushing hair , what is that according to ICF?
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?:
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?
Muscle strength depend on all except
Which assessment test is the most reliable to calculate exercise capacity?
If there is weakness of right gluteus medius dropping pelvis of occurs at
Pt has 32 years with spinal deformity & dyspnea due to :
Which of the following is the minimum separation, in cm, of the rectus abdominis muscles in pregnancy that is considered clinically significant?
Which of the following is the most suitable for airway management?
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?
Percussion is applied from
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?
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?
main aim of ICF (international classification function)
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?
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?
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?
What is the mean age for a baby in months to start developing the ability to walk upstairs?
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?
C.O.G during locomotion observation can change the gait due to:
patient coming to you suffering from pain at calves due to walking 200 feets this patient has?
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?
Which of the following is the most likely cause of mechanical joint instability
Closed pack position of knee is
What is the body mass index for someone who is overweight
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?
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?
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?
Electrotherapy has physiological effect of heat that not dependent on which of the folloing
Rock-port 1 mile test used to test?
when detect target heart rate in unstable angina we don`t make
CORF is an abbreviation for which of the following
volkmans ischemic disease most dependable sign for this patient is-
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?
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?
Exercise guidelines for the well-trained, well-controlled insulin dependent athlete with dia- betes recommend all of the following except:
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?
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?
Old pt comes with fever; productive cough ;and pulmonary congestion diagnosis is
Which of the following factors is classified as a yellow flag?
Which of the following is most effective in mobility in patients with asthma?
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
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?
All of the following are objective measurements used in evaluation except
patient have problems in ROM and muscle weakness is classified as
Which of the following is widely considered the most accurate body composition assess- ment?
The tissue of body that consider the best conductor to the electric:
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”?
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?
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
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?
Supracondylar ridge of humerus injury to
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?
What motion takes place in the lumbar spine with right lower extremity single limb support during the gait cycle?
patient came to clinic with morning pain and stiffness this disease mean
Which of the following should a therapist evaluate first when performing a jo2.site analysis
Baby with flaccid klumps’ palsy need stimulation by:
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?
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?
Light touch loss, in which tract may happened?
Perform a blind finger sweep of the throat Which of the following circumstances would normally decrease body temperature in a healthy person?
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?
Which of the following is involved in the perception of dull aching pain?
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?
Fracture of Lower third of humerus cause stiffness in elbow physiotherapist must do very gentle stretch to avoid
In the terminal swing phase of gait, what muscles of the foot and ankle are active?
Baby from prone can support chest at any month?
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?
Muscle that participate in respiration?
A patient has been diagnosed with systemic lupus erythematosus. Which of the following is not a sign of this autoimmune disease?
Which negative factor you treat if you increase strength of ms and ROM
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
In poliomylitis which is incorrect:
An infant with Erb’s palsy presents with the involved upper extremity in which of the follow- ing positions?
A 9-month old boy presents to the Physical Therapy Department with Erb’s palsy. Which of the following is the most likely cause?
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”?
Which of the following are tests for peripheral arterial involvement in a patient with complaints of calf musculature pain?
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?
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
which is not correct about oxford scale
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:
You apply TENS for a patient and you find sever pain, what would you do?
What is the T source of a bone mineral density (BMD) scan as per the World Health Organization criteria for the diagnosis of osteoporosis?
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?
guyon tunnel Injury of which nerve:
Which of the following is the deconditioning effect on heart associated with bed rest?
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 ?
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
Visceral diseases of the abdomen and pelvis are likely to refer pain where?
In yellow and red flags which of the following not considered as red flag in these situations
Which of the following is an example of monophasic current?
In which location is the median nerve frequently or mostly entrapped?
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:
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?
When O2 demand in heart decrease what happened ?
Which of the following sources of stimulation is least effective in obtaining functional goals when treating an infant with decreased muscular tone?
all of the following are physiological effect of electrical stimulation except:
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?
exercise professional autonomy
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?
An injury of one of the following roots of brachial plexus cause erb’s palsy:
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?
patient during walking raise his hip to clear toes from ground due to
Sacral dimple at what level?
Doctors see on patient door word (terminal illness) what do this mean
Which of the following statements is not a common physiologic change of aging?
A patient is sitting over the edge of a table and performing active knee extension exercises using an ankle weight as resistance. This exercise demonstrates what class lever?
In Klumpke’s paralysis, the deformity is called:
The use of compression stockings on the feet and ankles is contraindicated in which patient population?
What is your best first treatment/ intervention of chronic tennis elbow patient?
Which of the following minutes of running are most commonly required in a cardiovascular fitness field test?
which statement correct during training with cane up and down stairs
Max Knee flexion occur in any phase from this:
The type exercise where distal part is fixed and proximal part moving over distal part
ulnar nerve give supply to:
How many weeks gestation (fetal development) is considered normal for a full term baby?
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?
How often dose the joint commission on accreditation of healthcare organization ( JCAHO ) require that all electrical equipment in hospitals be inspected ?
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
A 59 year-old ex-machinist demonstrates significant age-related hearing loss, presbycusis. When trying to communicate with this patient you would NOT suspect:
Which of the following is the main moral duty of a physical therapist
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?
What is the blood flow for an athlete at resting?
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?
Rate of regeneration of severed nerve is:
Which of the following is categorized as illegal or malpractice?
Which plan of care is typically recommended during the chronic stage of injury
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?
Muscle that work the most in respiration?
infant with Erb’s palsy he can full recover with good biceps & deltoid at:
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?
In erb’s palsy the most affected muscle:
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?
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?
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?
Sudden after using E.S in back pain there’s irritable sensation you must:
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?
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?
In Erb’s paralysis, the deformity is called:
The rate of electrical nerve stimulation through the skin:
A patient presents to an outpatient physical therapy clinic with 140 degree kyphoscoliosis curve. What is the therapist’s greatest concern?
Which of these joints is classified as a biaxial diarthrosis
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?
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?
Which of the following durations, in months, is the time frame for the presence of an in- creased level of hormones post-partum?
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?
What is the blood flow for an athlete at rest?
