Physical Therapy Questions

A physical therapist working with a three-year-old child diagnosed with an x-linked inherited disease notes that the patient exhibits toe walking and pseudohypertrophy of the gastrocnemius muscle. The mother indicates that the child has a tendency to fall frequently. What medical condition is MOST consistent with the described clinical presentation?1.Down syndrome2.Duchenne muscular dystrophy3.Spinal muscular atrophy4.Spina bifida

A physical therapist attends patient care rounds on an inpatient burn unit and learns that a patient has been scheduled for a grafting procedure later that day. Which of the following wounds would be the BEST candidate for the graft?1.A deep partial-thickness wound that is infected2.A large superficial partial-thickness wound that is infected3.A deep partial-thickness wound that has healed 25% in 30 days4.A large superficial partial-thickness wound that has healed 50% in 10 days

A patient rehabilitating from a stroke involving the right hemisphere exhibits figure-ground discrimination dysfunction. Which task would likely be the MOST difficult for the patient based on the reported perceptual deficit?1.Have the patient find his way in the hospital using written directions or a map2.Have the patient attempt to identify a familiar object when it is placed on its side3.Have the patient pick forks out of a drawer of disorganized silverware4.Have the patient point to left and right body parts after receiving verbal instructions

A physical therapist asks a patient with suspected facial nerve involvement to mimic several facial expressions. Which muscle would be emphasized if the patient wrinkles their forehead by raising their eyebrows?1.Frontalis2.Corrugator supercilii3.Mentalis4.Zygomaticus major

A physical therapist prepares to make discharge recommendations for an 80-year-old who is being discharged from an acute care hospital after an admission for pneumonia. The patient is at their prior level of function, demonstrating modified independence with all aspects of mobility and is walking household distances using a rolling walker. The medical record indicates that the patient has previously fallen at home. Which of the following discharge recommendations is the MOST appropriate?1.Home with home physical therapy services2.Skilled nursing facility3.Inpatient rehabilitation hospital4.Home with outpatient physical therapy services

A physical therapist instructs a patient rehabilitating from a knee sprain to descend stairs using axillary crutches. Assuming the patient is partial weight bearing on the left lower extremity, what would be the MOST appropriate sequence?1.Place the crutches and left foot down, then the right foot2.Place the crutches down, right foot, then the left foot3.Place the left foot down, right foot, then the crutches4.Place the right foot down, crutches, then the left foot

A 29-year-old female who recently gave birth to twins is referred to physical therapy for treatment of low back pain. During the session the therapist identifies a four-centimeter separation of the rectus abdominis. The therapist instructs the patient to wrap a sheet around their abdomen while performing an exercise in hooklying. Which of the following exercises would be the MOST appropriate?1.Lower trunk rotations2.Head lifts3.Abdominal curls4.Diagonal abdominal curls

A physical therapist performs training with the family of a patient who recently had a cerebrovascular accident. The patient presents with a flexor synergy pattern. Which of the following positioning recommendations is MOST appropriate for this patient?1.Place a squeezable ball in the palm of the involved hand2.Position the involved lower extremity with the foot resting against a footboard at the end of the bed3.Elevate the involved upper extremity with the shoulder externally rotated and the elbow extended4.Position the patient in sidelying to promote scapular retraction

A 64-year-old female is referred to physical therapy following a left total hip arthroplasty. The physical therapist notes that the patient demonstrates weakness in the left gluteus medius. Which gait abnormality is MOST likely based on the presented information?1.Ipsilateral hip hiking2.Contralateral hip hiking3.Ipsilateral hip drop4.Contralateral hip drop

A physical therapist administers grade III and IV joint mobilizations to a patient with a capsular restriction of the glenohumeral joint. After returning to therapy later in the week the patient indicates that they experienced mild discomfort in the shoulder the evening after the last session, however, the discomfort had resolved by the next morning. What is the MOST appropriate action?1.Administer active stretching activities2.Instruct the patient in passive stretching activities3.Continue with grade III and IV mobilizations4.Contact the referring physician

A physical therapist uses a pan splint as an intervention to diminish spasticity in the wrist flexors. Which position of the wrist would be MOST desirable based on the established therapeutic goal?1.Wrist in extension to decrease activity of the agonist2.Wrist in extension to increase activity of the agonist3.Wrist in flexion to decrease activity of the agonist4.Wrist in flexion to increase activity of the agonist

A 67-year-old female was recently diagnosed with congestive heart failure. The patient has a lengthy past medical history including renal insufficiency. Which symptom was MOST likely associated with the development of congestive heart failure based on the patient's past medical history?1.Left ventricular hypertrophy2.Fluid overload3.Pulmonary embolism4.Valvular stenosis

A physical therapist assess a patient's left hamstrings length by administering the 90-90 straight leg raising test. The therapist begins the testing procedure by positioning the patient in supine with the hips and knees flexed to 90 degrees. What is the next step when performing this test?1.Instruct the patient to actively extend the left knee2.Instruct the patient to actively extend the left knee while flexing the left hip3.Passively extend the left knee until slight resistance is felt4.Passively extend the left knee while flexing the left hip until slight resistance is felt

A physical therapist attempts to facilitate upper extremity reaching in an eight-month-old infant positioned in supine. The infant presents with a persistent tonic labyrinthine reflex. Which of the following positions would be the MOST likely to eliminate the influence of this reflex while achieving the therapist's objective?1.Supine with the upper trunk on a wedge and legs over a bolster2.Supine with the legs and trunk extended3.Prone with a pillow under the abdomen4.Prone with the legs and trunk extended

A physical therapist works with a patient in an intensive care unit. During the session the physical therapist hears the low pressure alarm of a mechanical ventilator. Which finding is MOST often associated with activation of the alarm?1.Change in patient position2.Pneumothorax3.Leak in the ventilator circuit4.Cough

A patient in an acute care hospital makes a sexually charged statement during a treatment session that the therapist finds to be offensive. The therapist expresses to the patient that the comment was inappropriate, however, in response the patient gently laughs. What is the MOST appropriate action?1.Initiate a log detailing any potential future harassment2.Explain to the patient you are serious and want the behavior to stop3.Formally report the harassment to the human resource department4.Request that the patient is reassigned to another therapist

A physical therapist works on positioning with a 78-year-old female in a skilled nursing facility. Which physiologic change would contribute to an increased incidence of skin breakdown in this population?1.Increased sensory perception2.Decreased pain threshold3.Increased elasticity of the dermis4.Decreased subcutaneous adipose tissue

What does muscle weakness with pain indicate in RROM?

What does muscle weakness with no pain indicate in RROM?

What are dermatomes, myotomes, and reflexes used to assess?