Moh Giles 1
Moh Giles 1
A patient employed in a machine shop is referred to      electroencephal     evoked potentials      nerve conduction       electromyography        3
physical therapy with a diagnosis of carpal tunnel       ography                                    velocity
syndrome. The patient indicates that he is
scheduled for a diagnostic test that may help to
confirm the diagnosis. Which of the following
electrodiagn
A physical therapist uses iontophoresis over the         acetic acid         lidocaine              sodium chloride        zinc oxide              2
anterior knee of a patient with patellar tendonitis.
Assuming the therapist’s goal is to reduce the
patient’s present pain level, the MOST appropriate
solution to utilize is:
A physical therapist performs the talar tilt test on a   anterior            calcaneofibular        deltoid                posterior talotibial    2
22-year-old female rehabilitating from an inversion      talotibial
ankle sprain. Which ligament does the talar tilt test
examine?
A physical therapist completes a developmental           asymmetrical        Moro reflex            Landau reflex          symmetrical tonic       3
assessment on a seven-month-old infant. Assuming         tonic neck reflex                                                 neck reflex
normal development, which of the following
reflexes would NOT be integrated?
A physical therapist examines a patient with limited     complete the        complete the           avoid completing       avoid all direct        2
cervical range of motion. As part of the                 vertebral artery    vertebral artery       the vertebral artery   cervical treatment
examination, the therapist attempts to screen the        test with the       test as far into the   test until the         techniques until the
patient for possible vertebral artery involvement,       head and neck       available cervical     patient has full       vertebral artery test
but is unable to position the patient's head and         positioned in       range of motion as     cervical range of      can be assessed at
neck in th                                               approximately       tolerated              motion                 the limits of normal
                                                         50 percent of                                                     cervical range of
                                                         the available                                                     motion
                                                         cervical range of
                                                         motion
A 42-year-old female is admitted to a rehabilitation     barognosis          kinesthesia            graphesthesia          temperature             4
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 affec
A 13-year-old girl discusses the possibility of          anthropometric      hamstrings/quadri skeletal maturity      somatotype            3
anterior cruciate ligament reconstruction with an        measurements        ceps strength ratio
orthopedic surgeon. The girl injured her knee while
playing soccer and is concerned about the future
impact of the injury on her athletic career. Which
of
A physical therapist identifies a bluish discoloration   hyperoxemia         hyperoxia          hypokalemia           hypoxemia             4
of the skin and nailbeds of a 55-year-old male
referred to physical therapy for pulmonary
rehabilitation. What does this objective finding
indicate?
A manager develops a policy on physical therapy          offer continuing    divide the         establish a           prioritize requests   4
utilization of continuing education resources.           education           continuing         committee to          for continuing
Which of the following would be the MOST                 resources to        education          review requests for   education resources
appropriate action to enhance the quality of patient     senior therapists   resources evenly   continuing            based on
care?                                                    in relation to      among therapy      education             established patient
                                                         their years of      staff              resources             care standards
                                                         experience
A physical therapist uses the body mass index scale      14 kg/m2            22 kg/m2           28 kg/m2              37 kg/m2              2
as a means of assessing a patient’s total body
composition. The therapist determines the body
mass index by dividing the body weight in kilograms
by height in meters squared. Which of the
following val
A patient diagnosed with patellofemoral syndrome         semitendinosus      semitendinosus     semimembranosus       semitendinosus and    2
discusses his past medical history with a physical       and                 and gracilis       and gracilis          biceps femoris
therapist. The patient reports having anterior           semimembranos
cruciate ligament reconstruction surgery on his right    us
knee two years ago, however, the therapist is not
abl
A physical therapist assesses a one-month-old            Moro reflex         rooting reflex     startle reflex        righting reflex       2
infant. During the treatment session the therapist
strokes the cheek of the infant causing the infant to
turn its mouth towards the stimulus. This action is
utilized to assess the:
A physical therapist elects to use mechanical lumbar   10% of body         15% of body          25% of body weight 50% of body weight         3
traction for a patient rehabilitating from a back      weight              weight
injury. The therapeutic goals of the session include
decreasing the patient’s muscle spasm. The MOST
appropriate force based on the stated objective w
A physical therapist reviews a physician referral      initiate            initiate treatment   initiate treatment,     delay treatment       4
form that includes only the patient’s name and the     treatment based     based on an          however, avoid          until orders are
referring physician’s signature. During the            on the results of   established          resistive exercises     received from the
examination the patient indicates that she had knee    the examination     protocol following   and high-level          referring physician
surgery two weeks ago, however, is unable to                               knee surgery         functional activities
provide more
A physical therapist employed in an acute care         increased           decreased            increased blood         decreased             3
hospital reviews the results of recent laboratory      coagulation time    hematocrit level     urea nitrogen level     hemoglobin level
testing for one of his patients. A note in the
medical record indicates that the patient was
dehydrated at the time the blood sample was
taken. Which findin
A patient four days status post transtibial            two-person lift     hydraulic lift       stand pivot             sliding board         3
amputation is transported to physical therapy for a
scheduled treatment session. Assuming an
uncomplicated recovery, the MOST appropriate
patient transfer to utilize from a wheelchair to a
mat table is:
A physical therapist positions a patient in supine     30 degrees of       60 degrees of        90 degrees of           terminal elbow        4
prior to performing a manual muscle test of the        elbow flexion       elbow flexion        elbow flexion           flexion
supinator. To isolate the supinator and minimize
the action of the biceps the therapist should
position the patient’s elbow in:
During an examination a physical therapist attempts    bony palpation      active movement      passive movement        sensory testing       2
to determine a patient's general willingness to use
an affected body part. What objective information
would be the MOST useful for the therapist?
A patient with right hemiplegia is observed during      hip hiking of the   lateral trunk       lateral trunk flexion   hip extension of the   3
gait training. The patient performs sidestepping        unaffected side     flexion towards     towards the             affected side
towards the hemiplegic side. The physical therapist                         the affected side   unaffected side
may expect the patient to compensate for
weakened abductors by:
A patient reports to a scheduled physical therapy       begin the           design a home       consult with the        ask the patient to     1
session 25 minutes late. The patient has not been       examination         exercise program    patient’s physician     reschedule
seen previously in physical therapy and was
scheduled in a 45 minute block of time. The patient
referral indicates the patient is 10 days status post
art
A physical therapist identifies that an infant is       asymmetrical        Moro reflex         positive support        symmetrical tonic      1
unable to roll from prone to supine. Which reflex       tonic neck reflex                       reflex                  neck reflex
could interfere with the infant’s ability to roll?
A physical therapist reviews a laboratory report for    10 gm/dL            15 gm/dL            20 gm/dL                25 gm/dL               2
a 41-year-old male diagnosed with chronic
obstructive pulmonary disease. Which of the
following would be considered a normal
hemoglobin value?
A patient diagnosed with an incomplete spinal cord      posterior cord      central cord        anterior cord           Brown-Sequard's        4
lesion presents with muscle paralysis on the            syndrome            syndrome            syndrome                syndrome
ipsilateral side of the lesion and a loss of pain,
temperature, and sensitivity on the contralateral
side of the lesion. This presentation BEST describes:
A physical therapist reviews a physician's              annular             radial collateral   ulnar collateral        volar radioulnar       3
examination of a patient scheduled for physical
therapy. The examination identifies excessive
medial displacement of the elbow during
ligamentous testing. Which ligament is typically
involved with medial instab
A patient is unable to take in an adequate supply of    endobronchial       nasogastric         endotracheal            tracheostomy           2
nutrients by mouth due to the side effects of
radiation therapy. As a result, the patient’s
physician orders the implementation of tube
feeding. What type of tube is MOST commonly
used for short-term
A physical therapist employed in an acute care           systolic blood     diastolic blood     perceived exertion   oxygen saturation     1
hospital prepares to work on standing balance with       pressure           pressure                                 rate
a patient rehabilitating from abdominal surgery.
The patient has been on extended bed rest
following the surgical procedure and has only been
out of bed a f
A physical therapist inspects a burn obtained as a       2                  4                   6                    8                     1
result of iontophoresis. The therapist describes the
burn as an acidic reaction. If the therapist is
correct, the pH of the skin would MOST likely be:
A physical therapist attempts to palpate the lunate      extension          flexion             radial deviation     ulnar deviation       2
by moving his finger immediately distal to Lister's
tubercle. Which wrist motion will allow the
therapist to facilitate palpation of the lunate?
A physician indicates that a patient rehabilitating      primary motor      somatosensory       basal ganglia        cerebellum            2
from a cerebrovascular accident has significant          cortex             cortex
perceptual deficits. Which anatomical region would
MOST likely be affected by the stroke?
A physical therapist treats a patient referred to        sidelying          sitting             standing             supine                4
physical therapy with incontinence. The patient
describes her difficulty beginning after the birth of
her son. After completing an examination the
therapist concludes that the patient has extremely
weak
A physical therapist prepares to administer the Berg     reflex hammer      goniometer          stopwatch            stethoscope           3
Balance Scale to a patient rehabilitating from a
cerebrovascular accident. Which of the following
tools is considered a necessary piece of equipment
when administering this outcome measure?
A physical therapist employed in a school setting        cystic fibrosis    Down syndrome       Duchenne muscular spinal muscular          3
observes a 10-year-old boy attempt to move from                                                 dystrophy         atrophy
the floor to a standing position. During the activity,
the boy has to push on his legs with his hands in
order to attain an upright position. This type of
A physical therapist uses repeated contractions to       with the           at the point where at the end of the     with a maximal        2
strengthen the quadriceps of a patient that fails to     extremity placed   the desired        available range of    contraction of the
exhibit the desired muscular response throughout a       into a shortened   muscular response motion                 antagonistic muscle
portion of the range of motion. This proprioceptive      range within the   begins to diminish                       group
neuromuscular facilitation technique should be           pattern
A patient rehabilitating from extensive burns to the     reduce the         schedule             avoid treatment       request that the        2
right upper extremity often complains of severe          frequency and      treatment sessions   activities that are   referring physician
pain in the arm during physical therapy treatment        duration of the    when the patient’s   uncomfortable for     increase the dosage
sessions. The present plan of care emphasizes            treatment          pain medication is   the patient           of the patient’s pain
range of motion, stretching, and positioning. The        sessions           most effective                             medication
MOST a
A patient in the intensive care unit rehabilitating      median cubital     basilic vein         cephalic vein         saphenous vein          4
from a serious infection is connected to a series of     vein
lines and tubes. Which lower extremity intravenous
infusion site would be the MOST appropriate to
administer an intravenous line?
A physical therapist reviews a medical chart to          5 hours            9 hours              15 hours              18 hours                2
determine when a patient was last medicated. The
chart indicates the patient received medication at
2300 hours. Assuming it is now 8:00 a.m., how long
ago did the patient receive the medication?
A physical therapist examines the foot of a 17-year-     forefoot varus     forefoot valgus      rearfoot varus        rearfoot valgus         1
old female referred to physical therapy with lower
leg pain. After placing the foot in subtalar neutral,
the therapist determines that the medial border of
the foot along the first metatarsal is higher
A physical therapist reviews the medical record of a     in the patient’s   in the physical      in a private          in the physical         1
patient recently admitted to an inpatient                room               therapy gym          treatment room        therapy waiting
rehabilitation hospital. The patient sustained a                                                                       room
traumatic head injury in a motor vehicle accident
five weeks ago. The medical record indicates that
the patie
A physical therapist instructs a patient positioned in   iliopsoas          quadratus            rectus femoris        sartorius               3
supine to bring her left leg toward her chest and                           lumborum
maintain the position using her left arm. Assuming
the therapist observes the reaction shown in the
picture, what muscle would MOST likely have insuf
A physical therapist employed in a rehabilitation          discontinue use    contact the staff     refer the patient to   remove the cast        4
hospital treats a patient status post traumatic brain      of the anterior    nurse and request     an orthotist
injury. During the treatment session the therapist         portion of the     that the cast is
notices that the patient’s toes are discolored below       cast               removed
a bivalved lower extremity cast. The cast was
A physical therapist attempts to obtain information        active range of    active-assistive      passive range of       resisted isometrics    3
on the ability of noncontractile tissue to allow           motion             range of motion       motion
motion at a specific joint. Which selective tissue
tension assessment would provide the therapist
with the MOST valuable information?
A physical therapist attempts to transfer a                dependent          hydraulic lift        sliding board          assisted standing      2
dependent patient from a wheelchair to a bed. The          standing pivot                                                  pivot
therapist is concerned about the size of the patient,
but is unable to secure another staff member to
assist with the transfer. Which type of transfer
would al
A physically active 19-year-old male receives pre-         able to            able to participate   able to return to      able to return to      4
operative instruction prior to anterior cruciate           participate in     in all recreational   recreational and       previous functional
ligament reconstruction. The patient's past medical        light recreational activities            competitive            level
history includes a medial meniscectomy of the              activities                               athletic activities
contralateral knee eight months ago. The MOST                                                       with a derotation
likely fun                                                                                          brace
A patient rehabilitating from an upper extremity           rhomboids and      biceps brachii and    teres minor and        pectoralis major and   1
injury uses a latissimus pull-down machine. The            middle trapezius   pectoralis major      middle trapezius       rhomboids
therapist specifically instructs the patient to pull the
bar down behind her head. This action emphasizes
strengthening of the:
A physical therapist adjusts the on:off time on an         5:1                15:1                  1:5                    1:15                   3
electrical stimulation unit prior to beginning
treatment. When using the unit for muscle re-
education the MOST appropriate on:off ratio is:
A physical therapist is scheduled to administer a          refuse to treat    treat the patient     ask the patient to     select another         2
whirlpool treatment to a patient that is HIV positive.     the patient and    using appropriate     reschedule their       appropriate
The therapist is concerned about her ability to            document the       medical asepsis       appointment            treatment
complete the treatment since she sustained a small         rationale in the                                                procedure
paper cut on her fourth digit approximately three          medical record
A physical therapist examines a patient referred to     deep peroneal     medial plantar        tibial nerve         lateral plantar nerve   1
physical therapy diagnosed with anterior                nerve             nerve
compartment syndrome. The patient presents with
an inability to dorsiflex the foot and a mild sensory
disturbance between the first and second toes. The
nerve M
A 35-year-old female is admitted to the hospital        emphysema         metabolic acidosis    renal failure        malignancy              4
following a recent illness. Laboratory testing
reveals a markedly high platelet count. This finding
is typical with:
A physical therapist interviews a patient referred to   patient is a      patient has a         patient has          patient has severe      1
physical therapy with a diagnosis of chronic            smoker            sedentary lifestyle   numerous allergies   scoliosis
bronchitis. What finding obtained during the
patient interview is MOST closely associated with
the patient’s medical diagnosis?
A physical therapist reviews the medical record of a    hematocrit        hemoglobin            platelet count       white blood cell        4
46-year-old female diagnosed with myasthenia                                                                         count
gravis. A recent physician entry indicates that the
patient is currently taking immunosuppressive
medication. Which laboratory test should be the
MOST freq
A physical therapist makes a conscious effort to        flooding          operant               role playing         modeling                4
demonstrate particular kinds of behavior that are                         conditioning
significant and attainable for an eight-year-old
patient. This type of behavior therapy is termed:
A patient rehabilitating from knee surgery exhibits     vastus medialis   rectus femoris        vastus lateralis     sartorius               2
significant weakness in the involved extremity.
During the most recent therapy session the patient
was able to complete an independent straight leg
raise as shown. What muscle is emphasized in the
exer
A physical therapist reviews a laboratory report for    hematocrit        erythrocyte           oxygen saturation    prothrombin time        1
a patient recently admitted to the hospital. The                          sedimentation         rate
patient sustained burns over 25 percent of her body                       rate
in a fire. Assuming the patient exhibits
hypovolemia, which of the following laboratory
values woul
A physical therapist performs autolytic debridement     a sharp             an externally          the body’s own        a commercially         3
in an attempt to remove nonviable tissue from a         instrument          applied force          mechanisms            prepared enzyme
stage IV pressure ulcer. Autolytic debridement
removes necrotic tissue by using:
A physical therapist is responsible for supervising a   a change in the   a modification in        a request by the      an alteration in the   4
physical therapist assistant at an off site location.   patient's medical the patient’s plan       physical therapist    patient's level of
Which of the following would not necessitate a          status            of care                  assistant             motivation
supervisory visit by the physical therapist?
A physician instructs a 26-year-old male to utilize a   medial meniscus     anterior cruciate      anterior cruciate     posterior cruciate     3
knee derotation brace for all athletic activities.      repair              ligament               ligament              ligament
Which condition would MOST warrant the use of                               reconstruction         insufficiency         reconstruction
the derotation brace?
A physical therapist obtains a gross measurement of     weight shift to     anterior rotation      posterior rotation    hiking of the          3
hamstrings length by passively extending the lower      the contralateral   of the pelvis          of the pelvis         contralateral hip
extremity of a patient in short sitting. The MOST       side
common substitution to exaggerate hamstrings
length is:
A physical therapist conducts an upper quarter          passive             active medial and      passive extension     active extension and   3
screening examination on a patient diagnosed with       abduction of the    lateral rotation of    of the humerus        flexion of the elbow
rotator cuff tendonitis. With the patient in sitting,   humerus             the humerus
the MOST appropriate action to facilitate palpation
of the rotator cuff is:
A physical therapist prepares to formally assess the    assess              apply a                examine               quantify visual        2
balance of a patient with a neurological disorder.      cutaneous           perturbation to        proprioception in a   acuity and depth
The MOST appropriate method to assess the               sensation           alter the body’s       weight bearing        perception
vestibular component of balance would be:                                   center of gravity      posture
A physical therapist inspects the skin of a child       superficial         superficial partial-   deep partial-         full-thickness         2
recently admitted to the hospital after sustaining a                        thickness              thickness
scald burn from hot water on his torso. The burn is
moist and red with several areas of blister
formation. The burn covers an area approximately
four
A physical therapist prepares to examine a patient’s    shoulder            shoulder flexion       shoulder extension    shoulder flexion and   1
triceps using a reflex hammer. The MOST                 extension and       and elbow              and elbow             elbow flexion
appropriate positioning of the patient’s arm during     elbow flexion       extension              extension
the testing procedure is:
If the forced expiratory volume in one second            sensitive            specific              reliable             valid                   2
(FEV1) test is negative for airway obstruction in 99%
of individuals without lung disease, then the
measurement of FEV1 is:
A physician examines a 36-year-old male with             bicipital            calcific tendonitis   supraspinatus        subacromial bursitis    2
shoulder pain. As part of the examination the            tendonitis                                 impingement
physician orders x-rays. Which medical condition
could be confirmed using this type of diagnostic
imaging?
A physical therapist designs a research study that       anthropometric       circumferential       goniometric          volumetric              2
will examine the effect of high voltage galvanic         measurements         measurements          measurements         measurements
electrical stimulation on edema following
arthroscopic knee surgery. The MOST appropriate
method to collect data is:
A physical therapist employed in an outpatient           inform the           co-treat the          treat the patient    refuse to treat the     2
orthopedic clinic examines a patient diagnosed with      patient of your      patient with                               patient
cerebral palsy. The therapist has limited experience     area of expertise    another more
with cerebral palsy and is concerned about his                                experienced
ability to provide appropriate treatment. The MOST                            therapist
app
A patient status post Achilles tendon repair is          secure the           complete a            carefully document   contact the referring   4
examined in physical therapy. The physician              patient's surgical   thorough              any modification     physician
referral includes a very specific post-operative         report               examination
protocol. If the therapist plans on deviating from
the established protocol, the MOST appropriate
action is to:
A physical therapist examines the gait of a 62-year-     iliopsoas            tibialis anterior     tibialis posterior   gastrocnemius           2
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 weaknes
A physical therapist compiles a table which              15 degrees of        0 degrees of knee     0 degrees of ankle   10 degrees of           4
identifies joint position at the hip, knee, ankle, and   hip                  extension             dorsiflexion         metatarsophalangea
metatarsophalangeal joints for each subunit of the       hyperextension                                                  l hyperextension
stance phase of gait. Which of the following is NOT
accurate in describing normal joint position at the
A physical therapist positions a patient as shown in     The patient is      The patient           The patient exerts a   The patient reports   3
order to assess their claim of complete paresis of       unable to lift      experiences           downward force         severe pain while
the right lower extremity. The therapist instructs       their left heel     radiating pain into   into the therapist’s   performing the
the patient to perform a rapid straight leg raise with   from the            the right lower       hand with their        straight leg raise.
their left lower extremity. Which finding w              therapist’s hand.   extremity.            right heel.
A patient rehabilitating from a lower extremity          an inclinometer     a scale               an anthropometer       a tape measure        2
injury has been non-weight bearing for three weeks.
A recent physician entry in the medical record
indicates the patient is cleared for weight bearing
up to 25 pounds. The MOST appropriate device to
use wh
A physical therapist observes a patient complete hip     frontal             vertical              anterior-posterior     longitudinal          3
abduction and adduction exercises in standing.
Which axis of movement is utilized with these
particular motions?
A patient is treated using pulsed wave ultrasound at     10%                 20%                   25%                    50%                   2
1.2 W/cm2 for seven minutes. The specific
parameters of the pulsed wave are 2 msec on time
and 8 msec off time for one pulse period. The duty
cycle should be recorded as:
A physical therapist examines the output from a          inverted T wave     prolonged PR          bizarre QRS            ST segment            2
single lead electrocardiogram of a patient with first                        interval              complex                depression
degree atrioventricular heart block. The defining
characteristic of this condition is:
The first step a physical therapist should take to       pose an             locate the most       critically appraise    integrate the         1
incorporate current best evidence into the practice      answerable          current best          the evidence for its   evidence into
of physical therapy is to:                               clinical question   evidence from the     validity, impact,      clinical decision
                                                                             literature            and applicability      making
A patient diagnosed with ankylosing spondylitis          D1 extension        D1 flexion            D2 extension           D2 flexion            4
exhibits a forward stooped posture. As part of the
patient’s care plan the physical therapist selects a
number of active exercises that promote improved
posture. Which proprioceptive neuromuscular
facilita
A physical therapist completing a balance                the width of the    the amount of         the amount of sway the complexity of         3
assessment positions a patient in standing prior to      base of support     time the patient is   present during the tasks the patient is
administering the Romberg test. When                     necessary in        able to maintain      testing period     able to perform with
administering the Romberg test it would be MOST          order to            the test position                        eyes open and eyes
important for the therapist to determine:                maintain                                                          closed
                                                         standing
A physical therapist reviews the medical record of a     signs of resting    decreased              cool skin              blood pressure of      1
patient diagnosed with peripheral arterial disease       claudication        peripheral pulses                             165/90 mm Hg
prior to initiating treatment. Which objective
finding would MOST severely limit the patient's
ability to participate in an ambulation exercise
progra
A patient with limited elbow and forearm range of        in the concave      in the concave         in the convex radial   in the convex radial   2
motion is referred to physical therapy. When             radial head,        radial head,           head, parallel to      head, perpendicular
mobilizing the humeroradial articulation, the            parallel to the     perpendicular to       the long axis of the   to the long axis of
treatment plane is considered to be:                     long axis of the    the long axis of       radius                 the radius
                                                         radius              the radius
A physical therapist conducts an inservice on            twice per day       one time per week      three times per        five times per week    4
exercise guidelines for a group of senior citizens. As                                              week
part of the inservice the therapist discusses the
benefits of improving cardiovascular status through
a low intensity activity such as a walking program.
A physical therapist identifies the pisiform after       trapezium           trapezoid              lunate                 triquetrum             4
palpating along the proximal row of carpals. Which
carpal bone articulates with the pisiform?
A physical therapist employed in an acute care           diminished lung     arterial oxygen        insufficient stroke    excessive rise in      3
hospital reviews the medical record of a patient         volumes             desaturation           volume during          blood pressure
diagnosed with congestive heart failure. The                                                        ventricular systole
therapist would like to implement a formal exercise
program, but is concerned about the patient’s
exercise tolera
A physical therapist measures a patient for a            measure from        measure from the       measure from the       measure from the       2
wheelchair. When measuring back height, which            the seat of the     seat of the chair to   seat of the chair to   seat of the chair to
method is MOST accurate?                                 chair to the base   the base of the        the acromion           the acromion
                                                         of the axilla and   axilla and subtract    process and            process and subtract
                                                         subtract two        four inches            subtract two inches    four inches
                                                         inches
A patient diagnosed with infrapatellar tendonitis       3-5 minutes       5-10 minutes          10-15 minutes        15-20 minutes          2
completes a series of functional activities. After
completing the activities the physical therapist
instructs the patient to use ice massage over the
anterior surface of the knee. The MOST appropriate
tr
A physical therapist uses functional electrical         3:1               1:4                   5:1                  1:6                    3
stimulation as part of a treatment regimen designed
to improve quadriceps strength. Which on:off time
ratio would result in the MOST rapid onset of
muscle fatigue?
According to proponents of evidence-based               cohort study      randomized            systematic review    case report            3
medicine, the BEST source of information upon                             controlled trial
which to make clinical decisions about therapy for
an individual patient is:
A physical therapist employed in an outpatient clinicallow the patient    reduce the            discontinue the      discontinue the        4
observes a patient complete a series of exercises.   to resume            intensity of the      treatment session    treatment session
During the treatment session the patient mentions    exercise and         exercise and          and encourage the    and call an
to the therapist that he is experiencing angina.     continue to          continue to           patient to make an   ambulance
After resting for 20 minutes the patient’s condit    monitor the          monitor the           appointment with
                                                     patient’s            patient’s condition   his physician
                                                     condition
A 55-year-old male status post myocardial infarction 190                  185                   165                  155                    3
is referred to physical therapy. The patient has a
history of cardiac disease and is moderately obese.
The patient's age-predicted maximal heart rate
should be recorded as:
A physical therapist transports a patient in a       assist the patient   monitor the           demonstrate          secure an additional   3
wheelchair to the parallel bars in preparation for   to standing          patient's vital signs ambulation in the    staff member to
ambulation activities. The patient is status post                                               parallel bars        offer assistance
abdominal surgery and has not ambulated in over
two weeks. The MOST appropriate action to
facilitate ambu
A physical therapist prepares to transfer a patient  sliding board        hydraulic lift        dependent squat      two-person lift        3
from a wheelchair to a treatment table. The patient transfer                                    pivot
cannot stand independently, but is able to bear
some weight through the lower extremities. The
MOST appropriate transfer technique is:
A risk management committee composed of various          provide follow-    provide free         develop an            educate staff about   3
members of the rehabilitation team is charged with       up to employees    hepatitis B          infection control     the policies
identifying methods to prevent employee exposure         if exposed to      immunizations to     policy that
to blood and body fluids. The MOST appropriate           blood and body     staff                conforms to
INITIAL action is:                                       fluids                                  Occupational
                                                                                                 Safety and Health
                                                                                                 Administration
                                                                                                 guidelines
A physical therapist attempts to classify the amount     independent        supervision          minimal assistance    moderate assistance   3
of assistance a patient requires to complete a sit to
stand transfer. After completing the transfer, the
therapist estimates that he was required to exert
approximately 20% of the physical work in orde
A patient explains to her therapist that she was         non-weight         toe touch weight     partial weight        weight bearing as     3
instructed to bear up to five pounds of weight on        bearing            bearing              bearing               tolerated
her involved extremity. The patient’s weight
bearing status would be BEST described as:
A physical therapist reviews the surgical report of a    allograft          autograft            heterograft           xenograft             1
patient that sustained extensive burns in a fire. The
report indicates that at the time of primary excision,
cadaver skin was utilized to close the wound. This
type of graft is termed:
A physician completes a physical examination on a        bone scan          computed             magnetic              x-ray                 4
16-year-old male who injured his knee while playing                         tomography           resonance imaging
in a soccer contest yesterday. The physician's
preliminary diagnosis is a grade II anterior cruciate
ligament injury. Which of the following diagnostic
A physical therapist performs goniometric                downward           downward             upward rotation       upward rotation and   3
measurements on a 38-year-old female                     rotation and       rotation and         and elevation of      depression of the
rehabilitating from an acromioplasty. The therapist      elevation of the   depression of the    the scapula           scapula
attempts to stabilize the scapula while measuring        scapula            scapula
glenohumeral abduction. Failure to stabilize the
scapula will lead to:
A physical therapist performs an examination on a        abduction and      abduction and        adduction and         adduction and         1
46-year-old male patient diagnosed with piriformis       lateral rotation   medial rotation of   lateral rotation of   medial rotation of
syndrome. The patient indicates he has                   of the thigh       the thigh            the thigh             the thigh
experienced pain in his low back and buttock region
for the last three weeks. Which motions would you
expect to b
A physical therapist examines a patient with a              serratus           levator scapulae,   latissimus dorsi,    supraspinatus,         2
dorsal scapular nerve injury. Which muscles would           anterior,          rhomboids           teres major          infraspinatus
you expect to be MOST affected by this condition?           pectoralis minor
A 13-year-old female diagnosed with cerebral palsy          spasticity         ataxia              hypotonia            athetosis              4
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 physician refers a patient rehabilitating from a          assessing          determining         selecting an         assessing endurance    2
fractured femur to physical therapy for gait training.      balance            weight bearing      assistive device
Which of the following would NOT be the                                        status
responsibility of the physical therapist?
A physical therapist instructs a 55-year-old patient        dependent squat sliding board          two-person lift      hydraulic lift         2
with significant bilateral lower extremity paresis to       pivot transfer  transfer
transfer from a wheelchair to a mat table. The
patient has normal upper extremity strength and
has no other known medical problems. The MOST
appro
A physical therapist instructs a patient to make a          a ruptured flexor a ruptured flexor    a ruptured flexor    a ruptured extensor    3
fist. The patient can make a fist, but is unable to         carpi radialis    digitorum            digitorum            digitorum communis
flex the distal phalanx of the ring finger. This clinical   tendon            superficialis        profundus tendon     tendon
finding can BEST be explained by:                                             tendon
A physical therapist implements an aquatic program          increase the      increase the speed   increase the depth   remove the flotation   2
for a patient rehabilitating from a lower extremity         water             of movement          of the water         device
injury. The program requires the patient to run in          temperature
place using a flotation device while tethered to the
side of the pool using an elastic cord. Which
A physical therapist measures passive forearm               60 degrees         80 degrees          100 degrees          120 degrees            2
pronation and concludes that the results are within
normal limits. Which measurement would be
classified as within normal limits?
A physical therapist discusses the importance of         standing in the     standing with 45     sitting in a chair     sitting in a chair with   3
proper posture with a patient rehabilitating from        anatomical          degrees of hip       slouching forward      reduced lumbar
back surgery at the L3-L4 spinal level. Which body       position            flexion                                     lordosis
position would place the MOST pressure on the
lumbar spine?
A physical therapist works on transfer activities with   brachioradialis     pronator teres       extensor carpi         latissimus dorsi          1
a patient diagnosed with a complete C5 spinal cord                                                radialis brevis
injury. Which of the following muscles would the
patient be able to utilize during the training
session?
A physical therapist treats a 32-year-old female         pulse rate and      pulse rate and       blood pressure and     the patient's vital       1
diagnosed with thoracic outlet syndrome. While           respiration rate    blood pressure are   respiration rate are   signs are within
exercising the patient begins to complain of feeling     are below           above normal         above normal           normal limits
lightheaded and dizzy. The therapist immediately         normal levels       levels               levels
ushers the patient to a nearby chair and begins to
moni
A physical therapist works with a patient diagnosed      exercise on a       limited squats to    walking backwards      isokinetic knee           4
with anterior cruciate ligament insufficiency. The       stair machine       45 degrees           on a treadmill         extension and
physician referral specifies closed kinematic chain                                                                      flexion
rehabilitation. Which exercise would NOT be
appropriate based on the physician order?
A patient paralyzed from the waist down discusses        32 inches           48 inches            60 inches              72 inches                 3
accessibility issues with an employer in preparation
for her return to work. The patient is concerned
about her ability to navigate a wheelchair in certain
areas of the building. What is the MINIMUM spac
A patient is referred to physical therapy following      consult various     consult various      contact the            discuss the patient’s     3
surgery to repair a torn rotator cuff. The physician     medical             protocols of other   referring physician    care with other staff
referral does not include post-operative guidelines      resources that      surgeons in the      and discuss the        members who are
and also does not classify the extent or size of the     discuss physical    area                 patient’s care         more experienced in
tear. The physical therapist’s MOST appropr              therapy                                                         treating rotator cuff
                                                         management of                                                   repairs
                                                         rotator cuff
                                                         repairs
A 52-year-old, self-referred male is examined in         treat the patient   inform the patient   refer the patient to   refer the patient to      4
physical therapy. The patient states that over the       conservatively      that he is not a     an oncologist          his primary care
last three months he has experienced increasing          and document        candidate for                               physician
neck stiffness and pain at night. He also                any changes in      physical therapy
communicates that he recently had several                 the patient’s
episodes of dizziness                                     status
A physical therapist wearing sterile protective           gloves             sleeves of the        front of the gown      front of the gown      4
clothing establishes a sterile field prior to changing                       gown                  above waist level      below waist level
a dressing on a wound. Which area of the
protective clothing would NOT be considered sterile
even before coming in contact with a non-sterile
object?
A physical therapist transports a patient with            in the patient’s   on the patient’s      on the wheelchair      on the wheelchair      4
multiple sclerosis to the gym for her treatment           lap                lower abdomen         armrest                cross brace beneath
session. The patient is wheelchair dependent and                                                                          the seat
uses a urinary catheter. When transporting the
patient, the MOST appropriate location to secure
the collectio
A physical therapist employed by a home health            2 cycles per       4 cycles per          6 cycles per minute    8 cycles per minute    1
agency visits a patient status post total knee            minute             minute
arthroplasty. The patient was discharged from the
hospital yesterday and according to the medical
record had an unremarkable recovery. The
physician orders inc
A physical therapist attempts to examine the extent       manual muscle      sensory test for      functional             finger to nose         4
of ataxia in a patient’s upper extremities. The           test               light touch           assessment of
preferred method to examine and document ataxia                                                    rolling in bed
is:
An eleven-month-old child with cerebral palsy             Galant reflex      symmetrical tonic     plantar grasp reflex   positive support       2
attempts to maintain a quadruped position. Which                             neck reflex                                  reflex
reflex would interfere with this activity if it was NOT
integrated?
A physical therapist attempts to schedule a patient       schedule the       attempt to move       schedule the           inform the referring   3
for an additional therapy session after completing        patient on         one of the            patient with           physician the
the examination. The physician referral indicates         Wednesday at       patients scheduled    another physical       patient will only be
the patient is to be seen two times a week. The           4:30               on Wednesday at       therapist on           seen once this week
therapist suggests several possible times to the pat                         4:30 to a different   Wednesday at 4:30      in therapy
                                                                             time
While reading the Methods section of a research          controls for       keeps the subjects   ensures that           selects a               1
report, a physical therapist notes the investigators     differences        ‘blind’ to the       subjects with          homogenous group
used a repeated measures design. This form of            between            identity of the      similar                of subjects
experimental design:                                     subjects           treatment group      characteristics are
                                                                                                 assigned to
                                                                                                 different treatment
                                                                                                 groups
A physical therapist reviews the parameters of           greater phase      greater frequency    stronger amplitude     shorter treatment       2
several pain modulation theories using                   duration                                                       time
transcutaneous electrical nerve stimulation (TENS).
When comparing sensory stimulation to motor
stimulation, sensory stimulation requires:
A physical therapist performs an examination on a        lateral femoral    lateral joint line   lateral tibial         fibular head            1
27-year-old male diagnosed with iliotibial band          condyle                                 condyle
syndrome. The patient is an avid distance runner
who routinely ran between 45-60 miles per week
before experiencing pain in his knee. Standing
posture reve
The measurement of blood pressure with an                an                 a pressure           a physician using a    a pulse oximeter        2
aneroid sphygmomanometer is said to have                 electrocardiogra   transducer           mercury
concurrent validity if the pressures measured by the     m                  inserted in the      sphygmomanomet
sphygmomanometer are equal to the pressures                                 artery               er
measured at the same time by:
A physical therapist transfers a patient in a            have the patient   have the             tilt the wheelchair    position yourself in    3
wheelchair down a curb with a forward approach.          lean forward       wheelchair brakes    backwards              front of the patient
Which of the following actions would be the MOST                            locked
appropriate?
A physical therapist working on an oncology unit         hematocrit         white blood cells    platelets              hemoglobin              3
reviews the medical chart of a male patient prior to
initiating airway clearance techniques. The
patient’s cell counts are as follows: hematocrit 44%,
white blood cells 8,500 mm^3, platelets 30,000/µl,
hem
A physical therapist treats a patient with a fractured   using the quad     using the quad       using the quad         using the quad cane     2
left hip. The patient is weight bearing as tolerated     cane on the left   cane on the right    cane on the left       on the right with the
and uses a large base quad cane for gait activities.     with the longer    with the longer      with the longer legs   longer legs
Correct use of the quad cane would include:              legs positioned    legs positioned      positioned toward      positioned toward
                                                         away from the      away from the        the patient            the patient
                                                         patient              patient
A 66-year-old female is referred to physical therapy     Boutonniere          mallet finger         swan neck              ulnar drift             1
with rheumatoid arthritis. During the examination        deformity                                  deformity
the physical therapist notes increased flexion at the
proximal interphalangeal joints and hyperextension
at the metacarpophalangeal and distal interpha
A patient diagnosed with piriformis syndrome is          schedule the         explain to the        explain to the         contact the referring   4
referred to physical therapy for one visit for           patient for          patient that recent   patient that she       physician and
instruction in a home exercise program. After            treatment            health care           can continue with      request approval for
examining the patient, the physical therapist feels      sessions as          reforms have          physical therapy       additional physical
the patient’s rehabilitation potential is excellent,     warranted by         drastically reduced   beyond the initial     therapy visits
but is c                                                 the results of the   the frequency of      session, but will be
                                                         examination          physical therapy      liable for all
                                                                              visits covered by     expenses not
                                                                              third party payers    covered by her
                                                                                                    insurance
A physical therapist completes lower extremity           verbally report      verbally report the   document and          document and             3
range of motion activities with a patient status post    the observation      observation to the    verbally report the   verbally report the
spinal cord injury. While performing passive range       to the patient’s     patient’s nurse       observation to the    observation to the
of motion, the therapist notices that the patient’s      physician                                  patient’s nurse       director of
urine is extremely dark and has a distinctive foul                                                                        rehabilitation
A rehabilitation manager designs a system to             number of            results of patient    total hours of direct number of regular        2
monitor the productivity of the physical therapists.     generated timed      satisfaction survey   patient treatment     payroll hours
Which piece of data would be the LEAST beneficial        treatment units      data                  time
to accomplish the manager’s objective?
A physical therapist observing a patient complete a      semimembranos        semitendinosus     popliteus and             semimembranosus         2
leg curl exercise notices two prominent tendons          us and               and biceps femoris semitendinosus            and biceps femoris
visible on the posterior surface of the patient’s left   semitendinosus       muscles            muscles                   muscles
knee. The visible tendons are MOST likely                muscles
associated with the:
A physical therapist prepares to apply a hot pack to     complete an          contact the           modify the             avoid documenting       1
the low back of a patient diagnosed with                 incident report      referring physician   documentation          the event since it
degenerative disk disease. When examining the                                                       from the previous      occurred during the
patient the therapist identifies several blisters on                                                treatment session      previous treatment
the patient’s right side. The patient indicates they                                                                       session
were ca
A physical therapist attempts to calculate the target   96 - 120 beats      132 - 156 beats      144 - 174 beats per   164 - 185 beats per     2
heart rate range for a 32-year-old female with no       per minute          per minute           minute                minute
significant past medical history. The patient’s
resting heart rate is recorded as 60 beats per
minute and the maximal heart rate is 180 beats per
minu
A 47-year-old patient with a diagnosis of CVA with      knee-ankle-foot     plastic articulating metal upright         prefabricated           2
left hemiplegia is referred for orthotic examination.   orthosis with a     ankle-foot orthosis ankle-foot orthosis    posterior leaf spring
Significant results of manual muscle testing include:   locked knee                              locked in neutral     orthosis
hip flexion 3+/5, hip extension 3/5, knee flexion
3+/5, knee extension 3+/5, ankle dorsiflexio
A physical therapist treats a patient diagnosed with    facilitate          promote weight       emphasize             facilitate tone and     2
Parkinson’s disease. When working on controlled         postural muscle     shifting and         reciprocal            rigidity
mobility, which of the following would BEST             control             rotational trunk     extremity
describe the physical therapist’s objective?                                control              movement
A physical therapist reviews the medical chart of a     pulmonary           electrocardiogram    intracranial          pulse oximeter          2
patient with a history of recurrent dysrhythmias.       artery catheter                          pressure monitor
The therapist is concerned about the patient’s past
medical history and would like to monitor the
patient during selected formal exercise activities. W
A physical therapist observes a change in the           asymmetrical        symmetrical tonic    symmetrical tonic     crossed extension       1
muscle tone of an infant's extremities as a result of   tonic neck reflex   neck reflex          labyrinthine reflex   reflex
head rotation. Which developmental reflex would
facilitate this type of response?
A physical therapy program designs a study that         A high grade        Students in a        There is no           There is an inverse     2
uses performance on the Scholastic Aptitude Test as     point average in    physical therapy     relationship          relationship
a predictor of grade point average in a physical        a physical          program with high    between grade         between grade
therapy academic program. The results of the study      therapy program     scores on the        point average in a    point average in a
identify that the overall correlation between the       is caused by a      Scholastic           physical therapy      physical therapy
vari                                                    high score on       Aptitude Test tend   program and           program and
                                                        the Scholastic      to have high grade   performance on        performance on the
                                                        Aptitude Test.      point averages.      the Scholastic        Scholastic Aptitude
                                                                                                 Aptitude Test.        Test.
A patient is referred to physical therapy with a C6    diminished         weakness in the      diminished           paresthesias of the     4
nerve root injury. Which of the following clinical     sensation on the   biceps and           brachioradialis      long and ring fingers
findings would NOT be expected with this type of       anterior arm and   supinator            reflex
injury?                                                the index finger
A 22-year-old male status post traumatic brain         provide non-       place a patch over   ask the patient to   instruct the patient    2
injury receives physical therapy services in a         verbal             one of the           turn his head to     to carefully focus on
rehabilitation hospital. The patient is presently      instructions       patient’s eyes       one side when he     a single object
functioning at Rancho Los Amigos level VI. The         within the                              experiences
patient has progressed well in therapy, however,       patient’s direct                        diplopia
has been both                                          line of sight
A physical therapist completes an upper extremity      pronator teres     pectoralis major     biceps brachii       middle trapezius        4
manual muscle test on a patient diagnosed with
rotator cuff tendonitis. Assuming the patient has
the ability to move the upper extremities against
gravity, which of the following muscles would NOT
be test
A physical therapist prepares a patient education      wear shoes that    observe your skin    wear your            keep your feet          3
program for an individual with chronic venous          accommodate to     daily for            compression          elevated as much as
insufficiency. Which of the following would NOT be     the size and       breakdown            stockings only at    possible throughout
appropriate to include in the patient education        shape of your                           night                the day
program?                                               feet
A physical therapist determines that a patient         anterior lunge     six-inch lateral     six-inch posterior   eight-inch posterior    2
rehabilitating from ankle surgery has consistent                          step down            step up              step down
difficulty with functional activities that emphasize
the frontal plane. Which of the following would be
the MOST difficult for the patient?
A patient rehabilitating from a radial head fracture   contract-relax     hold-relax           maintained           rhythmic                3
is examined in physical therapy. During the                                                    pressure             stabilization
examination, the physical therapist notes that the
patient appears to have an elbow flexion
contracture. Which of the following would NOT
serve as an approp
A patient with a lengthy medical history of cardiac    2-3 mm Hg per      3-5 mm Hg per        5-7 mm Hg per        8-10 mm Hg per          1
pathology is referred to a phase II cardiac            second             second               second               second
rehabilitation program. During the first session the
physical therapist prepares to measure the patient’s
blood pressure by inflating the cuff 20 mm Hg
above
A physical therapist examines a patient who            visual system     somatosensory       auditory system      vestibular system      4
complains of occasional difficulty maintaining her                       system
balance when walking and frequent episodes of
vertigo. The MOST likely cause of the patient’s
difficulty is a disorder of the:
As a component of a cognitive assessment, a            attention         constructional      abstract ability     orientation            1
physical therapist asks a patient to count from one                      ability
to twenty-five by increments of three. Which
cognitive function does this task MOST accurately
assess?
An 86-year-old female is partial weight bearing on     Lofstrand         axillary crutches   large base quad      walker                 4
the left lower extremity after a total hip             crutches                              cane
arthroplasty. Her upper extremity strength is 3+/5
and she resides alone. Which assistive device would
be the MOST appropriate for the patient?
A patient with a suspected scaphoid fracture is        localized edema   crepitus with       localized bony       pain with resisted     3
referred to physical therapy. Which clinical sign is   along the         active range of     tenderness in the    wrist extension
MOST indicative of a scaphoid fracture?                dorsum of the     motion              anatomic snuff box
                                                       hand
A patient on prolonged bed rest attempts to get out    decrease in       decrease in         increase in pulse    adverse reaction to    1
of bed. Upon attaining a standing position the         blood pressure    respiratory rate    rate                 medication
patient complains of lightheadedness and blurred
vision. The MOST appropriate explanation is:
A patient's job requires him to move boxes             implement a       design an           review proper body use an elevated          4
weighing 35 pounds from a transport cart to an         pelvic            abdominal           mechanics          platform when
elevated conveyor belt. The patient can complete       stabilization     strengthening                          placing boxes on the
the activity, however, is unable to prevent            program           program                                belt
hyperextension of the spine. The MOST
appropriate physical therapist a
A 21-year-old male patient informs a physical          offer to treat the devise an          request additional    discharge the         4
therapist that additional therapy visits will not be   patient pro bono affordable           visits from the third patient with a home
covered by his medical insurance provider. The                            payment plan       party payer           exercise program
patient is 12 weeks status post anterior cruciate
ligament reconstruction and has had an
unremarkable post-o
A physical therapist monitors the blood pressure        increased          decreased            increased oxygen        decreased              1
response to exercise of a 52-year-old male on a         cardiac output     peripheral           saturation              myocardial oxygen
stationary bicycle. The therapist notes a relatively                       resistance                                   consumption
linear increase in systolic blood pressure with
increasing exercise intensity. The change in the
patien
A 64-year-old female patient is admitted to the         supine with        prone with pillows   left sidelying with     right sidelying with   3
hospital with a stage III decubitus ulcer over her      pillows under      under the knees      pillows between         pillows between the
right ischial tuberosity. The patient’s past medical    the knees                               the knees               knees
history includes severe chronic obstructive
pulmonary disease. The MOST appropriate position
for the
A physical therapist performs a manual muscle test      pectoralis major   teres major          latissimus dorsi        teres minor            4
on a patient's shoulder medial rotators. Which
muscle would NOT be involved in this specific test?
A patient in an acute care hospital has a catheter      arterial line      central venous       Hickman catheter        Swan-Ganz catheter     3
inserted into the internal jugular vein. The catheter                      pressure catheter
travels through the superior vena cava and into the
right atrium. The device permits removal of blood
samples, administration of medication, and mon
A patient informs her physical therapist that she       inspect the lump   instruct the       inform the patient        document the           2
noticed a small lump on her right breast while                             patient to make an she may have              patient's comment
dressing. The patient was referred to physical                             immediate          cancer                    in the medical
therapy with lateral epicondylitis and has no                              appointment with                             record
significant past medical history. The MOST                                 her physician
appropriate therapis
A physical therapist attempts to confirm the fit of a   difficulty         insufficient trunk   difficulty propelling   increased pressure     3
wheelchair for a patient recently admitted to a         changing           support              the wheelchair          to the distal
skilled nursing facility. After completing the          position within                                                 posterior thighs
assessment, the therapist determines the                the wheelchair
wheelchair has excessive seat width. Which
adverse effect resul
A patient uses a self-administered assessment tool      reliability of     internal             intratester             intertester            3
as a method to record daily progress. What type of      parallel forms     consistency
reliability would be the MOST essential using this
tool?
A physical therapist administers the Mini-Mental          18                  24                  30                    34                      2
State Examination to a patient recently admitted to
an acute care medical facility. The MINIMUM
patient score necessary in order to avoid being
classified as possessing a cognitive impairment
would be:
A physical therapist receives a referral to instruct a    apply a gait belt   maintain proper     assess vital signs    examine the             4
patient in stair training using axillary crutches. The                        body mechanics                            patient's limitations
patient is rehabilitating from a tibial fracture and is                                                                 and capabilities
currently partial weight bearing on the involved
extremity. The MOST important action p
A physical therapist employed in an inpatient             monitoring vital    measuring knee      observing a patient   recording modality      3
rehabilitation center works with a patient                signs               range of motion     complete a mat        parameters in the
rehabilitating from a total knee arthroplasty. Which                          with a goniometer   exercise program      medical record
treatment activity would be the MOST appropriate
to delegate to a physical therapy aide?
A physical therapist discusses common cognitive           poor judgment       impulsive           quick                 overly cautious         4
and behavioral changes associated with stroke with
family members of a patient with right hemisphere
damage and resultant left hemiplegia. Which term
does NOT accurately describe the MOST typical
patient pr
A physical therapist gathers a variety of equipment       joint position      vibration           stereognosis          barognosis              2
prior to administering a series of sensory tests.
Which form of sensation would be examined by
utilizing a tuning fork?
A physical therapist discusses the process of             C4                  C6                  T1                    T3                      2
learning to drive an adapted van with a patient
rehabilitating from a spinal cord injury. What is the
highest spinal cord injury level where this activity
would be a realistic independent functional
outcome?
A physical therapist searches the literature to find      high positive       low positive        high discriminant     high internal           1
an appropriate cardiovascular screening test to           predictive value    predictive value    validity              consistency
identify individuals with known cardiovascular
disease who should have a medical examination
before starting an exercise program. The physical
therapist
A patient classifies the intensity of exercise as a 16   40 percent of      60 percent of the    70 percent of the      85 percent of the     4
using Borg's (20-point) Rating of Perceived Exertion     the maximum        maximum heart        maximum heart          maximum heart rate
Scale. This classification BEST corresponds to:          heart rate range   rate range           rate range             range
A male patient rehabilitating from a lower extremity     3 degrees          7 degrees            14 degrees             21 degrees            2
injury is referred to physical therapy for gait
analysis. The physical therapist begins the session
by observing the patient at free speed walking. The
normal degree of toe-out at this speed is:
A patient with Alzheimer's disease is referred to        provide verbal     frequently repeat    assess the patient's   avoid using medical   3
physical therapy for instruction in an exercise          and written        multiple step        cognitive status       terminology
program. The MOST appropriate INITIAL step is:           instructions       directions
A physical therapist working in an outpatient          partial weight       partial weight       toe touch weight      toe touch weight        1
physical therapy clinic guards a patient descending    bearing              bearing secondary    bearing secondary     bearing secondary
a curb with axillary crutches. Based on the            secondary to a       to a right lateral   to a left lateral     to a right lateral
photograph, the MOST likely patient scenario is:       left lateral ankle   ankle sprain         ankle sprain          ankle sprain
                                                       sprain
A physical therapist prepares a patient recovering     long handled         raised toilet seat   sliding board         tub bench               3
from a total hip arthroplasty using a posterolateral   shoehorn
surgical approach for discharge from the hospital.
The patient is a 65 year old and resides alone.
Assuming an uncomplicated recovery, which of the f
A physical therapist records the end-feel associated   muscular stretch     capsular stretch     soft tissue           ligamentous stretch     3
with forearm supination as firm in the medical                                                   approximation
record. Which of the following is NOT consistent
with an end-feel categorized as firm?
A physical therapist examines several superficial      stroke the skin      stroke the skin of   prick the skin of the prick the skin of the   2
reflexes on a patient diagnosed with an upper          beneath the          the superior and     perianal region       glans penis
motor neuron lesion. When assessing the                costal margins       medial thigh
cremasteric reflex the MOST appropriate stimulus       and above the
is:                                                    inguinal
                                                       ligament
A 35-year-old male diagnosed with ankylosing           strengthening of     strengthening of     strengthening of      strengthening of the    4
spondylitis is referred to physical therapy for        the rectus           the internal and     the quadratus         back extensors
instruction in a home exercise program. Which          abdominus            external obliques    lumborum
general treatment objective would be the MOST
beneficial for the patient?
A 73-year-old male patient receiving outpatient        oral                 buccal               sublingual            topical                 3
physical therapy begins to experience acute angina.
The patient indicates he uses nitroglycerin to
alleviate the angina. The MOST appropriate mode
of administration is:
A physical therapist prepares to conduct a manual      prone                sidelying            supine                standing                2
muscle test of the hip flexors. Assuming a grade of
poor, the MOST appropriate testing position is:
A physical therapist administers the Functional          distal tip of the   third metacarpal       radial styloid         ulnar styloid process   2
Reach Test to a patient rehabilitating from a            third digit                                process
neurological disorder. Which bony landmark would
be the MOST appropriate to utilize when formally
measuring the distance the patient reached during
each trial?
A physical therapist measures elbow flexion while a      the walker          the walker height      the walker height is   not enough              2
patient grasps the handgrip of a walker in standing.     height is too low   is too high for the    appropriate for the    information is given
The therapist records elbow flexion as 35 degrees.       for the patient     patient                patient                to assess walker
Which statement BEST describes the height of the                                                                           height
walker?
A physical therapist often makes errors when             use correction      place a single line    use pencil when        use erasable ink        2
completing daily documentation. Which of the             fluid as needed     through the error,     completing your        when completing
following statements would be the MOST                   on your             write "error,"         documentation          your documentation
appropriate advice to the therapist when an error        documentation       date, and initial it
occurs?
A 22-year-old male rehabilitating from a motor           axillary crutches   Lofstrand crutches     walker with            cane                    2
vehicle accident is referred to physical therapy for                                                platform
gait training. The patient sustained multiple injuries                                              attachment
including a fractured tibia and a traction injury to
the brachial plexus. The patient is partial w
A physical therapist asks a patient to complete a        no pain             mild pain              weak pain              faint pain              1
visual analogue scale designed to assess pain
intensity. The scale consists of a 10 centimeter line
with descriptive labels at each end. Which
terminology would be the MOST appropriate for the
FIRST labe
The MOST important contribution case reports             A case report       A case report          A case report          A case report uses      2
make to evidence-based practice in physical therapy      demonstrates a      provides               provides data on       triangulation to test
is:                                                      causal              information that       the natural history    a hypothesis with
                                                         relationship        can be used to         of disease states.     more than one
                                                         between             generate inductive                            source of data.
                                                         treatment and       hypotheses for
                                                         outcome in a        future studies.
                                                         single patient.
A physical therapist treats an infant diagnosed with     lateral flexion to   lateral flexion to     lateral flexion to     lateral flexion to the   4
torticollis with marked lateral flexion of the neck to   the right and        the left and           the right and          left and rotation to
the right. As part of the infant’s plan of care the      rotation to the      rotation to the left   rotation to the left   the right
therapist performs passive stretching activities to      right
improve the patient’s range of motion. Th
A physical therapist instructs a patient to close her    barognosis           graphesthesia          recognition of         stereognosis             1
eyes and hold out her hand. The therapist places a                                                   texture
series of different weights in the patient’s hand one
at a time. The patient is then asked to identify the
comparative weight of the objects. This
A physical therapist assesses the pulse rate of a        select a different measure the pulse        use a different        document the             2
patient exercising on a treadmill. The therapist         pulse site         rate for 60              stethoscope            irregular pulse rate
notes that the rhythm of the pulse is often irregular.                      seconds                                         in the patient's
The MOST appropriate action to ensure an accurate                                                                           medical record
measurement of pulse rate is:
A physical therapist participates in a community         suprailiac           subscapular            triceps                lateral calf             4
fitness program by conducting anthropometric
measurements designed to determine percent body
fat. Which site is NOT typically utilized when
measuring skinfolds?
A physical therapist prepares to administer              the intensity        the duration of        the choice of the      the size of the area     3
ultrasound to a patient with lateral epicondylitis.                           exposure               coupling agent         sonated
When applying ultrasound the amount of heat
absorbed is LEAST dependent upon:
A physical therapist employed in a rehabilitation        the number of        the scope of           the discretion of      the quantity of          3
hospital utilizes the services of a physical therapy     years of             formal training        the physical           continuing
aide. Which variable BEST determines the extent to       experience                                  therapist              education courses
which physical therapy aides are involved in patient
care activities?
A physical therapist prepares to treat a patient with    sitting, leaning     head down on left      supine with two        prone with two           4
cystic fibrosis using postural drainage. The MOST        over a folded        side, 1/4 turn         pillows under the      pillows under the
appropriate patient position when treating the           pillow at a 30       backward               knees                  hips
superior segments of the lower lobes is:                 degree angle
A patient rehabilitating from a knee injury              67 ft/lbs            109 ft/lbs             136 ft/lbs             183 ft/lbs               3
completes an isokinetic examination. The patient
produces 88 ft/lbs of torque with the hamstrings at
120 degrees per second. Assuming normal
quadriceps/hamstrings ratio, which of the following
MOST accurately