SECTION "A" (BCQ's)
1. Which one of the following is correct regarding clinical Signs and Symptoms of respiratory
acidosis?
a. Hyperventilation.
b. Lightheadedness.
C. Dizziness.
d. Cyanosis.
2. All of the following are correct regarding factors that may trigger asthma EXCEPT:
a. Cigarette smoke.
b. Physical exertion or vigorous exercise.
c. Excitement or strong emotion.
d. Exposure to hot air.
3. Referred pain patterns associated with impairment of the spleen can produce
musculoskeletal symptoms in:
a. The left shoulder
b. The right shoulder
C. The mid-back or upper back, scapular, and right shoulder areas
d. The thorax, scapulae, right shoulder, or left shoulder
4. Which of the following is NOT a red flag finding?
a. Sacral pain is reduced or relieved by release of trigger points
b. Sacral pain occurs when the client is passing gas or having a bowel movement.
C. Sacral pain is relieved after the client passes gas or has a bowel movement.
d. Sacral pain occurs without a history of trauma or overuse.
5. Positive hop test is indication of:
a. Pancreatitis
b. Ulcerative Colitis
c. Appendicitis
d. Crohn's Disease
6. Which statement is the most accurate?
a. Arterial disease is characterized by and history of intermittent claudication, pain relieved
by elevating the extrem
b. Artehal diseases characterized by loss of hair on the lower extremities, throbbing pain in
the calf muscles that goes away by using heat and elevation.
c. Arterial disease is characterized by painful throbbing of the feet at night that goes away by
dangling the feet over the bed.
d. Arterial disease is characterized by loss of hair on the toes, intermittent claudication, and
redness or warmth of the legs that is accompanied by a burning sensation.
7. Skin color and nail bed changes may be observed in the client with:
a. Thrombocytopenia resulting from chemotherapy
b. Pernicious anemia resulting from Vitamin B12 deficiency
c. Leukocytosis resulting from AIDS
d. All of the above are true
8. Heart and diaphragmatic pain often felt in shoulder because of the same innervation from:
a. C3, C4
b. C7, C8
C C5, C6
9. Which of the following is incorrect regarding most common red flags associated with back
pain of C8, T1 systemic origin.
a. Previous history of cancer.
b. Recent urinary tract infections.
c. Severe, constant night pain.
d. Immuno-compromised conditions.
10. Percussion of the costovertebral angle resulting in the reproduction of symptoms
signifies:
a. Radiculitis
b. Pseudorenal pain
c. Has no significance
d. Medical referral is advised
11. Instruct clients with a history of hypertension and arthritis to:
a. Limit physical activity and exercise
b. Avoid over-the-counter medications
c. Inform their primary care provider of both conditions
d. Drink plenty of fluids to avoid edema
12. During auscultation of an adult client with rheumatoid arthritis, the heart rate gets
stronger as s breathes in and decreases as she breathes out. This sign is:
a. Characteristic of lung disease
b. Typical in coronary artery disease
c. A normal finding
d. Common
14. A 22 years old man had left heel pain that had developed 3 weeks before. Previous
medical history shows appendectomy 2 years back. His pain was worst when he first go out
of bed in the morning but improved with stretching. On day 7th he had developed fever, red
itching eyes and frequent urination. What would be your diagnosis?
a. Enteritis
b. Crohn's disease
c. Reiters syndrome
d. Hyperthyroidism
15. The most common symptoms of pancreatic cancer are
a. Constipation and belching
b. Anorexia and weight loss
c. Dysuria and fever
d. Bloody stools and depression
16. caused by dusts from hemp, flax, cotton processing, results in chronic obstruction of the
small airways impairing ling function
a. Asbestosis
b. Byssinosis
c. Pneumonconiosis
d. None of the above.
17. emphysema destroys the alveoli in the lower lobes of the lungs, resulting in isolated
blebs along the lung periphery.
a. Centrilobular
b. Panlobular
c. Centriacinar
d. Paraseptal
18. Which of the following is true regarding yellow flag:
a. Infection
b. Cancer
c. Fracture
d. Chronic low back pain
19. The screening model used to help identify viscerogenic or systemic origins of hip, groin,
and lower extremity pain and symptoms is made up of:
a. Past medical history, risk factors, clinical presentation, and associated signs and
symptoms
b. Risk factors, risk reduction, and primary prevention
c. Enteric disease, systemic disease, and neuromusculoskeletal dysfunction
d. Physical therapy diagnosis, Review of Systems, and physician Referral
20. A 52-year-old woman with shoulder pain tells you that she has pain at night that
awakens her. After asking a series of follow-up questions, you are able to determine that she
had trouble falling asleep because her pain increases when she goes to bed. Once she falls
asleep, she wakes up as soon as sh rolls onto that side. What is the most likely explanation
for this pain behavior?
a. Minimal distractions heighten a person's awareness of musculoskeletal discomfort.
b. This is a systemic pattern that is associated with a neoplasm.
c. It is impossible to tell.
d. This represents a chronic clinical presentation of a musculoskeletal problem.
SECTION B (MCQ's)
1.Regarding the interview techniques
A.Initiating an interview with the open-ended directive, Do you have any pain after lying in
bed all night
B.Closed-ended questions tend to be less impersonal and may set an impersonal tone for
the Relationship between the client and the therapist.
C. Close ended questions prevent a false-positive or false-negative response
D The funnel techniques pressist in lostering effective, accurate communication between the
heal Care recipient and the health care provider
2 . Regarding the characteristics of Cardiac Chest Pain:
A.Myocardial infarction usually occurs with exertion, emotion, cold, or large meal.
b. Mitral valve prolapse pain unrelieved by rest or nitroglycerin; may be relieved by lying
down.
C.Pericarditis pain worse with breathing, swallowing, belching, neck or trunk movement
d. Angina Pain related to heart ischemia.
3. When a serious disorder is missed during physical therapy screening process, what is the
most like cause of this mistake?
a. Lack of special test
b. Lack of proper referral
C Lack of adequate history
d. Lack of diagnostic testing
4. Regarding the clinical Signs and Symptoms of hypertension:
a Sense of weakness or "rubbery" legs
b. Pallor, diaphoresis
C. Syncope or fainting
d. Spontaneous epistaxis
5. Regarding the effects of cardiovascular medications:
a A decrease in serum magnesium results in myocardial irritability and cardiac arrhythmias
b. Thiazide diuretics may also be used to prevent arrhythmias by remove potassium from the
bod
C. Anyone being treated with both NSAIDs and ACE inhibitors must be monitored closely
during exercise for decreased blood pressure.
d. Nitrates such as nitroglycerin may cause headache, dizziness, tachycardia, and
orthostatic hypotension.
6. Regarding normal Arterial Blood Gases values:
a. HC03 (bicarbonate ion) = 35-45 mEq/L.
b. PH=7.65-7.85.
C. PC02 (partial pressure of carbon dioxide) =35-45 mm Hg.
d. PO2 (partial pressure of oxygen) = 75-100 mm Hg.
7. Which of the following is true regarding different types of Pain:
a.Pain with activity ------ Pain from an ischemic muscle (including heart muscle) builds up
with the use of the muscle and subsides with rest. Thus there is a direct relationship
between the degree of circulatory insufficiency and muscle work
B.Night pain the client who can roll onto the involved side and stay there for 30 minutes to
hour may be more in the sub-acute phase. A combination of modalities, hands-on treatment,
and exercise may be
warranted.
C.Pain at rest ---- may arise from ischemia in a wide variety of tissue (e.g., vascular disease
growth).
D.Arterial, Pleural, and Tracheal Pain ---- Pain arising from arteries, as with arteritis
(inflammation of an artery), migraine, and vascular headaches, increases with systolic
impulse so that any associated with increased systolic pressure
8. Regarding Ankle Brachial Index Reading:
A.1.0-1.6=> Normal (blood pressure at the ankle and arm are the same, no significant
narrowing or obstruction of blood flow).
B.. 0.7-1.0=>Moderate peripheral arterial occlusive disease.
C. Less than 0.5=> severe peripheral arterial
d. The ABI is the ratio of the spheral arterial occlusive disease multiplied by the systolic
blood pressure at the arm.
9. Regarding a. assessment of cranial nerves:
A.Trigeminal nerve: apply sterile, sharp item to forehead, cheek, jaw; repeat with dull object,
test for taste at anterior 2/3 of tongue.
b. Spinal accessory nerve: Client is able to depressed shoulders and extend head against
resistance.
C.Hypoglossal nerve: Gag reflex and ability to swallow.
D.Abducens nerve: test each eye separately with Snellen eye chart.
10. Regarding the effect of position on pain:
a. When seen early in the course of symptoms, pain of a systemic or viscerogenic origin is
usually accompanied by full and painful range of motion with limitations.
B.Bone pain of metastasis or myeloma tends to be more continuous, progressive, and
prominent when the client is recumbent.
C.Back pain that is relieved by rest or change in position, or pain that does fit the expected
mechanical or neuromusculoskeletal pattern, should raise a yellow flag.
d. Musculoskeletal back pain may get worse at night, especially when caused by vertebral
osteomyelitis, septic discitis.
11. Regarding the headache:
a . Most often the headache is caused by an extra cranial disorder and is considered
malignant.
B.Primary headache includes migraine tension type headache, and cluster headache.
C. The therapist often provides treatment for primary headache.
d. Migraine are often described as throbbing or pulsating
12. Regarding Location of Shoulder Pain:
a.Peptic ulcer: Lt shoulder lateral border, Lt. scapula
b. Gallbladder: Lt. Shoulder, Lt. Upper trapezius.
C Pancreas: Lt. shoulder
d. Postoperative laparoscopy Rt. Shoulder
13. Visceral pain is usually described as
a. Grinding
b. Boring
C. knife like
d. Pricking
14. Primary Gl visceral pain pattern shows
a.Pain in the periumbilical region occurs with the impairment of pancreas and appendix
b.Pain in the epigastric region from gall bladder and duodenum corresponding to the T3 to
T5 sympathetic nerve distribution.
C.Pain in the lower abdominal region comes from pancreas, liver and appendix
d.The large intestine and colon are innervated by T10 to L1
15. The most clinically meaningful Gl symptoms reported in PT practice include:
a.0dynophagia
b. Constipation
c. Arthralgia
D. Referred shoulder pain
16. Bright red blood in stool may indicates
a Colorectal cancer
b Perforated duodenal ulcer
C.Hemorrhoids
d Myocardial Infarction
17. A more serious, less frequent antibiotic induced colitis with severe diarrhea is caused by
a Staphylococcus aureus
b E.coli
C.Klebsiella
d Clostridium difficle
18. Medical referral for a problem outside the scope of the physical therapy practice occurs
when:
A. No apparent movement dysfunction exists
b.No causative factors can be identified
C. Findings are not consistent with neuromuscular or musculoskeletal dysfunction
d Client presents with suspicious red-flag symptoms
19. Hip and groin pain can be referred from:
a Low back
b. Abdomen
c. Retroperitoneum
d. All of the above
20. Most of the information needed to determine the cause of symptoms is contained in the:
a. Subjective examination
b. Family/Personal History Form
C. Objective information
d. All of the above
SECTION-C (SAQ'S)
ATTEMPT ANY FIVE QUESTION'S (EACH QUESTIONS CARRY 4 MARKS)
1. Sign and Symptoms of Polycythemia?
2. Clinical Sign and Symptoms of Respiratory Alkalosis?
3. What is Cushing's syndrome? What are the effects of cortisol on Connective tissue?
4. What is Koilonychia?
5. Compare the characteristics of cardiac chest pain between myocardial infarction and
pericarditis?
6. What is Blumberg's sign procedure and what it indicates with positive Blumberg's sign?
7. What are the major decision-making tools used in the screening process?
8. What is the first most common sign associated with liver disease?
