BCQ, S
1.Which of the following is the first step in the Dynamic Diagnosis and Clinical Decision-
Making (DDCDM) process in physical therapy?
a) Formulating a treatment plan
b) Establishing the patient’s history
c) Identifying specific diagnoses
d) Conducting manual therapy techniques
2.Which of the following is most critical when a physical therapist is determining a
diagnosis in the DDCDM process?
a) Patient’s ability to perform a specific exercise
b) The therapist’s preference for treatment techniques
c) Comprehensive assessment of subjective and objective data
d) Previous success with similar cases
3.what is the role of evidence-based practice (EBP) in DDCDM?
a) It provides treatment protocols that must be followed rigidly
b) It guides clinical decisions based on the best available research, clinical expertise, and
patient preferences
c) It reduces the need for patient interaction during the assessment process
d) It exclusively focuses on the use of advanced technology in assessment
4.In the DDCDM process, which of the following is most important when interpreting a
patient’s progress?
a) Comparing the patient's outcomes with national averages
b) Considering both subjective reports and objective measurements of progress
c) Relying on diagnostic imaging findings alone
d) Ensuring that the patient completes the prescribed exercises without deviation
5.In DDCDM, patient education plays a critical role. Why is this essential for treatment
effectiveness?
a) It helps patients follow prescribed exercises without deviation
b) It creates a sense of trust, collaboration, and shared decision-making between the
therapist and patient
c) It reduces the need for follow-up sessions
d) It ensures that patients focus exclusively on pain reduction
6.In DDCDM, patient education plays a critical role. Why is this essential for treatment
effectiveness?
a) It helps patients follow prescribed exercises without deviation
b) It creates a sense of trust, collaboration, and shared decision-making between the
therapist and patient
c) It reduces the need for follow-up sessions
d) It ensures that patients focus exclusively on pain reduction
7.Why is it important for a physical therapist to assess the patient’s psychosocial
history during the interview process?
a) To determine the patient's social media usage
b) To evaluate the potential impact of mental and emotional factors on recovery
c) To focus only on the patient’s medical diagnosis
d) To avoid discussing the patient’s family background
8.What type of questions should be avoided during the initial interview with a
patient in physical therapy?
a) Open-ended questions that encourage patient responses
b) Leading questions that might bias the patient's answer
c) Questions related to pain onset and intensity
d) Clarifying questions to fully understand the patient's concerns
9.Which of the following would be an example of a closed-ended question in the
patient interview?
a) “Can you describe the pain you’re experiencing?”
b) “How did your injury occur?”
c) “On a scale from 1 to 10, how would you rate your pain today?”
d) “What activities have become difficult for you since the injury?”
10.What is the benefit of using the "PQRST" method for pain assessment in
physical therapy interviews?
a) It helps the therapist track the patient’s medical history
b) It allows for a systematic understanding of the pain's characteristics and impact
c) It focuses solely on the patient's psychological state
d) It helps avoid discussing functional limitations
11.In the context of an interview, how can a physical therapist determine the
severity of a patient’s functional limitations?
a) By focusing only on the range of motion
b) By asking the patient to perform activities related to their daily routine
c) By observing the patient’s behaviour during the interview
d) By conducting imaging tests immediately
12.Which of the following is a key consideration when asking a patient about their
goals for physical therapy during the interview?
a) The therapist should assume the patient’s goals based on their diagnosis
b) The therapist should guide the conversation toward the most common treatment
outcomes
c) The therapist should ensure that the patient’s goals are realistic and achievable
within the treatment plan
d) The therapist should discourage the patient from having specific goals to maintain
flexibility in treatment
13.When interviewing a patient with a complex medical history, what is the most
effective approach to ensure no critical details are overlooked?
a) Rely on a single, generalized question to gather information quickly
b) Focus only on the patient’s primary complaint and avoid discussing other health
issues
c) Use a systematic interview guide that addresses all key components of the
patient’s medical, functional, and psychosocial history
d) Limit the scope of questions to only pain-related issues
14.What is the significance of performing joint stability tests during a physical
assessment screening?
a) To assess the psychological state of the patient
b) To determine the potential for injury or underlying joint dysfunction that may
affect the treatment plan
c) To diagnose systemic inflammatory conditions
d) To eliminate the need for imaging tests
15.Which of the following is an example of a "red flag" that would require referral
to a physician during a physical assessment screening?
a) Mild stiffness in the neck after exercise
b) Unexplained weight loss and pain at night not relieved by rest
c) Pain during stretching exercises that resolves after rest
d) Joint tightness that improves with warm-up exercises
16.How does a physical assessment screening for functional movement help in
treatment planning for a patient with lower back pain?
a) It only focuses on pain reduction without assessing movement patterns
b) It helps identify compensatory movement patterns that could be contributing to
pain and dysfunction, guiding specific interventions
c) It exclusively focuses on strength testing
d) It only provides information about the patient’s work-related activities
17.Which of the following is a characteristic of "referred pain"?
a) Pain that is felt at the site of injury only
b) Pain that is felt in a location distant from the actual source of the injury
c) Pain that worsens with exercise or physical activity
d) Pain that results from psychological factors alone
18.Which of the following conditions is most likely to cause a change in the shape
of the nail plate, such as clubbing or pitting?
a) Vitamin C deficiency
b) Circulatory diseases like peripheral artery disease
c) Normal aging process
d) Increased physical activity
19.Which nail condition is most commonly associated with iron deficiency
anaemia?
a) Clubbing
b) Koilonychia (spoon nails)
c) Beau’s lines
d) Nail pitting
20.What is the most likely cause of the appearance of horizontal grooves (Beau’s
lines) on the nails?
a) Fungal nail infection
b) Trauma to the nail matrix
c) Systemic illness or severe stress
d) Vitamin deficiency
Short questions:
1.In clinical decision-making, why is it important to consider red flags during the
assessment of a patient with back pain? Provide an example.
2.Explain the difference between a ‘closed-ended’ and an ‘open-ended’ question
during a patient interview in physical therapy and provide examples of both.
3. How can nail changes like koilonychia (spoon nails) be indicative of underlying
systemic conditions, and how should physical therapists address this during patient
management?
