boards exam 1

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Question 1.

An athlete is referred to physical therapy after being diagnosed with apophysitis of the ischial tuberosity. Which mechanism of injury is MOST consistent with this condition?

a runner competing in the hurdles

2

Question 2.

A physical therapist assistant reads in the medical record that a patient exhibits asthenia. Which test would be the MOST useful to identify the presence of this condition?

manual resistance to assess muscle strength

3

Question 3.

A physical therapist assistant uses intermittent compression to treat a patient with an acute ankle sprain. The patient is positioned in supine with the leg elevated on a 40 degree wedge. The physical therapist assistant uses an inflation pressure of 50 mm Hg with an on:off time of 40 seconds on and 20 seconds off. The treatment time is scheduled for 20 minutes. After five minutes of treatment the patient reports some discomfort in the ankle. The MOST appropriate modification to the current treatment parameters would be:

increase the off time

4

Question 4.

A physical therapist assistant treats a patient diagnosed with chronic arterial disease. The patient exhibits cool skin, decreased sensitivity to temperature changes, and intermittent claudication with activity. The primary treatment goal is to increase the patient’s ambulation distance. The MOSTappropriate ambulation parameters to facilitate achievement of the goal are:

short duration, frequent intervals

5

Question 5.

A patient rehabilitating from a bone marrow transplant is referred to physical therapy for instruction in an exercise program. The physical therapist assistant plans to use oxygen saturation measurements to gain additional objective data related to the patient’s exercise tolerance. Assuming the patient’s oxygen saturation was measured as 95% at rest, which of the following guidelines would be the MOSTappropriate?

discontinue exercise when the patient’s oxygen saturation is below 90%

Normal pulse oximeter readings usually range from 95 to 100 percent

6

Question 6.

A physical therapist assistant attempts to select an assistive device for a patient rehabilitating from a traumatic brain injury. The patient is occasionally impulsive, however, has fair standing balance and good upper and lower extremity strength. Which of the following would be the MOST appropriate assistive device?

walker

7

Question 7.

A 62-year-old female is restricted from physical therapy for two days following surgical insertion of a urinary catheter. This type of procedure is MOST commonly performed with a:

suprapubic catheter

8

Question 8.

A physical therapist assistant completes documentation after administering an ultrasound treatment. Which treatment parameter would be the LEAST important to document?

patient position

9

Question 9.

A physical therapist assistant assesses the vital signs of a patient with a blood disorder. The physical therapist assistant records the patient’s blood pressure as 150/85 mm Hg. Which condition is MOSTlikely the cause of the abnormal blood pressure measurement?

polycythemia

10

Question 10.

A physical therapist assistant discusses pain management for a patient following total hip arthroplasty with the patient’s nurse. Which objective finding would make the use of patient controlled analgesia MOST unrealistic?

altered cognitive status

11

Question 11.

A physical therapist assistant observes that a patient with a history of recurrent lateral ankle sprains exhibits excessive supination during gait. Which condition would be MOST commonly associated with this type of observation?

peroneal tenosynovitis

12

Question 12.

A physical therapist assistant employed in an acute care hospital interviews a patient referred to physical therapy. During the discussion, the physical therapist assistant asks the patient if he feels dependent on coffee, tea or soft drinks. Which clinical scenario would MOST appropriately warrant this type of question?

a 42-year-old male with premature ventricular contractions

13

Question 13.

A physical therapist assistant instructs a patient in a traditional bench press exercise using free weights. Which modification would be the MOST beneficial to limit the amount of stress placed on the anterior capsule of the shoulder?

ensure that the bar does not contact the chest during the downward movement

14
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Question 14.

A physical therapist assistant instructs a patient in a lower extremity stretching exercise depicted in the image. After observing the patient complete the stretch, the physical therapist assistant places a bolster under the patient’s right distal femur and asks them to repeat the stretching procedure. This modification is designed to enhance the stretch on the:

rectus femoris

15

Question 15.

A physical therapist assistant assigns a manual muscle test grade of 4 to patient A and a grade of 2 to patient B after assessing the strength of the tibialis anterior. Which of the following is the BESTinterpretation of the patients’ strength?

patient A is stronger than patient B

16

Question 16.

A physical therapist assistant inspects a patient’s wound prior to applying a dressing. When documenting the findings in the medical record, the physical therapist assistant classifies the exudate from the wound as serous. Based on the documentation, the MOST likely color of the exudate is:

clear - Serous

serosanguineus - pink

Sanguineous - Red

Purulent- yellow

17

Question 17.

A patient recently diagnosed with end-stage renal disease begins hemodialysis treatments at an outpatient dialysis center. Which frequency and duration of dialysis is MOST typical?

three times a week for four hours

18

Question 18.

A physical therapist assistant employed in an acute care hospital observes that a patient appears to have recently gained weight. Which medical condition would MOST likely be associated with this type of scenario?

congestive heart failure

19

Question 19.

A physical therapist assistant treats a patient with end-stage renal disease for general deconditioning. Which other symptoms would this patient MOST likely demonstrate?

decreased urine output and anemia

20

Question 20.

A physical therapist assistant attempts to assess a patient’s relative risk for developing coronary artery disease. Which patient scenario would result in the patient being at the greatest risk?

a 48-year old male with a total serum cholesterol of 224 mg/dl

21

Question 21.

A patient with acute back pain is given a transcutaneous electrical nerve stimulation unit to use at home. The physical therapist assistant provides detailed instructions on the care and use of the unit. Which of the following activities is NOT the responsibility of the patient?

alter the pulse rate and width

22

Question 22.

A patient with a right radial head fracture is treated in physical therapy. The patient’s involved elbow range of motion begins at 15 degrees of flexion and ends at 90 degrees of flexion. The physical therapist assistant should record the patient’s elbow range of motion as:

15-90

23

Question 23.

A physical therapist assistant using an electrical stimulation device attempts to quantify several characteristics of a monophasic waveform. When measuring phase charge, the standard unit of measure is the:

coulomb

24

Question 24.

A physical therapist assistant attempts to improve a patient’s lower extremity strength. Which proprioceptive neuromuscular facilitation technique would be the MOST appropriate to achieve the established goal?

repeated contractions

25
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Question 25.

A physical therapist assistant instructs a patient in a home stretching program that includes the pictured stretch. The MOST likely structure targeted is the:

piriformis

26

Question 26.

A patient is limited in passive ankle dorsiflexion when the knee is extended, but is not limited when the knee is flexed. The MOST logical explanation is:

the gastrocnemius is responsible for the limitation

27
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Question 27.

A patient rehabilitating from an upper extremity injury affecting the left shoulder performs a resistive exercise as shown. Which muscle would be primarily emphasized when performing the pictured exercise?

supraspinatus

28

Question 28.

A physical therapist assistant completes a developmental assessment on a seven-month-old infant. Assuming normal development, which of the following reflexes would NOT be integrated?

Landau reflex

29

Question 29.

A physical therapist assistant completes a developmental assessment on an infant. Which position would typically be the LAST to occur assuming normal development?

modified plantigrade

30

Question 30.

A physical therapist assistant reviews the medical record of a patient with known cardiovascular pathology. The patient’s past medical history includes gastroesophageal reflux disease. Which activity would potentially be the MOST problematic for the patient?

administering percussion to the anterior basal segments of the lower lobes

31

Question 31.

A physical therapist assistant administers a submaximal graded exercise test to a patient prior to prescribing an aerobic training program. Which statement is a valid assumption of a submaximal exercise test?

maximum oxygen consumption at a given work rate is the same for everyone

32

Question 32.

A physical therapist assistant administers the Six-Minute Walk Test to a 65-year-old male with reduced aerobic capacity. Which of the following BEST describes a limitation of the selected test?

fails to provide insight into the mechanism of exercise limitation

33

Question 33.

A physical therapist assistant observes the gait of a patient following a lateral ankle sprain. The patient walks without crutches, but it is evident that walking is extremely painful. Which description is MOSTaccurate when describing the unaffected extremity during walking?

shorter swing phase and shorter step length

34
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Question 34.

A physical therapist assistant working in an outpatient physical therapy clinic guards a patient descending a step with axillary crutches. Based on the photograph, the MOST likely patient scenario is:

partial weight bearing secondary to a left lateral ankle sprain

35

Question 35.

A physical therapist assistant conducts an inservice on exercise guidelines for a group of senior citizens. As part of the inservice the physical therapist assistant discusses the benefits of improving cardiovascular status through a low intensity activity such as a walking program. What frequency of exercise would be the MOST desirable to achieve the stated objective?

five times per week

36

Question 36.

A physical therapist assistant employed in an acute care hospital reviews the medical record of a patient diagnosed with congestive heart failure. The physical therapist assistant would like to implement a formal exercise program, but is concerned about the patient’s exercise tolerance. Which condition is MOST responsible for the patient’s limited exercise tolerance?

insufficient stroke volume during ventricular systole

37

Question 37.

A physical therapist assistant measures a patient for a wheelchair. When measuring back height, which method is MOST accurate?

measure from the seat of the chair to the base of the axilla and subtract four inches

38

Question 38.

A patient exercising in the physical therapy gym informs the physical therapist assistant that he is experiencing chest pain. After resting for 20 minutes the patient’s condition is unchanged, however, he insists it is something that he can work through. The MOST appropriate action is:

discontinue the treatment session and call an ambulance

39

Question 39.

A physical therapist assistant transports a patient in a wheelchair to the parallel bars in preparation for ambulation activities. The patient is status post abdominal surgery and has not ambulated in over two weeks. The MOST appropriate action to facilitate ambulation is:

demonstrate ambulation in the parallel bars

40

Question 40.

A physical therapist assistant attempts to classify the amount of assistance a patient requires to complete a sit to stand transfer. After completing the transfer, the physical therapist assistant estimates that he was required to exert approximately 20% of the physical work in order to ensure the transfer was completed safely. The MOST appropriate classification of the level of assistance would be:

minimal assistance

41

Question 41.

A physical therapist assistant inspects a wound that has large quantities of exudate which requires frequent dressing changes. If the physical therapist assistant applies a dressing that cannot handle the quantity of exudate present, the MOST likely outcome is:

maceration

42

Question 42.

A patient refuses physical therapy services after being transported to the gym. The physical therapist assistant explains the potential consequences of refusing treatment, however, the patient does not reconsider. The MOST appropriate initial action is:

document the incident in the medical record

43

Question 43.

A 21-year-old female is examined in physical therapy after sustaining a grade I ankle sprain two days ago in a marching band competition. The patient’s description of the mechanism of injury is consistent with inversion and plantar flexion. Which of the following ligaments would MOST likely be affected?

anterior talofibular ligament

44

Question 44.

A physical therapist assistant prepares to administer iontophoresis over the anterior surface of a patient’s knee. The physical therapist assistant would like to keep the current density low in order to avoid skin irritation. Which of the listed parameters would BEST accomplish the stated objective?

current amplitude of 4 mA; electrode with an area of 12 cm2

45
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Question 45.

A physical therapist assistant performs a goniometric measurement of the wrist on a patient diagnosed with carpal tunnel syndrome. Based on the presented image, which value would be MOSTanticipated assuming the patient has normal wrist range of motion?

0-20 degrees

46

Question 46.

A physical therapist assistant completes a coordination assessment on a 67-year-old patient with central nervous system involvement. After reviewing the results of the assessment, the physical therapist assistant concludes the clinical findings are indicative of cerebellar dysfunction. Which finding is NOT associated with cerebellar dysfunction?

hypertonia

47

Question 47.

A physical therapist assistant tests a small area of skin for hypersensitivity prior to using a cold immersion bath. The patient begins to demonstrate evidence of cold intolerance within 60 seconds after cold application. The MOST appropriate response is to:

discontinue cold application and document the findings

48
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Question 48.

A patient with T10 paraplegia is working with a physical therapist assistant on how to react in the event of a backward fall. The patient is instructed to place one hand behind the head and the other across their lap as seen in the image. This directive will protect the head and:

prevent the lower extremities from hitting the patient’s face

49

Question 49.

A patient four weeks status post anterior cruciate ligament reconstruction questions a physical therapist assistant as to why he is still partial weight bearing. An acceptable rationale is:

the patient does not have full active knee extension

50

Question 50.

A physical therapist assistant works with a patient diagnosed with patellofemoral syndrome. As part of the physical therapy session the physical therapist assistant measures the patient’s Q angle. Which three bony landmarks are used to measure the Q angle?

anterior superior iliac spine, the midpoint of the patella, tibial tubercle

51

Question 51.

A patient in a rehabilitation hospital begins to verbalize about the uselessness of life and the possibility of committing suicide. The MOST appropriate action is:

discuss the situation with the patient’s case manager

52
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Question 52.

A physical therapist assistant positions a patient as shown prior to testing for clonus. The MOSTappropriate action to complete the test is:

provide a quick stretch to the plantar flexors

53

Question 53.

A 29-year-old male diagnosed with ankylosing spondylitis reports progressive stiffening of the spine and associated pain for more than five years. The patient’s MOST typical standing posture demonstrates:

flattened lumbar curve exaggerated thoracic curve

54

Question 54.

A physical therapist assistant prepares to assess the balance of a patient with a neurological disorder. The MOST appropriate method to assess the vestibular component of balance would be:

apply a perturbation to alter the body’s center of gravity

55

Question 55.

A physical therapist assistant works with a patient with a limited straight leg raise of 40 degrees due to inadequate hamstrings length. Which proprioceptive neuromuscular facilitation technique would be the MOST appropriate to increase the patient’s hamstrings length?

contract-relax

56

Question 56.

A physical therapist assistant observes a patient during gait training. The patient has normal strength and equal leg length. As the patient passes midstance he slightly vaults and exhibits early toe off. The MOST likely cause of this deviation is:

limited dorsiflexion

57

Question 57.

A patient with an acute burn is referred to physical therapy less than 24 hours after being admitted to the hospital. The patient’s burns range from superficial partial-thickness to deep partial-thickness and encompass approximately 35 percent of the patient’s total body surface area. Which of the following findings would be MOST predictable based on the patient’s injury?

increased oxygen consumption

58

Question 58.

A patient sustains a deep partial-thickness burn to the anterior surface of the right upper extremity and a superficial partial-thickness burn to the anterior surface of the trunk. According to the rule of nines, the patient has burns over:

22.5 percent of the body

59

Question 59.

A physical therapist assistant reviews a physical therapy examination which indicates diminished sensation in the L3 dermatome. The MOST appropriate location to confirm the finding is:

anterior thigh

60

Question 60.

A physical therapist assistant attempts to obtain a history from a patient that recently immigrated to the United States. The patient does not speak English and seems to be intimidated by the hospital environment. The MOST appropriate action is to:

request an interpreter

61

Question 61.

A 61-year-old male referred to physical therapy complains of an excessive cough, sputum production, and shortness of breath. The patient indicates that he has been bothered by some combination of these symptoms for over 10 years. The patient’s present condition is MOST indicative of:

chronic bronchitis

62

Question 62.

A patient appears to be somewhat anxious after learning her treatment will include soft tissue massage. The MOST appropriate massage stroke to begin treatment is:

effleurage

63

Question 63.

A patient two days status post arthrotomy of the knee completes a quadriceps setting exercise while lying supine on a mat table. During the exercise the patient begins to experience severe pain. The MOST appropriate action is:

discontinue the exercise

64

Question 64.

A physical therapist assistant enters a private treatment area and observes a patient collapsed on the floor. The patient appears to be moving slightly, however, seems to be in need of medical assistance. The MOST immediate action is:

check for unresponsiveness

65

Question 65.

A 48-year-old female rehabilitating from a fractured femur asks questions about her expected functional level following rehabilitation. Assuming an uncomplicated recovery, the MOST accurate prediction of functional level would be based on the patient’s:

previous functional level

66

Question 66.

A physical therapist assistant attempts to strengthen the lumbricals on a patient with a low metatarsal arch. Which exercise would be the MOST appropriate?

resisted flexion of the metatarsophalangeal joint

67

Question 67.

A physical therapist assistant treats a patient diagnosed with spinal stenosis. As part of the treatment program, the patient lies prone on a treatment plinth with a hot pack draped over the low back. The MOST effective method to monitor the patient while using the hot pack is:

supply the patient with a bell to ring if the hot pack becomes too hot

68

Question 68.

A physical therapist assistant works with a patient diagnosed with Parkinson’s disease. Which of the following clinical findings would the physical therapist assistant expect to identify?

cogwheel rigidity

69

Question 69.

A physical therapist assistant observes a patient status post transfemoral amputation lying in supine with a pillow positioned under the residual limb. This position results in the patient being MOSTsusceptible to a:

hip flexion contracture

70

Question 70.

A patient diagnosed with Guillain-Barre syndrome works on weight shifting activities while standing in the parallel bars. The PRIMARY objective of this activity is to improve:

controlled mobility

71

Question 71.

A physical therapist assistant administers ultrasound over a patient’s anterior thigh. After one minute of treatment, the patient reports feeling a slight burning sensation under the soundhead. The MOSTappropriate action is to:

temporarily discontinue treatment and examine the amount of coupling agent utilized

72

Question 72.

A physical therapist assistant uses a manual wheelchair during a training session with a patient with C5 quadriplegia. Which wheelchair would be the MOST appropriate based on the patient’s level of injury?

manual wheelchair with handrim projections

73

Question 73.

A physical therapist assistant treats a patient who has experienced a lengthy hospitalization. Which cardiovascular system change is LEAST likely with prolonged bed rest?

decreased maximal heart rate

74

Question 74.

A patient has weakness of the quadriceps secondary to a femoral nerve injury. When observing the patient’s gait from heel strike to foot flat, the physical therapist assistant would MOST likely observe the patient compensate for their injury by:

leaning the trunk forward

75

Question 75.

A physical therapist assistant classifies the gait of a patient with hemiplegia as equinus. Which finding is MOST likely to promote this type of gait pattern?

excessive activity of the gastrocnemius

76

Question 76.

A patient with several motor and sensory abnormalities exhibits signs of autonomic nervous system dysfunction. Which of the following is NOT an indicator of increased sympathetic involvement?

constriction of the pupils

77

Question 77.

A physical therapist assistant observes a five-month-old infant in supine with their legs elevated and the hips positioned in hip flexion, abduction, and lateral rotation. Which observation would represent the MOST advanced volitional movement in this position?

reaching of the hand to the contralateral foot

78

Question 78.

A physical therapist assistant educates a patient status post transfemoral amputation on the importance of frequent skin checks. The MOST appropriate resource for the patient to utilize when inspecting the posterior aspect of the residual limb is a:

hand mirror

79

Question 79.

A physical therapist assistant works with a 26-year-old female whose subjective complaints include morning stiffness of her hands and visible swelling. The patient indicates that the stiffness seems to diminish with activity. This description BEST describes:

rheumatoid arthritis

80

Question 80.

A physical therapist assistant instructs a patient diagnosed with C6 tetraplegia in functional activities. Which of the following activities would be LEAST appropriate?

independent self-range of motion of the lower extremities

81

Question 81.

A 22-year-old male status post traumatic brain injury receives physical therapy services in a rehabilitation hospital. The patient is presently functioning at Rancho Los Amigos level VI. The patient has progressed well in therapy, however, has been bothered by diplopia. Which treatment strategy would be the MOST appropriate to address diplopia?

place a patch over one of the patient’s eyes

82

Question 82.

A physical therapist assistant recognizes that a child has significant difficulty flexing the neck while in a supine position. Failure to integrate which reflex could explain the child’s difficulty?

symmetrical tonic labyrinthine reflex

83

Question 83.

A physical therapist assistant instructs a patient’s spouse to remove and reapply a bandage. Which of the following instructional methods would be the MOST appropriate to ensure the task is performed appropriately?

instruct the spouse to remove and reapply the bandage and observe her performance

84

Question 84.

A physical therapist assistant would like to minimize the likelihood of a burn when using iontophoresis. Which action would be the MOST consistent with the physical therapist assistant’s objective?

increase the size of the cathode relative to the anode

85

Question 85.

A physical therapist assistant reviews a patient coverage form that lists the parameters used during a recent ultrasound treatment to the right anterior shoulder: 1.5 W/cm2, pulsed 20%, 1 MHz, 6 minutes. Assuming the objective of the ultrasound was to increase tissue temperature, which parameter would be the MOST critical for the physical therapist assistant to alter?

duty cycle

86

Question 86.

A physical therapist assistant attempts to assess the integrity of the vestibulocochlear nerve by administering the Rinne test on a patient with a suspected upper motor neuron lesion. After striking the tine of the tuning fork to begin vibration, which bony prominence should the physical therapist assistant utilize to position the stem of the tuning fork?

mastoid process

87

Question 87.

A patient involved in a motor vehicle accident sustains a proximal fibula fracture. The fracture damaged the motor component of the common peroneal nerve. Ankle dorsiflexion and eversion are tested as 2/5. The MOST appropriate intervention to assist the patient with activities of daily living would be:

orthosis

88

Question 88.

A physical therapist assistant discusses the importance of a proper diet with a patient diagnosed with congestive heart failure. Which of the following substances would MOST likely be restricted in the patient’s diet?

sodium

89

Question 89.

A physical therapist assistant instructs a patient with pulmonary pathology in energy conservation techniques. Which of the following techniques would be the MOST effective when assisting a patient to complete a selected activity without dyspnea?

pacing

90

Question 90.

A physical therapist assistant reviews the medical record of a patient 24 hours status post total hip arthroplasty. A recent entry in the medical record indicates that the patient was placed on anticoagulant medication. Which of the following laboratory values would be MOST affected based on the patient’s current medication?

prothrombin time

91

Question 91.

A physical therapist assistant discusses the plan of care for a 61-year-old male diagnosed with spinal stenosis with the referring physician. During the discussion the physician shows the physical therapist assistant a picture of the patient’s spine obtained through computed tomography. What color would vertebrae appear when using this imaging technique?

white

92

Question 92.

A 16-year-old female accompanied by her mother receives exercise instructions. During the treatment session the mother makes several comments to her daughter that appear to be extremely upsetting and result in the daughter losing concentration. The MOST appropriate action is:

ask the mother to return to the waiting area

93

Question 93.

A physical therapist assistant employed in a busy outpatient orthopedic clinic attempts to determine a schedule for calibration and maintenance of an ultrasound unit. The MOST important factor for the physical therapist assistant to consider when determining an appropriate schedule is:

frequency of use

94

Question 94.

A physical therapist assistant assesses a patient’s upper extremity deep tendon reflexes. The MOSTappropriate location to elicit the brachioradialis reflex is the:

styloid process of the radius

95

Question 95.

A physical therapist assistant attempts to secure a wheelchair for a patient with an incomplete spinal cord injury. The patient is a 28-year-old female that is very active and relies on a wheelchair as her primary mode of transportation. Which type of wheelchair design would be the MOST appropriate for the patient?

lightweight chair with a rigid frame

96

Question 96.

A patient rehabilitating from a spinal cord injury has significant lower extremity spasticity which often results in the patient’s feet becoming dislodged from the wheelchair footrests. The MOST appropriate modification to address this problem is:

heel loops and/or toe loops

97

Question 97.

A physical therapist assistant reviewing a patient’s medical record identifies an order for Doppler ultrasonography. The patient is MOST likely presenting with:

intermittent claudication

98

Question 98.

A physical therapist assistant completes a cognitive function test on a patient status post stroke. As part of the test, the physical therapist assistant assesses the patient’s abstract ability. Which of the following tasks would be the MOST appropriate?

discuss how two objects are similar

99

Question 99.

A physical therapist assistant documents in the medical record that a patient has moved from stage 5 to stage 6 of Brunnstrom’s Stages of Recovery. This type of transition is characterized by:

disappearance of spasticity

100

Question 100.

A physical therapist assistant uses a 3.0 MHz ultrasound beam at 1.5 W/cm2 to treat a patient diagnosed with carpal tunnel syndrome. The majority of ultrasound energy will be absorbed within a depth of:

1-2 centimeters

101

Question 101.

A physical therapist assistant instructs a patient rehabilitating from thoracic surgery how to produce an effective cough. Which patient position would be the MOST appropriate to initiate treatment?

sitting

102
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Question 102.

A physical therapist assistant focuses on increasing range of motion through stretching and the use of proprioceptive neuromuscular facilitation techniques. The patient in the image is performing a contraction of the hamstrings against resistance followed by stretching of the hamstrings by the physical therapist assistant. This is MOST indicative of:

contract-relax

103

Question 103.

A physical therapist assistant instructs a patient rehabilitating from a rotator cuff repair in a home exercise program. The patient is a 27-year-old male who is illiterate. The MOST appropriate action to promote compliance with the exercise program is:

draw pictures to describe the exercises

104

Question 104.

A physical therapist assistant treats a patient status post femur fracture with external fixation. While monitoring the patient during an exercise session, the physical therapist assistant observes clear drainage from a distal pin site. The MOST appropriate action is:

use a gauze pad to absorb the drainage and continue with the exercise session

105

Question 105.

A physical therapist assistant uses a subjective pain scale to assess pain intensity in a patient with multiple sclerosis. The pain scale consists of a 10 cm line with each end anchored by one extreme of perceived pain intensity. The patient is asked to mark on the line the point that best describes their present pain level. This type of scale is BEST termed:

Visual Analogue Scale

106
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Question 106.

A physical therapist assistant works with a five-year-old boy diagnosed with Duchenne muscular dystrophy. The medical chart indicates that the boy was diagnosed with the disease less than one year ago. Assuming a normal progression, which of the following findings would be the FIRST to occur?

proximal muscle weakness

107

Question 107.

A physical therapist assistant obtains an x-ray of a 14-year-old female recently referred to physical therapy after experiencing an increase in back pain following activity. The patient previously participated in competitive gymnastics, however, states that her back was unable to tolerate the intensity of training. Based on the presented x-ray, the physical therapist assistant would expect the patient’s medical diagnosis to be:

spondylolisthesis

108

Question 108.

A patient recently admitted to the hospital with an acute illness is referred to physical therapy. During a scheduled treatment session the patient asks what effect anemia will have on his ability to complete a formal exercise program. The MOST appropriate physical therapist assistant response is:

you may have a tendency to become fatigued

109

Question 109.

A physical therapist assistant works with a patient status post stroke on a mat program. The physical therapist assistant assists the patient in lateral weight shifting activities while positioned in prone on elbows. Which therapeutic exercise technique would allow the patient to improve dynamic stability with this activity?

approximation

110

Question 110.

A patient informs a physical therapist assistant how frustrated she feels after being examined by her physician. The patient explains that she becomes so nervous, she cannot ask any questions during scheduled office visits. The MOST appropriate response is to:

suggest that the patient write down questions for the physician and bring them with her to the next scheduled visit

111

Question 111.

A physician orders x-rays for a 36-year-old male with shoulder pain. Which medical condition could be confirmed using this type of diagnostic imaging?

calcific tendonitis

112

Question 112.

A physical therapist assistant employed in an outpatient orthopedic clinic works with a patient diagnosed with cerebral palsy. The physical therapist assistant has limited experience with cerebral palsy and is concerned about his ability to provide appropriate treatment. The MOST appropriate action is:

co-treat the patient with the supervising physical therapist

113
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Question 113.

A physical therapist assistant positions a patient as shown in order to assess their claim of complete paresis of the right lower extremity. The physical therapist assistant instructs the patient to perform a rapid straight leg raise with their left lower extremity. Which finding would BEST dispute the patient’s claim?

The patient exerts a downward force into the physical therapist assistant’s hand with their right heel.

114

Question 114.

A patient diagnosed with ankylosing spondylitis exhibits a forward stooped posture. As part of the patient’s established plan of care the physical therapist assistant implements a number of active exercises that promote improved posture. Which proprioceptive neuromuscular facilitation pattern would be the MOST appropriate to achieve the established objective?

D2 flexion

115

Question 115.

A physical therapist assistant completing a balanced assessment positions a patient in standing prior to administering the Romberg test. When administering the Romberg test it would be MOST important for the physical therapist assistant to determine:

the amount of sway present during the testing period

116

Question 116.

A physical therapist assistant reviews the medical record of a patient diagnosed with peripheral arterial disease prior to initiating treatment. Which objective finding would MOST severely limit the patient’s ability to participate in an ambulation exercise program?

signs of resting claudication

117

Question 117.

A patient diagnosed with C5 tetraplegia receives physical therapy services in a rehabilitation hospital. The patient has made good progress in therapy and is scheduled for discharge in one week. During a treatment session, the patient informs the physical therapist assistant that one day in the future he will walk again. The MOST appropriate response is:

Future advances in spinal cord research may make your goal a reality.

118
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Question 118.

A physical therapist assistant performs several surface palpations on a patient diagnosed with an acromioclavicular injury. Which anatomical landmark is MOST consistent with the location of the physical therapist assistant’s finger?

suprasternal notch

119

Question 119.

A physical therapist assistant discusses the plan of care for a patient rehabilitating from total hip arthroplasty surgery (posterolateral approach) with the patient’s surgeon. During the discussion the surgeon indicates that he would like the patient to continue to wear a knee immobilizer in order to help prevent hip dislocation. The PRIMARY rationale for this action is:

The knee immobilizer reduces hip flexion by maintaining knee extension.

120

Question 120.

A physical therapist assistant reviews the results of pulmonary function testing on a 44-year-old female diagnosed with emphysema. Assuming the patient’s testing was classified as unremarkable, which of the following lung volumes would MOST likely approximate 10% of the patient’s total lung capacity?

tidal volume

121

Question 121.

A physical therapist assistant is treating a 45-year-old male who sustained a traumatic injury to his right shoulder while playing basketball one week ago. The patient presents with pain, inflammation, and muscle spasm globally in the shoulder. The MOST appropriate intervention is:

grade I and II joint mobilizations

122

Question 122.

A physical therapist assistant observes a patient with a transtibial amputation ambulating in the physical therapy gym. The physical therapist assistant notices that the patient cannot maintain full knee extension during the loading response on the prosthetic side. The MOST likely rationale for the observation is:

alignment of the foot into excessive dorsiflexion

123

Question 123.

A physical therapist assistant treats a patient wearing a shoe that incorporates a rocker bottom. This type of modification would be the MOST beneficial for a patient diagnosed with:

hallux rigidus

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Question 124.

A 48-year-old female patient is referred to physical therapy after being diagnosed with patellofemoral pain syndrome. As part of the session, the patient describes a number of exercises that she was instructed to perform by her personal trainer. Which exercise would likely be the MOST problematic?

long arc quads from 0-45 degrees of knee flexion

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Question 125.

A physical therapist assistant works on improving the range of motion of a patient status post total hip arthroplasty using a posterolateral approach. The patient is having difficulty reaching their feet to don and doff their shoes independently. Which of the following motions should be emphasized to achieve improved independence with this skill?

hip lateral rotation

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card image

Question 126.

A physical therapist assistant instructs a patient to perform a stretch as shown in the image. This type of stretch would MOST likely be used to stretch the:

pectoralis minor

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Question 127.

A physical therapist assistant intends to use compression therapy as part of a patient’s plan of care. The use of compression therapy is LEAST likely for which of the following patients?

a 68-year-old male with lower extremity edema due to congestive heart failure

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Question 128.

A physical therapist assistant works with a patient diagnosed with congestive heart failure who presents with dyspnea during ambulation. The patient has an ejection fraction of less than 55 percent. Which of the following interventions would be the MOST appropriate?

education on energy conservation

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Question 129.

A physical therapist assistant uses metabolic equivalents (METs) as a method to establish exercise intensity for a 36-year-old female. The patient is recreationally active and has no relevant past medical history. Which MET level would be MOST consistent with the patient’s anticipated maximal aerobic capacity?

10 METs

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Question 130.

A physical therapist assistant works with a patient who has type 2 diabetes mellitus and neuropathy in bilateral lower extremities. The physical therapist assistant should educate the patient about appropriate foot care by telling the patient to:

choose socks without seams to avoid irritating the skin on the foot

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Question 131.

A physical therapist assistant performs postural drainage on a 68-year-old male with bronchiectasis. The patient’s medical history includes diabetes and hypertension, both of which are poorly controlled. Which lung segment would MOST likely require the physical therapist assistant to modify the standard treatment procedure?

posterior segment of left lower lobe

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Question 132.

A physical therapist assistant discusses the use of a topical moisturizer with a patient to combat dryness and itching of the skin in the area of a healed burn. Which scenario would MOST likely require the use of a moisturizer for an indefinite period?

a full-thickness burn on the volar surface of the forearm caused by fire

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Question 133.

A physical therapist assistant works with a patient six weeks following total hip arthroplasty (posterolateral approach). The patient’s medical history includes Graves’ disease. Which intervention should the physical therapist assistant avoid when treating the patient?

ambulation in a warm therapy pool

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Question 134.

A physical therapist assistant prepares to initiate an exercise program for a patient with end-stage renal disease on hemodialysis. Which statement is MOST accurate when designing the program?

exercise should occur four to six times per week at low intensities

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Question 135.

A 32-year-old tennis player is referred to physical therapy after being diagnosed with median nerve entrapment. The patient’s chief complaints include paresthesias in the hand and progressive weakness. Which muscle would MOST likely contribute to the entrapment?

pronator teres

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Question 136.

A 13-year-old girl discusses the possibility of anterior cruciate ligament reconstruction with an 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 the following factors would have the GREATESTinfluence on her candidacy for surgery?

skeletal maturity

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Question 137.

A physical therapist assistant treats a one-month-old infant. During the treatment session the physical therapist assistant strokes the cheek of the infant causing the infant to turn its mouth towards the stimulus. This action is utilized to assess the:

rooting reflex

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Question 138.

A physical therapist assistant elects to use mechanical lumbar traction for a patient rehabilitating from a back injury. The therapeutic goals of the session include decreasing the patient’s muscle spasm. The MOST appropriate force based on the stated objective would be:

25% of body weight

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Question 139.

A physical therapist assistant employed in an acute care hospital reviews the results of recent laboratory 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 finding would be MOST likely based on the patient’s hydration status?

increased blood urea nitrogen level

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Question 140.

A physical therapist assistant attempts to confirm the fit of a wheelchair for a patient recently admitted to a skilled nursing facility. After completing the assessment, the physical therapist assistant determines the wheelchair has excessive seat width. Which adverse effect results from excessive seat width?

difficulty propelling the wheelchair

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Question 141.

A physical therapist assistant discusses the process of 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?

C6

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Question 142.

A patient classifies the intensity of exercise as a 16 using Borg’s (20-point) Rating of Perceived Exertion Scale. This classification BEST corresponds to:

85 percent of the maximum heart rate range

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Question 143.

A physical therapist assistant completing a lower quarter screening attempts to palpate the tendon of the tibialis anterior. The MOST appropriate action to facilitate palpation is:

ask the patient to actively move the foot into dorsiflexion and inversion

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Question 144.

A physical therapist assistant treats a patient with Parkinson’s disease who has been receiving levodopa therapy for two years. Which side effect would MOST likely be present due to the chronic use of this medication?

choreoathetosis

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Question 145.

A physical therapist assistant works with a nine-year-old child with cystic fibrosis. The age which BESTapproximates the median age of survival for a patient with cystic fibrosis is:

35-years-old

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Question 146.

A physical therapist assistant performs pulmonary function testing on an otherwise healthy 80-year-old male status post humeral fracture. Which pulmonary value would the physical therapist assistant expect to remain MOST stable over the patient’s lifespan?

tidal volume

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Question 147.

A patient sustained a fracture of the acetabulum that was treated with open reduction and internal fixation. The injury occurred in a motor vehicle accident approximately seven weeks ago. Which objective measure would be the MOST influential variable when determining the patient’s weight bearing status?

radiographic confirmation of bone healing

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Question 148.

A physical therapist assistant concludes that a patient exhibits dysmetria after performing a number of specific tests. Which test would be LEAST helpful to confirm the physical therapist assistant’s conclusion?

walking with alterations in speed

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Question 149.

A physical therapist assistant observes that a patient’s ankle pain tends to be exaggerated during weight bearing activities when the ankle is maximally dorsiflexed. Which component of the gait cycle would likely exacerbate the patient’s ankle pain?

terminal stance

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Question 150.

A physical therapist assistant observes that a patient has difficulty controlling the affected lower extremity during the loading response. This phase is characterized by:

increased quadriceps activity and decreased hamstrings activity