Page 1 of 133
Texas Physical Therapy Jurisprudence Exam (TX
JAM) Exam ACTUAL EXAM COMPLETE QUESTIONS
AND DETAILED SOLUTIONS LATEST UPDATE THIS
YEAR-JUST RELEASED
SUMMARIZED EXAM COVERAGE (HIGH-YIELD OUTLINE)
The TX JAM exam primarily covers Texas laws and Board rules governing PT practice. Major tested areas
include: the Texas Physical Therapy Practice Act, TBPTE authority, licensure and renewal requirements,
continuing competence, ethical practice expectations, prohibited conduct, documentation and
confidentiality (HIPAA/PHI), supervision rules for PTAs/aides/students, delegation limits, direct access
practice requirements, patient consent and rights, billing fraud prevention, advertising rules, telehealth
compliance, impairment reporting, disciplinary procedures, and mandatory reporting of misconduct or
criminal history. Candidates must understand how Texas rules apply in real clinical scenarios, especially
related to patient safety, scope of practice, supervision, recordkeeping, and professional
accountability.
Q1.
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A PTA performs a full musculoskeletal evaluation on a new patient and independently establishes
treatment goals. What is the main legal problem under Texas practice rules?
A. PTA evaluations are allowed if the PT cosigns within 30 days
B. PTA evaluations are allowed only in outpatient settings
C. PTA cannot perform initial evaluation or independently establish the plan of care
D. PTA may evaluate only if the patient is direct access
Answer: C
Rationale: In Texas, the initial evaluation and establishing the plan of care are PT responsibilities. PTA
cannot independently evaluate or create goals.
Q2.
A PT allows an unlicensed aide to apply therapeutic ultrasound while the PT treats another patient in a
separate room. Which statement best describes this situation?
A. It is acceptable if the aide has been trained internally by the clinic
B. It is acceptable if the PT is in the building and reachable
C. It is improper because ultrasound is a skilled intervention requiring a licensed provider
D. It is proper if the patient signed consent for aide-provided treatment
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Answer: C
Rationale: Aides may assist with unskilled tasks only. Ultrasound is a skilled modality requiring
appropriate licensure and supervision.
Q3.
A PT begins treating a patient through direct access but notices sudden calf swelling, redness, and
warmth. What is the best jurisprudence-compliant action?
A. Continue treatment and document that the patient tolerated therapy well
B. Immediately refer the patient for medical evaluation due to possible DVT red flags
C. Perform aggressive stretching to reduce swelling and reassess next week
D. Discharge the patient because direct access does not allow red flag screening
Answer: B
Rationale: PTs must recognize red flags and refer out immediately. Suspected DVT requires urgent
medical referral.
Q4.
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A PT advertises online: “Guaranteed cure for back pain in 3 visits or your money back.” What is the most
likely legal concern?
A. It is legal if the PT refunds the money when results fail
B. It is misleading advertising and may violate professional conduct rules
C. It is allowed if the PT holds a DPT degree
D. It is legal if the clinic has patient testimonials supporting it
Answer: B
Rationale: Advertising must be truthful and not misleading. Guaranteed outcomes violate ethical and
legal advertising standards.
Q5.
A PT documents 45 minutes of manual therapy even though the patient was only present for 25
minutes. What violation is most clearly present?
A. Minor documentation error with no disciplinary relevance
B. Fraudulent documentation and potential billing misconduct
C. Legal only if the PT intended to provide the remaining time later
D. Acceptable if the patient had a complex condition
Texas Physical Therapy Jurisprudence Exam (TX
JAM) Exam ACTUAL EXAM COMPLETE QUESTIONS
AND DETAILED SOLUTIONS LATEST UPDATE THIS
YEAR-JUST RELEASED
SUMMARIZED EXAM COVERAGE (HIGH-YIELD OUTLINE)
The TX JAM exam primarily covers Texas laws and Board rules governing PT practice. Major tested areas
include: the Texas Physical Therapy Practice Act, TBPTE authority, licensure and renewal requirements,
continuing competence, ethical practice expectations, prohibited conduct, documentation and
confidentiality (HIPAA/PHI), supervision rules for PTAs/aides/students, delegation limits, direct access
practice requirements, patient consent and rights, billing fraud prevention, advertising rules, telehealth
compliance, impairment reporting, disciplinary procedures, and mandatory reporting of misconduct or
criminal history. Candidates must understand how Texas rules apply in real clinical scenarios, especially
related to patient safety, scope of practice, supervision, recordkeeping, and professional
accountability.
Q1.
, Page 2 of 133
A PTA performs a full musculoskeletal evaluation on a new patient and independently establishes
treatment goals. What is the main legal problem under Texas practice rules?
A. PTA evaluations are allowed if the PT cosigns within 30 days
B. PTA evaluations are allowed only in outpatient settings
C. PTA cannot perform initial evaluation or independently establish the plan of care
D. PTA may evaluate only if the patient is direct access
Answer: C
Rationale: In Texas, the initial evaluation and establishing the plan of care are PT responsibilities. PTA
cannot independently evaluate or create goals.
Q2.
A PT allows an unlicensed aide to apply therapeutic ultrasound while the PT treats another patient in a
separate room. Which statement best describes this situation?
A. It is acceptable if the aide has been trained internally by the clinic
B. It is acceptable if the PT is in the building and reachable
C. It is improper because ultrasound is a skilled intervention requiring a licensed provider
D. It is proper if the patient signed consent for aide-provided treatment
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Answer: C
Rationale: Aides may assist with unskilled tasks only. Ultrasound is a skilled modality requiring
appropriate licensure and supervision.
Q3.
A PT begins treating a patient through direct access but notices sudden calf swelling, redness, and
warmth. What is the best jurisprudence-compliant action?
A. Continue treatment and document that the patient tolerated therapy well
B. Immediately refer the patient for medical evaluation due to possible DVT red flags
C. Perform aggressive stretching to reduce swelling and reassess next week
D. Discharge the patient because direct access does not allow red flag screening
Answer: B
Rationale: PTs must recognize red flags and refer out immediately. Suspected DVT requires urgent
medical referral.
Q4.
, Page 4 of 133
A PT advertises online: “Guaranteed cure for back pain in 3 visits or your money back.” What is the most
likely legal concern?
A. It is legal if the PT refunds the money when results fail
B. It is misleading advertising and may violate professional conduct rules
C. It is allowed if the PT holds a DPT degree
D. It is legal if the clinic has patient testimonials supporting it
Answer: B
Rationale: Advertising must be truthful and not misleading. Guaranteed outcomes violate ethical and
legal advertising standards.
Q5.
A PT documents 45 minutes of manual therapy even though the patient was only present for 25
minutes. What violation is most clearly present?
A. Minor documentation error with no disciplinary relevance
B. Fraudulent documentation and potential billing misconduct
C. Legal only if the PT intended to provide the remaining time later
D. Acceptable if the patient had a complex condition
