A 69-year-old patient 1 week status post total hip replacement has new symptoms of
lightheadedness, along with numbness and tingling of their arms and legs. He is
hyperventilating and his arterial blood gas reports read as follows:
pH- 7.48
PaCO2- 30 mmHg
HCO3- 26 mEq/L
Which of the following is the most INAPPROPRIATE treatment for this patient?
Select one:
1. Using rebreathing mask/paper bag
2. Pain control
3. Intravenous injection of sodium bicarbonate
4. CO2 administration
Give this one a try later!
3
,A Physical Therapist is treating a 65-year-old female patient suffering from congestive
heart failure. Which of the following is LEAST likely to be caused by her condition?
1. Ascitis
2. Frothy sputum
3. Pitting edema
4. Platypnea
Give this one a try later!
4. Platypnea
Platypnea is breathlessness or SOB caused with sitting, which is relieved on
lying down in supine position. Patients with CHF generally have orthopnea,
which is difficulty breathing while lying supine and relieved when sitting up.
CHF causes accumulation of fluid in the body tissues resulting in symptoms
like pitting edema, ascites, and frothy sputum.
A 51 year old male recently sustained a fall at an apartment. EMS arrived to the scene,
assessed vitals and immediately transferred him to a nearby hospital. He has a PMH of
portal HTN, enlarge spleen, liver cirrhosis. After hours of testing, the patient
bloodwork revealed a platelet count of 19,800. The physical therapist is reviewing his
medical record and is developing a MOST strategic POC that would be safe as it
would consider:
1. Performing AAROM exercises in a gravity eliminated plane motion while focusing
on ADLs.
2. Initiating warm up exercise with use of a stationary bike.
3. No treatment, patient would need to undergo transfusion.
4. Patient ambulate to his tolerance with an assistive device.
Give this one a try later!
, 1.
Answer 1<20,000 platelet count, would need to perform ADLs, AAROM or
AROM with gravity eliminated position. having patient ambulate to his
tolerance as platelet count 22,000 (20K-30K: light AROM exercises, no
PROM, walking to tolerance). 30K-50K (AROM, submaximal isometrics,
walking to tolerance, stationary bike, aquatic therapy, no prolong stretching
or resistive exercises. <10K transfused.
A patient receiving aquatic therapy reports that the exercises have become too easy
and would like to be challenged. The Physical Therapist aims to increase the
resistance using the physical properties of water. In order to accomplish this, what
should the Physical Therapist instruct the patient to do?
Select one:
1. Instruct the patient to decrease their velocity
2. Instruct the patient to exercise in calm water rather than turbulent water
3. Instruct the patient to keep the extremity under water rather than moving through
the water when exercising
4. Instruct the patient to increase the surface area moving through water
Give this one a try later!
4. The correct answer is: Instruct the patient to increase the surface area
moving through water
Increasing the velocity of movement (not decreasing) will increase the
resistance to flow. An extremity that moves through the surface will have
more resistance rather than an extremity that is kept under water. When,
increasing the surface area moving through water, the patient can increase
the resistance secondary to the viscosity of the water. Turbulent water
creates greater resistance as compared to calm water.
, Q33) A PT got a new job at an acute care center and is undergoing training about
personal protective equipment. Which of the following is the MOST appropriate
sequence to don the PPE?
1. Gown, respirator, face shield, gloves
2. Gown, face shield, respirator, gloves
3. Gown, respirator, gloves, face shield
4. Respirator, gown, face shield, gloves
Give this one a try later!
1. respirator is the same as a facemask
Answer: 1 Rationale: The correct sequence to don PPE: gown, face mask or
respirator, googles/face shield, gloves.
A Physical Therapist is performing PROM on a patient with foot pain, status post
immobilization from a deltoid ligament. The patient has eversion of 10 degrees and
inversion of 30 degrees at their right foot. No muscle tightness is observed. MMT of
the peroneus longus and brevis is 4+ and tibialis anterior is 4. What is the MOST
appropriate intervention to perform on this patient?
Select one:
1. Strengthening of tibialis anterior
2. Medial glide at the subtalar joint
3. Strengthening of peroneus longus and brevis
4. Lateral glide at the subtalar joint
Give this one a try later!
2. CONVEX rule here. The patient has a limited eversion, but good muscle
strength. Additionally the PROM is limited. The mobilization performed
should be a medial glide at the subtalar joint, as the CONVEX surface of
CALCANEUS glides medially in the CONCAVE SURFACE OF TALUS during
eversion. Inversion and eversion occur at the subtalar joint. Reference:
lightheadedness, along with numbness and tingling of their arms and legs. He is
hyperventilating and his arterial blood gas reports read as follows:
pH- 7.48
PaCO2- 30 mmHg
HCO3- 26 mEq/L
Which of the following is the most INAPPROPRIATE treatment for this patient?
Select one:
1. Using rebreathing mask/paper bag
2. Pain control
3. Intravenous injection of sodium bicarbonate
4. CO2 administration
Give this one a try later!
3
,A Physical Therapist is treating a 65-year-old female patient suffering from congestive
heart failure. Which of the following is LEAST likely to be caused by her condition?
1. Ascitis
2. Frothy sputum
3. Pitting edema
4. Platypnea
Give this one a try later!
4. Platypnea
Platypnea is breathlessness or SOB caused with sitting, which is relieved on
lying down in supine position. Patients with CHF generally have orthopnea,
which is difficulty breathing while lying supine and relieved when sitting up.
CHF causes accumulation of fluid in the body tissues resulting in symptoms
like pitting edema, ascites, and frothy sputum.
A 51 year old male recently sustained a fall at an apartment. EMS arrived to the scene,
assessed vitals and immediately transferred him to a nearby hospital. He has a PMH of
portal HTN, enlarge spleen, liver cirrhosis. After hours of testing, the patient
bloodwork revealed a platelet count of 19,800. The physical therapist is reviewing his
medical record and is developing a MOST strategic POC that would be safe as it
would consider:
1. Performing AAROM exercises in a gravity eliminated plane motion while focusing
on ADLs.
2. Initiating warm up exercise with use of a stationary bike.
3. No treatment, patient would need to undergo transfusion.
4. Patient ambulate to his tolerance with an assistive device.
Give this one a try later!
, 1.
Answer 1<20,000 platelet count, would need to perform ADLs, AAROM or
AROM with gravity eliminated position. having patient ambulate to his
tolerance as platelet count 22,000 (20K-30K: light AROM exercises, no
PROM, walking to tolerance). 30K-50K (AROM, submaximal isometrics,
walking to tolerance, stationary bike, aquatic therapy, no prolong stretching
or resistive exercises. <10K transfused.
A patient receiving aquatic therapy reports that the exercises have become too easy
and would like to be challenged. The Physical Therapist aims to increase the
resistance using the physical properties of water. In order to accomplish this, what
should the Physical Therapist instruct the patient to do?
Select one:
1. Instruct the patient to decrease their velocity
2. Instruct the patient to exercise in calm water rather than turbulent water
3. Instruct the patient to keep the extremity under water rather than moving through
the water when exercising
4. Instruct the patient to increase the surface area moving through water
Give this one a try later!
4. The correct answer is: Instruct the patient to increase the surface area
moving through water
Increasing the velocity of movement (not decreasing) will increase the
resistance to flow. An extremity that moves through the surface will have
more resistance rather than an extremity that is kept under water. When,
increasing the surface area moving through water, the patient can increase
the resistance secondary to the viscosity of the water. Turbulent water
creates greater resistance as compared to calm water.
, Q33) A PT got a new job at an acute care center and is undergoing training about
personal protective equipment. Which of the following is the MOST appropriate
sequence to don the PPE?
1. Gown, respirator, face shield, gloves
2. Gown, face shield, respirator, gloves
3. Gown, respirator, gloves, face shield
4. Respirator, gown, face shield, gloves
Give this one a try later!
1. respirator is the same as a facemask
Answer: 1 Rationale: The correct sequence to don PPE: gown, face mask or
respirator, googles/face shield, gloves.
A Physical Therapist is performing PROM on a patient with foot pain, status post
immobilization from a deltoid ligament. The patient has eversion of 10 degrees and
inversion of 30 degrees at their right foot. No muscle tightness is observed. MMT of
the peroneus longus and brevis is 4+ and tibialis anterior is 4. What is the MOST
appropriate intervention to perform on this patient?
Select one:
1. Strengthening of tibialis anterior
2. Medial glide at the subtalar joint
3. Strengthening of peroneus longus and brevis
4. Lateral glide at the subtalar joint
Give this one a try later!
2. CONVEX rule here. The patient has a limited eversion, but good muscle
strength. Additionally the PROM is limited. The mobilization performed
should be a medial glide at the subtalar joint, as the CONVEX surface of
CALCANEUS glides medially in the CONCAVE SURFACE OF TALUS during
eversion. Inversion and eversion occur at the subtalar joint. Reference:
