C - Answers A patient who sustained a right cerebrovascular accident presents with a flaccid left arm.
During muscle testing, the patient is able to shrug the left shoulder. The MOST accurate explanation
for shoulder movement is that the right cerebrovascular accident:
A. has affected the right shoulder and not the left shoulder.
B. did not affect the vagus nerve (X), which innervates the upper trapezius muscle.
C. did not affect spinal accessory nerve (XI), which innervates the upper trapezius muscle.
D. has affected the left biceps and triceps muscles but not the deltoid muscles.
D - Answers Manual muscle test grades are an example of which of the following levels of
measurement?
A.Nominal
B. Ratio
C. Interval
D. Ordinal
C - Answers A physical therapist should anticipate that an abnormal lymph node will feel:
A. soft and nonmobile and have an increased skin temperature.
B. firm and nontender and have an increased skin temperature.
C. firm, mobile, and tender or nontender.
D. soft, mobile, and tender or nontender.
A - Answers knee. Which of the following signs and symptoms is MOST indicative of this diagnosis?
A. Mechanical locking
B. Decreased pain with weight bearing
C. Posterior knee swelling
D. Atrophy of hamstrings
A - Answers A client who is participating in a weight-loss program has been walking 3 days/week for
15 minutes for the past 3 weeks. To progress the exercise program, which of the following
modifications will MOST likely accomplish the weight-loss goal?
A. Maintain the current walking speed and increase the duration to 30 minutes.
B. Increase the walking speed and keep the duration at 15 minutes.
C. Walk 4 days/week and decrease the duration to 10 minutes.
D. Change from walking 3 days/week to jogging 1 day/week for 20 minutes.
D - Answers A 78-year-old patient who is being treated for osteoarthritis of the knees reports
centralized lower thoracic pain and epigastric pain. The pain is relieved by eating. Which of the
following steps would be MOST important in screening for the cause of the new symptoms?
A. Resist the iliopsoas muscle to screen for a psoas abscess.
B. Ask if the patient has been constipated or has had diarrhea.
,C. Perform an abdominal examination to screen for an abdominal aortic aneurysm.
D. Ask if the patient is taking a high dose of nonsteroidal anti-inflammatory drugs.
D - Answers A patient who is re-learning the task of moving from sit to stand following traumatic
brain injury is frustrated because of repeated failed attempts. To facilitate the patient's success, a
physical therapist should FIRST:
A. permit the patient to rest until the next physical therapy session and re-attempt the activity.
B. encourage the patient to visualize success with the task before resuming attempts.
C. provide incentive by holding a desired object for the patient to reach toward.
D. decrease the challenge of the task, so that the patient experiences success.
A - Answers A postural correction program for a patient with forward head, kyphosis, and increased
lumbar lordosis should include all of the following EXCEPT:
A. strengthening the scapular protractors.
B. strengthening the thoracic erector spinae muscles.
C. lengthening the short suboccipital muscles.
D. lengthening the lumbar erector spinae muscles.
C - Answers A physical therapist is applying electrical stimulation to a patient with a neurapraxia. To
minimize accommodation, the therapist should:
A. decrease the size of the stimulating electrode.
B. increase the pulse duration.
C. utilize a rapid rate of rise.
D. select a biphasic waveform.
A - Answers During examination of a patient, a physical therapist notes hypoventilation, muscular
twitching, and increased deep tendon reflexes. Which of the following conditions is the MOST likely
cause of the signs and symptoms?
A. Metabolic alkalosis
B. Metabolic acidosis
C. Respiratory alkalosis
D. Respiratory acidosis
B - Answers A patient is referred to physical therapy with a diagnosis of herniated nucleus pulposus.
In addition to low back pain, examination findings include hypoesthesia, weakness, and diminished
deep tendon reflexes in bilateral lower extremities. Which of the following types of incontinence is
MOST likely to be associated with this presentation?
A. Urge
B. Overflow
C. Stress
D. Functional
A - Answers A physical therapist is working with a patient who had a total knee arthroplasty 2 days
ago. The patient's resting electrocardiogram is shown in strip A. While gait training, the patient's
, electrocardiogram changes, as shown in strip B. Based on this finding, what is the BEST action for the
therapist to take at this time?
A. Stop gait training and notify the nurse.
B. Continue gait training as the heart rate is less than 100 bpm.
C. Stop gait training and allow the patient to sit down and rest.
D. Continue gait training, but allow the patient standing rest breaks.
C - Answers A physical therapist is performing sit-to-stand transfer training with a patient in a
hospital room. The patient is currently admitted for acute renal failure and has electrocardiogram
monitoring in place. During the transfer training, the therapist notes new onset of one unsustained,
unifocal premature ventricular contraction. Which of the following actions is MOST appropriate for
the therapist to take at this time?
A. Discontinue transfer training and call the nurse immediately.
B. Discontinue transfer training and switch to passive range-of-motion exercises.
C. Allow the patient to rest and continue with transfer training, while monitoring the
electrocardiogram.
D. Allow the patient to rest and measure the patient's blood pressure.
C - Answers When held in supported standing, a 14-month-old child with spastic diplegia is up on
tiptoes with the toes curled. This position is characteristic of a:
A. proprioceptive placing reaction.
B. Moro reflex.
C. plantar grasp reflex.
D. traction response.
C - Answers A patient with multiple sclerosis is referred for physical therapy at home. The patient
requires training in bathing, dressing, and eating, and use of adaptive devices may be needed to
accomplish the training. The physical therapist should recommend that the patient be seen by a/an:
A. social worker.
B. orthotist.
C. occupational therapist.
D. home health nurse.
D - Answers As a patient progresses with physical therapy, which of the following changes in a home
exercise program is MOST likely to increase the patient's adherence to the program?
A. Add additional exercises to the home program.
B. Increase the intensity of the home exercises.
C. Increase the frequency of home exercise program execution.
D. Choose exercises that can be incorporated into daily activities.
D - Answers A home health patient who recently had a three-vessel coronary artery bypass graft
describes experiencing bilateral lower extremity swelling, leg pain, and shortness of breath, especially
when lying down. The patient MOST likely has which of the following diagnoses?
A. Deep vein thrombosis