Which of the following ranges for respiratory rate would be NORMAL for an 8-year-old child?
1.12 to 20 breaths/minute
2.18 to 30 breaths/minute
3.24 to 40 breaths/minute
4.30 to 60 breaths/minute - Answers 2.18 to 30 breaths/minute
1. A normal range for an adult (age 18 years and older) is 12 to 20 breaths/minute.
2. A normal range for a child in elementary school (age 6-12 years) is 18 to 30 breaths/minute.
3. A normal range for a toddler (age 1-3 years) is 24 to 40 breaths/minute.
4. A normal range for an infant (age birth to 1 year) is 30 to 60 breaths/minute.
A patient has pitting edema that is worse in the evenings and improves with elevation of the affected
limb. Which of the following stages of lymphedema is MOST likely present?
1.Stage 0
2.Stage 1
3.Stage 2
4.Stage 3 - Answers 2.Stage 1
1. In Stage 0 lymphedema there are no clinical signs of edema although reduced lymph transport
capacity is present.
2. Stage 1 lymphedema includes pitting edema, reversible with elevation, and edema that is increased
with activity, heat, and humidity and is better in the morning.
3. Stage 2 lymphedema includes nonpitting edema that is irreversible along with fibrotic skin changes
4. In Stage 3 lymphedema, there is an increase in severe nonpitting fibrotic edema and atrophic
changes in the skin, including hyperkeratosis, papillomas, and warts.
A patient has a recent diagnosis of lymphedema. The patient has soft, pitting edema that does not
resolve with elevation and increases with standing and activity. Which of the following forms of
compression is BEST for the intensive treatment phase?
1.Long-stretch bandages
2.Short-stretch bandages
3.Circular knit compression garment
4.Flat knit compression garment - Answers 2.Short-stretch bandages
This patient has a new diagnosis of stage 2 lymphedema (Hillegass, p. 660), which is an indication for
phase 1 of treatment for lymphedema wherein bandages are the key component of compression.
Short-stretch bandages are the bandages of choice for treating lymphedema because they are latex
free and they stretch approximately 60% more than their original length. These bandages also provide
a low resting pressure and high working pressure, which provides compression of the more superficial
lymphatic and venous vessels
A physical therapist would be required to wear a surgical face mask when working on transfer training
with a patient who has which of the following conditions?
1.Rubeola
2.Tuberculosis
3.Varicella zoster
4.Bacterial pneumonia - Answers 4.Bacterial pneumonia
1. Airborne precautions, including wearing a particulate respirator, should be used when working with
patients who have rubeola.
2. Particulate respirators are recommended when working with patients who have tuberculosis.
3. Airborne precautions, including wearing a particulate respirator, should be used when working with
patients who have varicella zoster virus.
4. Droplet precautions, including wearing a face mask, should be used when working with patients
who have bacterial pneumonia.
A patient who has an acute ankle sprain is being instructed in non-weight-bearing gait with crutches
prior to discharge from the emergency department. Which of the following approaches by the
physical therapist would MOST effectively facilitate learning?
, 1.Give verbal instructions in how to use the crutches.
2.Provide photographs of someone using crutches.
3.Have the patient verbally repeat the instructions and demonstrate use of the crutches.
4.Demonstrate use of the crutches and provide the patient with written instructions. - Answers
3.Have the patient verbally repeat the instructions and demonstrate use of the crutches.
3. When learning a new task, the patient is in the cognitive stage of learning. An effective training
strategy in this stage is to have the patient verbalize task components and requirements (O'Sullivan).
In the first stage, the goal of the learner is to understand the task dynamics
A patient's examination reveals weakness with scapular upward rotation and protraction. Which of
the following nerves is MOST likely affected?
1.Axillary
2.Subscapular
3.Suprascapular
4.Long thoracic - Answers 4.Long thoracic
4. The long thoracic nerve innervates the serratus anterior, which is responsible for upward rotation
and protraction of the scapula
A physical therapist performs the manual muscle test shown in the photograph and notes weakness
of the musculature. The photo shows the dorsiflexion MMT. Which of the following nerve roots is
MOST likely involved?
1.L1
2.L3
3.L5
4.S1 - Answers 3.L5
3. The therapist in the photograph is testing the tibialis anterior (dorsiflexion), which is innervated by
the deep fibular (peroneal) nerve (L4- L5)
A 13-year-old patient reports groin pain that radiates into the anterior thigh. The patient exhibits an
antalgic pattern, and the involved lower extremity is maintained in a laterally (externally) rotated
position. Which of the following conditions is MOST likely present?
1.Developmental hip dysplasia
2.Osgood-Schlatter disorder
3.Legg-Calvé-Perthes disease
4.Slipped capital femoral epiphysis - Answers 4.Slipped capital femoral epiphysis
4. Slipped capital femoral epiphysis generally occurs in adolescents. Symptoms include antalgic gait
and pain in the groin, knee, or medial thigh. This disorder is more likely to present with antalgic gait
and a laterally (externally) rotated lower extremity. When the onset is acute, the adolescent will be
unable to bear weight on the affected extremity. Obesity is often a factor in the development of this
condition.
Which of the following interventions is MOST appropriate for a 12-year-old child who has a history of
progressive idiopathic scoliosis and a Cobb angle of 45°?
1.Orthotic management
2.Postural correction
3.Surgical intervention
4.Spinal stabilization exercises - Answers 3.Surgical intervention
1. Orthotic management is typically indicated for children who have idiopathic scoliosis and who are
skeletally immature and have a Cobb angle of 25° to 45°.
2. Postural correction is not sufficient to manage a curve of 45°.
3. The major indication for spinal fusion is a documented, progressive idiopathic curve and a Cobb
angle greater than 40°.
4. Exercise alone is not sufficient to manage a curve of 45°.
A patient who has gastroesophageal reflux disease is MOST likely to benefit from education to reduce
consumption of which of the following types of food?
1.Coffee, fatty foods
2.Coffee, dairy foods