FMC EXAM 1 QUESTIONS &
ANSWERS
What clinical reasoning paradigm is characterized by recognizing a familiar condition in
a current patient's presentation based on a previous patient encounter? - Correct
Answers -Intuitive reasoning
A PT recognizes one symptom related to a meniscus tear and plans their physical
examination to only include tests and measure for that condition despite evidence of
other possible conditions. What type of cognitive error is this physical therapist making?
- Correct Answers -Confirmation bias
Which of the following philosophical viewpoints best aligns with narrative reasoning? -
Correct Answers -Social constructivism
Which of the following questions is an example of using directive questioning during a
patient interview? - Correct Answers -"When do you think you are overloading your
shoulder?"
What role of the PT is described by helping the patient to change their behavior while
eliciting and strengthening autonomous motivation? - Correct Answers -Coach
Which communication strategy allows the therapist to gather specific, concise
information? - Correct Answers -Closed-ended questioning
A PT recognizes that a patient presents with 3 out of the 4 diagnostic criteria for cervical
radiculopathy and has a 94% likelihood of having that condition. What mode of
reasoning is the PT using in this moment? - Correct Answers -System 1
A PT recognizes that he has not considered all possible diagnostic hypotheses when
planning the physical examination and quickly adjusts the type of tests and measures
that he will include. What type of thinking strategy is this physical therapist using? -
Correct Answers -Reflection-in-action
What PT attitude skills is described by viewing, hearing, and sensing the world from the
patient's frame of reference? - Correct Answers -Empathy
Which role of the PT is primarily used during the review of systems? - Correct Answers -
Communicative detective
, Which of the following criteria indicates an increased likelihood of cancer? - Correct
Answers -Failure of conservative therapy
What term describes signs or symptoms related to serious underlying pathology that
may require additional diagnostic testing before treatment can be delivered? - Correct
Answers -Red flag
Which of the following instruments best helps to determine the severity of a patient's
symptoms? - Correct Answers -Patient Specific Functional Scale
What body structure is most likely to be impaired if a patient presents with symptoms
that are at their worst intensity in the morning and ease with gradual movement? -
Correct Answers -Joint
Which of the following combinations of pain is a red flag? - Correct Answers -Constant
and consistent
Describe intuitive reasoning. - Correct Answers -Comparing a current patient's
presentation to one experienced previously, a pattern formed from a previous instance.
Describe the difference between narrative and collaborative reasoning. - Correct
Answers -Narrative- To make sense of the parts of the narrative that the patient
chooses to emphasize and why its meaningful to them.
Collaborative- Shared goal setting and decision making by patient and clinician.
What is ethical reasoning? - Correct Answers -A process that guides a clinician to
resolve political, moral, and economic dilemmas.
What is the difference between teaching as reasoning and dialectal reasoning? -
Correct Answers -Teaching as reasoning- Aimed at behavior modification through
empowering the patient with knowledge.
Dialectal reasoning- The fluidity of reasoning between deductive, problem-solving
strategies, and inductive, narratively oriented communicative reasoning strategies.
Describe hypothetico-deductive reasoning - Correct Answers -Taking on an
unstructured problem and applying a structure to produce a small set of possible
solutions as an efficient way to solve the diagnostic problems.
What is the difference between anchoring bias and ascertainment bias? Give examples.
- Correct Answers -Anchoring bias- Tendency to lock onto a feature of the patient's
presentation too early and failing to adjust in the light of later information.
Ex: A patient walks in complaining of ankle and knee pain (but more ankle pain). So the
PT only looks for treatments for the ankle. The next session, the patient says the
ANSWERS
What clinical reasoning paradigm is characterized by recognizing a familiar condition in
a current patient's presentation based on a previous patient encounter? - Correct
Answers -Intuitive reasoning
A PT recognizes one symptom related to a meniscus tear and plans their physical
examination to only include tests and measure for that condition despite evidence of
other possible conditions. What type of cognitive error is this physical therapist making?
- Correct Answers -Confirmation bias
Which of the following philosophical viewpoints best aligns with narrative reasoning? -
Correct Answers -Social constructivism
Which of the following questions is an example of using directive questioning during a
patient interview? - Correct Answers -"When do you think you are overloading your
shoulder?"
What role of the PT is described by helping the patient to change their behavior while
eliciting and strengthening autonomous motivation? - Correct Answers -Coach
Which communication strategy allows the therapist to gather specific, concise
information? - Correct Answers -Closed-ended questioning
A PT recognizes that a patient presents with 3 out of the 4 diagnostic criteria for cervical
radiculopathy and has a 94% likelihood of having that condition. What mode of
reasoning is the PT using in this moment? - Correct Answers -System 1
A PT recognizes that he has not considered all possible diagnostic hypotheses when
planning the physical examination and quickly adjusts the type of tests and measures
that he will include. What type of thinking strategy is this physical therapist using? -
Correct Answers -Reflection-in-action
What PT attitude skills is described by viewing, hearing, and sensing the world from the
patient's frame of reference? - Correct Answers -Empathy
Which role of the PT is primarily used during the review of systems? - Correct Answers -
Communicative detective
, Which of the following criteria indicates an increased likelihood of cancer? - Correct
Answers -Failure of conservative therapy
What term describes signs or symptoms related to serious underlying pathology that
may require additional diagnostic testing before treatment can be delivered? - Correct
Answers -Red flag
Which of the following instruments best helps to determine the severity of a patient's
symptoms? - Correct Answers -Patient Specific Functional Scale
What body structure is most likely to be impaired if a patient presents with symptoms
that are at their worst intensity in the morning and ease with gradual movement? -
Correct Answers -Joint
Which of the following combinations of pain is a red flag? - Correct Answers -Constant
and consistent
Describe intuitive reasoning. - Correct Answers -Comparing a current patient's
presentation to one experienced previously, a pattern formed from a previous instance.
Describe the difference between narrative and collaborative reasoning. - Correct
Answers -Narrative- To make sense of the parts of the narrative that the patient
chooses to emphasize and why its meaningful to them.
Collaborative- Shared goal setting and decision making by patient and clinician.
What is ethical reasoning? - Correct Answers -A process that guides a clinician to
resolve political, moral, and economic dilemmas.
What is the difference between teaching as reasoning and dialectal reasoning? -
Correct Answers -Teaching as reasoning- Aimed at behavior modification through
empowering the patient with knowledge.
Dialectal reasoning- The fluidity of reasoning between deductive, problem-solving
strategies, and inductive, narratively oriented communicative reasoning strategies.
Describe hypothetico-deductive reasoning - Correct Answers -Taking on an
unstructured problem and applying a structure to produce a small set of possible
solutions as an efficient way to solve the diagnostic problems.
What is the difference between anchoring bias and ascertainment bias? Give examples.
- Correct Answers -Anchoring bias- Tendency to lock onto a feature of the patient's
presentation too early and failing to adjust in the light of later information.
Ex: A patient walks in complaining of ankle and knee pain (but more ankle pain). So the
PT only looks for treatments for the ankle. The next session, the patient says the
