PEAT 1 questions and answers 100%correct.

PEAT 1 questions and answers 100%correct.A patient reports a 2-day history of a hot, swollen, first MTP joint. This complaint is most common in: -OA -polymyositis -gout -RA gout A patient who sustained an avulsion of the right C5 and C6 spinal nerve roots will show functional loss of right: -distal thumb flexion -ulnar wrist deviation -elbow extension -shoulder abduction shoulder abduction 00:00 01:29 After a kidney transplant, a patient develops a stage 3 pressure injury over the sacrum and is referred to physical therapy for wound care. Which of the following is the MOST appropriate agent to use initially on this wound? -povidone-iodine solution -sterile normal saline -silver sulfadiazine cream -zinc oxide cream sterile normal saline When providing patient education in cardiac rehabilitation, which of the following signs and symptoms of exertional intolerance should the PT emphasize? -anginal pain, insomnia, sudden weight gain, leg stiffness -persistent dyspnea, dizziness, anginal pain, sudden weight gain -persistent dyspnea, anginal pain, insomnia, weight loss -anginal pain, confusion, leg numbness, weight loss persistent dyspnea, dizziness, anginal pain, sudden weight gain A patient with no history of trauma has non-radiating LBP. Lumbar flexion does not reverse the lordosis and is pain-free. Lumbar extension increases the symptom. Palpation reveals a step-off in the lower L/S. The MOST appropriate treatment for this patient would be: -abdominal strengthening -sustained prone on elbows -exaggerated lumbar lordosis in sitting -grade III PA glide to L5 abdominal strengthening A patient positioned in prone has difficulty initiating hip extension with the knee bent. Which of the following muscles will MOST likely need strengthening? -hamstrings -glut max -lumbar erector spinae -glut medius glut max A patient presents with moderate pain in the elbow after a fall. The radiograph is negative for a fracture. Which of the mobilizations is MOST appropriate for decreasing the pain? -amplitude oscillations before the onset of tissue resistance -small-amplitude oscillations into tissue resistance -large-amplitude oscillations into tissue resistance -large-amplitude oscillations at the end of tissue resistance small-amplitude oscillations before the onset of tissue resistance During the test in the photograph (DTR of patellar tendon), the patient demonstrates hyperreflexia. What is the MOST likely cause of this finding? -spinal cord tumor at L1 -herniated nucleus pulposus at L4 -femoral nerve impingement -cauda equina lesion spinal cord tumor at L1 A patient is referred to PT for right shoulder pain. Which of the following findings suggests that PT intervention may not be appropriate? -pain that subsides with right sidelying -tenderness to palpation at the origin of the biceps tendon -trigger points at the right rib 2-3 intercostal space -pain with resisted shoulder ER pain that subsides with right sidelying A patient with an incomplete C8 SC injury reports of burning in the buttocks when sitting in a W/C. Which of the following problems with the patient's W/C would be MOST likely to contribute to the burning? -footplates are too high -footplates are too low -seat is too narrow -seat is too deep footplates are too high A patient reports insidious onset of pain and paresthesias on the lateral aspect of the right forearm and hand. The symptoms are reproduced with neck extension. Which of the following is the MOST likely diagnosis? -C6 radiculopathy -ulnar nerve entrapment -radial nerve entrapment -C8 radiculopathy C6 radiculopathy A PT is examining the posterior aspect of the heels of a patient who has darkly pigmented skin. Which of the following would indicate the presence of a stage I pressure injury? -an intact area of the skin that is black and leathery -an intact area of the skin that is warm and purple -a shallow crater with a moist wound bed -an intact blister with a boggy feel an intact area of the skin that is warm and purple A 41-year-old patient sustained a grade II injury to the right MCL of the elbow 3 weeks ago. A systems review reveals normal cardiopulmonary, integumentary, and neuromuscular status. Which of the following is MOST likely the status of the healing tissue? -well organized and gaining in tensile strength -well organized and capable of withstanding high tensile forces -disorganized but able to withstand high tensile forces -disorganized and unable to withstand high tensile forces disorganized and unable to withstand high tensile forces The person in the photograph (genu valgus with pronation) is asked to perform a bilateral squat. Based on rearfoot position, which of the following will MOST likely be observed? -genu varum with tibial IR -genu varum with tibial ER -genu valgus with tibial IR -genu valgus with tibial ER genu valgus with tibial IR While walking on the treadmill during phase II cardiac rehabilitation following CABG, a patient repots the new onset of chest pain and dyspnea. The PT should instruct the patient to: -continue walking while the PT monitors vital signs -continue walking at 50% slower speed while the PT calls the PCP -cease walking while the PT reassesses vitals -cease walking while the PT activates the emergency medical system cease walking while the PT reassesses vitals A home health PT conducts an IE of a patient who sustained a tibial plateau fracture. The patient's status is NWB and the patient uses a walker. The patient lives alone, but has a neighbor who helps with meals. With which of the following aspects of the home environment should the PT be MOST concerned? -depth of bathtub -steps without a handrail -width of the doorways -height of the countertops steps without a handrail An 18-year-old patient who has osteogenesis imperfecta has been receiving PT services through the school system. The patient is independent in transfers, W/C mobility with a motorized W/C, and self-care and has been utilizing public transportation. Which of the following courses of action is MOST appropriate in planning for the patient? -continue PT services with a modified goal to maintain independence with mobility -continue PT services under the care of a PTA -recommend that the patient participate in a support group -refer the patient to vocational services refer the patient to vocational services A patient who has severe bilateral hip and knee flexion contractures requires the assistance of two people for bed-to-chair transfers. The patient demonstrates normal dynamic sitting balance and normal upper body strength. The patient lives at home with one caregiver. The PT's FIRST intervention should be to teach which of the following transfers? -use of mechanical lift operated by the caregiver -slide-board transfer performed by patient with assistance from caregiver -one-person lift transfer performed by caregiver -one-person stand pivot transfer performed by patient with assistance from caregiver slide-board transfer performed by patient with assistance from caregiver A patient with normal urine control reports not being able to reach the toilet in time due to muscle weakness and joint pain. Which type of incontinence BEST describes the patient's condition? -functional -stress -urge -overflow functional A PT examines a right-handed patient who demonstrates a rounded upper back and protracted shoulders. The patient may be at INCREASED risk for developing which of the following conditions in the left UE? - TOS - CTS - paresthesia in an ulnar nerve distribution - lateral epicondyalgia TOS During a symptom-limited graded exercise test, a patient exhibits the ECG pattern shown in the photograph (PVC). This pattern is indicative of which of the following phenomena? -ST segment elevation -premature ventricular contractions -acute first-degree AV block -normal response to exercise PVC Which of the following BP changes is an ABNORMAL response to increased exercise intensity and a reason to terminate exercise? -decrease in DBP of 5 mm Hg -increase in DBP of 5 mm Hg -decrease in SBP of 20 mm Hg -increase in SBP of 20 mm Hg decrease in SBP of 20 mm Hg A patient reports constant bilateral posterior calf pain with itching. The exam reveals a body temperature of 98.8 F, normal temperature of the LEs, and tenderness to palpation and crusting of the skin in the affected areas. Which of the following conditions is MOST likely present? - dermatitis - cellulitis - atrophie blance - superficial venous thrombosis dermatitis Which of the following options BEST describes the mode of action of ACE inhibitors? -reduction of HR and increase in cardiac contractility -reduction of HR and decrease in cardiac contractility -reduction of peripheral vascular resistance and increase in venous capacitance -reduction of peripheral vascular resistance and decrease in venous capacitance reduction of peripheral vascular resistance and increase in venous capacitance A patient who has bicipital tendinopathy is MOST likely to experience pain with which of the following maneuvers? - resisted shoulder flexion with forearm supinated and elbow flexed to 15 degrees - passive shoulder IR and ABD with 90 degrees of elbow flexion - passive shoulder flexion greater than 90 degrees with application of light pressure on the acromion -resisted shoulder extension with the elbow extended and the shoulder ABD to 90 degrees and IR resisted shoulder flexion with the forearm supinated and elbow flexed to 15 degrees A 4-year-old child who has an L1 myelomeningocele has developed scoliosis over the past 2 years. The curve currently measures 25 degrees. Which of the following recommendations is MOST appropriate for scoliosis management? - continue to monitor the scoliosis, with no intervention at this time -begin a home program of stretching exercises for trunk rotators -refer to an orthopedic surgeon for evaluation of spinal fusion -fit the child with a TLSO fit the child with a TLSO Which of the following strategies for transfer training is MOST likely to be successful for a patient who has apraxia? - give frequent and detailed verbal commands - provide the patient with written instructions - teach one component of the transfer at a time - have the patient practice transfers in a variety of settings and contexts teach one component of the transfer at a time A patient sustained a T10 complete SCI. Which of the following wheelchair-to-bed transfer techniques is MOST appropriate for the patient? - sit pivot - sliding board - standing pivot - mechanical lift sit pivot Which of the following activities would be MOST appropriate to practice to assist a 20-year-old patient who has Duchenne muscular dystrophy in maintaining independence? - stair training using both handrails -gait training using a rolling walker - transfer training using a slide board - power W/C training over various surfaces power W/C training over various surfaces Which of the following functions is MOST likely to be impaired in a patient who has a pontine infarct? - jaw movement - eyelid elevation - tongue movement - pharyngeal swallowing jaw movement A patient's left eye is adducted at rest. During examination of extraocular eye movements, the patient is unable to move the left eye laterally. These findings MOST likely results from a lesion of which of the following nerves? - CN III - CN IV - CN V - CN VI CN VI If the test shown in the photograph (ULTT for ulnar nerve) has positive findings, which of the following muscles is MOST likely affected? - ADD pollicis - pronator quadratus - flexor pollicis longus - ABD pollicis longus ADD pollicis Which of the following findings BEST describes an injury in the acute stage? - collagen fibers reorient in response to stresses placed on CT - collagen formation and granulation tissue development occurs at an increased rate - during ROM testing, the patient experiences pain synchronous with tissue resistance - during ROM testing, the patient experiences pain with movement and before tissue resistance during ROM testing, the patient experiences pain with movement and before tissue resistance Which of the following skeletal conditions is NORMAL in a newborn infant? - pes cavus - genu varum - genu valgum - talipes equinovarus genu varum Which of the following conditions is a CONTRAINDICATION for mechanical traction of the C/S? - muscle spasm - RA - hypomobility of the spine - decreased UE sensation RA A patient is unable to reach behind the low back during ADLs. Muscle performance testing is pain-free, normal, and symmetrical. What is the MOST likely problem contributing to this functional impairment? - subscapularis disorder - pectoralis minor stiffness - posterior capsule stiffness - AC joint arthrosis posterior capsule stiffness Iontophoresis should be used with precaution for a patient who has which of the following conditions? - peripheral neuropathy - Raynaud disease - DJD - chronic edema peripheral neuropathy Which of the following interventions is MOST appropriate for an individual who has MS? - submaximal exercise performed in the morning - swimming exercises performed in a heated indoor pool - resistance exercise alternating each day between upper and lower body workouts - maximal exercise to the point of fatigue with several days of rest between training sessions submaximal exercise performed in the morning A patient reports LBP that radiates down one leg below the knee. The patient also reports numbness and tingling in the location shown on the photograph (above 2nd toe). Which of the following examination findings is MOST likely? - diminished knee reflex - diminished ankle reflex - weakness of the gastrocnemius - weakness of the extensor hallucis longus weakness of the extensor hallucis longus A patient who has emphysema reports a weight gain of 20 pounds over the past month. There is 3+ pitting edema in both distal LEs. Which of the following tests is MOST important to identify the likely underlying condition? - HR - capillary refill - heart ausculatation - ABI heart auscultation A physical therapist is working with a patient who had a TKR 2 days ago. The patient's resting ECG is shown in strip A. While gait training, the patient's ECG changes, as shown in strip B (ST depression). Based on this finding, what is the BEST action for the PT to take at this time? - stop gait training and notify the nurse - continue gait training because the HR is less than 100 bpm - stop gait training and allow the patient to sit down and rest - continue gait training, but allow the patient standing rest breaks stop gait training and notify the nurse A patient reports dizziness and frequent falls. Upon examination, the patient demonstrates constant vertical pendular nystagmus, abnormal smooth pursuit, and abnormal saccadic eye movements. The patient's symptoms are MOST likely caused by which of the following conditions? - vertebrobasilar insufficiency - central vestibular system lesion - peripheral vestibular system lesion - posterior semicircular canalithiasis central vestibular system lesion Which of the following LE PNF patterns is MOST appropriate to strengthen a patient's weak tibialis posterior? - hip extension, ABD, IR, with PF and eversion - hip flexion, ADD, ER, DF and inversion - hip extension, ADD, ER, PF and inversion - hip flexion, ABD, IR, DF and eversion hip extension, ADD, ER, PF, inversion When evaluating W/C positioning of a child with CP, the position of which of the following body parts should be examined FIRST? - pelvis - LEs - head - spine pelvis Which of the following home programs is MOST appropriate for a patient who has chronic lateral epicondylagia? - using a forearm cuff to increase loading on the extensor tendons - performing exercises for wrist strength and stretching - administering iontophoresis with dexamethasone and lidocaine - doing friction massage of the brachioradialis tendon performing exercises for wrist strength and stretching A home health patient who recently had a three-vessel CABG describes experiencing bilateral LE swelling, leg pain, and SOB, especially when lying down. The patient MOST likely has which of the following diagnoses? - DVT - MI - PE - HF heart failure During examination of a patient, a PT notes bradycardia. The patient reports constipation and cold intolerance. Which of the following conditions is the MOST likely cause of the sign and symptoms? - hypothyroidism - hyperthryoidism - hyperparathyroidism - hypoparathyroidism hypothyroidism During MMT of the hip flexors in the sitting position, a patient exhibits ER with ABD of the thigh as resistance is applied. The PT should suspect muscle substitution by the - sartorius - TFL - ADD longus - semimembranosus sartorius A patient with evidence of nerve root involvement at the L4-L5 level would MOST likely have which of the following signs and symptoms? - weak knee flexors, diminished Achilles tendon reflex, paresthesia at lateral aspect of LE - weak foot intrinsics, diminished patellar tendon reflex, paresthesia at medial aspect of knee - weak DF, diminished patellar tendon reflex, paresthesia at the medial calf and ankle - weak PF, diminished Achilles tendon reflex, paresthesia at lateral border of foot weak DF, diminished patellar tendon reflex, paresthesia at the medial calf and ankle A PT performs heart auscultation as part of a patient's cardiac systems review. The PT hears a sound represented by "A" in the illustration (between systole and diastole). This sound is BEST described as a - systolic murmur not considered to be normal - normal heart sound occurring during systole - diastolic murmur not considered to be normal - normal heart sound occurring during diastole systolic murmur not considered to be normal A patient with diabetes had a right transtibial amputation 5 days ago. An advantage of a rigid removable dressing versus bandaging is that the rigid dressing - allows for early weight bearing - requires less monitoring - allows applied pressure to be varied - is less costly allows for early WB When instructing a patient with RA in a HEP, the PT should advise the patient to rest - after the onset of joint pain - after one hour of exercise - when fatigued - before becoming fatigued before becoming fatigued A patient has a comminuted femoral fracture with an external fixator. There is no sign of quadriceps contraction with electrical stimulation. Which of the following is the MOST likely cause? - a lesion in the femoral nerve - a contusion of the quadriceps muscle - an unstable fracture site - a lesion in the L4-L5 nerve roots a lesion in the femoral nerve A patient with an excessive APT will usually have which of the following associated conditions? - weak lumbar extensors - weak hip flexors - piriformis flexibility deficits - iliacus flexibility deficits iliacus flexibility deficits Following insertion of a chest tube, a patient displays scapular winging. The PT should expect the patient to have MOST difficulty - scratching the low back area - turning a doorknob - holding a briefcase - reaching forward for an object reaching forward for an object A patient is seen in PT after an arthroscopic debridement of the knee. Which of the following describes the optimal parameters for electrical stimulation to address an extensor lag noted during the examination? - duty cycle of 50%; current intensity high enough to produce 40% of maximal voluntary isometric contraction; 20 minute total treatment time - duty cycle of 20%; current intensity high enough to produce 40% of maximal voluntary isometric contraction; 20 minute total treatment time - duty cycle of 20%; current intensity high enough to produce 60% of maximal voluntary isometric contraction; 10 minute total treatment time - duty cycle of 50%; current intensity high enough to produce 60% of maximal voluntary isometric contraction; 10 minute total treatment time duty cycle of 20%; current intensity high enough to produce 60% of maximal voluntary isometric contraction; 10 minute total treatment time Appropriate knee positioning when strength testing the hamstrings in the prone position will minimize - active insufficiency of the hamstrings and rectus femoris - active insufficiency of the rectus femoris and passive insufficiency of the hamstrings - active insufficiency of the hamstrings and passive insufficiency of the rectus femoris - passive insufficiency of the hamstrings and rectus femoris active insufficiency of the hamstrings and passive insufficiency of the rectus femoris