1. Which activity of daily living (ADL) activity would the PT caution a patient with a recent hip replacement to avoid?
a. Tying shoes
b. Pulling up pants
c. Putting on shirt
d. Bathing the back
2. A therapist is mobilizing a patient's right shoulder. The movement taking place at the joint capsule is not completely
to end range. It is a large-amplitude movement from near the beginning of available range to near the end of available
range. What grademobilization, according to Maitland, is being performed?
A. Grade I
B. Grade II
C. Grade III
D. Grade IV
3. A therapist is examining a wound in a patient with the following signs: the right foot has a toe that is gangrenous,
the skin on the dorsum of the foot is shiny in appearance, and no calluses are present. The patient has what type
of ulcer?
A. Venous insufficiency ulcer
B. Arterial insufficiency ulcer
C. Decubitus ulcer
D. Trophic ulcer
4. A 29-year-old woman is referred to a therapist with a diagnosis of recurrent ankle sprains. The patient has a history
of several inversion ankle sprainswithin the past year. No edema or redness is noted at this time. Which of the
following is the besttreatment plan?
A. Gastrocnemius stretching, ankle strengthening, and ice
B. Rest, ice, compression, elevation, andankle strengthening
C. Ankle strengthening and a proprioceptionprogram
D. Rest, ice, compression, elevation, andgastrocnemius stretching
5. Which of the following theories supports the useof a transcutaneous electrical nerve stimulation (TENS) unit for
sensory level pain control?
A. Gate control theory
B. Sensory interaction theory
C. Central summation theory
D. Sensory integration theory
6. In which of the following patient conditions would it be safe to apply spinal traction to help decompress a spinal
nerve root?
A. Acute rheumatoid arthritis
B. Spinal tumor
C. Degenerative joint disease
D. Osteoporosis
7. Which of the following conditions would contraindicate the use of an intermittent pneumatic compression pump?
A. Congestive heart failure
B. Lymphedema
C. Recent joint arthroplasty
D. Venous stasis ulcers
8. During a treatment session, the PT simulates the need for the client to walk upstairs to a kitchen witha painful/weak
left leg. The patient should be instructed to move the
a. Left leg up to the next step with the cane
b. Right leg up to the next step with the cane
c. Right leg up and then his left leg/cane
d. Left leg up and then his right leg/cane
9. You are treating an athlete who strained hishamstring muscle. Which of the following modalities would be
contraindicated if this patient had a cardiac pacemaker?
A. Ice massage
B. Hydrotherapy
C. Shortwave diathermy
D. Ultrasound
10. You have a patient with subacute rheumatoid arthritis in her hands who also has a history of Raynaud's disease.
Which of the following modalities would be contraindicated for this patient?
A. Cold pack
B. Fluidotherapy
C. Paraffin wax bath
D. Ultraviolet light
11. The BEST example of a statement that would be documented in the assessment portion of a subjective, objective,
assessment, and plan (SOAP) note is
A. Client and spouse participated in a discussion about planning activities of interest for the patient
B. Client complains of difficulty donning night-time splint and requests that the splint be re-examined by the
therapist
C. Family was referred to social services for consideration of alternative placement
, B. Patient will participate in meal preparationfor 15 minutes without breaks.
C. Patient will perform 10 repetitions of activeassistive shoulder ladder exercises.
D. Patient will show increased endurance forperforming ADLs.
13. You decide to use sensory-level (i.e., conventional) TENS to provide some relief for incisional pain in your patient
who recently underwent knee surgery. The physiologicalmechanism by which this form of TENS is thought to
provide immediate pain relief is known as
A. Autogenic inhibition
B. Descending inhibition
C. Presynaptic inhibition
D. Reciprocal inhibition
14. Which statement would be the MOST appropriate for the PT to document in the plan section of the SOAP note?
A. Client given educational materials to practice correcting posture and trunk balance during daily routine.
B. Client able to respond to verbal instructions and questions with correctresponses 3 out of 3 times.
C. Client indicates that the long-term goal is to return to work on a full-time basis.
D. Client assessed for use of compensatory techniques while cooking in the clinic kitchen.
15. During a treatment session, a patient with a spinal cord injury complains of dizziness and a severe headache and is
noticed by the PT to be flushed and sweating profusely. The best course of action for the PT to take is to
A. Lie the patient down to rest for about 30 minutes or until symptoms subside
B. Contact the physician and report signs of autonomic dysreflexia
C. Take the blood pressure because of the suspected signs of orthostatic hypotension
D. Assist the patient in taking medication for the symptoms
16. A client being treated in outpatient therapy forextensor tendon repair missed three appointmentswhile sick with the
flu. When writing the monthly report, the therapist explained why the client did not achieve her short-term goals in
the time framespecified. Which is the MOST appropriate section of the subjective, objective, assessment, and plan
(SOAP) note for this documentation?
A. S
B. O
C. A
D. P
17. A 30-year-old female patient presents with right calf pain and may have a deep vein thrombosis (DVT). What would
be the MOST appropriate initialcourse of action?
A. Prescribe rest and inactivity until symptoms subside
B. Treat with RICE protocols until symptom ssubside
C. Treat with massage, muscle stripping, and stretching procedures
D. Refer for medical evaluation
18. After talking to nursing, the inpatient rehab PTtreated the patient in the room for instruction in safety and adaptive
equipment for toileting, along with dressing and grooming activities. The patientwas motivated and worked hard
throughout the treatment session. Which is the BEST choice for the subjective portion of the daily SOAP note?
A. Patient was cooperative and engaged in social conversation throughout the treatment session.
B. Patient reports that the patient feels good today.
C. Patient is unable to move her right upper extremity as well today as yesterday, although it doesn't really hurt
but feels "tight."
D. Nursing staff reports that patient is unsafeto toilet independently.
19. Which statement would be documented in the "plan" portion of a SOAP note?
A. Problems include decreased coordination,strength, sensation, and proprioception inleft upper extremity.
B. In order to return to work, patient will demonstrate increase of 10 of grasp in lefthand, in 3 weeks.
C. Patient would benefit from further instruction in total hip precautions for lower extremity dressing, bathing,
and hygiene.
D. Patient attended job skills group with prompting by nursing and OT staff.
20. The BEST example of a statement that would document the patient's prognosis is
A. The patient may require prolonged time to perform transfers because of poor motor planning ability.
B. The patient received a home program on energy conservation and work simplification.
C. Compared to the norm, grip strength is within normal limits and age appropriate.
D. The patient performed a stand pivottransfer to and from the wheelchair to bathtub.
21. When discharging a patient with Alzheimer's to a skilled nursing facility, what is the most important information to
share?
A. Summary of cognitive performance
B. Recommendations to a support group
C. Summary of the patient progress
D. Results of the initial examination
22. A PT walks into a patient's room and finds the patient lying on the floor next to the bed. The PT has been previously
reprimanded for forgetting to put the bed rails up after treatment. After checking to be sure the patient has no
broken bones and is not in severe pain, the therapist helps the patient back into bed, and then leaves the room
without reporting the incident. Which terms best describe the PT's conduct?
A. Legal and ethical
B. Legal but unethical
C. Ethical but illegal
a. Tying shoes
b. Pulling up pants
c. Putting on shirt
d. Bathing the back
2. A therapist is mobilizing a patient's right shoulder. The movement taking place at the joint capsule is not completely
to end range. It is a large-amplitude movement from near the beginning of available range to near the end of available
range. What grademobilization, according to Maitland, is being performed?
A. Grade I
B. Grade II
C. Grade III
D. Grade IV
3. A therapist is examining a wound in a patient with the following signs: the right foot has a toe that is gangrenous,
the skin on the dorsum of the foot is shiny in appearance, and no calluses are present. The patient has what type
of ulcer?
A. Venous insufficiency ulcer
B. Arterial insufficiency ulcer
C. Decubitus ulcer
D. Trophic ulcer
4. A 29-year-old woman is referred to a therapist with a diagnosis of recurrent ankle sprains. The patient has a history
of several inversion ankle sprainswithin the past year. No edema or redness is noted at this time. Which of the
following is the besttreatment plan?
A. Gastrocnemius stretching, ankle strengthening, and ice
B. Rest, ice, compression, elevation, andankle strengthening
C. Ankle strengthening and a proprioceptionprogram
D. Rest, ice, compression, elevation, andgastrocnemius stretching
5. Which of the following theories supports the useof a transcutaneous electrical nerve stimulation (TENS) unit for
sensory level pain control?
A. Gate control theory
B. Sensory interaction theory
C. Central summation theory
D. Sensory integration theory
6. In which of the following patient conditions would it be safe to apply spinal traction to help decompress a spinal
nerve root?
A. Acute rheumatoid arthritis
B. Spinal tumor
C. Degenerative joint disease
D. Osteoporosis
7. Which of the following conditions would contraindicate the use of an intermittent pneumatic compression pump?
A. Congestive heart failure
B. Lymphedema
C. Recent joint arthroplasty
D. Venous stasis ulcers
8. During a treatment session, the PT simulates the need for the client to walk upstairs to a kitchen witha painful/weak
left leg. The patient should be instructed to move the
a. Left leg up to the next step with the cane
b. Right leg up to the next step with the cane
c. Right leg up and then his left leg/cane
d. Left leg up and then his right leg/cane
9. You are treating an athlete who strained hishamstring muscle. Which of the following modalities would be
contraindicated if this patient had a cardiac pacemaker?
A. Ice massage
B. Hydrotherapy
C. Shortwave diathermy
D. Ultrasound
10. You have a patient with subacute rheumatoid arthritis in her hands who also has a history of Raynaud's disease.
Which of the following modalities would be contraindicated for this patient?
A. Cold pack
B. Fluidotherapy
C. Paraffin wax bath
D. Ultraviolet light
11. The BEST example of a statement that would be documented in the assessment portion of a subjective, objective,
assessment, and plan (SOAP) note is
A. Client and spouse participated in a discussion about planning activities of interest for the patient
B. Client complains of difficulty donning night-time splint and requests that the splint be re-examined by the
therapist
C. Family was referred to social services for consideration of alternative placement
, B. Patient will participate in meal preparationfor 15 minutes without breaks.
C. Patient will perform 10 repetitions of activeassistive shoulder ladder exercises.
D. Patient will show increased endurance forperforming ADLs.
13. You decide to use sensory-level (i.e., conventional) TENS to provide some relief for incisional pain in your patient
who recently underwent knee surgery. The physiologicalmechanism by which this form of TENS is thought to
provide immediate pain relief is known as
A. Autogenic inhibition
B. Descending inhibition
C. Presynaptic inhibition
D. Reciprocal inhibition
14. Which statement would be the MOST appropriate for the PT to document in the plan section of the SOAP note?
A. Client given educational materials to practice correcting posture and trunk balance during daily routine.
B. Client able to respond to verbal instructions and questions with correctresponses 3 out of 3 times.
C. Client indicates that the long-term goal is to return to work on a full-time basis.
D. Client assessed for use of compensatory techniques while cooking in the clinic kitchen.
15. During a treatment session, a patient with a spinal cord injury complains of dizziness and a severe headache and is
noticed by the PT to be flushed and sweating profusely. The best course of action for the PT to take is to
A. Lie the patient down to rest for about 30 minutes or until symptoms subside
B. Contact the physician and report signs of autonomic dysreflexia
C. Take the blood pressure because of the suspected signs of orthostatic hypotension
D. Assist the patient in taking medication for the symptoms
16. A client being treated in outpatient therapy forextensor tendon repair missed three appointmentswhile sick with the
flu. When writing the monthly report, the therapist explained why the client did not achieve her short-term goals in
the time framespecified. Which is the MOST appropriate section of the subjective, objective, assessment, and plan
(SOAP) note for this documentation?
A. S
B. O
C. A
D. P
17. A 30-year-old female patient presents with right calf pain and may have a deep vein thrombosis (DVT). What would
be the MOST appropriate initialcourse of action?
A. Prescribe rest and inactivity until symptoms subside
B. Treat with RICE protocols until symptom ssubside
C. Treat with massage, muscle stripping, and stretching procedures
D. Refer for medical evaluation
18. After talking to nursing, the inpatient rehab PTtreated the patient in the room for instruction in safety and adaptive
equipment for toileting, along with dressing and grooming activities. The patientwas motivated and worked hard
throughout the treatment session. Which is the BEST choice for the subjective portion of the daily SOAP note?
A. Patient was cooperative and engaged in social conversation throughout the treatment session.
B. Patient reports that the patient feels good today.
C. Patient is unable to move her right upper extremity as well today as yesterday, although it doesn't really hurt
but feels "tight."
D. Nursing staff reports that patient is unsafeto toilet independently.
19. Which statement would be documented in the "plan" portion of a SOAP note?
A. Problems include decreased coordination,strength, sensation, and proprioception inleft upper extremity.
B. In order to return to work, patient will demonstrate increase of 10 of grasp in lefthand, in 3 weeks.
C. Patient would benefit from further instruction in total hip precautions for lower extremity dressing, bathing,
and hygiene.
D. Patient attended job skills group with prompting by nursing and OT staff.
20. The BEST example of a statement that would document the patient's prognosis is
A. The patient may require prolonged time to perform transfers because of poor motor planning ability.
B. The patient received a home program on energy conservation and work simplification.
C. Compared to the norm, grip strength is within normal limits and age appropriate.
D. The patient performed a stand pivottransfer to and from the wheelchair to bathtub.
21. When discharging a patient with Alzheimer's to a skilled nursing facility, what is the most important information to
share?
A. Summary of cognitive performance
B. Recommendations to a support group
C. Summary of the patient progress
D. Results of the initial examination
22. A PT walks into a patient's room and finds the patient lying on the floor next to the bed. The PT has been previously
reprimanded for forgetting to put the bed rails up after treatment. After checking to be sure the patient has no
broken bones and is not in severe pain, the therapist helps the patient back into bed, and then leaves the room
without reporting the incident. Which terms best describe the PT's conduct?
A. Legal and ethical
B. Legal but unethical
C. Ethical but illegal
