2.16 . A patient with a history of smoking, type 2 diabetes, and peripheral vascular disease
reports pain in the posterior aspect of the lower leg while performing a graded exercise test
at 2.0 miles/hour (3.2 km/hour) with an elevation of 3.5%. These symptoms are MOST
consistent with which of the following diagnoses? - Answer 1. Raynaud disease
2. Postphlebitic syndrome
3. Spinal stenosis
4. Arteriosclerosis obliterans
Your Answer: 4
Correct Answer: 4
You have answered the question correctly.
4. Intermittent claudication is a characteristic of arteriosclerosis obliterans (O'Sullivan, p.
586).
,2.17 Which of the following sequences represents the normal progression of motor
development in infancy? - Answer 1. Head righting, grasping and transferring objects,
pivot prone
2. Head righting, pivot prone, grasping and transferring objects
3. Grasping and transferring objects, head righting, pivot prone
4. Pivot prone, head righting, grasping and transferring objects
Your Answer: 3
Correct Answer: 2
You have incorrectly answered the question.
2. Head righting occurs first at 2-3 months. Pivot prone occurs at approximately 4-6
months. Grasping objects and transferring from one hand to another occurs
approximately at 5-7 months.
2.18 . Which of the following test results would MOST likely be seen in a patient with
chronic obstructive pulmonary disease? - Answer 1. Increased expiratory flow rate
2. Increased total lung capacity
3. Decreased functional residual capacity
4. Decreased residual volume
,Your Answer: 3
Correct Answer: 2
You have incorrectly answered the question.
2. A patient with chronic obstructive pulmonary disease would exhibit increased total lung
capacity, increased vital capacity, increased residual and functional residual capacity, and
decreased expiratory flow rates, secondary to destruction of the alveolar walls.
2.19 . When performing percussion for clearance of the apical segment of the upper lobes,
what is the appropriate location for placement of the hands? - Answer 1. Anterior ribs
2. Inferior scapula
3. Above the clavicle
4. Upper back
Your Answer: 4
Correct Answer: 3
You have incorrectly answered the question.
3. In order to percuss the apical segment, force must be applied in the space between
the clavicle and scapula.
2.2 A patient with an exacerbation of rheumatoid arthritis reports tightness and swelling
in multiple joints. Which of the following exercises would be CONTRAINDICATED at this
time? - Answer 1. Active assistive range of motion
, 2. Active range of motion
3. Stretching
4. Isometric
Your Answer: 4
Correct Answer: 3
You have incorrectly answered the question.
3. Stretching should not be done across swollen joints because it can distend the joint
capsule, increase joint irritability, and prolong the joint reaction.
2.20 . Coffee-ground emesis is MOST typically indicative of which of the following
conditions? - Answer 1. Erosive gastritis
2. Gastroesophageal reflux disease
3. Sliding hiatal hernia
4. Pernicious anemia
Your Answer: 2
Correct Answer: 1
You have incorrectly answered the question.