PEAT Section 2 - Questions With Precise Solutions
Following a total knee arthroplasty, a patient has been receiving moist heat to
the knee prior to exercise and gait training. During the current visit, the
physical therapist notes new redness, swelling, and increasing warmth
surrounding the knee. Which of the following actions should the therapist
take?
1.Notify the orthopedic surgeon of the changes.
2.Continue with the use of hot packs for 5 to 10 minutes prior to physical
therapy.
3.Substitute ice instead of heat prior to physical therapy.
4.Discontinue physical therapy until the problems are resolved. Right Ans -
1.Notify the orthopedic surgeon of the changes.
New symptoms of redness, swelling, and increasing warmth following a
surgical procedure are indicators of a possible infection. The surgeon should
be notified.
A patient has nontraumatic neck and shoulder pain, decreased hand dexterity,
paresthesia in the right upper extremity, hyperreflexia, and urinary retention
with overflow incontinence. The patient MOST likely has which of the
following conditions?
1.Central cord syndrome
2.Cervical transverse ligament tear
3.Cervical disc herniation
4.Cervical myelopathy Right Ans - 4.Cervical myelopathy
A patient who has a long-term history of nonsteroidal antiinflammatory drug
use reports back pain from the mid thoracic region to the right upper
quadrant, including the posterior right shoulder. The patient also reports
weight loss, loss of appetite, dark-colored stools, and episodes of epigastric
pain within 3 hours of eating a meal. The patient reports an episode of
vomiting material with a coffee-ground appearance prior to arriving for
physical therapy. Which of the following gastrointestinal conditions is MOST
likely responsible for these symptoms?
1.Peptic ulcer disease
2.Gastritis
3.Irritable bowel syndrome
4.Appendicitis Right Ans - 1.Peptic ulcer disease
,Patients who have a history of long-term nonsteroidal antiinflammatory drug
use should be monitored for signs and symptoms of bleeding. Pain occurring
within 1-3 hours of eating is typical in duodenal ulcers. The pain occasionally
radiates to the mid thoracic back and right upper quadrant, including the right
shoulder. Right shoulder pain alone may occur as a result of blood within the
peritoneal cavity. Melena (dark, tarry stools) and coffee-ground vomitus are
indicative of bleeding. Referral to a physician is warranted.
The physical therapy plan of care for a patient with low back pain includes
posterior pelvic tilts performed in the supine position. Modification of the
plan of care would be MOST needed if the patient were found to have which of
the following conditions?
1.Irritable bowel syndrome
2.Duodenal ulcer
3.Hiatal hernia
4.Diverticulosis Right Ans - 3.Hiatal hernia
When a client has a known hiatal hernia, the supine position and any exercise
(such as posterior pelvic tilts) for which the patient might use the Valsalva
maneuver should be avoided
A patient had a central line peripherally inserted via the cephalic vein. Proper
placement has been confirmed. Which of the following activities of the
ipsilateral arm should be AVOIDED?
1.Blood pressure measurement
2.Weight-bearing through the hand
3.Active upper extremity range of motion
4.Positioning the hand below the level of the chest Right Ans - 1.Blood
pressure measurement
Blood pressure should not be taken on the ipsilateral side. This is a precaution
for patients who have a peripherally inserted central line, as well as for
patients who have some other lines.
A physical therapist is conducting a research project that synthesizes the
results of several studies in a quantitative process. This process represents
which of the following research methods?
, 1.Cross-sectional
2.Correlational
3.Meta-analytical
4.Methodological Right Ans - 3.Meta-analytical
3. Meta-analytical research is a process by which the results of several studies
are synthesized in a quantitative way
A patient has a recent onset of intermittent signs of cervical radiculopathy.
Which of the following conditions is MOST likely to be detected by plain
radiographs as the structural cause of the symptoms?
1.Tumor
2.Disc herniation
3.Osteophytes
4.Acute stress fractures Right Ans - 3.Osteophytes
Bone spurs are a common cause of lateral stenosis, which can cause radicular
pain. Osteophytes is the correct answer because radiographs provide an
excellent view of cortical bone and are more sensitive than magnetic
resonance imaging in detecting calcification.
A 77-year-old female patient who has a long history of taking
antiparkinsonian medications exhibits random, rapid, and jerky movements.
Which of the following terms BEST describes these movements?
1.Chorea
2.Dysmetria
3.Segmental dystonia
4.Abnormal synergies Right Ans - 1.Chorea
Chorea is a type of dyskinesia that is often observed as a side effect of
antiparkinsonian medication and that typically emerges with prolonged use of
such medications. Chorea is characterized by involuntary, rapid, irregular, and
jerky movements.
During lung auscultation, a physical therapist asks a patient to continuously
say "E." Transmission of an "A" sound is heard over the right lower lobe when
the patient says "E." Which of the following conditions is MOST likely present
in the right lower lobe?
1.Atelectasis
Following a total knee arthroplasty, a patient has been receiving moist heat to
the knee prior to exercise and gait training. During the current visit, the
physical therapist notes new redness, swelling, and increasing warmth
surrounding the knee. Which of the following actions should the therapist
take?
1.Notify the orthopedic surgeon of the changes.
2.Continue with the use of hot packs for 5 to 10 minutes prior to physical
therapy.
3.Substitute ice instead of heat prior to physical therapy.
4.Discontinue physical therapy until the problems are resolved. Right Ans -
1.Notify the orthopedic surgeon of the changes.
New symptoms of redness, swelling, and increasing warmth following a
surgical procedure are indicators of a possible infection. The surgeon should
be notified.
A patient has nontraumatic neck and shoulder pain, decreased hand dexterity,
paresthesia in the right upper extremity, hyperreflexia, and urinary retention
with overflow incontinence. The patient MOST likely has which of the
following conditions?
1.Central cord syndrome
2.Cervical transverse ligament tear
3.Cervical disc herniation
4.Cervical myelopathy Right Ans - 4.Cervical myelopathy
A patient who has a long-term history of nonsteroidal antiinflammatory drug
use reports back pain from the mid thoracic region to the right upper
quadrant, including the posterior right shoulder. The patient also reports
weight loss, loss of appetite, dark-colored stools, and episodes of epigastric
pain within 3 hours of eating a meal. The patient reports an episode of
vomiting material with a coffee-ground appearance prior to arriving for
physical therapy. Which of the following gastrointestinal conditions is MOST
likely responsible for these symptoms?
1.Peptic ulcer disease
2.Gastritis
3.Irritable bowel syndrome
4.Appendicitis Right Ans - 1.Peptic ulcer disease
,Patients who have a history of long-term nonsteroidal antiinflammatory drug
use should be monitored for signs and symptoms of bleeding. Pain occurring
within 1-3 hours of eating is typical in duodenal ulcers. The pain occasionally
radiates to the mid thoracic back and right upper quadrant, including the right
shoulder. Right shoulder pain alone may occur as a result of blood within the
peritoneal cavity. Melena (dark, tarry stools) and coffee-ground vomitus are
indicative of bleeding. Referral to a physician is warranted.
The physical therapy plan of care for a patient with low back pain includes
posterior pelvic tilts performed in the supine position. Modification of the
plan of care would be MOST needed if the patient were found to have which of
the following conditions?
1.Irritable bowel syndrome
2.Duodenal ulcer
3.Hiatal hernia
4.Diverticulosis Right Ans - 3.Hiatal hernia
When a client has a known hiatal hernia, the supine position and any exercise
(such as posterior pelvic tilts) for which the patient might use the Valsalva
maneuver should be avoided
A patient had a central line peripherally inserted via the cephalic vein. Proper
placement has been confirmed. Which of the following activities of the
ipsilateral arm should be AVOIDED?
1.Blood pressure measurement
2.Weight-bearing through the hand
3.Active upper extremity range of motion
4.Positioning the hand below the level of the chest Right Ans - 1.Blood
pressure measurement
Blood pressure should not be taken on the ipsilateral side. This is a precaution
for patients who have a peripherally inserted central line, as well as for
patients who have some other lines.
A physical therapist is conducting a research project that synthesizes the
results of several studies in a quantitative process. This process represents
which of the following research methods?
, 1.Cross-sectional
2.Correlational
3.Meta-analytical
4.Methodological Right Ans - 3.Meta-analytical
3. Meta-analytical research is a process by which the results of several studies
are synthesized in a quantitative way
A patient has a recent onset of intermittent signs of cervical radiculopathy.
Which of the following conditions is MOST likely to be detected by plain
radiographs as the structural cause of the symptoms?
1.Tumor
2.Disc herniation
3.Osteophytes
4.Acute stress fractures Right Ans - 3.Osteophytes
Bone spurs are a common cause of lateral stenosis, which can cause radicular
pain. Osteophytes is the correct answer because radiographs provide an
excellent view of cortical bone and are more sensitive than magnetic
resonance imaging in detecting calcification.
A 77-year-old female patient who has a long history of taking
antiparkinsonian medications exhibits random, rapid, and jerky movements.
Which of the following terms BEST describes these movements?
1.Chorea
2.Dysmetria
3.Segmental dystonia
4.Abnormal synergies Right Ans - 1.Chorea
Chorea is a type of dyskinesia that is often observed as a side effect of
antiparkinsonian medication and that typically emerges with prolonged use of
such medications. Chorea is characterized by involuntary, rapid, irregular, and
jerky movements.
During lung auscultation, a physical therapist asks a patient to continuously
say "E." Transmission of an "A" sound is heard over the right lower lobe when
the patient says "E." Which of the following conditions is MOST likely present
in the right lower lobe?
1.Atelectasis
