FSBPT PRACTICE EXAM 2
QUESTIONS AND CORRECT
ANSWERS
Which of the following exercises is CONTRAINDICATED for a patient who is 2 weeks post total
shoulder arthroplasty with rotator cuff repair?
1. Isometric shoulder adduction
2. Shoulder flexion with wand
3. Active shoulder abduction
4. Codman's pendulum ✅✅ANSW-3. Active shoulder abduction
1. For a patient who underwent total shoulder arthroplasty with repair of a large tear or rupture of a
rotator cuff tendon, it may not be permissible to begin range of motion exercises immediately after
surgery. When the sling or splint can be removed for exercise, only passive or assisted range of
motion should be performed throughout the first phase of rehabilitation. The range of shoulder
elevation and lateral (external) rotation initially permitted may be less than for shoulders that did
not require cuff repair. Actively (unassisted), antigravity range of motion and light isometrics should
be postponed until the second phase (approximately 6 weeks postoperatively, which repaired soft
tissues are reasonably well healed).
2. Although shoulder flexion with a wand may be considered an active assisted range of motion
exercise, strength of rotator cuff muscles should be restored prior to strengthening shoulder
flexors/abductors (p. 564).
3. Maximum protection phase allows for passive or active assistive range of motion only, active
shoulder range of motion is not allowed (p. 565).
4. Codman's pendulum exercises are part of the stated protocol for maximum protective phase (p.
562).
Which of the following interventions is MOST appropriate for a patient who has hemophilia and is in
the acute stage of joint healing following a hemarthrosis of the knee joint?
1. Stretching
2. Joint mobilization
3. Hot pack to the knee
4. Cold pack to the knee ✅✅ANSW-4. Cold pack to the knee
,1. Stretching is not indicated during the acute phase because of the risk of repeated bleeding. Only
active range of motion (ROM) in a pain-free range should be performed.
2. Joint mobilization is not indicated during the acute phase because of the risk of repeated
bleeding. Only active range of motion (ROM) in a pain-free range should be performed.
3. Cold application is most appropriate to reduce the risk of bleeding.
4. At this stage of recovery, the patient should be following the RICE (rest, ice, compression,
elevation) principle. Cold packs should be appropriate.
Which of the following heart valves prevent backflow of blood into the ventricles during the diastolic
phase?
1. Mitral and tricuspid
2. Pulmonary and tricuspid
3. Mitral and aortic
4. Pulmonary and aortic ✅✅ANSW-4. Pulmonary and aortic
1. Both the mitral and the tricuspid valves prevent backflow during systole (pp. 292-293).
2. The tricuspid valve prevents backflow during systole (p. 292).
3. The mitral valve prevents backflow into the atria during the systolic phase (p. 293).
4. The pulmonary and aortic valves are the two semilunar-shaped valves that prevent backflow of
blood from the aorta and pulmonary arteries during the diastolic phase (pp. 292-294).
Which of the following exercises would be MOST beneficial for a patient who has a transtibial
amputation?
1. Hip abduction in seated position
2. Hip adduction in standing position
3. Hip and knee extension in prone position
4. Hip and knee flexion in supine position ✅✅ANSW-3. Hip and knee extension in prone position
1. Although hip abduction is important, strengthening in the seated position is not as effective as
strengthening in sidelying position and working against gravity (Kisner).
2. With a transtibial amputation, good strength in the hip extensors and abductors as well as knee
flexors and extensors is needed for prosthetic gait training. Hip adductors are less critical.
(O'Sullivan, p. 964)
, 3. Hip and knee extension counter the positions of typical contracture of hip and knee flexion
(O'Sullivan, pp. 959-960).
4. Hip and knee flexion are typical positions of joint contracture (O'Sullivan, pp. 959-960).
Following carpal tunnel release surgery, which of the following interventions is part of an
appropriate plan of care during the recovery phase of reinnervation?
1. Splinting of the hand to prevent wrist drop
2. Strengthening exercises for the interossei
3. Strengthening exercises for the abductor pollicis longus
4. Rubbing gently with cotton on the medial thenar eminence ✅✅ANSW-4. Rubbing gently with
cotton on the medial thenar eminence
1. A splint for wrist drop would be needed if there was a radial nerve injury proximal to the wrist.
Carpal tunnel release surgery involves the median nerve and is performed at the wrist. (p. 389)
2. The interossei are innervated by the ulnar nerve and would not be weak due to carpal tunnel
syndrome (p. 388).
3. The abductor pollicis longus is innervated by the radial nerve. It would not need strengthening
after a median nerve injury in the carpal tunnel. (p. 389)
4. In the recovery phase of reinnervation, it is appropriate to incorporate desensitization techniques
to address hypersensitive areas (p. 395). Cotton material may be used for sensory stimulation (p.
396). The medial thenar eminence is innervated by the median nerve (p. 388).
The Timed Up and Go Test is used to measure which of the following functions?
1. Balance during mobility
2. Unsupported dynamic standing balance
3. Ability to avoid obstacles and navigate in crowded spaces
4. Ability to perform tasks of increasing difficulty from seated to bipedal stance ✅✅ANSW-1. The
Timed up and Go Test (TUG) is used to measure dynamic balance and mobility (p. 217).
2. The ability to maintain balance unsupported while reaching in multiple directions is a function
measured by the Functional Reach Test (p. 216).
3. The Tinetti Performance Oriented Mobility Assessment provides a better measure of the ability to
avoid obstacles and navigate in crowded spaces (p. 213).
4. The ability to perform tasks of increasing difficulty from seated to bipedal stance are best
measured by the Berg Balance Scale (p. 213).
QUESTIONS AND CORRECT
ANSWERS
Which of the following exercises is CONTRAINDICATED for a patient who is 2 weeks post total
shoulder arthroplasty with rotator cuff repair?
1. Isometric shoulder adduction
2. Shoulder flexion with wand
3. Active shoulder abduction
4. Codman's pendulum ✅✅ANSW-3. Active shoulder abduction
1. For a patient who underwent total shoulder arthroplasty with repair of a large tear or rupture of a
rotator cuff tendon, it may not be permissible to begin range of motion exercises immediately after
surgery. When the sling or splint can be removed for exercise, only passive or assisted range of
motion should be performed throughout the first phase of rehabilitation. The range of shoulder
elevation and lateral (external) rotation initially permitted may be less than for shoulders that did
not require cuff repair. Actively (unassisted), antigravity range of motion and light isometrics should
be postponed until the second phase (approximately 6 weeks postoperatively, which repaired soft
tissues are reasonably well healed).
2. Although shoulder flexion with a wand may be considered an active assisted range of motion
exercise, strength of rotator cuff muscles should be restored prior to strengthening shoulder
flexors/abductors (p. 564).
3. Maximum protection phase allows for passive or active assistive range of motion only, active
shoulder range of motion is not allowed (p. 565).
4. Codman's pendulum exercises are part of the stated protocol for maximum protective phase (p.
562).
Which of the following interventions is MOST appropriate for a patient who has hemophilia and is in
the acute stage of joint healing following a hemarthrosis of the knee joint?
1. Stretching
2. Joint mobilization
3. Hot pack to the knee
4. Cold pack to the knee ✅✅ANSW-4. Cold pack to the knee
,1. Stretching is not indicated during the acute phase because of the risk of repeated bleeding. Only
active range of motion (ROM) in a pain-free range should be performed.
2. Joint mobilization is not indicated during the acute phase because of the risk of repeated
bleeding. Only active range of motion (ROM) in a pain-free range should be performed.
3. Cold application is most appropriate to reduce the risk of bleeding.
4. At this stage of recovery, the patient should be following the RICE (rest, ice, compression,
elevation) principle. Cold packs should be appropriate.
Which of the following heart valves prevent backflow of blood into the ventricles during the diastolic
phase?
1. Mitral and tricuspid
2. Pulmonary and tricuspid
3. Mitral and aortic
4. Pulmonary and aortic ✅✅ANSW-4. Pulmonary and aortic
1. Both the mitral and the tricuspid valves prevent backflow during systole (pp. 292-293).
2. The tricuspid valve prevents backflow during systole (p. 292).
3. The mitral valve prevents backflow into the atria during the systolic phase (p. 293).
4. The pulmonary and aortic valves are the two semilunar-shaped valves that prevent backflow of
blood from the aorta and pulmonary arteries during the diastolic phase (pp. 292-294).
Which of the following exercises would be MOST beneficial for a patient who has a transtibial
amputation?
1. Hip abduction in seated position
2. Hip adduction in standing position
3. Hip and knee extension in prone position
4. Hip and knee flexion in supine position ✅✅ANSW-3. Hip and knee extension in prone position
1. Although hip abduction is important, strengthening in the seated position is not as effective as
strengthening in sidelying position and working against gravity (Kisner).
2. With a transtibial amputation, good strength in the hip extensors and abductors as well as knee
flexors and extensors is needed for prosthetic gait training. Hip adductors are less critical.
(O'Sullivan, p. 964)
, 3. Hip and knee extension counter the positions of typical contracture of hip and knee flexion
(O'Sullivan, pp. 959-960).
4. Hip and knee flexion are typical positions of joint contracture (O'Sullivan, pp. 959-960).
Following carpal tunnel release surgery, which of the following interventions is part of an
appropriate plan of care during the recovery phase of reinnervation?
1. Splinting of the hand to prevent wrist drop
2. Strengthening exercises for the interossei
3. Strengthening exercises for the abductor pollicis longus
4. Rubbing gently with cotton on the medial thenar eminence ✅✅ANSW-4. Rubbing gently with
cotton on the medial thenar eminence
1. A splint for wrist drop would be needed if there was a radial nerve injury proximal to the wrist.
Carpal tunnel release surgery involves the median nerve and is performed at the wrist. (p. 389)
2. The interossei are innervated by the ulnar nerve and would not be weak due to carpal tunnel
syndrome (p. 388).
3. The abductor pollicis longus is innervated by the radial nerve. It would not need strengthening
after a median nerve injury in the carpal tunnel. (p. 389)
4. In the recovery phase of reinnervation, it is appropriate to incorporate desensitization techniques
to address hypersensitive areas (p. 395). Cotton material may be used for sensory stimulation (p.
396). The medial thenar eminence is innervated by the median nerve (p. 388).
The Timed Up and Go Test is used to measure which of the following functions?
1. Balance during mobility
2. Unsupported dynamic standing balance
3. Ability to avoid obstacles and navigate in crowded spaces
4. Ability to perform tasks of increasing difficulty from seated to bipedal stance ✅✅ANSW-1. The
Timed up and Go Test (TUG) is used to measure dynamic balance and mobility (p. 217).
2. The ability to maintain balance unsupported while reaching in multiple directions is a function
measured by the Functional Reach Test (p. 216).
3. The Tinetti Performance Oriented Mobility Assessment provides a better measure of the ability to
avoid obstacles and navigate in crowded spaces (p. 213).
4. The ability to perform tasks of increasing difficulty from seated to bipedal stance are best
measured by the Berg Balance Scale (p. 213).
