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A ______________ ischemic contracture is a nerve injury resulting from the
compressions of fluid, producing a deformed limb - CORRECT ANSWER: Volkmann
contracture (or Volkmann ischemic contracture) is a permanent shortening (contracture)
of forearm muscles, usually resulting from injury, that gives rise to a clawlike deformity
of the hand, fingers, and wrist. It is more common in children.
A 4-year-old child has maxillary hypoplasia, an elongated mid face, and a short,
upturned nose. The child has a short attention span and poor growth. Which of the
following interventions would be MOST appropriate for the child?
1. Gait training with a rolling walker
2. Sensory desensitization activities
3. Activities to inhibit spasticity
4. Dynamic balance activities - CORRECT ANSWER: 4. Dynamic balance activities
The stem describes characteristics of a child with fetal alcohol syndrome. Fine motor
dysfunction, visuomotor deficits, balance problems, and weak grasp are characteristics
of children with fetal alcohol syndrome. Balance activities would benefit the child.
A 65-year-old patient arrives for outpatient physical therapy. The patient reports
swimming earlier that morning. Since then the patient has felt pain down both arms, has
had shortness of breath, and has continued to perspire. What should a physical
therapist do NEXT?
,1. Refer the patient to a physician for magnetic resonance imaging of the cervical spine.
2. Contact emergency medical services.
3. Evaluate the cervical spine and provide stretches to decrease bilateral arm pain.
4. Treat the patient and recommend that the patient follow up with a physician within 1
week. - CORRECT ANSWER: 2. Contact emergency medical services.
The patient shows signs of having had a myocardial infarction. A myocardial infarction is
more apt to occur in the morning, during exertion, and when one is working with the
arms overhead (e.g., swimming). The patient demonstrates all of these warning signs,
and emergency medical services should be contacted immediately.
A healthy, older, sedentary individual has normal vital signs at rest. During maximal
aerobic exercise, which of the following values should demonstrate MINIMAL change?
a. Stroke volume
b. Diastolic blood pressure
c. Venous oxygen content
d. Systolic blood pressure - CORRECT ANSWER: b. Diastolic blood pressure
Even in the elderly population, a great amount of oxygen is extracted from working
muscles, and venous oxygen changes significantly with exercise
A mother reports that her 6-month-old infant has had vomiting and diarrhea over the last
2 days. Which of the following signs would be the MOST accurate indication of severe
dehydration?
1. Decreased respiratory rate
,2. Sunken fontanelle
3. Warm hands and feet
4. Loud crying when touched - CORRECT ANSWER: 2. Sunken fontanelle
1. Increased respiratory rate is a sign of severe dehydration (not decreased rate).
2. The fontanelle will be sunken in infants who are dehydrated.
3. Cold hands and feet are present in severe dehydration.
4. In severe dehydration, the infant would be unable to cry.
A patient describes a progression of weakness over a 4-day period that began with
moderate weakness in the lower extremities and has progressed to difficulty with all
movements. The patient reports symptoms of paresthesia, but no loss of sensation. The
MOST likely diagnosis is:
1. amyotrophic lateral sclerosis.
2. Guillain-Barré syndrome.
3. multiple transient ischemic attacks.
4. subdural hematoma. - CORRECT ANSWER: 2. Guillain-Barré syndrome.
, The timeline is quite inappropriate for amyotrophic lateral sclerosis to develop
There is rapidly ascending bilateral muscle weakness with paresthesias, but no
anesthesia is present in Guillain-Barré syndrome
The pattern of rapid and continuous decline is atypical for even a series of vascular
accidents. The typical vascular event starts with a dramatic onset of symptoms, which
then improve. The ischemic episode typically lasts 5-20 minutes
Although the timeline is appropriate for the development of a subdural hematoma,
symptoms that are symmetrical and paresthesias without anesthesia are not typical for
a subdural hematoma
A patient had a ruptured right middle cerebral artery aneurysm that was repaired. Which
of the following functional limitations would the patient MOST likely exhibit?
a. Horizontal nystagmus
b. Ataxic gait
c. Apraxia
d. Rigidity - CORRECT ANSWER: c. Apraxia
Apraxia is a clinical symptom of a middle cerebral artery lesion.
A patient has a fracture of the third metacarpal that occurred 2 months ago. The patient
currently has heat, swelling, erythema, and tenderness at the fracture site. Which of the
following courses of action would be MOST appropriate at this time?
1. Apply a compression glove.