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Exam (elaborations)

Pharmacotherapeutics

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1. A patient is performing a Phase I (inpatient) cardiac rehabilitation exercise session. The physical therapist should terminate low-level activity if which of the following changes occurs? 1. The diastolic blood pressure increases to 120 mm Hg. 2. The respiratory rate increases to 20 breaths per minute. 3. The systolic blood pressure increases by 20 mm Hg. 4. The heart rate increases by 20 bpm. 2.A patient is being evaluated for possible carpal tunnel syndrome, and a nerve conduction velocity test is performed. Which of the following findings would MOST strongly support the diagnosis? 1. Decreased latency at the elbow 2. Decreased latency at the carpal tunnel 3. Increased latency at the carpal tunnel 4. Increased latency at the forearm 3.When examining a patient with a history of alcohol abuse, a physical therapist notes that the patient demonstrates fine resting tremors and hyperactive reflexes. The patient reports frequent right upper quadrant pain. Which of the following additional signs is MOST likely? 1. Jaundice 2. Hyperhidrosis 3. Hypotension

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1. A patient is performing a Phase I (inpatient) cardiac rehabilitation
exercise session. The physical therapist should terminate low-level
activity if which of the following changes occurs?
1. The diastolic blood pressure increases to 120 mm Hg.
2. The respiratory rate increases to 20 breaths per minute.
3. The systolic blood pressure increases by 20 mm Hg.
4. The heart rate increases by 20 bpm.


2.A patient is being evaluated for possible carpal tunnel syndrome, and
a nerve conduction velocity test is performed. Which of the following
findings would MOST strongly support the diagnosis?
1. Decreased latency at the elbow
2. Decreased latency at the carpal tunnel
3. Increased latency at the carpal tunnel
4. Increased latency at the forearm


3.When examining a patient with a history of alcohol abuse, a physical
therapist notes that the patient demonstrates fine resting tremors and
hyperactive reflexes. The patient reports frequent right upper quadrant
pain. Which of the following additional signs is MOST likely?
1. Jaundice
2. Hyperhidrosis
3. Hypotension

1

, 4. Nocturnal cough


4. Which of the following sensory testing locations corresponds to the
C7 nerve root?
1. Volar aspect of the little finger (5th digit)
2. Dorsal aspect of the middle finger (3rd digit)
3. Lateral aspect of the upper arm
4. Medial aspect of the upper arm


5.Which of the following examination findings would be expected in a
patient who also had sustained ankle clonus?
1. An upgoing great toe when the sole of the foot is stroked
2. Weakness of ankle plantar flexors with one-repetition strength
testing
3. Absence of sensation to sharp/dull testing over the posterior lower
leg
4. Hyporeflexia when deep tendon reflexes are elicited in the lower
leg


6. A 3-month-old infant has poor midline head control. During
evaluation, the physical therapist notes facial asymmetry and observes
that the infant has limitation of cervical rotation to the left and cervical
lateral flexion to the right. A radiology report indicates premature
fusion of the infant’s cranial sutures. The infant MOST likely has:
1. right congenital muscular torticollis.

2

, 2. left congenital muscular torticollis.
3. right cervical facet hypomobility.
4. left cervical facet hypomobility.


7.A patient had a split-thickness skin graft for a partial-thickness burn
injury to the upper extremity. The surgeon has requested
range-of-motion exercises for the patient. Currently, the patient is able
to actively move the upper extremity through one-third of the range of
motion for shoulder flexion. Based on this finding, what is the MOST
appropriate action for the physical therapist to take at this time?
1. Defer any range-of-motion exercises until the patient is able to
participate more actively.
2. Begin active assistive range-of-motion exercises.
3. Begin bed mobility training to facilitate increased use of the upper
extremity.
4. Continue with active range-of-motion exercises.


8.Which of the following modalities BEST addresses the cause of
calcific tendinitis in the bicipital tendon?
1. Sensory level interferential current at 80 Hz to 100 Hz
2. Iontophoresis with acetic acid at 60 mA/minute
3. High-volt pulsed electrical stimulation at 200 pps
4. Diathermy with a parallel treatment set-up




3

, 9.To minimize skin irritation during functional electrical nerve
stimulation, a physical therapist should use:
1. lower intensity, larger interelectrode distance, and larger
electrodes.
2. lower intensity, larger interelectrode distance, and smaller
electrodes.
3. higher intensity, smaller interelectrode distance, and smaller
electrodes.
4. lower intensity, smaller interelectrode distance, and larger
electrodes.


10.Manual muscle testing of a patient’s pelvic floor muscles reveals a
grade of Poor (2/5). Which of the following positions is BEST to begin
strengthening?
1. Supine
2. Standing
3. Seated
4. Walking


11.During an examination of elbow strength using manual muscle
testing, a patient supinates the forearm when attempting elbow flexion.
Which of the following muscles is MOST likely doing the major part of
the work?
1. Biceps brachii
2. Brachialis

4

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