PEAT 2 PRACTICE QUESTIONS AND ANSWER
LATEST 2025-2026 EXAM UPDATE
Utilization review and peer review are activities that are a part of a
comprehensive:
A. policy and procedure manual.
B. quality improvement program.
C. audit cycle.
D. performance evaluation - Answer-B.
According to the Standards of Practice for Physical Therapy there
should be a written plan for continuous improvement of quality care.
This includes ongoing review and evaluation of the physical therapy
services provided. Utilization review and peer review are two types of
review processes.
The demographic information of the participants in a research study lists
a mean age of 32 and median age of 35. The difference between the
median and mean indicates:
A. the value of the standard deviation score.
B. the value of the Z-score.
C. that the distribution is skewed.
,that the 2 measures should be averaged - Answer-C.
A "normally distributed" sample has a median and a mean that are equal
in value. In that type of distribution, the median and mean would be at
the halfway point. One-half of the scores (50 percent) would be
distributed above the median and one-half below. If the median and
mean are not of equal value, the distribution is skewed. If the median is
of a higher value than the mean, the distribution is skewed to the left, if
lower it is skewed to the right. The standard deviation is a measure of
the variability of the mean. The Z-score is a standard score with a mean
of zero and a standard deviation of one. Averaging the two measures
would not be appropriate or meaningful
A physical therapist is treating a young athlete with gastrocnemius
muscle strength of Fair plus (3+/5). In the prone position, which of the
following exercises is MOST appropriate to maximize strengthening?
A. Resistive exercises with the knee bent
B. Resistive exercises with the knee straight
C. Active assistive exercises with the knee bent
D. Active assistive exercises with the knee straight - Answer-B.
With a muscle grade of Fair plus, the patient should not need active
assistive exercise. Resistive exercise against gravity would be most
appropriate to strengthen this muscle. Since the gastrocnemius crosses
both the knee and ankle, bending the knee would put the gastrocnemius
in a shortened position and lessen its ability to produce tension.
,Therefore, exercising with the knee straight would put the gastrocnemius
on stretch, increasing its ability to produce tension.
Following spinal joint mobilization procedures, a patient calls the
therapist and reports a minor dull ache in the treated area of the back that
lasted for 2 to 3 hours. Based on this symptom, the therapist should:
A. consider a possible neurological lesion in the area.
B. refer the patient back to the physician.
C. inform the patient that this response is common.
D. add strengthening exercises to the home program. - Answer-C.
Joint mobilization procedures may cause some soreness. The therapist
should inform the patient of this response to treatment. The therapist
should re-evaluate the patient and could alter the treatment by waiting an
extra day before the next treatment or by decreasing the dosage. There
would not be a need to refer to the physician. The addition of exercises
would not alter the response and there would be no indication of
neurological involvement with the reported symptoms
A 90 year-old patient with chronic congestive heart failure has been non-
ambulatory and a nursing home resident for the past year. The patient
was recently admitted to the hospital following an episode of
dehydration. Which of the following plans for prophylactic respiratory
care is MOST appropriate?
A. Turning, coughing, and deep breathing every 1 to 2 waking hours
, B. Vigorous percussion and vibration 4 times/day
C. Gentle vibration with the foot of the bed elevated 1 time/day
D. Segmental postural drainage using standard positions throughout the
day - Answer-A.
A patient who is bed-bound and immobile will be prone to developing
atelectasis (partial collapse of lung tissue), which can then lead to
pneumonia. Frequent position changes with deep breathing and
coughing will help prevent development of atelectasis. Given that this
patient is elderly and does not have a diagnosis of secretion retention,
vigorous percussion and vibration is not indicated. Vibration with the
head down or standard postural drainage positions will not be tolerated
in this elderly patient with chronic congestive heart failure.
To help students apply a newly learned skill to clinical practice, the
MOST effective action for the clinical instructor to take is to:
A. point out possible patient situations and discuss how the skill would
apply to them.
B. have the students research reference materials and compile a list of
the steps required to acquire the skill.
C. prepare a list of indications and contraindications for the skill.
D. have the students provide examples of patient situations where the
skill would be appropriately applied. - Answer-D.
Behavioral objectives should be learner centered, outcome oriented,
specific, and measurable. Option D is the only one that is learner
LATEST 2025-2026 EXAM UPDATE
Utilization review and peer review are activities that are a part of a
comprehensive:
A. policy and procedure manual.
B. quality improvement program.
C. audit cycle.
D. performance evaluation - Answer-B.
According to the Standards of Practice for Physical Therapy there
should be a written plan for continuous improvement of quality care.
This includes ongoing review and evaluation of the physical therapy
services provided. Utilization review and peer review are two types of
review processes.
The demographic information of the participants in a research study lists
a mean age of 32 and median age of 35. The difference between the
median and mean indicates:
A. the value of the standard deviation score.
B. the value of the Z-score.
C. that the distribution is skewed.
,that the 2 measures should be averaged - Answer-C.
A "normally distributed" sample has a median and a mean that are equal
in value. In that type of distribution, the median and mean would be at
the halfway point. One-half of the scores (50 percent) would be
distributed above the median and one-half below. If the median and
mean are not of equal value, the distribution is skewed. If the median is
of a higher value than the mean, the distribution is skewed to the left, if
lower it is skewed to the right. The standard deviation is a measure of
the variability of the mean. The Z-score is a standard score with a mean
of zero and a standard deviation of one. Averaging the two measures
would not be appropriate or meaningful
A physical therapist is treating a young athlete with gastrocnemius
muscle strength of Fair plus (3+/5). In the prone position, which of the
following exercises is MOST appropriate to maximize strengthening?
A. Resistive exercises with the knee bent
B. Resistive exercises with the knee straight
C. Active assistive exercises with the knee bent
D. Active assistive exercises with the knee straight - Answer-B.
With a muscle grade of Fair plus, the patient should not need active
assistive exercise. Resistive exercise against gravity would be most
appropriate to strengthen this muscle. Since the gastrocnemius crosses
both the knee and ankle, bending the knee would put the gastrocnemius
in a shortened position and lessen its ability to produce tension.
,Therefore, exercising with the knee straight would put the gastrocnemius
on stretch, increasing its ability to produce tension.
Following spinal joint mobilization procedures, a patient calls the
therapist and reports a minor dull ache in the treated area of the back that
lasted for 2 to 3 hours. Based on this symptom, the therapist should:
A. consider a possible neurological lesion in the area.
B. refer the patient back to the physician.
C. inform the patient that this response is common.
D. add strengthening exercises to the home program. - Answer-C.
Joint mobilization procedures may cause some soreness. The therapist
should inform the patient of this response to treatment. The therapist
should re-evaluate the patient and could alter the treatment by waiting an
extra day before the next treatment or by decreasing the dosage. There
would not be a need to refer to the physician. The addition of exercises
would not alter the response and there would be no indication of
neurological involvement with the reported symptoms
A 90 year-old patient with chronic congestive heart failure has been non-
ambulatory and a nursing home resident for the past year. The patient
was recently admitted to the hospital following an episode of
dehydration. Which of the following plans for prophylactic respiratory
care is MOST appropriate?
A. Turning, coughing, and deep breathing every 1 to 2 waking hours
, B. Vigorous percussion and vibration 4 times/day
C. Gentle vibration with the foot of the bed elevated 1 time/day
D. Segmental postural drainage using standard positions throughout the
day - Answer-A.
A patient who is bed-bound and immobile will be prone to developing
atelectasis (partial collapse of lung tissue), which can then lead to
pneumonia. Frequent position changes with deep breathing and
coughing will help prevent development of atelectasis. Given that this
patient is elderly and does not have a diagnosis of secretion retention,
vigorous percussion and vibration is not indicated. Vibration with the
head down or standard postural drainage positions will not be tolerated
in this elderly patient with chronic congestive heart failure.
To help students apply a newly learned skill to clinical practice, the
MOST effective action for the clinical instructor to take is to:
A. point out possible patient situations and discuss how the skill would
apply to them.
B. have the students research reference materials and compile a list of
the steps required to acquire the skill.
C. prepare a list of indications and contraindications for the skill.
D. have the students provide examples of patient situations where the
skill would be appropriately applied. - Answer-D.
Behavioral objectives should be learner centered, outcome oriented,
specific, and measurable. Option D is the only one that is learner
