, TESTBANK for Biophysical Agents Theory and
Practice 4th Edition Barbara J. Behrens
Notes
1- The file is chapter after chapter.
2- We have shown you few pages sample.
3- The file contains all Appendix and Excel
sheet if it exists.
4- We have all what you need, we make
update at every time. There are many
new editions waiting you.
5- If you think you purchased the wrong file
You can contact us at every time, we can
replace it with true one.
Our email:
,Chapter 1: Evidence-Based Practice With Physical Agents
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which of the following is NOT an essential component in the implementation of evidence-based
practice?
A. Current research
B. Clinical experience
C. Patient goals
D. Notes from school from 10 years ago
____ 2. Which of the following organizations includes the use of evidence-based practice in its “Vision
2020”?
A. Commission on Accreditation of Physical Therapy Education (CAPTE)
B. American Physical Therapy Association (APTA)
C. Federation of State Boards of Physical Therapy (FSBPT)
D. Medicare
____ 3. After reading a patient’s evaluation, you determine that exercises to strengthen the vastus medialis
muscle would be beneficial. You ask yourself, “What exercises would promote maximum firing of
vastus medialis muscle fibers?” This is an example of which of the following steps of evidence-
based practice?
A. Ask
B. Acquire
C. Appraise
D. Apply
____ 4. When evaluating the design of a research study, we can utilize the hierarchy of evidence. With
which of the following factors does the hierarchy rank research designs?
A. Publication date
B. Length of study
C. Bias
D. Number of subjects
____ 5. Which of the following best defines the term control group?
A. The group that controls the entire study
B. The group receiving the intervention
C. The group not receiving the intervention
D. The group that reviews the study outcome
____ 6. Which of the following research designs contains a control group?
A. Experimental
B. Quasi-experimental
C. Non-experimental
D. Case study
,____ 7. While reading an advertisement in the paper, you notice that the local hospital is looking for
participants in a research study. They are looking for people who have knee pain. The
advertisement states that if the person has had knee surgery of any type within the past 6 months
that he or she will not be considered for participation. Which of the following is considered the
inclusion criteria for this study?
A. Knee pain
B. Knee pain and knee surgery
C. Knee surgery
D. Absence of knee pain and absence of knee surgery
____ 8. Which of the following best describes the relationship between the number of subjects to the
strength of the research study?
A. There is no relationship.
B. The higher the number of subjects, the stronger the study.
C. The lower the number of subjects, the stronger the study.
D. Studies that have subjects also have the least strength.
____ 9. Which of the following best describes a “peer-reviewed journal”?
A. A journal that your coworker was able to read first
B. A journal in which the articles have been evaluated for credibility and
relevance by experts after publication
C. A journal in which the articles have been evaluated for credibility and
relevance by experts before publication
D. A journal in which you plan to share your thoughts with the editor
____ 10. Which of the following factors has increased external pressure for clinicians to
practice utilizing an evidence-based practice approach?
A. Access to PubMed and the Internet
B. Denial of reimbursement for services unsupported by evidence
C. Vision 2020 becoming a reality for the profession
D. Changes in the health-care structure and reimbursement models
,Chapter 1: Evidence-Based Practice With Physical Agents
Answer Section
MULTIPLE CHOICE
1. ANS: D
Feedback
A Incorrect. Evidence-based practice does integrate best research evidence.
B Incorrect. Evidence-based practice does integrate clinical experience.
C Incorrect. Evidence-based practice does integrate patient goals and values.
D Correct. Evidence-based practice does not rely on class notes that are a decade
old.
PTS: 1 KEY: evidence-based practice
2. ANS: B
Feedback
A Incorrect. CAPTE has positions related to the use of evidence-based practice in
PT education, but it does not have a “Vision 2020.”
B Correct. The APTA has a “Vision 2020,” which refers to the use of evidence-
based practice for practicing clinicians.
C Incorrect. The FSBPT does not have a “Vision 2020.”
D Incorrect. Medicare does not have a “Vision 2020.”
PTS: 1 KEY: evidence-based practice
3. ANS: A
Feedback
A Correct. Asking an answerable, clinical question is the first step in evidence-
based practice.
B Incorrect. Acquiring the best available evidence would include gathering
research.
C Incorrect. Appraising the evidence would include analyzing the strengths and
weaknesses of the evidence that was acquired.
D Incorrect. Applying the evidence would include choosing and implementing an
exercise to fire the vastus medialis in clinical practice for this patient.
PTS: 1 KEY: evidence-based practice
,4. ANS: C
Feedback
A Incorrect. Publication date does not factor into the hierarchy of evidence.
B Incorrect. Length of study does not factor into the hierarchy of evidence.
C Correct. The hierarchy of evidence ranks research designs based on their ability
to minimize bias.
D Incorrect. Number of subjects does not factor into the hierarchy of evidence. It
does affect the strength of the study, but it doesn’t change the hierarchy.
PTS: 1 KEY: evidence-based practice
5. ANS: C
Feedback
A Incorrect. This answer defines the researchers.
B Incorrect. This answer defines the experimental group.
C Correct. This answer is the definition of the control group.
D Incorrect. This answer defines the experts who evaluate studies for credibility
and relevance before publication in a peer-reviewed journal.
PTS: 1 KEY: evidence-based practice
6. ANS: A
Feedback
A Correct. Experimental designs contain a control group and an experimental
group, allowing the researchers to manipulate variables.
B Incorrect. Because groups in quasi-experimental designs are not randomly
assigned, many factors are not controlled. Therefore, no control group exists in
quasi-experimental design.
C Incorrect. Non-experimental studies are those in which researchers observe and
collect data without controlling any factors involved.
D Incorrect. A case study is a report on a very small number of patients without a
control group.
PTS: 1 KEY: evidence-based practice
,7. ANS: A
Feedback
A Correct. Knee pain is the characteristic the subjects must possess in order to be
included in the study.
B Incorrect. Knee surgery is the exclusion criteria.
C Incorrect. Knee surgery is the exclusion criteria.
D Incorrect. Absence of knee pain would be considered exclusion criteria.
PTS: 1 KEY: evidence-based practice
8. ANS: B
Feedback
A Incorrect. There is a relationship between the strength of a study and the number
of subjects included.
B Correct. A higher number of subjects included in a study makes the statistics
more mathematically meaningful.
C Incorrect. A lower number of subjects included in a study makes the statistics
less mathematically meaningful.
D Incorrect. Studies must have subjects.
PTS: 1 KEY: evidence-based practice
9. ANS: C
Feedback
A Incorrect. This is not the definition of a “peer-reviewed journal.”
B Incorrect. This is not the definition of a “peer-reviewed journal.” The experts
evaluate the research before publication.
C Correct. This is the definition of a “peer-reviewed journal.”
D Incorrect. This is not the definition of a “peer-reviewed journal.”
PTS: 1 KEY: evidence-based practice
,10. ANS: B
Feedback
A Incorrect. Access to information does not mean that it is utilized.
B Correct. Reimbursement denials for unsupported treatment techniques are an
important reason to change.
C Incorrect. Although the profession has a Vision, that is not a strong enough
reason to change.
D Incorrect. Although reimbursement models are changing, that’s not a strong
enough reason to change.
PTS: 1 KEY: evidence-based practice
,Chapter 2: Tissue Response to Injury
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. What is the most common symptom for which an individual seeks medical attention?
A. Trauma to soft tissues
B. Obesity
C. Pain
D. Depression
____ 2. Pain has sensory and psychological components that can complicate its accurate quantification.
Which of the following percentage relationships most accurately demonstrates the composition of
sensory and psychological components of pain?
A. 50% sensory and 50% psychological
B. 80% sensory and 20% psychological
C. 20% sensory and 80% psychological
D. There is no accurate relationship between the sensory and psychological
components.
____ 3. Which of the following criteria is inconsistent with chronic pain?
A. The cause is well defined.
B. Medical treatments have been ineffective.
C. The painful symptoms have persisted for more than 3 months.
D. The cause is not correctable or is uncertain.
____ 4. Which of the following terms best describes the phenomenon experienced by the patient when
painful symptoms are perceived in areas remote from the site of the original tissue damage?
A. Acute pain
B. Chronic pain
C. Referred pain
D. Phantom pain
____ 5. Before an individual becomes aware of pain, the painful input to the dorsal horn of the spinal cord
must travel to the brain. Which of the following scenarios is most accurate in describing the path
to the brain?
A. The axons of most of the transmission cells cross over and ascend via the
spinothalamic tract.
B. The axons of most of the transmission cells ascend ipsilaterally via the
spinothalamic tract.
C. The axons of most of the transmission cells cross over and descend via the lateral
spinothalamic tract.
D. The axons of all of the transmission cells descend over the spinothalamic tract to
the brain.
, ____ 6. Which of the following stimuli could result in the liberation of endogenous opiates?
A. Short duration, low intensity exercise
B. Sleeping
C. Intense pain
D. Eating an apple
____ 7. Vascularized tissue responds to injury with a series of events that are referred to as inflammation
and repair. Which of the following statements is least accurate in describing the purpose of
inflammation?
A. Inflammation results in immobilization of the area.
B. Inflammation results in preparation of the area for repair.
C. Inflammation results in dysfunction and must be avoided.
D. Inflammation results in vasodilation to improve circulation.
____ 8. The proliferative phase of healing involves the revascularization and rebuilding of tissues. Which
of the following is most accurate in describing tissues during this stage of healing?
A. Fragile
B. Hot
C. Bulky
D. Smooth
____ 9. Which of the following statements is most accurate?
A. Scar tissue is as strong as the tissue it replaces.
B. Scar tissue is stronger than the tissue it replaces.
C. Scar tissue is not as strong as the tissue it replaces.
D. Scar tissue is 70% as strong as the tissue it replaces.
____ 10. When surgical intervention is involved in the closure of a wound, it is termed “healing by first
intention.” Which of the following reasons would NOT be associated with promoting healing by
first intention?
A. Dirt in the wound
B. Infection
C. Excessive drainage
D. Physical condition of the patient
____ 11. Which of the following endogenous substances is NOT released into an injured area as a normal
response to injury?
A. Potassium
B. Serotonin
C. Histamine
D. Glucose
____ 12. Which of the following types of non-narcotic medications is often prescribed for analgesia but
tends to cause gastrointestinal irritation?
A. NSAIDs
B. Codeine
C. Morphine
D. Serotonin
Practice 4th Edition Barbara J. Behrens
Notes
1- The file is chapter after chapter.
2- We have shown you few pages sample.
3- The file contains all Appendix and Excel
sheet if it exists.
4- We have all what you need, we make
update at every time. There are many
new editions waiting you.
5- If you think you purchased the wrong file
You can contact us at every time, we can
replace it with true one.
Our email:
,Chapter 1: Evidence-Based Practice With Physical Agents
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which of the following is NOT an essential component in the implementation of evidence-based
practice?
A. Current research
B. Clinical experience
C. Patient goals
D. Notes from school from 10 years ago
____ 2. Which of the following organizations includes the use of evidence-based practice in its “Vision
2020”?
A. Commission on Accreditation of Physical Therapy Education (CAPTE)
B. American Physical Therapy Association (APTA)
C. Federation of State Boards of Physical Therapy (FSBPT)
D. Medicare
____ 3. After reading a patient’s evaluation, you determine that exercises to strengthen the vastus medialis
muscle would be beneficial. You ask yourself, “What exercises would promote maximum firing of
vastus medialis muscle fibers?” This is an example of which of the following steps of evidence-
based practice?
A. Ask
B. Acquire
C. Appraise
D. Apply
____ 4. When evaluating the design of a research study, we can utilize the hierarchy of evidence. With
which of the following factors does the hierarchy rank research designs?
A. Publication date
B. Length of study
C. Bias
D. Number of subjects
____ 5. Which of the following best defines the term control group?
A. The group that controls the entire study
B. The group receiving the intervention
C. The group not receiving the intervention
D. The group that reviews the study outcome
____ 6. Which of the following research designs contains a control group?
A. Experimental
B. Quasi-experimental
C. Non-experimental
D. Case study
,____ 7. While reading an advertisement in the paper, you notice that the local hospital is looking for
participants in a research study. They are looking for people who have knee pain. The
advertisement states that if the person has had knee surgery of any type within the past 6 months
that he or she will not be considered for participation. Which of the following is considered the
inclusion criteria for this study?
A. Knee pain
B. Knee pain and knee surgery
C. Knee surgery
D. Absence of knee pain and absence of knee surgery
____ 8. Which of the following best describes the relationship between the number of subjects to the
strength of the research study?
A. There is no relationship.
B. The higher the number of subjects, the stronger the study.
C. The lower the number of subjects, the stronger the study.
D. Studies that have subjects also have the least strength.
____ 9. Which of the following best describes a “peer-reviewed journal”?
A. A journal that your coworker was able to read first
B. A journal in which the articles have been evaluated for credibility and
relevance by experts after publication
C. A journal in which the articles have been evaluated for credibility and
relevance by experts before publication
D. A journal in which you plan to share your thoughts with the editor
____ 10. Which of the following factors has increased external pressure for clinicians to
practice utilizing an evidence-based practice approach?
A. Access to PubMed and the Internet
B. Denial of reimbursement for services unsupported by evidence
C. Vision 2020 becoming a reality for the profession
D. Changes in the health-care structure and reimbursement models
,Chapter 1: Evidence-Based Practice With Physical Agents
Answer Section
MULTIPLE CHOICE
1. ANS: D
Feedback
A Incorrect. Evidence-based practice does integrate best research evidence.
B Incorrect. Evidence-based practice does integrate clinical experience.
C Incorrect. Evidence-based practice does integrate patient goals and values.
D Correct. Evidence-based practice does not rely on class notes that are a decade
old.
PTS: 1 KEY: evidence-based practice
2. ANS: B
Feedback
A Incorrect. CAPTE has positions related to the use of evidence-based practice in
PT education, but it does not have a “Vision 2020.”
B Correct. The APTA has a “Vision 2020,” which refers to the use of evidence-
based practice for practicing clinicians.
C Incorrect. The FSBPT does not have a “Vision 2020.”
D Incorrect. Medicare does not have a “Vision 2020.”
PTS: 1 KEY: evidence-based practice
3. ANS: A
Feedback
A Correct. Asking an answerable, clinical question is the first step in evidence-
based practice.
B Incorrect. Acquiring the best available evidence would include gathering
research.
C Incorrect. Appraising the evidence would include analyzing the strengths and
weaknesses of the evidence that was acquired.
D Incorrect. Applying the evidence would include choosing and implementing an
exercise to fire the vastus medialis in clinical practice for this patient.
PTS: 1 KEY: evidence-based practice
,4. ANS: C
Feedback
A Incorrect. Publication date does not factor into the hierarchy of evidence.
B Incorrect. Length of study does not factor into the hierarchy of evidence.
C Correct. The hierarchy of evidence ranks research designs based on their ability
to minimize bias.
D Incorrect. Number of subjects does not factor into the hierarchy of evidence. It
does affect the strength of the study, but it doesn’t change the hierarchy.
PTS: 1 KEY: evidence-based practice
5. ANS: C
Feedback
A Incorrect. This answer defines the researchers.
B Incorrect. This answer defines the experimental group.
C Correct. This answer is the definition of the control group.
D Incorrect. This answer defines the experts who evaluate studies for credibility
and relevance before publication in a peer-reviewed journal.
PTS: 1 KEY: evidence-based practice
6. ANS: A
Feedback
A Correct. Experimental designs contain a control group and an experimental
group, allowing the researchers to manipulate variables.
B Incorrect. Because groups in quasi-experimental designs are not randomly
assigned, many factors are not controlled. Therefore, no control group exists in
quasi-experimental design.
C Incorrect. Non-experimental studies are those in which researchers observe and
collect data without controlling any factors involved.
D Incorrect. A case study is a report on a very small number of patients without a
control group.
PTS: 1 KEY: evidence-based practice
,7. ANS: A
Feedback
A Correct. Knee pain is the characteristic the subjects must possess in order to be
included in the study.
B Incorrect. Knee surgery is the exclusion criteria.
C Incorrect. Knee surgery is the exclusion criteria.
D Incorrect. Absence of knee pain would be considered exclusion criteria.
PTS: 1 KEY: evidence-based practice
8. ANS: B
Feedback
A Incorrect. There is a relationship between the strength of a study and the number
of subjects included.
B Correct. A higher number of subjects included in a study makes the statistics
more mathematically meaningful.
C Incorrect. A lower number of subjects included in a study makes the statistics
less mathematically meaningful.
D Incorrect. Studies must have subjects.
PTS: 1 KEY: evidence-based practice
9. ANS: C
Feedback
A Incorrect. This is not the definition of a “peer-reviewed journal.”
B Incorrect. This is not the definition of a “peer-reviewed journal.” The experts
evaluate the research before publication.
C Correct. This is the definition of a “peer-reviewed journal.”
D Incorrect. This is not the definition of a “peer-reviewed journal.”
PTS: 1 KEY: evidence-based practice
,10. ANS: B
Feedback
A Incorrect. Access to information does not mean that it is utilized.
B Correct. Reimbursement denials for unsupported treatment techniques are an
important reason to change.
C Incorrect. Although the profession has a Vision, that is not a strong enough
reason to change.
D Incorrect. Although reimbursement models are changing, that’s not a strong
enough reason to change.
PTS: 1 KEY: evidence-based practice
,Chapter 2: Tissue Response to Injury
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. What is the most common symptom for which an individual seeks medical attention?
A. Trauma to soft tissues
B. Obesity
C. Pain
D. Depression
____ 2. Pain has sensory and psychological components that can complicate its accurate quantification.
Which of the following percentage relationships most accurately demonstrates the composition of
sensory and psychological components of pain?
A. 50% sensory and 50% psychological
B. 80% sensory and 20% psychological
C. 20% sensory and 80% psychological
D. There is no accurate relationship between the sensory and psychological
components.
____ 3. Which of the following criteria is inconsistent with chronic pain?
A. The cause is well defined.
B. Medical treatments have been ineffective.
C. The painful symptoms have persisted for more than 3 months.
D. The cause is not correctable or is uncertain.
____ 4. Which of the following terms best describes the phenomenon experienced by the patient when
painful symptoms are perceived in areas remote from the site of the original tissue damage?
A. Acute pain
B. Chronic pain
C. Referred pain
D. Phantom pain
____ 5. Before an individual becomes aware of pain, the painful input to the dorsal horn of the spinal cord
must travel to the brain. Which of the following scenarios is most accurate in describing the path
to the brain?
A. The axons of most of the transmission cells cross over and ascend via the
spinothalamic tract.
B. The axons of most of the transmission cells ascend ipsilaterally via the
spinothalamic tract.
C. The axons of most of the transmission cells cross over and descend via the lateral
spinothalamic tract.
D. The axons of all of the transmission cells descend over the spinothalamic tract to
the brain.
, ____ 6. Which of the following stimuli could result in the liberation of endogenous opiates?
A. Short duration, low intensity exercise
B. Sleeping
C. Intense pain
D. Eating an apple
____ 7. Vascularized tissue responds to injury with a series of events that are referred to as inflammation
and repair. Which of the following statements is least accurate in describing the purpose of
inflammation?
A. Inflammation results in immobilization of the area.
B. Inflammation results in preparation of the area for repair.
C. Inflammation results in dysfunction and must be avoided.
D. Inflammation results in vasodilation to improve circulation.
____ 8. The proliferative phase of healing involves the revascularization and rebuilding of tissues. Which
of the following is most accurate in describing tissues during this stage of healing?
A. Fragile
B. Hot
C. Bulky
D. Smooth
____ 9. Which of the following statements is most accurate?
A. Scar tissue is as strong as the tissue it replaces.
B. Scar tissue is stronger than the tissue it replaces.
C. Scar tissue is not as strong as the tissue it replaces.
D. Scar tissue is 70% as strong as the tissue it replaces.
____ 10. When surgical intervention is involved in the closure of a wound, it is termed “healing by first
intention.” Which of the following reasons would NOT be associated with promoting healing by
first intention?
A. Dirt in the wound
B. Infection
C. Excessive drainage
D. Physical condition of the patient
____ 11. Which of the following endogenous substances is NOT released into an injured area as a normal
response to injury?
A. Potassium
B. Serotonin
C. Histamine
D. Glucose
____ 12. Which of the following types of non-narcotic medications is often prescribed for analgesia but
tends to cause gastrointestinal irritation?
A. NSAIDs
B. Codeine
C. Morphine
D. Serotonin
