for the Physical Therapist Assistant Barbara B.
Gresham
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,Chapter 1. The Development of Evidence Based Practice
Multiple Choice
1. Evidence based practice incorporates all of the following except:
A. A clinician’s knowledge and skills
B. Best available research evidence
C. Patient preference
D. Interdisciplinary decision-making
ANS: D
KEY: Evidence based practice
2. Research that is conducted in situational conditions and involves humans as subjects is called:
A. Bench research
B. Applied research
C. Clinical research
D. Basic research
ANS: C
KEY: Clinical research
3. Evidence based practice was first developed in the field of:
A. Dentistry
B. Medicine
C. Physical therapy
D. Pharmacy
ANS: B
KEY: Evidence based medicine
4. Which of the following is described as the gold standard of clinical research?
A. Randomized controlled trial
B. Systematic review
C. Clinical practice guideline
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,D. Basic research
ANS: A
KEY: Randomized controlled trial
5. Goals of using evidence based practice include all of the following except:
A. Achieving the best possible patient outcomes
B. Improving the quality of patient care
C. Making documentation easier for clinicians
D. Standardizing certain aspects of care
ANS: C
KEY: Goals of evidence based practice
6. Barriers to evidence based practice identified in the text include which of the following?
A. Lack of time, limited access, difficulty interpreting the literature
B. Lack of resources, limited access, preference for relying on expert opinion
C. Too many resources to review, poor quality of research, limited time
D. Lack of administrative support, lack of funding for continuing education courses
ANS: A
KEY: Barriers to evidence based practice
7. The role of the PTA falls primarily within which element of physical therapy patient
management?
A. Evaluation
B. Intervention
C. Examination
D. Prognosis
ANS: B
KEY: Role of the PTA
8. Which of the following statements is true?
A. The majority of physical therapy clinicians utilize evidence based practice principles in day-
to-day patient care.
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,B. Evidence based practice is critical for clinicians due to increased accountability and the need
to justify patient care decisions.
C. Physical therapy clinicians have always relied on evidence for making clinical decisions.
D. The American Physical Therapy Association has taken a neutral stance on evidence based
practice for physical therapy clinicians.
ANS: B
KEY: Evidence based practice
9. Which of the following ranks highest on the hierarchy of evidence?
A. Randomized controlled trial
B. Systematic review
C. Expert opinion
D. Basic research
ANS: B
KEY: Hierarchy of evidence
10. The document that provides a description of preferred practice patterns in physical therapy is:
A. Vision 2020
B. APTA position statement supporting evidence based practice
C. Guide to PT Practice
D. Evaluative Criteria for PTA Programs
ANS: C
KEY: Professional association, Guide to PT Practice
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,Chapter 2. Components of Evidence Based Practice
Multiple Choice
1. The first step in the evidence based practice process is:
A. Critically appraising the evidence
B. Locating the evidence
C. Formulating a focused clinical question
D. Evaluating the process
ANS: C
KEY: Evidence based practice process
2. The acronym PICO stands for:
A. Patient, Intervention, Control, Outcome
B. Presentation, Intake, Comparison, Outcome
C. Patient, Intake, Control, Overall Plan
D. Presentation, Intervention, Comparison, Overall Plan
ANS: A
KEY: Clinical question, PICO format
3. After the clinician has developed a clinical question, the next step would be:
A. Develop a plan of care for the patient.
B. Search the literature for evidence.
C. Ask the patient if he or she agrees with the clinical question.
D. Request permission from the physical therapist to answer the clinical question.
ANS: B
KEY: Clinical question, searching for evidence
4. An information system that searches electronic Internet resources is called a(n):
A. Database
B. Journal
C. Search engine
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,D. Abstract
ANS: C
KEY: Search for evidence
5. Which of the following statements is true about appraising evidence?
A. Evidence doesn’t have to be good quality as long as it is relevant to the question.
B. A clinician can get all of the information needed from the abstract.
C. The first article listed in search results is typically the strongest piece of evidence.
D. A clinician should determine where an article fits within the hierarchy of evidence.
ANS: D
KEY: Hierarchy of evidence
6. An interactive process of collaboration between the health-care provider and the patient to
make health-care decisions is called:
A. Shared decision-making
B. Clinical decision-making
C. Formulating a clinical question
D. Interdisciplinary decision-making
ANS: A
KEY: Shared decision-making
7. Which of the following statements is true?
A. A research question is the same as a clinical question.
B. All search engines and databases require a fee or subscription to use.
C. The PICO question can be used to determine key words for a search.
D. Including meta-analyses in a search makes the search less efficient.
ANS: C
KEY: Literature search
8. A systematic review is:
A. One type of meta-analysis
B. A summary of existing evidence
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,C. The same as a literature review
D. A type of review that pools evidence from multiple studies
ANS: B
KEY: Systematic review
9. A summary of a research article written by the investigator is a(n):
A. Meta-analysis
B. Systematic review
C. Peer review
D. Abstract
ANS: D
KEY: Research article, abstract
10. The final step in the evidence based practice process is:
A. Evaluating the process
B. Appraising the evidence
C. Applying the evidence to patient care
D. Refining the question
ANS: A
KEY: Evidence based practice process
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,Chapter 3. Patient Values and Circumstances in Evidence Based Practice
Multiple Choice
1. Consideration of patient values would include all of the following except:
A. Religious expectations
B. Cultural expectations
C. Life experiences
D. Available resources
ANS: D
KEY: Patient values and circumstances
2. Health literacy is:
A. The ability of patients to access their health records
B. Not an important consideration in evidence based practice
C. Associated with a patient’s health
D. Constant for an individual patient regardless of circumstance
ANS: C
KEY: Health literacy
3. Research shows that individuals with limited health literacy:
A. Are more likely to utilize preventative care
B. Enter the health-care system when they are sicker
C. Have a lower rate of preventable hospitalizations
D. Are better able to manage chronic conditions
ANS: B
KEY: Health literacy
4. The clear, straightforward expression of information is called:
A. Health literacy
B. Plain language
C. Informed consent
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, D. Patient-centered care
ANS: B
KEY: Health literacy, plain language
5. Patient-centered care:
A. Includes the patient and physician but excludes the patient’s family
B. Has been the standard in health care for hundreds of years
C. Means that the physician makes the best decision possible for the patient
D. Includes the patient making key decisions about his or her care
ANS: D
KEY: Patient-centered care
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