BPT2015 | BPT2015 Physiotherapy Exam 4
Version 3 | Questions with Correct Answers and
Expert Explanation for Each Question | Rajiv
Gandhi University of Health Sciences
1. A 65-year-old patient with a subacute stroke also presents with Chronic Obstructive
Pulmonary Disease (COPD). Which integrated approach is most appropriate for initial
mobilization?
A. High-intensity treadmill training to improve cardiovascular endurance.
B. Bedside sitting balance exercises combined with diaphragmatic breathing.
C. Upper limb PNF patterns with resistance to increase metabolic demand.
D. Passive range of motion only to prevent any respiratory distress.
Correct Answer: B
Expert Explanation: Integrating neurological and cardiopulmonary care is
essential for patients with multi-morbidity. Diaphragmatic breathing helps manage
the COPD-related dyspnea during functional motor tasks. Bedside sitting balance
addresses the stroke-related postural instability while keeping the oxygen demand
manageable. This patient-centered approach ensures safety while promoting
neuroplasticity through early mobilization. It also sets a baseline for further
progression in a multidisciplinary rehabilitation setting.
,2. Which outcome measure is most appropriate to evaluate both physical function and
burden of care in a multidisciplinary rehabilitation setting?
A. Goniometry for joint range of motion.
B. 6-Minute Walk Test (6MWT).
C. Visual Analogue Scale (VAS).
D. Functional Independence Measure (FIM).
Correct Answer: D
Expert Explanation: The Functional Independence Measure (FIM) provides a
holistic view of a patient’s daily life capabilities. It assesses various domains
including self-care, mobility, and cognitive communication which are vital for
discharge planning. Physiotherapists and occupational therapists use this tool to
track rehabilitation outcomes over time. By measuring the level of assistance
required, it directly quantifies the burden of care for the family. This makes it a gold
standard in multidisciplinary clinical reasoning for complex cases.
3. A patient with T4 Spinal Cord Injury (SCI) experiences a sudden headache and
profuse sweating above the level of the lesion during gait training. What is the
immediate clinical priority?
A. Lay the patient supine and elevate the legs to increase blood pressure.
B. Check for signs of Autonomic Dysreflexia and sit the patient upright.
,C. Administer high-flow oxygen and continue the exercise session.
D. Perform chest physiotherapy to clear potential airway obstructions.
Correct Answer: B
Expert Explanation: Autonomic dysreflexia is a medical emergency common in
spinal cord injuries above T6. The physiotherapist must recognize the neurological
and autonomic integration of this crisis immediately. Sitting the patient upright
helps induce orthostatic hypotension to lower the dangerously high blood pressure.
Clinical reasoning dictates that a noxious stimulus, such as a full bladder, must be
identified and removed. Neglecting these symptoms could lead to life-threatening
complications like a stroke or myocardial infarction.
4. In managing a patient post-CABG who also has knee osteoarthritis, which factor is
most critical for discharge planning?
A. Safe stair climbing ability with sternal precautions and assistive devices.
B. The ability to perform 50 repetitions of knee extensions.
C. The maximum heart rate achieved during a stress test.
D. The presence of Heberden’s nodes on the fingers.
Correct Answer: A
, Expert Explanation: Discharge planning requires an integrated assessment of
musculoskeletal limitations and cardiopulmonary safety. After a CABG, sternal
precautions must be maintained to ensure proper bone healing. However, knee
osteoarthritis may make stair climbing difficult or painful without specific
modifications. Physiotherapists must evaluate the home environment to ensure the
patient can navigate safely using appropriate equipment. This holistic approach
ensures the patient remains functional without compromising the surgical site or
cardiac stability.
5. A patient with Parkinson’s disease presents with frequent falls and restrictive lung
patterns. Which intervention targets both neurological and pulmonary systems?
A. Static stretching of the hamstrings and gastrocnemius.
B. LSVT BIG program integrated with thoracic expansion exercises.
C. Application of TENS to the lower back for pain relief.
D. High-load resistance training for the quadriceps.
Correct Answer: B
Expert Explanation: The LSVT BIG program is a specialized neurological
intervention focused on high-amplitude movements to combat bradykinesia. When
integrated with thoracic expansion exercises, it addresses the restrictive lung
dysfunction common in advanced Parkinson’s. This holistic strategy improves both
Version 3 | Questions with Correct Answers and
Expert Explanation for Each Question | Rajiv
Gandhi University of Health Sciences
1. A 65-year-old patient with a subacute stroke also presents with Chronic Obstructive
Pulmonary Disease (COPD). Which integrated approach is most appropriate for initial
mobilization?
A. High-intensity treadmill training to improve cardiovascular endurance.
B. Bedside sitting balance exercises combined with diaphragmatic breathing.
C. Upper limb PNF patterns with resistance to increase metabolic demand.
D. Passive range of motion only to prevent any respiratory distress.
Correct Answer: B
Expert Explanation: Integrating neurological and cardiopulmonary care is
essential for patients with multi-morbidity. Diaphragmatic breathing helps manage
the COPD-related dyspnea during functional motor tasks. Bedside sitting balance
addresses the stroke-related postural instability while keeping the oxygen demand
manageable. This patient-centered approach ensures safety while promoting
neuroplasticity through early mobilization. It also sets a baseline for further
progression in a multidisciplinary rehabilitation setting.
,2. Which outcome measure is most appropriate to evaluate both physical function and
burden of care in a multidisciplinary rehabilitation setting?
A. Goniometry for joint range of motion.
B. 6-Minute Walk Test (6MWT).
C. Visual Analogue Scale (VAS).
D. Functional Independence Measure (FIM).
Correct Answer: D
Expert Explanation: The Functional Independence Measure (FIM) provides a
holistic view of a patient’s daily life capabilities. It assesses various domains
including self-care, mobility, and cognitive communication which are vital for
discharge planning. Physiotherapists and occupational therapists use this tool to
track rehabilitation outcomes over time. By measuring the level of assistance
required, it directly quantifies the burden of care for the family. This makes it a gold
standard in multidisciplinary clinical reasoning for complex cases.
3. A patient with T4 Spinal Cord Injury (SCI) experiences a sudden headache and
profuse sweating above the level of the lesion during gait training. What is the
immediate clinical priority?
A. Lay the patient supine and elevate the legs to increase blood pressure.
B. Check for signs of Autonomic Dysreflexia and sit the patient upright.
,C. Administer high-flow oxygen and continue the exercise session.
D. Perform chest physiotherapy to clear potential airway obstructions.
Correct Answer: B
Expert Explanation: Autonomic dysreflexia is a medical emergency common in
spinal cord injuries above T6. The physiotherapist must recognize the neurological
and autonomic integration of this crisis immediately. Sitting the patient upright
helps induce orthostatic hypotension to lower the dangerously high blood pressure.
Clinical reasoning dictates that a noxious stimulus, such as a full bladder, must be
identified and removed. Neglecting these symptoms could lead to life-threatening
complications like a stroke or myocardial infarction.
4. In managing a patient post-CABG who also has knee osteoarthritis, which factor is
most critical for discharge planning?
A. Safe stair climbing ability with sternal precautions and assistive devices.
B. The ability to perform 50 repetitions of knee extensions.
C. The maximum heart rate achieved during a stress test.
D. The presence of Heberden’s nodes on the fingers.
Correct Answer: A
, Expert Explanation: Discharge planning requires an integrated assessment of
musculoskeletal limitations and cardiopulmonary safety. After a CABG, sternal
precautions must be maintained to ensure proper bone healing. However, knee
osteoarthritis may make stair climbing difficult or painful without specific
modifications. Physiotherapists must evaluate the home environment to ensure the
patient can navigate safely using appropriate equipment. This holistic approach
ensures the patient remains functional without compromising the surgical site or
cardiac stability.
5. A patient with Parkinson’s disease presents with frequent falls and restrictive lung
patterns. Which intervention targets both neurological and pulmonary systems?
A. Static stretching of the hamstrings and gastrocnemius.
B. LSVT BIG program integrated with thoracic expansion exercises.
C. Application of TENS to the lower back for pain relief.
D. High-load resistance training for the quadriceps.
Correct Answer: B
Expert Explanation: The LSVT BIG program is a specialized neurological
intervention focused on high-amplitude movements to combat bradykinesia. When
integrated with thoracic expansion exercises, it addresses the restrictive lung
dysfunction common in advanced Parkinson’s. This holistic strategy improves both
