When assessing normal standing posture, where should the gravity line fall?
A. Anterior to the lateral malleolus
B. Posterior to the lateral malleolus
C. Anterior to the greater trochanter
D. Posterior to the greater trochanter - Answers A. Anterior to the lateral malleolus
In a patient with unilateral hip impairment, a cane is ordinarily used on the:
A. Uninvolved side to lessen the muscle force required of the abductors on the involved side
B. Involved side to lessen the muscle force required of the hip abductors on that side
C. Uninvolved side to lessen the muscle force required of the adductors on the involved side
D. Involved side to lessen the muscle force required of the hip abductors on the uninvolved side -
Answers A. Uninvolved side to lessen the muscle force required of the abductors on the involved side
A patient with a recent history of immobilization has a new onset of unilateral leg swelling with
dependent edema. This condition is MOST likely due to:
A. Congestive heart failure
B. Peripheral arterial disease
C. Deep vein thrombosis
D. Lymphedema - Answers C. Deep vein thrombosis
Which of the following areas is MOST susceptible to a pressure injury when a patient is in sideyling
position?
A. Heels
B. Malleolus
C. Sacrum
D. Ischial tuberosity - Answers B. Malleolus
Which of the following tests is used to assess volitional movement of the extremities after an
individual has had a cerebrovascular accident?
A. Functional Reach Test
B. Functional Status Index
C. Performance-Oriented Mobility Assessment (Tinetti)
D. Fugi-Meyer Assessment - Answers D. Fugi-Meyer Assessment
Which of the following problems is MOST important to address in a 10-year-old child who has
Duchenne muscular dystrophy?
A. Increased joint mobility
B. Increased ligamentous laxity
C. Decreased ability to walk independently
D. Decreased sensation in the lower extremities - Answers C. Decreased ability to walk independently
Four months after sustaining a fractured humerus, a patient has reached a plateau. Active and passive
shoulder motions have improved but remain impaired. The patient reports pain and tenderness when
the fracture site is palpated. The patient's temperature is 98.6. What is the MOST likely cause of the
patient's lack of recent progress?
A. Infection of the fractured bone
B. Nonunion of the fracture
C. Heterotopic ossification
D. Compartment syndrome - Answers B. Nonunion of the fracture
Which of the following activities should be AVOIDED by a patient who is at risk of developing
lymphedema?
A. Exercising in a hot environment
B. Exercising with light resistance
C. Exercising in a cool environment
D. Exercising while wearing compression garments - Answers A. Exercising in a hot environment
A patient has been experiencing postural hypotension when moving from supine to sitting position.
To reduce the risk of hypotension, which of the following actions should be implemented prior to
treatment?
A. Elevate the head of the bed
B. Place the bed in the Trendelenburg position
C. Remove the patient's compression stockings
,D. Encourage the patient to limit consumption of salt - Answers A. Elevate the head of the bed
For a patient who had a total shoulder arthroplasty 5 days ago, which of the following interventions
would MOST effectively minimize joint adhesions?
A. Active range of motion in the scapular plane
B. Gentle muscle sets with the upper extremity immobilized in a sling
C. Passive range of motion in a pain-free range
D. Joint mobilization using small-amplitude oscillations into tissue resistance - Answers C. Passive
range of motion in a pain-free range
When providing therapeutic intervention and education to a patient in the confused-agitated stage of
recovery subsequent to a traumatic brain injury, the PTA should:
A. Use animated gestures and voice tones to stimulate the patient's attentiveness
B. Challenge the patient to recall activities and instructions from the previous session
C. Provide repeated and detailed instructions until the desired response is elicited
D. Be prepared with alternative activities if the patient does not attend to task - Answers D. Be
prepared with alternative activities if the patient does not attend to task
A patient consistently catches the right toe box of the shoe while walking. Which of the following
muscle groups MOST likely needs to be strengthened?
A. Eversion muscles
B. Inversion muscles
C. Dorsiflexion muscles
D. Plantar flexion muscles - Answers C. Dorsiflexion muscles
Which of the following laboratory reports is MOST useful in determining the effects of chronic
diarrhea and vomiting?
A. Complete blood count
B. Renal function tests
C. Serum electrolytes
D. Serum enzymes - Answers C. Serum electrolytes
A patient reports a history of multiple falls when turning around from a kitchen table to place items
into the refrigerator. Which of the following assessments would provide the MOST useful information
about the patient's impairment?
A. Berg Balance Scale
B. Functional Reach Test
C. Timed Walking Test
D. Sharpened Romberg Test - Answers A. Berg Balance Scale
The symptoms of polyuria, polydipsia, pruritus, and peripheral neuropathy are MOST consistent with
which of the following disorders?
A. Type 2 diabetes
B. Lymphedema
C. Myocardial infarction
D. Chronic obstructive pulmonary disease - Answers Type 2 diabetes
Transcutaneous electrical nerve stimulation is CONTRAINDICATED for use on a patient:
A. With a demand pacemaker
B. With a history of stable angina
C. With terminal cancer
D. Who is pregnant during labor - Answers A. With a demand pacemaker
The Functional Independence Measure (FIM) and the Barthel Index have been shown to have high
concurrent validity with each other as functional measures for patients who have has a stroke. Which
of the following conclusions is MOST appropriate about use of the instruments to assess functional
status in a patient with a stroke?
A. Either test could be used
B. Both tests should be used
C. Neither test should be used
D. Another test should be used with either of the tests - Answers A. Either test could be used
A patient using a transtibial prosthesis excessively flexes the right knee during the early stance phase
of the gait cycle. Which of the following causes is PRIMARILY responsible for this gait deviation?
A. Socket too far anterior
B. Socket too far posterior
, C. Excessive foot inset
D. Excessive foot outset - Answers A. Socket too far anterior
Which of the following orthotic irregularities is MOST likely to contribute to a patient exhibiting foot
slap during the early stance phase of gait?
A. Inadequate dorsiflexion stop
B. Inadequate dorsiflexion assist
C. Inadequate plantar flexion assist
D. Inadaquate transverse plane alignment - Answers B. Inadequate dorsiflexion assist
A patient who has a spinal cord injury demonstrates signs of autonomic dysreflexia. Which of the
following actions is MOST appropriate to take?
A. Put an abdominal binder on the patient
B. Place the patient in supine position
C. Wrap the patient's lower extremities
D. Check the patient's catheter tube - Answers D. Check the patient's catheter tube
A PTA is instructing a patient in prone shoulder extension using a 5-lb weight. What type of muscular
contraction of the latissimus dorsi is involved when the patient extends from 0 to 30 degrees?
A. Isometric
B. Isokinetic
C. Concentric
D. Eccentric - Answers C. Concentric
For a patient who demonstrates an equinus gait, which of the following muscles should be tested for
weakness?
A. Soleus
B. Gastrocnemius
C. Tibialis anterior
D. Tibialis posterior - Answers C. Tibialis anterior
A patient correctly demonstrated home exercises to strengthen quadriceps and hip flexors. This data
should be included in which section of the documentation?
A. Subjective
B. Objective
C. Assessment
D. Plan - Answers B. Objective
A patient who has type 1 diabetes is riding a stationary bicycle when a hypoglycemic episode occurs.
Which of the following clinical manifestations would be the expected physiological response?
A. Muscle weakness, nausea, and vomiting
B. Fruity, acetone-smelling breath and an increased respiratory rate
C. Onset of irritability, nervousness, or emotional lability
D. Polyuria, thirst, and dehydration - Answers C. Onset of irritability, nervousness, or emotional
lability
Which of the following structures would be MOST commonly involved in a surgical release for
Dupuytren contracture?
A. First metacarpal joint capsule
B. Transverse carpal ligament
C. Annular pulleys
D. Palmar fascia - Answers D. Palmar fascia
When monitoring the vital signs of a person who has mitral valve prolapse, which of the following
findings is MOST likely to be observed?
A. Bradypnea
B. Bradycardia
C. Tachypnea
D. Tachycardia - Answers D. Tachycardia
A patient has akinesia. Which of the following gait dysfunctions is MOST likely to be present?
A. Decreased step length
B. Increased base of support
C. Difficulty attempting to stop
D. Sudden cessation of movement - Answers D. Sudden cessation of movement