PEAT
PEAT 2 EXAM STUDY GUIDE QUESTIONS AND
ANSWERS GRADED A+ 2025
1. A physical therapist examining wrist-joint play finds restriction in the direction
indicated by the arrow (downward). (The forearm in midposition with the ulnar
side resting on the table and the hand at the edge of the table, palm facing you.)
The therapist should suspect a decrease in which joint motion?
A. Radial deviation
B. Ulnar deviation
C. Flexion
Extension -Correct Answer ✔A.
The therapist is shown performing an ulnar glide which is the same joint motion
used for radial deviation. Limited motion in this direction indicates limited ability
to perform radial deviation.
1. The intervention for a patient with limitation of shoulder flexion and medial
(internal) rotation includes mobilization. What glide is MOST appropriate for
mobilizing this shoulder to specifically increase the restricted motions?
A. Posterior
B. Anterior
C. Medial
Lateral -Correct Answer ✔A.
The most appropriate mobilization technique for increasing both shoulder flexion
and medial (internal) rotation would be posterior (dorsal) glide. Lateral glide may
be used as a general joint distraction technique. Medial glide would not be
appropriate to increase flexion and medial (internal) rotation. Anterior glide is used
to increase extension and lateral (external) rotation.
1. Which of the following techniques is MOST appropriate for a patient with low
postural tone?
A. Slow regular rocking while sitting on a treatment bolster
B. Continuous pressure to the skin overlying the back muscles
C. Low-frequency vibration to the back muscles
PEAT
,PEAT
D. Joint approximation applied through the shoulders to the trunk -Correct Answer
✔D.
Options A, B and C are techniques used to decrease postural tone, which is not
indicated for this patient. Option D is the most appropriate technique for improving
low postural tone.
1. What skin change associated with aging has the GREATEST effect on wound
healing?
A. Reduction in sensation
B. Decreased elasticity of the skin
C. Decreased epidermal proliferation
D. Change in pigmentation -Correct Answer ✔C.
Wounds heal via a complex process involving re-epithelialization. With advanced
aging, the rate of epidermal proliferation decreases.
1. Which of the following techniques is MOST effective in teaching a patient with
insulin-dependent diabetes about foot care?
A. Reassure the patient that no infections will occur if the directions are followed,
then demonstrate procedures.
B. Tell the patient how foot care is performed, then watch the patient's
performance.
C. Watch the patient perform a foot inspection and caution him that amputations
result from untended skin problems.
D. Have the patient demonstrate a foot inspection, then give feedback on the
patient's performance. -Correct Answer ✔D.
Learning the process of foot care is a psychomotor skill and effective strategies to
teach psychomotor skills include repeat demonstration by the patient of the skill
followed by feedback from the therapist to highlight what was performed correctly
and what areas need improvement, if any. Reassurance about prevention of
infection with proper foot care would primarily be a cognitive skill and does not
ensure that the patient can effectively perform proper foot care. Options B and C
do not include feedback that informs the patient about their performance.
PEAT
,PEAT
1. 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 -Correct 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.
1. 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 -Correct 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
1. 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
PEAT
, PEAT
D. Active assistive exercises with the knee straight -Correct 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.
1. 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. -Correct 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
1. 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 -
Correct 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
PEAT
PEAT 2 EXAM STUDY GUIDE QUESTIONS AND
ANSWERS GRADED A+ 2025
1. A physical therapist examining wrist-joint play finds restriction in the direction
indicated by the arrow (downward). (The forearm in midposition with the ulnar
side resting on the table and the hand at the edge of the table, palm facing you.)
The therapist should suspect a decrease in which joint motion?
A. Radial deviation
B. Ulnar deviation
C. Flexion
Extension -Correct Answer ✔A.
The therapist is shown performing an ulnar glide which is the same joint motion
used for radial deviation. Limited motion in this direction indicates limited ability
to perform radial deviation.
1. The intervention for a patient with limitation of shoulder flexion and medial
(internal) rotation includes mobilization. What glide is MOST appropriate for
mobilizing this shoulder to specifically increase the restricted motions?
A. Posterior
B. Anterior
C. Medial
Lateral -Correct Answer ✔A.
The most appropriate mobilization technique for increasing both shoulder flexion
and medial (internal) rotation would be posterior (dorsal) glide. Lateral glide may
be used as a general joint distraction technique. Medial glide would not be
appropriate to increase flexion and medial (internal) rotation. Anterior glide is used
to increase extension and lateral (external) rotation.
1. Which of the following techniques is MOST appropriate for a patient with low
postural tone?
A. Slow regular rocking while sitting on a treatment bolster
B. Continuous pressure to the skin overlying the back muscles
C. Low-frequency vibration to the back muscles
PEAT
,PEAT
D. Joint approximation applied through the shoulders to the trunk -Correct Answer
✔D.
Options A, B and C are techniques used to decrease postural tone, which is not
indicated for this patient. Option D is the most appropriate technique for improving
low postural tone.
1. What skin change associated with aging has the GREATEST effect on wound
healing?
A. Reduction in sensation
B. Decreased elasticity of the skin
C. Decreased epidermal proliferation
D. Change in pigmentation -Correct Answer ✔C.
Wounds heal via a complex process involving re-epithelialization. With advanced
aging, the rate of epidermal proliferation decreases.
1. Which of the following techniques is MOST effective in teaching a patient with
insulin-dependent diabetes about foot care?
A. Reassure the patient that no infections will occur if the directions are followed,
then demonstrate procedures.
B. Tell the patient how foot care is performed, then watch the patient's
performance.
C. Watch the patient perform a foot inspection and caution him that amputations
result from untended skin problems.
D. Have the patient demonstrate a foot inspection, then give feedback on the
patient's performance. -Correct Answer ✔D.
Learning the process of foot care is a psychomotor skill and effective strategies to
teach psychomotor skills include repeat demonstration by the patient of the skill
followed by feedback from the therapist to highlight what was performed correctly
and what areas need improvement, if any. Reassurance about prevention of
infection with proper foot care would primarily be a cognitive skill and does not
ensure that the patient can effectively perform proper foot care. Options B and C
do not include feedback that informs the patient about their performance.
PEAT
,PEAT
1. 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 -Correct 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.
1. 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 -Correct 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
1. 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
PEAT
, PEAT
D. Active assistive exercises with the knee straight -Correct 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.
1. 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. -Correct 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
1. 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 -
Correct 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
PEAT
