Professional Documents
Culture Documents
2.A male patient with a history of back injury complains of pain in legs. The patient
wears short leg braces. You read his chart and it states "lumbar plexus involvement",
what area of the spinal column is indicated?
a) L1- L2
b) L4 -L5 & S1
c) L5-S2
d) S1-S2
3.Your patient is recovering from a motor vehicle accident. You assess the patient's
independence by evaluating how he performs his activities of daily living. He has good
upper arm strength which allows feeding, some dressing and propelling a wheel chair.
Which area of the spinal cord is affected?
a) C6- C7
b) T1- T3
c) T4- T9
d) T10- L1
4.Your patient states that someon stabbed him with a knife on his back. You perform
your assessement and you note that he has no ability to extend his leg over the
“anteromedial aspect “of his thigh. He also has a loss of sensation in his legs. Which is
the affected nerve ?
a) Lumbar nerve
b) Femoral nerve
c) Obturator nerve
d) Sciatic nerve
5.A female-82-years old was referred for rehabilitation after fall at home injuring her
shoulder. The physician has diagnosed trauma to the “brachial nerve”. Which nerve
roots are affected?
a) C6-C8
b) C5-C6
c) C5-C7
d) C5-C8&T1
6.A female athlete sustained an injury to her arm. On your evaluation, you note
numbness, tingling and pain in the palm and fingers. There is also weakness in
pronation of the forearm and flexion of the proximal interphalangeal joints of the second
and third digits. Which nerve is affected?
a) Radial nerve
b) Median nerve
c) Ulna nerve
d) Long thoracic nerve
7.Your patient has burns on the dorsal surface of the arm. The wound area is mottled
red with a number of blisters. The physician informs the patient that healing should take
place in less than three weeks. This description is indicative of ?
a) superficial burn
b) superficial partial - thickness burn
c) deep partial - thickness burn
d) full -thickness burn
8.A patient is recovering from a complete spinal cord injury, at the level of L3. The
expected outcome would be :
9.A patient is admitted with complete spinal cord transection. Which of the following
would best describe the diagnosis?
10.A 22-year-old male waiting for scheduled therapy session in the gym suddenly
begins to scream. The patient sustained a traumatic brain injury in a motor vehicle
accident and is currently functioning at the confused appropriate stage . The Most
appropriate therapist action is:
11.A patient with Parkinson's disease exhibits the following symptoms: facial grimacing
with twitching of the lips, tongue protrusion, restless, with constant dancing and
athetoid-like movements of his legs. He states that he has been taking Levadopa for the
past 7 years. What should you do?
a) Blood pressure
b) Sight
c) Hearing
d) Moving
13.A patient came to you with a profound deficit of homonymous hemi-anopsia. The
initial strategy to assist the patient in compensating for this deficit is to:
15.Your patient with Duchene Muscular dystrophy is scheduled for surgery. The
physical therapy student stated that he studied that most children with DMD die at the
age of 25. What is the main cause of the death for these patients?
16.Your patient (5 days old) with hydrocephalus is being admitted for a shunt insertion.
What are the problems associated with having a shunt inserted ?
a) Fixed staring
b) Muscle spasms
c) Involuntary movements
d) Retention of urine
17.Denise, a 38-year-old male, presents with facial weakness and twitching. She was
diagnosed with Bell's Palsy. What other signs do you expect?
a) Hearing
b) Facial rash
c) Paralysis
d) Difficulty swallowing
18.A CVA patient is unable to advance the tibia forward. He shortens the end of the
stance phase going directly into swing phase. The MOST likely cause of her problem is:
20.A patient is prescribed an opioid analgesic for neuropathic pain associated with her
diagnosis of shingles. What are the known side effects of opioids ?
a) Fatigue
b) Urinary retention
c) Blurred vision
d) Insomnia
21.The patient is unable to climb the stairs. How do you train the patient to perform this
task?
a) high marches
b) hip and knee flexion in supine and sitting
c) step on a 2 inch or 4 inch step ups
d) weight shifting between the parallel bars
22.Your patient complains of pain in an area of absent sensation due to lesion in the
central or peripheral system. What is the first line medication for this type of pain?
a) Meperidine
b) Morphine
c) Gabapentin
d) Pethidine
23.A 52-year-old female sustained an injury to the forehead due to motor vehicle
accident. The physician told you that she suffered a brain injury. Based on the location
of her injury, what do you expect?
a) Femoral nerve
b) lumbar plexus nerve
c) Sacral plexus nerve
d) Obturator nerve
25.Jane 34 year old, with adductor muscle paralysis and loss of sensation over the
medial aspect of the thigh. What would be indicative of this neurological problem?
a) gentle ROM
b) partial immobilization
c) age specific exercises
d) abduction
27.Your patient with a lengthy history of cardiac problems, appears to be confused and
dizzy. She complains of inability to move one limb. You think that your patient is
suffering from:
a) Dilated pupils
b) Poor vision
c) Eyelid closing
d) Inflammation of the eye
30.Your patient is diagnosed with congenital nystagmus. What would be the most
appropriate intervention for this diagnosis ?
a) Contact lenses
b) Glasses
c) Wearing an eye patch
d) No devices
31.A patient with complete C6 tetraplegia should be instructed to initially transfer with a
sliding board. Which muscles can the patient use?
32.You are performing an evaluation on a patient. Your findings are: pain and sensory
loss in the posterior thigh, lateral calf, and dorsal foot; Extension of the hallux is poor,
however the Achilles reflex is normal. Which spinal level is affected?
a) L4
b) L5
c) S1
d) S2
a) Subtalar eversion
b) Subtalar inversion
c) Talocrural dorsiflexion
d) Talocrural plantar flexion
35.A 66 year old female, is referred to physical therapy with rheumatoid arthritis . During
the initial examination, the physical therapist notes that the fingers exhibit increased
flexion at the proximal interphalangeal joints and hyperextension at the
metacarpophalageal and distal interphalangeal joints. This deformity is most
representative of:
a) Boutonniere deformity
b) Mallet finger
c) Swan neck deformity
d) Ulnar drift
36.A patient diagnosed with piriformis syndrome is referred to physical therapy for one
visit for instruction in a home exercise program. After examining the patient, the physical
therapist feels the patients rehabilitation potential is excellent , but is concerned that one
visit will not be sufficient to meet the patient's needs . The appropriate action is to:
a) Schedule the patient for treatment sessions,as warranted by the results of the
examination
b) Explain to the patient that recent health care reforms have drastically reduced the
frequency of the physical therapy visits covered by third party payers
c) Explain to the patient that she can continue with physical therapy beyond the
initial session, but will be liable for all expenses not covered by her insurance.
d) Contact the referring physician and request approval for additional therapy visits .
37.A male patient with limited shoulder range of motion, explains that he has difficulty
wiping himself after going to the bathroom. How much shoulder range of motion is
required to successfully complete toileting activities using a posterior approach ?
38.A female patient recovering from ankle surgery has consistent difficulty with
functional activities that emphasize the frontal plane. Which of the following would be
most difficult for the patient?
a) Anterior lunge
b) six inch lateral step down
c) six inch posterior step up
d) eight inch posterior step down
39.A physical therapist, employed in an acute care hospital, conducts an initial interview
with a patient referred to physical therapy. During the interview, the therapist asks the
patient if he feels dependent on coffee, tea, or soft drinks. Which clinical scenario would
most appropriately warrant this type question ?
40.A patient with a lengthy history of substance abuse, is referred to physical therapy
after sustaining multiple injuries in a motor vehicle accident. Which of the following
controlled substances would not typically foster physical dependence?
a) Depressants
b) Hallucinogens
c) Narcotics
d) Stimulants
41.A physical therapist examines a patient diagnosed with post polio syndrome. Which
of the following areas is least likely to be affected based on the patient's diagnosis?
a) Strength
b) Sensation
c) Endurance
d) Functional mobility
42.During gait analysis, the physical therapist notes that the patient's gait has the
following characteristics; narrow base of support, short step length , and decreased
trunk rotation. This gait pattern is often observed in patients with a diagnosis of :
a) CVA
b) Parkinson’s disease
c) Post polio syndrome
d) Multiple sclerosis
43.A patient who is 2 months post CVA complains of symptoms including burning pain
in the right upper extremity that is increased by the dependent position along with
lowered pain threshold and heightened sensitivity to light touch. The right hand is mildly
edematous and the skin is dry and warm to touch. Which stage of Complex Regional
Pain Syndrome is the patient in?
44.A patient complains of numbness, paresthesias and weakness of his bilateral lower
extremities which increase with extended positions or walking greater than 100 feet. His
pain persists for hours after assuming a resting position. Other activities does not affect
his pain. What do you think that patient has?
a) discal dysfunction
b) spondylolysis
c) degenerative arthritis
d) Spinal Stenosis
45.An 8 year-old child with decreased sitting balance, but normal tone would need:
46.A patient with a complete spinal cord injury with C5 tetraplegia complains of sudden
pounding headache and double vision. He is sweating excessively and his BP is
240/95. All are interventions you should perform except for?
47.A patient demonstrates beginning recovery Stage 4 movements following a left CVA.
The PNF pattern that represents the BEST choice to promote continued recovery of the
right upper extremity through the use of out-of-synergy movements is:
a) side stepping
b) rolling walker
c) stepping on treadmill
d) rhythmic stepping
49.Your patient cannot perform a task upon command but can do the task when on their
own, for example, when you ask her to put on her socks, she cannot do it, but you
observe that she can do it on her own later in the day. This patient may have:
a) ideational apraxia
b) anosognosia
c) ideomotor apraxia
d) unilateral neglect
50.Your patient suffered a traction injury to the anterior division of the brachial plexus
the therapist would expect to see weakness of all the muscles listed below except for:
a) forearm pronators
b) thumb abductors
c) elbow flexors
d) wrist extensors