QUESTION PAPER

SEFAKO MAKGATHO HEALTH SCIENCES UNIVERSITY

SCHOOL OF HEALTH CARE SCIENCES

SUBJECT NAME: PRINCIPLES OF PHYSIOTHERAPY III EXAMINATION: STANDARD X

RE- EXAMINATION
SUBJECT CODE : MPTF 030 / PHYT 301
COURSE : BSc PHYSIOTHERAPY III PAPER NUMBER: 2/2
DATE OF EXAMINATION: 30 October 2017 DURATION : 3 HRS
NUMBER OF STUDENTS: 53 TOTAL MARKS : 120
INTERNAL EXAMINERS PARTICULARS: 1. Dr Mtshali 2. Dr Cochrane
3. Ms Sobantu 4. Ms Mabena-Segoe

EXTERNAL EXAMINERS PARTICULARS: 1. Me I du Plessis

THIS QUESTION PAPER CONSISTS OF 4 PAGES INCLUDING COVER PAGE

Please confirm Please indicate the quantity
Specified Instructions to students Stationary What you need Per student
1. ANSWER ALL QUESTIONS X 4
4 PAGE BOOK

2. ANSWER EACH SECTION IN

A SEPARATE BOOK 8 PAGE BOOK

3. MCQ’ s(must be supplied by the

department on day of
submission)
4.
Double Folio

1|Page
SECTION A: ORTHOPAEDICS

Question 1
A 65 year old sustained a supracondylar fracture of the right femur following a
motor vehicle accident (MVA) one (1) week ago. The patient is managed on
traction and is awaiting open reduction and internal fixation. The patient is
receiving physiotherapy.
1.1 Explain the stage of bone healing for this patient, at this stage of recovery after
the injury. (3)
1.2 Explain the precautions that has to be considered during treatment of this patient.
(7)
1.3 Discuss a holistic Physiotherapy program for the patient at this stage of recovery
after the injury. (20)

Section Total: 30 Marks

SECTION B: SPORT REHABILITATION

Question 1
1.1 Name the shoulder impingement sub-types and discuss the clinical features and
physiotherapy management thereof. (30)

Section Total: 30 Marks

2|Page
SECTION C: ORTHOPAEDIC MANUAL THERAPY

Question 1
Mrs Dlamini is a 70 year old female who consulted a physiotherapist complaining
of back pain and poor balance. She had a pelvic fracture one (1) year ago and
she has been smoking cigarettes for 50 years. She has also been diagnosed with
osteoporosis.
1.1 Explain the risk factors for osteoporosis under the following headings:
1.1.1 Hormone levels. (5)
1.1.2 Dietary factors. (5)
1.1.3 Lifestyle choices. (5)

Question 2
Mr X has been diagnosed with a cervical disc prolapse.
2.1 Describe, in detail, the objective information that you expect to obtain from Mr X
during the assessment. (9)
2.2 Outline and justify the neurological evaluation that should be performed on this
patient. (6)

Section Total: 30 Marks

SECTION D: SURGICAL CONDITIONS

Question 1
Mr E sustained a traumatic below knee amputation during a motor vehicle
accident.
1.1 Outline the education that should be given to this patient after prosthetic training
has been done, prior to discharge from physiotherapy. (10)

3|Page
Question 2
A 67 year old patient has been diagnosed with a peripheral vascular disease
(PVD) after experiencing extreme pain and paralysis in her left lower limb.
2.1 Name any two (2) other symptoms (except the ones mentioned in the case
study) that you would expect the patient to present with. (2)
2.2 Discuss the PVD-pain scale grading that should be used during the assessment
of this patient. (8)

Question 3
A 35 year old female sustained third degree burn wounds during a house fire. The
patient received a skin graft over the largest part her upper torso and is
subsequently extremely scared of receiving physiotherapy. She can only tolerate
20 minutes of physiotherapy, twice a day.
3.1 Discuss the physiotherapy treatment approach that should be used to provide
optimal treatment for the patient in the limited time period. (6)
3.2 Explain to the patient how she should position herself in the ward during the day.
(4)

Section Total: 30 Marks

GRAND TOTAL: 120 MARKS

4|Page