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INTERNATIONAL EDUCATIONAL RESOURCES, LTD. Release of confidential information from a medical record without the patient’s consent is illegal if it involves: A. the patient's employer B. another therapist involved in peer review CC the patient's insurance company D. a social worker You are evaluating an athlete who is complaining of pain in the left shoulder region. Your examination Of the shoulder elicits pain in the last 30 degrees of shoulder abduction range of motion. This finding is most congruent with: A. calcific supraspinatus tendinitis B. subacromial bursitis CC. actomioclavicular sprain D. thoracic outlet syndrome Following a cerebrovascular accident involving the dominant right hemisphere, a patient exhibiting unilateral neglect would generally not ‘A. eat food only from the right side of a plate B, bump a one-arm driven wheelchair imo things on the left side CC. jgnote or deny the existence of the left-sided limbs D, shave or pot makeup only an the left side of the face A patient with spastic left hemiplegia experiences recurvatum during stance phase. Ifthe patient is using an ankle-ioot orthosis, the cause of the problem might be attributed to: A. not enough limitation by the posterior stop B. not enowgh limitation by the anterior stop . 100 much limitation by the posterior stop D. 100 much limitation by the anterior stop In a physical therapy department, there is a statement that reads, “All patients should be managed using propriate Standard Precautions.” This kind of statement would, most likely, be found in the A. quality assurance manual B. policy statements . proce D. standards of practice You are examining a 71 year-old male who has a recent history of falls while ambulating on level sur faces. Interaction with the patient indicates that cognition is unaffected. Which of the following should be periormed next? A. static and dynamic balancing testing, B. gait analysis C. sensory testing D. reflex integrity 312 PRACTICE EXAMINATION Teaching pursed lip breathing as part of the treatment regimen would be most appropriate for a patient with: A. circumferential thoracic burns B. asbestosis . radiation pneumonitis . emphysema If a patient with an above-the-knee prosthesis has a prosthetic foot with a plantar flexion bumper that is too hard, during ambulation the: A. prosthesis would rotate internally at heel strike B. prosthetic foot would remain dorsiflexed during the gait cycle C. prosthetic foot would remain plantar flexed during the gait cycle D. prosthetic knee would not flex sufficiently during stance Prior to performing manual traction in the cervical region one should perform a test for vertebral artery insufficiency in order to ascertain the adequacy of blood supply to the: A. vertebrae B. upper extremities . spinal canal D. brain stem A snowmobile left the trail and struck a tree. The stiver’s left knee was fully flexed and the tibia impacted with the inside front of the snowmobile. This mechanism af injury would most likely result in a A. dislocated patella B. sprained or ruptured posterior cruciate ligament . sprained or ruptured anterior cruciate ligament . rupture of the popliteal artery A patient with a transtibial amputation of 2 months duration complains to you of an intense burning pain that seems to emanate from his heel. This phantom pain mierored preoperative pain which was the resul Of previous damage to the: A. dorsalis pedis artery B. popliteal artery C. peroneal nerve D. tibial nerve The quality assurance committee has found that 72% of the inpatients receiving physical therapy showed no improvement in function. Ta discover the cause of this high rate it would be best if the committee check: A. the source of the referrals B. patient diagnoses . appropriateness and consistency of the physical therapy service D. age of the patients 16, ) ——— INTERNATIONAL EDUCATIONAL RESOURCES, LID. To prepare a patient with a cauda equina lesion for ambulation with crutches, the uppex quadrant E muscles that would be the most important to strengihe 1 be the A. upper trapezius, rhomboids and levator scapulae B. deltoid, coracobrachialis ard brachialis C. middle trapezius, serratus anterior and triceps D. lower trapezius, latissimus dorsi and pectoralis major Based on the normal (lef) and abnormal (right) MR images of the shoulder, the physical therapy plan of g care should be formulated based upon an initial diagnosis of ‘A, rotator cuff tear B. acriomoclavicular sprain C. osteoarthritis D, occult fracture You have been treating a 61 year-old woman over a period of four months for adhesive capsulitis which had resulted in a “frozen shoulder". Her cecovery has been good; however, she still complains that she cannot reach the upper shelves in her kitchen cupboards and closets. To help her achieve his goal, joint mobilization should focus on: A. inferior glk B. posterior glide . anterior glide D. grade I! oscillations patient with Which activity hemiplegia? ld not help to break up lower extremity synergy combinations in A. balance training in a kneeling position B. backward leg lifts with the knee extended on the affected side . bridging in the hookiying position D, rolling from a hooklying position 314