1) A patient with complete long thoracic nerve injury would have difficulty in: a) a. putting hand in the back pocket. b) b. bending toward the involved side. c) c. taking a deep breath. d) d. reaching forward above head. 2) A 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 the MOST appropriate to maximize strengthening? a) a. Resistive exercises with the knee bent. b) b. Resistive exercises with the knee straight. c) c. Active exercises with the knee bent d) d. Active exercises with the knee straight. 3) A patient has right hemiparesis resulting from TBI. When assessing motor control in the right lower extremity with the patient standing, the therapist finds that the patient cannot extend the hip while flexing the knee or flex the hip while extending the knee. In which of the following functional activities will this problem be MOST apparent? a) a. Shifting weight while standing. b) b. Walking sideways. c) c. Walking backward. d) d. Moving from sitting position to standing position. 4) In which of the following conditions would a nerve conduction velocity test be MOST important? a) a. Carpal tunnel syndrome b) b. Cerebrovascular accident c) c. Myotonia d) d. Duchenne Muscular Dystrophy 5) During a review, a patient lacks 10 degrees of passive ankle dorsiflexion. The same degree of limitation is present whether the knee is flexed of extended. The muscle MOST likely contributing to this restriction is the: a) a. gastrocnemius b) b. tibialis anterior c) c. plantaris d) d. soleus 6) The PT is positioning a patient for postural drainage. In order to BEST drain the posterior segment of both lower lobes, the patient should be placed in which of the following positions? a) a. Prone, head down at 45 degree angle b) b. Supine, flat surface c) c. Side lying, head elevated 30-degree angle d) d. Sitting, leaning forward 7) An MMT of a patient sustained a gunshot wound just superior to the elbow joint reveals specific muscle weakness from a partial median nerve injury. The PT intervention for this patient would MOST likely include strengthening activities for wrist flexion and forearm: a) a. pronation, finger flexion, thumb adduction b) b. pronation, finger flexion, thumb opposition c) c. supination, finger abduction, thumb opposition d) d. supination, finger abduction, thumb extension 8) A clean, well granulating stage II pressure ulcer with minimal serous drainage is MOST appropriately dressed with: a) a. a non-adherent dressing b) b. a packed dressing c) c. topical medication only d) d. dry-to-dry gauze 9) A patient in the eighth month of pregnancy presents with numbness and tingling of the left hand except the fifth digit. She demonstrates edema of the hand and fingers, a positive Tinel’s sign at the wrist, and a good (4/5) muscle test grade of the wrist and finger flexors. The MOST appropriate intervention would be: a) a. a wrist splint to position the wrist in full extension b) b. a hot pack followed by tendon gliding exercises c) c. resistive exercises for the wrist and finger flexors d) d. frequent rest and elevation of the left upper extremity 10) When evaluating a wheelchair positioning of a child with cerebral palsy, the therapist should FIRST examine the position of the child’s: a) a. pelvis b) b. legs c) c. head d) d. spine 11) A patient who has COPD is being treated with a regimen that includes pursed lip breathing exercise. The PRIMARY purpose of the pursed lip breathing is to: a) a. help prevent collapse of pulmonary airways during exhalation thereby reducing air trapping b) b. decrease the removal of CO2 during ventilation c) c. increase the residual volume of respiration so that more O2 is available for body metabolism d) d. stimulate further mobilization of mucous secretions to higher air passages where they can be expectorated 12) An elderly patient has diabetic neuropathy. Upon examination he shows marked mediolateral instability of the left ankle while walking. The patient also has fluctuating edema and glove-and-stocking sensory loss in both legs. The MOST appropriate orthotics aid would be: a) a. a double-upright ankle foot orthosis b) b. hip to toe shoes c) c. a prefabricated plastic, solid ankle-foot orthosis d) d. a spiral ankle foot orthosis 13) A patient with chronic venous insufficiency of the LE would MOST likely exhibit: a) a. normal superficial veins, no edema, ulceration and patches of gangrene around the toes b) b. dilation of superficial veins, edema, stasis ulceration c) c. no edema, cold, hairless LE, faint dorsalis pedis pulse d) d. dilation of superficial veins, edema made worse during sitting or leg elevation 14) A patient who has RA comes to PT with signs of muscle atrophy, ecchymosis, puffy cheeks and a diagnosis of osteoporosis. This patient is MOST likely receiving a high dosage of: a) a. penicillin b) b. prednisone c) c. aspirin d) d. gold salts 15) Elevating a patient’s LE for less than 1 minute produces a noticeable pallor of the foot, followed by delayed reactive hyperemia in a dependent position. These signs are indicative of: a) a. an intact circulatory system b) b. arterial insufficiency c) c. venous insufficiency d) d. acute arterial occlusion 16) Which of the following is the MOST likely cause of reduced vital capacity in a patient who has quadriplegia at C5-C6 level? a) a. Decreased anterolateral chest expansion resulting from paralysis of the external intercostals b) b. Inability of the patient to generate a negative intrapleural pressure secondary to a denervated diaphragm c) c. A relatively high resting position of the diaphragm resulting from paralysis of abdominal muscles d) d. Reduced rib cage elevation due to paralysis of the anterior scalene and sternocleidomastoid muscles 17) A patient with mild closed head injury and bilateral femur fracture requires instructions in a LE exercise program. In order to plan the most effective teaching methods for this patient, what would be the MOST critical to assess at the initial visit? a) a. Comprehension of written, verbal and demonstrated instructions b) b. Short term memory capacity c) c. Hearing and vision d) d. Any personality changes compared to the patient’s premorbid status 18) To minimize skin irritation during functional electrical nerve stimulation, the physical therapist should use: a) a. lower intensity, larger inter-electrode distance and larger electrodes b) b. lower intensity, larger inter-electrode distance and smaller electrodes c) c. higher intensity, smaller inter-electrode distance and smaller electrodes d) d. lower intensity, smaller inter-electrode distance and larger electrodes 19) While a patient is walking in the parallel bars, the therapist observes that the pelvis drops down on the side opposite the stance extremity. This gait deviation is an indication of weakness of the hip: a) a. abductors of the swing extremity b) b. adductors of the swing extremity c) c. abductors of the stance extremity d) d. adductors of the stance extremity 20) An elderly individual was found unconscious at home and was hospitalized with a diagnosis of cerebrovascular accident (CVA). Examination by the PT reveals normal sensation and movement on the right side of the body with impaired sensation (touch, pressure, proprioception) and paralysis on the left side of the body. The left side of the lower face and trunk are similarly impaired. What is the MOST likely location of the CVA? a) a. Left parietal lobe  b) b. Right parietal lobe c) c. Left side of brain stem d) d. Spinal cord 21) An overweight adult patient complains of right anterior hip and knee pain while walking, especially when weight bearing on the right. Lumbar AROM is normal and pain free. Right hip AROM and PROM are limited compared to the left. Right knee AROM and PROM are full and pain free. There is no pain with resisted testing at the right hip or right knee. The scouring test reproduces the patient’s hip and knee symptoms. Hip joint distraction relieves these symptoms. Based on the above findings, what is the MOST likely diagnosis? a) a. Trochanteric bursitis  b) b. Patellofemoral syndrome c) c. Piriformis strain d) d. Hip degenerative joint disease. 22) What is the BEST evidence to determine orthotic intervention to prevent inversion ankle sprains? a) a. Systematic reviews of randomized controlled trials  b) b. Meta-analyses of cohort studies c) c. Meta-analyses of multiple case studies d) d. Randomized double-blind controlled trials 23) A therapist is examining a patient with superficial partial thickness burns over 20% of the trunk. The correct identification of this burn type by surface appearance characteristics includes: a) a. A wet surface with broken blisters b) b. A dry surface with no blisters c) c. Intact blisters and a moist, weeping surface if blisters are removed d) d. Parchment-like, leathery, and dry surface 24) A patient who was caster for 3 weeks after a grade III right ankle sprain has been referred to physical therapy for mobility exercises. Examination shows a loss of 10o of dorsiflexion. Which activity will be the MOST difficult for the patient? a) a. Ambulating over rough surfaces  b) b. Descending stairs c) c. Ambulating barefoot d) d. Descending a ramp 25) A patient with stage II primary lymphedema of the right lower extremity is referred for physical therapy. Examination reveals increased limb girth with skin folds/flaps evident. An important component of lymphedema management is manual lymphatic drainage. Which of the following describes a cardinal principle of manual lymphedema management? a) a. Deep tissue friction massage for several minutes on fibrotic areas.  b) b. Decongesting the proximal portions of the limb first and working distally c) c. Decongesting the trunk after the limb segments d) d. Decongesting the distal portions of the limb first and working proximally 26) When performing neutral tension testing to the lower limb, which ankle position when combined with a straight leg raise will BEST bias the peroneal (fibular) nerve? a) a. Dorsiflexion and eversion  b) b. Dorsiflexion and inversion c) c. Plantarflexion and eversion d) d. Plantarflexion and inversion 27) A contraindication to initiating extremity joint mobilization on a patient with chronic pulmonary disease may include: a) a. Long-term corticosteroid therapy b) b. Functional chest wall immobility c) c. Concurrent inhalation therapy d) d. Reflex muscle guarding 28) What common compensatory postures would a PT expect a for a patient diagnosed with fixed severe forefoot varus? a) a. Excessive midtarsal supination and lateral rotation of the tibia b) b. Toeing-in and lateral rotation of the femur c) c. Excessive ankle dorsiflexion and medial rotation of the femur d) d. Subtalar pronation and medial rotation of the tibia 29) During a finger-to-nose test, a patient demonstrates hesitancy in getting started and is then unable to control the movement. The finger slams into the side of the face, missing the nose completely. How should the therapist document this finding? a) a. Dysmetria  b) b. Dysdiadochokinesia c) c. Dyssynergia d) d. Intention tremor 30) A therapist wishes to use behavior modification techniques as part of a plan of care to help shape the behavioral responses of a patient recovering from traumatic brain injury (TBI). What intervention is the BEST to use? a) a. Use frequent reinforcements for all desired behaviors  b) b. Encourage the staff to tell the patient which behaviors are correct, and which are not c) c. Reprimand the patient every time an undesirable behavior occurs d) d. Allow the patient enough time for self-correction of the behavior 31) When performing scoliosis screening in a school setting, what is the optimal age for girls to be screened? a) a. 11-13  b) b. 6-8 c) c. 9-11 d) d. 15-17 32) During gait analysis, a therapist notes that a patient is lurching backward during stance phase. What is the cause of this compensatory motion? a) a. Gluteus medius weakness  b) b. Hip and knee flexion contractures c) c. Quadriceps weakness d) d. Gluteus maximus weakness 33) A PT decides to exercise a patient with lower extremity lymphedema using aquatic therapy. Hydrostatic pressure exerted by the water can be expected to do which of the following? a) a. Increase cardiovascular demands at rest and with exercise  b) b. Reduce effusion and assist venous return c) c. Provide joint unloading and enhance ease of active movement d) d. Increase resistance as speed of movement increases 34) A patient with a 10-year history of diabetes complains of cramping, pain, and fatigue to the right buttock after walking 400 feet or climbing stairs. When the patient stops exercising, the pain goes away immediately. The skin of the involved leg is cool and pale. The therapist checks the record and finds no mention of this problem. Given this patient’s symptoms, what is the likely diagnosis? a) a. Peripheral nerve injury  b) b. Spinal nerve root impingement c) c. Raynaud’s phenomenon d) d. Peripheral arterial disease (PAD) 35) A patient sustained a trimalleolar ankle fracture on the right and a fracture of the left distal radius. For partial weight bearing, it is BEST if the therapist has the patient use which device? a) a. Axillary crutches  b) b. Forearm crutches c) c. Platform crutches d) d. Lofstrand crutches 36) Most common cranial nerve affected in TBI a) a. CN 4 b) b. CN 11 c) c. CN 7 d) d. CN 10 37) All of the following manifestations may arise in a patient suffering from TBI except: a) a. AOC b) b. Motor Deficits c) c. Periorbital ecchymosis d) d. NOTA 38) Obtunded a) a. Awake and easily aroused b) b. Difficult to arouse c) c. Sleeps most of the time d) d. No capacity to interact with the environment 39) Vegetative State a) a. Awake and easily aroused b) b. Difficult to arouse c) c. Sleeps most of the time d) d. No capacity to interact with the environment 40) Gold standard assessment tool for post traumatic amnesia a) a. RDS b) b. RLALOCF c) c. FIM d) d. GOAT

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