425171536-Peat-Set-1-Practice-Exam-HIGHLIGHTED

PEAT SET 1 – PRACTICE EXAM NAME:________________________________________ SCORE:_______ 1. A patient with complete long thoracic nerve injury would have difficulty in: a. putting hand in the back pocket. b. bending toward the involved side. c. taking a deep breath. 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. Resistive exercises with the knee bent. b. Resistive exercises with the knee straight. c. Active exercises with the knee bent 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. Shifting weight while standing. b. Walking sideways. c. Walking backward. 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. Carpal tunnel syndrome b. Cerebrovascular accident c. Myotonia 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. gastrocnemius b. tibialis anterior c. plantaris 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. Prone, head down at 45 degree angle b. Supine, flat surface c. Side lying, head elevated 30 degree angle d. Sitting, leaning forward 7. A 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. pronation, finger flexion, thumb adduction b. pronation, finger flexion, thumb opposition c. supination, finger abduction, thumb opposition 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 non-adherent dressing b. a packed dressing c. topical medication only 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 wrist splint to position the wrist in full extension b. a hot pack followed by tendon gliding exercises c. resistive exercises for the wrist and finger flexors 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. pelvis b. legs c. head 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. help prevent collapse of pulmonary airways during exhalation thereby reducing air trapping b. decrease the removal of CO2 during ventilation c. increase the residual volume of respiration so that more O2 is available for body metabolism 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 double-upright ankle foot orthosis b. hip to toe shoes c. a prefabricated plastic, solid ankle-foot orthosis d. a spiral ankle foot orthosis 13. A patient with chronic venous insufficiency of the LE would MOST likely exhibit: a. normal superficial veins, no edema, ulceration and patches of gangrene around the toes b. dilation of superficial veins, edema, stasis ulceration c. no edema, cold, hairless LE, faint dorsalis pedis pulse 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. penicillin b. prednisone c. aspirin 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. an intact circulatory system b. arterial insufficiency c. venous insufficiency 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. Decreased anterolateral chest expansion resulting from paralysis of the external intercostals b. Inability of the patient to generate a negative intrapleural pressure secondary to a denervated diaphragm c. A relatively high resting position of the diaphragm resulting from paralysis of abdominal muscles 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. Comprehension of written, verbal and demonstrated instructions b. Short term memory capacity c. Hearing and vision 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. lower intensity, larger inter-electrode distance and larger electrodes b. lower intensity, larger inter-electrode distance and smaller electrodes c. higher intensity, smaller inter-electrode distance and smaller electrodes

PEAT SET 1 – PRACTICE EXAM 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. abductors of the swing extremity b. adductors of the swing extremity c. abductors of the stance extremity d. adductors of the stance extremity 20. Excessive upward rotation of the right scapula is noted when the patient attempts to perform shoulder flexion. Which of the following exercises is MOST appropriate to help correct the excessive scapular rotation? a. Right scapular protraction against resistance with the right arm at 90 degrees of flexion b. Bilateral scapular elevation with the upper extremity at 180 degrees of flexion c. Wall push-ups with an isometric hold at the end range with the elbows extended d. Bilateral scapular adduction with the arms medially rotated and adducted across the back 21. A patient with left hemiparesis is being discharged from the rehabilitation center. The therapist has been unsuccessful in getting the family’s cooperation to instruct them in transfers, bed mobility, and safety precautions. The MOST appropriate action for the therapist to take is to: a. educate the patient so she can tell others how to assist her b. contact social services and arrange for a team and family meeting c. refer the patient for home care and document appropriate interventions d. write a home program and give it to the family 22. A patient is being examined for medial epicondylitis. With this diagnosis, the therapist would MOST likely expect to find pain over the: a. origin of flexor digitorum profundus with resisted finger flexion b. origin of pronator teres muscle with active pronation c. medial epicondyle with passive wrist flexion d. insertion of the triceps brachii with passive elbow extension 23. During the examination of a patient with carpal tunnel syndrome, the therapist will MOST likely find: a. paresthesia of the medial palmar surface of the hand b. weakness of finger extension of the lateral three digits c. paresthesia of the lateral three digits d. weakness in wrist flexion and ulnar deviation 24. A patient is undergoing a treadmill stress test. The appearance of abnormally wide, irregularly spaced QRS complexes on the ECG represents: a. ventricular depolarization b. premature ventricular contractions c. atrial fibrillation d. atrial repolarization 25. A right handed woman is being examined by the PT for right sided weakness in her UE and LE. The muscle tone is hypotonic and she is ataxic during walking. She has a history of hypertension and alcoholism. Passive ROM with DTR show hyporefexia. She has an intention tremor when she tries to pick up an object from a table, and exhibits difficulty performing the finger to nose test. Where is the MOST probable area of the lesion? a. Right side, cervical spinal cord b. Left side, cerebral hemisphere c. Left side, substantia nigra d. Right side, cerebellar hemisphere 26. A patient’s severe knee sprain resulted from medial rotation of the femur on the tibia with simultaneous application of a valgus force while the foot was placed on the ground. Which structures are MOST likely to be involved? a. Medial collateral ligament, medial meniscus and anterior cruciate ligament b. Medial collateral ligament, lateral collateral ligament and posterior cruciate ligament c. Lateral collateral ligament, medial meniscus and anterior cruciate ligament d. Medial collateral ligament, lateral meniscus and posterior cruciate ligament 27. A therapist is setting up a home program of ES for a patient who has Bell’s palsy. Which of the following muscles should be stimulated as part of the home program? a. Sternocleidomastoid b. Masseter c. Temporalis d. Frontalis 28. A PT is treating a patient who has lymphedema in the right LE. The therapist decides to use mechanical, intermittent pneumatic compression as an intervention, using a sleeve that covers the foot, leg and thigh. The therapist measures BP at 135/85 mm Hg. At first treatment session, the MOST appropriate inflation pressure for the sleeve is: a. 20 mm Hg b. 60 mm Hag c. 100 mm Hg d. 140 mm Hg 29. A 14-month old child with spastic diplegia is up on his tiptoes with his toes curled when held in supported standing. This position is characteristic of a: a. proprioceptive placing reaction b. moro reflex c. plantar grasp reflex d. traction response 30. A therapist who works in a home health agency is treating a patient with diabetes mellitus. The patient tells the therapist that he is no longer taking his insulin. The therapist’s FIRST course of action should be to: a. instruct the patient in proper technique for injecting insulin b. contact the patient’s home health nurse c. tell the patient’s family to report this information to the physician d. have the patient perform a urine glucose test while the therapist is in the home 31. A 5-year-old patient with a closed head injury is exhibiting behavior consistent with the confused agitated level of cognitive function. During physical therapy intervention, the patient becomes combative. Which of the following techniques would be MOST effective in calming the patient? a. Providing brief moving touch to the face and turning on the patient’s favorite musical tape b. Maintaining touch to the shoulders and brightening the room by opening curtains c. Removing the patient from the current treatment environment and placing the patient in a quiet setting d. Wrapping the patient in a blanket and rocking the patient rapidly 32. Which of the following instructions is MOST appropriate for teaching a patient with C6 quadriplegia to transfer from a wheelchair to a mat? a. “Keep your fingers extended, to give a broader base of support” b. “Rotate your head and shoulders in the same direction to the desired hip motion” c. “Rotate your head and shoulders in the direction opposite to the desired motion” d. “Keep both hands next to your knees to lock your elbows” 33. On the fourth day of PT treatment, a patient who has had an ORIF for a hip fracture develops a large ecchymosis over the unaffected hip. The patient has MOST likely developed: a. a hemangioma b. a complication of anticoagulant therapy c. a hematocele d. deep vein thrombophlebitis 34. A patient is performing a phase I cardiac rehabilitation exercise session. The therapist should terminate low level activity in which of the following value changes from resting level? a. The diastolic BP increases to 120 mmHg