Physical Therapy Mock Boards Study Guide, Exams of Neurology

Download Physical Therapy Mock Boards Study Guide and more Exams Neurology in PDF only on Docsity! PT APPS MOCK BOARDS 1 VERIFIED QUESTIONS AND ANSWERS 2023/2024 RATED A+ 1. A patient with venous stasis ulcer in the left lower extremity was referred to PT for treatment using electrical stimulation. What type of electrical stimulation should be used to promote wound healing? a. Monophasic current b. Biphasic pulsed current c. Russian current d. TENS 2. PT plans to apply quadripolar electrodes over the overstretched and weakened muscle of a 16-year-old female patient with idiopathic scoliosis. The PT can select the following parameters, EXCEPT: a. Duration: gradual to 8 hrs b. Pulse rate: 25 pps c. Waveform: square biphasic 220 microseconds d. Stimulus amplitude: 50 to 70 mA 3. A PT applies 1 MHz ultrasound at 1.5 w/cm2 to treat a patient with adhesive capsulitis. This frequency is considered best for heating tissues up to _____ cm deep a. 5 b. 4 c. 3 d. 2 4. There are a variety of systems used to record goniometric measurements. Using the 0-180 system the anatomical position is used for the starting position for all movements EXCEPT a. Ankle inversion and eversion b. Forearm pronation and supination c. Shoulder flexion and extension d. Wrist flexion and extension 5. The reliability of goniometric measurements taken by different therapists is measured by interrater reliability. Which joint would you expect to have the poorest interrater reliability? a. Ankle eversion b. Elbow flexion c. Knee flexion d. Shoulder external rotation 6. Transverse friction massage is a valuable treatment technique in a variety of common musculoskeletal disorders. Which of the following statements does not accurately describe the application technique of transverse friction massage? a. The therapist moves the skin back and forth in a direction perpendicular to the normal orientation of the fibers b. A lubricant is used to prevent excessive skin friction c. Fingers that are not involved directly in the massage are used to provide stabilization d. The rate of movement is 2-3 cycles per second and rhythmical 7. Froment’s sign is a test used to determined function of the Ulnar b. Axillary c. Median d. Radial 8. The current leakage from an electrode intended for direct patient connection should NOT be more than __ microamperes. a. 40 b. 30 c. 50 d. 60 9. This test, also known as Ritchie or Trillart, is the BEST indicator of injury to the anterior cruciate ligament especially the posterolateral band. a. Gravity drawer b. Lachman's c. Slocum d. Godfrey 10.A therapist receives a referral to evaluate the fall risk potential of an elderly community-dweller with chronic coronary artery disease (CAD). The patient has fallen three times in the past 4 months, with no history of fall injury except for minor bruising. The patient is currently taking a number of medications. What is the drug that is MOST likely to contribute to dizziness and increased fall risk? a. Colace b. Albuterol c. Nitroglycerin d. Coumadin sodium 11.The duration of the faradic impulse is approximately a. Variable b. 0.01 of a second c. 0.001 of a second d. 1 mega second 12.All of the following apply to reaction of degeneration, EXCEPT: a. Stages of reaction of degeneration denote the etiology of the lesion b. It indicates an organic lesion c. Lesion is in the lower motor neuron d. Stages of reaction of degeneration denotes the severity of the lesion 13.A patient with a long-standing rheumatoid arthritis of the MP and IP joints is referred to PT. Upon evaluation, therapist observed that patient can flex IP when MCP is in neutral 1 | P a g e PT APPS MOCK BOARDS 1 position but cannot flex IP when MCP is hyperextended. The MOST LIKELY cause of this is a. lateral band slippage on volar aspect b. MCP joint subluxation c. finger muscle tenosynovitis d. intrinsic muscle tightness 14.What is the major concern of the physical therapist treating a patient with an acute deep partial-thickness burn covering 27% of the total body? The patient was admitted to the intensive care burn unit 2 days ago. a. Range of motion b. Fluid retention c. Helping the family cope with the injured patient d. Home modifications on discharge 15.A patient requires examination 4 months following treatment for breast cancer and mastectomy. She is complaining of chest, arm, and shoulder pain with overhead activities. Which of the following conditions is most likely the source of her pain? a. Torn rotator cuff b. Adhesive capsulitis c. Cervical pathology d. Recurrence of the breast cancer 16.Which of the following positions should be avoided in the right upper extremity with a patient who has a diagnosis of right hemiplegia secondary to a stroke? a. Prolonged shoulder adduction, internal rotation, and elbow flexion b. Prolonged shoulder abduction, internal rotation, and elbow flexion c. Prolonged finger and thumb flexion d. Prolonged wrist flexion and finger adduction 17.For each degree Fahrenheit rise of body temperature, the pulse rate will increase about a. 2 beats b. 4 beats c. 6 beats d. 10 beats 18.A natural source of infrared radiation is sunlight. Approximately what percentage of average sunlight is infrared radiation as compared to ultraviolet radiation? a. 40% b. 50% c. 60% d. 70% 19.The opposition offered by the electrical conductor to the flow of a current is represented by the a. Ohm b. Volt c. Ampere d. Farad 20.Increase in the chronaxie of a muscle signifies a. Significant factor b. Excitability of muscle decrease c. Intensity d. Constant current 21.The conventional tens usage is based on what theory? a. All or none b. Open gate c. Close gate d. No gate 22.In infrared radiation, the intensity of radiation varies inversely with the square of the distance from the source. Which law applies? a. Angulation of Rays law b. Inverse square law c. The law of Grotthus d. DuBois-Reymond’s law 23.The unit of power is represented by the a. Ohm b. Volt c. Ampere d. Watt 24.High frequency (short wave diathermy) wavelength of 11 meters is a. 27.12 MHz/second b. 40 MHz/second c. 13.56 MHz/second d. None of the above 25.Which of the following is considered an absolute contraindication to manipulation? a. Smoking and hypertension b. Whiplash injury c. Birth control pills and smoking d. Acute myelopathy 26.A 25-year-old woman has been referred to a physical therapist by an orthopedist because of low back pain. The therapist is performing an ultrasound at the L3 level of the posterior back when the patient suddenly informs the therapist that she is looking forward to having her third child. On further investigation, the therapist discovers that the patient is in the first trimester of pregnancy. Which of the following is the best course of action for the therapist? a. Change the settings of the ultrasound from continuous to pulsed. b. Continue with the continuous setting because first- trimester pregnancy is not a contraindication. c. Cease treatment, notify the patient's orthopedic physician, and document the mistake. d. Send the patient to the gynecologist for an immediate sonogram. 2 | P a g e PT APPS MOCK BOARDS 1 VERIFIED QUESTIONS AND ANSWERS 2023/2024 RATED A+ techniques would be the most effective when assisting a patient to complete a selected activity without dyspnea? a. Diaphragmatic breathing b. Pacing c. Pursed lip breathing d. Ventilator muscle training 55.Total joint replacements can allow individuals to achieve a significantly higher functional level. What is the primary indication for a total joint replacement? a. Effusion b. Limited range of motion c. Muscle atrophy d. Pain 56.A patient scheduled for total hip replacement surgery is referred to physical therapy for preoperative instruction. All of the following should be incorporated into the preoperative session EXCEPT a. Deep breathing and coughing exercises b. Gait training with an appropriate assistive device c. Basic precautions for early bed mobility d. Proper use of an adduction pillow 57.A therapist positions a patient in supine prior to performing a manual muscle test of the supinator. To isolate the supinator and minimize the action of the biceps, the therapist should position the patient’s elbow flexion in a. 30 degrees elbow flexion b. 60 degrees elbow flexion c. 90 degrees elbow flexion d. Terminal elbow flexion 58.A therapist examines a patient’s breath sounds through auscultation. The therapist classifies the breath sounds in a selected lung segment as absent. Which condition is not typically associated with absent breath sounds? a. Pleural effusion b. Pneumothorax c. Obesity d. Consolidation 59.A therapist volunteers to assist participants at the finish line in a 10K road race. The race takes place on a hot and humid day and some of the race organizers are concerned about the potential for heat related disorders such as heat exhaustion and heat stroke. The most significant variables to differentiate between heat exhaustion and heat stroke are a. Blood pressure and pulse rate b. Coordination and level of fatigue c. Mental status and skin temperature d. Pupil dilation and blood pressure 60.Therapists must be aware of a variety of factors that can influence a patient’s pulse rate. Which of the following would NOT have a tendency to increase a patient’s pulse rate? a. Infection b. Low temperature c. Hypotension d. Stress or anxiety 61.The physical therapist is beginning the examination of a patient in an outpatient cardiac rehabilitation facility. A chart review shows that this patient has active atrial fibrillation with a controlled ventricular rate. What is the most appropriate intervention for this patient? a. Low intensity aerobic exercise b. High intensity aerobic exercise c. High intensity lower extremity exercise only d. Low intensity lower extremity exercise only 62.A therapist is scheduled to examine a patient with a chronic condition of “hammer toes”. Where should the therapist not expect to find callus formation? a. The distal tip of the toes b. The superior surface of the interphalangeal joints c. The metatarsal heads d. The inferior surface of the interphalangeal joints 63.Your patient was in a car accident and now has a herniated nucleus pulposus at vertebral level C5-C6. She reports difficulty removing her shirt overhead. With nerve root injury at the level of C5-C6, what part of the motion will most likely be problematic for your patient and why? Grasping the shirt due to weakness of all finger flexors b. Internally rotating the shoulder due to weakness of teres minor c. Shoulder flexion due to weakness of deltoid d. Cervical flexion to remove shirt due to weakness of deep neck flexors 64.Which ultrasound treatment parameter is recommended for a stage 2 chronic dermal wound? a. 1 MHz at 1.5 watt.cm 2 b. 3 MHz at .2-1 watt/cm 2 c. 3 MHz at 1.5 watt/cm d. 1 MHz at .2-1 watt/cm 2 65. Specific heat for paraffin wax: a. 1.72 kJ/kg b. 2.72 kJ/kg c. 5.72 kJ/kg d. 4.72 kJ/kg 66. Ohm's Law describes the relationship among a. voltage, resistance and amperage b. amperage, conductance and resistance c. conductance, voltage and resistance 5 | P a g e PT APPS MOCK BOARDS 1 d. voltage, conductance and amperage 67. What is the best strategy to communicate with a patient diagnosed with Wernicke’s aphasia? a. Use a writing board for communication b. Attend to nonverbal behaviors and the emotional content of the message. c. Correct patient errors frequently to assist in his learning strategies d. Use easier “who/what/when” questions 68. A PT prepares to apply a pneumatic intermittent compression device to a patient diagnosed with venous insufficiency. When applying pneumatic intermittent compression to an extremity, the PT should not set the pressure of the unit above the: a. Patient’s diastolic blood pressure b. Patient’s systolic blood pressure c. Difference between the patient’s diastolic and systolic blood pressure d. Patient’s resting heart rate 69. A PT completes a systems review on a patient immediately after completing a detailed patient history. Which of the following would not typically be included as part of the integumentary component of the systems review? a. Assessment of skin color b. Assessment of edema c. Presence of scar formation d. Assessment of skin integrity 70. 60 year old male presents with low back pain. The patient describes pain radiating down the outer thigh and leg, stiffness in the low back region, and increased pain with attempted movement of the spine. Which of the following would be the most likely cause of the patient’s symptoms? a. Microtears of the ligamentum flavum and posterior longitudinal ligament b. L3-L4 lumbar facet joint arthropathy c. Soft tissue strain of the lumbar extensors d. Posterolateral protrusion of the lumbar intervertebral disk at L5-S1 71. A PT prepares to transfer a 62 year old male patient from supine to short sitting. The patient was admitted to a skilled nursing facility two weeks ago and currently requires maximum assistance to complete all transfers. When transferring the patient it is MOST critical to: a. Provide clear and concise verbal commands b. Utilize appropriate guarding technique c. Lead with patient’s stronger side d. Maintain direct contact with the patient 72. A therapist records a manual muscle test grade of poor for right hip adduction. The most appropriate patient position to conduct the test would be a. Supine b. Prone c. Right sidelying d. Left sidelying 73. Proper positioning of the affected areas is essential for patient with burns. Proper positioning should be maintained a. Not less than 12 hours per day b. Until skin grafting has been performed c. Only when the patient is sleeping d. Consistently throughout the day 74. A patient with hemiplegia lying in supine demonstrates a synergistic pattern of movement when attempting to move his affected leg. The patient’s hip is abducted and externally rotated, knee flexed, ankle plantarflexed and inverted, toes plantarflexed and adducted. This synergy pattern should be classified as a. Purely extension b. Purely flexion c. Combination of flexion and extension synergy patterns d. Isolated active movement 75. A child with athetoid cerebral palsy is referred to physical therapy. Which of the following characteristics would a physical therapist typically identify when examining the child? a. Continuous low tone and intermittent tonic spasms b. Small range movements with full control within the range c. Disorganized movement with fluctuating muscle tone d. Little to no influence from tonic reflexes 76. A physical therapist assists a patient with C7 tetraplegia into a prone on elbows position on a mat. The therapist instructs the patient to push his elbows down, tuck his chin, and lift his trunk off the mat while rounding the shoulders. This exercise is helpful in strengthening the a. Serratus anterior and scapular muscles b. Serratus anterior c. Latissimus dorsi and scapular muscles d. Sacrospinalis and semispinalis 77. When measuring ulnar deviation of the wrist, the moveable arm of the goniometer should be aligned with the a. Shaft of the second proximal phalanx b. Shaft of the third proximal phalanx c. Shaft of the second metacarpal d. Shaft of the third metacarpal 78. A 16 year old basketball player is anxious to return to athletic competition following rehabilitation form an 6 | P a g e PT APPS MOCK BOARDS 1 VERIFIED QUESTIONS AND ANSWERS 2023/2024 RATED A+ Achilles tendon rupture. The athlete is objectively ready to return to competition, however continues to demonstrate a severe preoccupation with reinjury. The MOST appropriate response is to a. Allow the patient to return to basketball without restriction b. Inform the patient that he should not participate in basketball this season c. Design a functional progression for basketball which allows the patient to progress to higher level activities in a gradual fashion b. Discuss other less demanding athletic activities with the patient 79. A patient is referred to physical therapy with a twenty degree restriction in wrist extension. Which mobilization technique would facilitate wrist extension? a. Dorsal glide of the carpals b. Stabilize lunate, volar glide radius c. Stabilize capitate, volar glide lunate d. Stabilize radius, volar glide scaphoid 80. Effective management for ____ would include elevating the head a. Autonomic dysreflexia b. Heterotropic ossification c. Orthostatic hypotension d. Anterior spinal artery syndrome 81. You are treating a patient in the neurointensive care unit. The patient is unresponsive to stimuli and you determine that he is comatose. You observe the following posture at the patient’s bedside: supine, the lower extremities are plantar flexed and internally rotated, and the upper extremities are positioned in shoulder adduction, elbow flexion, and wrist flexion. Which of the following best describes the posture you observed in this patient? a. Hemiplegia b. Decerebrate rigidity 7 | P a g e PT APPS MOCK BOARDS 1 b. Breathing exercises and postural drainage c. The physician should order medication therapy d. Chest physical therapy 101.A therapist wants to compare frequencies of carpal tunnel syndrome occurring in different groups of individuals: assembly line workers and computer programmers. The MOST appropriate statistical tool to use for analysis of the data is: a. Normal distribution curve b. Simple one-way ANOVA c. Chi-square test d. t-test 102.In a research study in which there is a skewed distribution with extreme scores on a balance measure that deviate from the performance of the total group, the MOST accurate representation of central tendency is: a. Standard deviation b. Mean c. Median d. Mode 103.A physical therapist has determined that a patient with right CVA the he is currently treating has a profound deficit of homonymous hemianopsia. The BEST initial strategy to assist the patient in compensating for this deficit is to: a. Rearrange the room so while in his bed his left side is facing the doorway. b. Place items, eating utensils on his left side. c. Provide constant reminders, printed notes on his left side, telling him to look to the left. d. Make the patient aware of his deficit and teach him to turn his head to the affected left side. 104.The director of PT from a large hospital is asked to develop an operating budget for the upcoming fiscal year. The item that would NOT be include in an operating budget is: a. Equipment maintenance b. Housekeeping supplies c. Long distance telephone calls d. A treadmill purchase 105.A multi-center study was done on the reliability of passive wrist flexion and extension goniometric measurements using volar/dorsal alignment, ulnar alignment and radial alignment. Significant differences were revealed between the three techniques. An appropriate level for determining significant difference is a P value of: a. P = 0.015 b. P = 0.05 c. P = 0.1 d. P = 0.5 106.A physical therapist is assigned as the health professional in charge during a high school football game. During the game, a player is tackled violently by two opponents. Upon checking the player, the PT determines that the player is unresponsive. An immediate course of action should be to: a. Open the airway by using the chin-lift method. b. Stabilize the neck and flip back the helmet face mask. c. Ask for help to log roll the player on his back while stabilizing his neck. d. Summon emergency medical services (EMS). 107.A 7-year-old boy with Duchenne muscular dystrophy is still ambulatory. The MOST appropriate activity to include in his plan of care would be: a. Circuit training program b. Wheelchair sports c. Progressive resistance strength training d. Recreational activities (swimming, biking) 108.A patient with spastic left hemiplegia experiences severe genu recurvatum during stance phase. If the patient is using an AFO, the cause of the problem might be attributed to: a. The anterior stop setting the foot in too much dorsiflexion b. The posterior stop setting the foot in too much dorsiflexion c. The anterior stop setting the foot in too much plantarflexion d. The posterior stop setting the foot in too much plantarflexion 109.During surgery to remove an apical lung tumor, the long thoracic nerve was injured. Muscle weakness is 3+/5. It would be best to implement exercises in: a. Supine using weights b. Supine using a pullet c. Standing using hand weights d. Standing while performing wall push-ups 110.A patient walks with a Trendelenburg gait. The most appropriate intervention to correct this problem is: a. Bridging, holding with Theraband around both thighs b. Half-kneeling, weight shifting unto the weak side ( foot ) c. Standing, stepping with the weaker limb, forward and backward d. Supine, lateral leg slides 111.A patient presents with an acute onset of vertigo overnight. Symptoms worsen with rapid change in head position. If the head is held still, symptoms subside usually within 1-2 minutes. The MOST likely cause of this patient’s problem is: 10 | P a g e PT APPS MOCK BOARDS 1 a. Bilateral vestibular neuritis b. Acoustic neuroma c. Benign paroxysmal positional vertigo d. Meniere’s disease 112.A patient recovering from a middle cerebral artery stroke presents with gaze deviation of the eyes. In this type of stroke, the involved eye may deviate toward: a. Down and out b. The hemiplegic side c. The sound side d. Up and in 113.A patient with paraplegia at the T10 level wants to participate in wheelchair basketball. He asks the therapist what options should he look for in a wheelchair. The therapist tells him it would be important to include: a. A folding frame b. A rigid frame c. A mid-scapular seat back d. Hard rubber tires 114.A patient presents with symptoms of uncoordinated eye movements and profound gait and trunk ataxia. He has difficulty with postural orientation to vertical and tends to tip over even if his eyes are open. Examination of the extremities reveals little change in tone or coordination. The therapist suspect involvement of the: a. Basal ganglia b. Premotor cortex c. Neocerebellum d. Spinocerebellum e. Vestibulocerebellum 115.Examination of a patient recovering from stroke reveals a loss of pain and temperature sensation on the left side of the face along with loss of pain and temperature sensation on the right side of the body. All other sensations are normal. The therapist suspects a lesion in the: a. Left cerebral cortex or internal capsule b. Midbrain c. Left posterolateral medulla or pons d. Right cerebral cortex or internal capsule 116.A 10-year-old boy with hemophilia fell and injured himself while skateboarding. He was admitted to a pediatric acute care facility and a therapist sees him that afternoon. Examination reveals a hemarthrosis in his left knee. The BEST initial intervention for this patient is: a. A hot pack for the knee and instruction in NWB exercises b. A pool program to maintain ROM and strength while he is NWB c. Ice, elevation, and a splint for the limb d. Instruct the patient in crutch use to protect the joint and assist in early return to walking 117.14-year-old patient with traumatic brain injury has a convulsive seizure during a therapy session. She lost consciousness and presents with tonic-clonic convulsions of all extremities. The therapist’s BEST response is to: a. Initiate rescue breathing immediately and call for help to restrain her b. Position in sidelying, check for an open airway, and immediately call for emergency assistance c. Position in supine with head supported with a pillow and wait out the seizure d. Wrap her limbs with a sheet so she can’t hurt herself and position in supine 118.A patient is recovering from surgical resection of an acoustic neuroma. She presents with symptoms of dizziness, vertigo, horizontal nystagmus, and postural instability. To address these problems, her physical therapy plan of care should incorporate: a. Hallpike exercises to improve speed in movement transitions b. Prolonged bed rest to allow vestibular recovery to occur c. Repetition of movements and positions that provoke dizziness and vertigo d. Strengthening exercises focusing on spinal extensors 119.An individual is walking with an above-knee prosthesis and demonstrates terminal swing impact. The therapist suspects: a. Insufficient knee friction b. Hip flexors are weak c. Prosthesis externally rotated d. Too little tension in the extension aid 120.A therapist has completed a study investigating the relationship between ratings of perceived exertion (RPE) and type of testing modality: arm ergometry versus leg ergometry. The therapist finds a correlation 0.59 with the arm testing while the correlation is 0.79 with the leg testing. Interpretation of these results is that: a. Both arm and leg ergometry are highly correlated with RPE. b. Both arm and leg ergometry are only moderately correlated with RPE. c. Leg ergometry is highly correlated with RPE while arm ergometry is only moderately correlated. d. The common variance of both types of testing is only 22%. 121.A patient suffers a CVA resulting in right hemisphere damage. This patient will MOST likely exhibit: a. Hesitancy, requiring more feedback and support 11 | P a g e PT APPS MOCK BOARDS 1 b. Negative, self-deprecating comments and frequent depression c. Poor judgment with increased safety issues d. Slow, cautious behaviors 122.A patient demonstrates a significant loss of strength when trying to grasp a cup. However, the patient has much less difficulty when holding onto a pencil. This type of clinical scenario is consistent with pathology affecting the: a. Axillary nerve b. Musculocutaneous nerve c. Ulnar nerve d. Median nerve 123.A PT consults with the teacher of a nine-year-old child with dyspraxia. Which of the following school-based activities would be the MOST challenging for the child? a. Maintaining upright sitting posture in a classroom chair b. Negotiating a crowded hallway between classrooms c. Opening and closing a locker d. Writing their name 124.A physical therapist treats a patient diagnosed with myasthenia gravis. Based on the diagnosis, which of the following tests would MOST likely be abnormal? a. Endurance testing b. Coordination testing c. Sensory testing d. Deep tendon reflex testing 125.Which of the following activities would be the MOST difficult for a patient with cerebellar dysfunction exhibiting dysmetria? a. Rapid alternating pronation and supination of the forearms b. Placing feet on floor markers while walking c. Walking at varying speeds d. Marching in place 126.A patient involved in a motor vehicle accident sustains an injury to the posterior cord of the brachial plexus. Which of the following muscles would MOST likely be spared? a. Subscapularis b. Teres major c. Latissimus dorsi d. Infraspinatus 127.A physical therapist treats a 26-year-old male status post ACL reconstruction. The therapist performs goniometric measurements to quantify the extent of the patient’s extension lag. Which of the following would not provide a plausible rationale for the extension lag? a. Inhibition by pain b. Muscle weakness c. Patient apprehension d. Bony obstruction 128.A physical therapist observes that a patient is unable to heel walk during a neurological examination. The objective finding may indicate damage to the: a. Corticospinal tract b. Reticulospinal tract c. Rubrospinal tract d. Tectospinal tract 129.A PT is testing a patient for the negative support reaction. The integration level for the negative support reaction is the brainstem. The PT bounces the patient several times on the soles of the feet but does not allow her to bear weight. Which of the following would you anticipate as the patient’s response? a. Increased flexor tone in lower extremities b. Increased extensor tone in upper extremities c. Increased extensor tone in lower extremities d. Increased flexor tone in upper extremities 130.It is important to be ethical when performing a research study. Which of the following should take place first for a study to be ethical? a. The patient should be informed that he or she has the right to terminate the experiment at any time b. The patient should be debriefed following the experiment c. The end results of the experiment should be explained to the patient d. The patient should sign the informed consent document 131.A physical therapist should be alert to recognize the signs and symptoms associated with the onset of aspiration pneumonia. Of the following, the patient MOST susceptible to develop this form of pneumonia is one with: a. A circumferential burn of the thorax associated with significant pain b. A complete spinal cord lesion at T2 with diminished coughing ability c. Amyotrophic lateral sclerosis with dysphagia and diminished gag reflex d. Severe scoliosis with compression of internal organs 132.A college soccer player sustained a hyperextension injury when kicking the ball with the other lower extremity. As per examination, a positive Lachman test was noted. What type of exercise intervention is indicated during the acute phase of treatment? a. Agility exercises b. Plyometric functional exercises c. Open-chain terminal knee extension exercises 12 | P a g e PT APPS MOCK BOARDS 1 c. Posterior shift in COG d. Enlarging uterus 156.Cardiovascular training and aerobic exercise should be performed in water temperatures: a. Between 26 and 35 degrees Celsius b. Between 26 and 28 degrees Celsius c. Between 28 and 35 degrees Celsius d. Between 22 and 26 degrees Celsius 157.In a patient who has a uterine or bladder prolapse, which of the following findings do you expect? a. Decreased pelvic floor tone & strength, elongated pelvic floor muscles b. Increased pelvic floor tone & good pelvic floor strength c. Decreased pelvic floor tone & good pelvic floor strength d. Increased pelvic floor tone & poor pelvic floor strength 158.After 2 weeks of treatment sessions, a patient with left hamstring strain presents with increased passive range of motion towards hip flexion with knee extended from 045 ° to 0-60°. How would the therapist BEST document this finding? a. (L) Hip flexion passive range of motion has improved by around 15 degrees. b. PROM of hip flexion increased from 0-45° to 060 °. c. Pt. has increased ROM d. (L) Hip flexion c knee extended PROM is ↑ to 060 ° 159.All of the following describes the relation of aquatic temperature and therapeutic exercise, EXCEPT: a. Patients are unable to maintain adequate core warmth during immersed exercise at temperatures <25 degrees Celsius. b. Exercise at temperatures >37 degrees Celsius may be harmful if prolonged or maintained at high intensities. Hot water immersion may increase the cardiovascular demands at rest and with exercise. c. In waist-deep water exercise at 37 degrees Celsius, the thermal stimulus to increase the HR overcomes the centralization of peripheral blood flow to hydrostatic pressure d. At temperatures greater than or equal to 37 degrees Celsius, cardiac output increases significantly at rest alone e. None of the above 160.A patient’s postural assessment findings indicate that the “external acoustic meatus is more anterior than the acromion process.” The therapist may interpret this finding in the documentation as ______________. a. (+) Rounded shoulders b. (+) forward head posture c. (+) increased thoracic kyphosis d. (+) increased lumbar lordosis 161.Considering an injury to the MCL of the knee, when does the inflammatory phase of healing begin? a. First days of injury b. 2 to 3 weeks after injury c. 4 to 6 weeks after injury d. 6 to 8 weeks after injury 162.A basketball player landed with his ankle inverted & plantarflexed during a game. He stated that he felt mild pain at the time of injury that lasted for 24hrs. Upon assessment you noted mild swelling, local tenderness and pain reproduced when the tissue is stressed. What is the severity of the tissue injury? a. Grade1 b. Grade3 c. Grade2 d. Grade4 163.A patient reports to a PT that she completely tore one of the ligaments in her ankle. If the patient’s comment is accurate, the injury to the ligament is MOST likely classified as a: a. Grade I sprain b. Grade I strain c. Grade III sprain d. Grade III strain 164. You are treating a 16-year-old basketball player who sustained a Grade II inversion ankle sprain 16 days ago. Interventions for this phase of rehabilitation (early subacute) should include: a. Rest, ice, compression, elevation (RICE) and crutch training b. LE functional strengthening specific to soccer c. OKC LE exercises and contrast baths d. The fitting of an orthosis, CKC LE strengthening, cardiovascular, & proprioceptive exercises 165.The subacute stage of healing usually last up to how many days? a. 5 to 10 days (10 to 15 days after the onset of injury) but may last up to 8 weeks in some tissues with limited circulation, such as tendons b. 10 to 17 days (14 to 21 days after the onset of injury) but may last up to 6 weeks in some tissues with limited circulation, such as tendons c. 15 to 20 days (20 to 25 days after the onset of injury) but may last up to 12 weeks in some tissues with limited circulation, such as tendons d. 10 to 17 days (14 to 21 days after the onset of injury) but may last up to 6 months in some tissues with limited circulation, such as tendons 15 | P a g e PT APPS MOCK BOARDS 1 166.Which of the following types of exercise is most likely to intensify delayed onset muscle soreness (DOMS)? a. Concentric exercise is more likely to intensify DOMS b. Eccentric exercise is more likely to intensify DOMS c. Isometric exercise is more likely to intensify DOMS d. DOMS will remain constant no matter the type of exercise 167.To design an intervention from a patient with poor motor control of the lower extremities you must consider the correct sequence for the 4 stages of control, which are: a. mobility, controlled mobility, stability, skill b. mobility, stability, controlled mobility, skill c. stability, controlled stability, mobility, skill d. skill, controlled stability, controlled mobility 168.You are providing patient education to a 78-year-old man who received a cemented right total hip arthroplasty ( THA) 24 hours ago. You noted from the operating report that the surgeon used a posterolateral incision. Which precaution would you not stress to the patient? a. Avoid hip flexion beyond 90 degrees b. Avoid hip adduction past midline c. Avoid any hip abduction d. Avoid hip internal rotation beyond neutral when hip is flexed 169.The BEST example of a statement that would document the patient's prognosis is a. The patient may require prolonged time to perform transfers because of poor motor planning ability. b. The patient received a home program on energy conservation and work simplification. c. Compared to the norm, grip strength is within normal limits and age appropriate. d. The patient performed a stand pivot transfer to and from the wheelchair to bathtub 170.You have been consulted about a child in the elementary school system who has moderate extensor spasticity & limited head control. The MOST appropriate positioning device would be a: a. Supine stander b. Wheelchair with a back wedge & head supports c. HKAFOs d. Prone stander 171.A patient is having difficulty learning how to coordinate herself for a transfer from bed to wheelchair. Which of the following types of feedback would provide the best help? a. Emphasize guide movements b. Emphasize knowledge of results & visual inputs c. Emphasize knowledge of performance & proprioceptive inputs d. Encouraged her by telling her that practice makes perfect 172.A patient recovering from stroke with minimal lower extremity weakness and spasticity is able to walk without an assistive device. The therapist observes that as he walks he hikes his pelvis on the affected side during the swing phase. The BEST initial intervention is: a. Partial wall squats using a small ball held between the knees b. Standing, marching with manual pressure applied downward on the pelvis c. Bridging exercises progressing to sit to stand training d. Marching while sitting on a therapy ball 173.Ambulation was allowed for your patient provided he carries only 80% of his total body weight. You will therefore instruct your patient to ambulate with: a. Bilateral crutches b. Forearm crutches c. Walkers d. Cane 174.A spinal cord injured patient was referred to you for aquatic exercise. Your primary goal is to decrease the patient’s muscle tone. Which of the following activities would be MOST beneficial? a. Gentle rocking of the trunk with the patient in short sitting b. Approximation of the trunk with the patient floating in supine c. Passive abduction and adduction of the UE with the patient in short sitting d. Slow passive movements of the neck and UE with the patient floating in supine 175.A physical therapist receives instructions for lower extremity PNF exercises for a patient with weak tibialis posterior. Which of the following PNF patterns is the MOST appropriate? a. Hip flexion, abduction and medial rotation, with ankle dorsiflexion and eversion b. Hip flexion, adduction and lateral rotation with ankle dorsiflexion and inversion c. Hip extension, adduction and lateral rotation, with ankle plantarflexion and inversion d. Hip extension, abduction, and medial rotation with ankle plantarflexion and eversion 176.A weight lifter exhibits marked hypertrophy after embarking on a strength training regime. Hypertrophy can be expected to occur following at least a. 1-2 weeks of training 16 | P a g e PT APPS MOCK BOARDS 1 b. 3-4 weeks of training c. 2-3 weeks of training d. 6-8 weeks of training 177.A patient returns to Physical Therapy after his first exercise session complaining of muscle soreness that developed later in the evening and continued into the next day. HE is unsure he wants to continue with exercise. The therapist can minimize the possibility of this happening again by using: a. eccentric exercise, 1 set of 10, lifting body weight (sit-to-stand) b. concentric exercises, 3 sets of 10, with gradually increasing intensity c. eccentric exercises, 3 sets of 10, with gradually increasing intensity d. concentric exercises, 3 sets of 10, at 80% of maximal intensity 178.Isokinetic training can best be used in the rehabilitation of patients with stroke during the late stages of recovery to: a. Improve rate control at slower movement speeds b. Improve rate control at faster movement speeds c. Improve strength of synergy components d. Improve initiation of movement 179.During isometric exercises, you can expect to find all of the following occurrences except: a. Muscle contracts without a change in length b. No visible joint motion c. Strength developing at position exercise is performed d. Muscle contracts with a change in length 180.A CBR program is being implemented for prevention of non-communicable heart diseases in a local community. Which of the following would be an appropriate program to implement? a. Vaccination programs b. Programs for water sanitation c. Programs for proper diet and exercise d. Disease control measure such as quarantine 181.Correct order of motor development: a. Flexors, extensors, abductors, adductors b. Flexors, extensors, adductors, abductors c. Extensors, flexors, adductors, abductors d. Extensors, adductors, abductors, flexors 182.The following may be used as facilitatory sensory stimulation technique, EXCEPT: a. Vestibular stimulation b. Inversion c. Maintained stretch d. Icing 183.A community member with coronary artery disease is encouraged to join an exercise group. From the intake questionnaire, the therapist learns the patient has type 1 insulin-dependent diabetes mellitus (IDDM), controlled with twice daily insulin injections. When initiating an exercise program, how should the therapist instruct the member in order to minimize the risk of a hypoglycemic event? a. Decrease carbohydrate intake for 2 hours before the exercise session b. Exercise daily for 40-50 minutes to achieve proper glucose control c. Avoid exercise during periods of peak insulin activity d. Monitor blood glucose levels carefully every week during the rehabilitation program 184.Capsular tightness has limited your patient’s ability to fully extend her left knee. Treatment to restore joint motion should emphasize: a. Anterior glide and external rotation of the tibia b. Anterior glide and internal rotation of the tibia c. Posterior glide and external rotation of the tibia d. Posterior glide and internal rotation of the tibia 185.Following cast immobilization for a now healed supracondylar fracture of the humerus, a patient’s elbow lacks mobility. To increase elbow range of motion, joint mobilization in the maximum loose-packed position should be performed at: a. Full extension b. 70 degrees of flexion c. 90 degrees of flexion d. 30 degrees of flexion 186.Your first patient of the day has been referred with a prescription stating stable humeral neck fracture-begin functional mobility. After the examination you decide the best initial intervention for this patient is: a. Pendulum exercise b. Manual PNF c. Shoulder isometrics d. Modalities to control pain 187.Sullivan’s summary of sequential development of a child includes the following, EXCEPT: a. Isometric before isotonic b. Eccentric before concentric c. Holding a posture before moving into a posture d. Moving into posture before moving out of a posture 188.Voluntary control of movements within dominant synergies is characteristic of what stage in Brunnstrom’s stages of motor recovery? a. 1 17 | P a g e