1. A physical therapist is performing an evaluation on a patient that has fallen off a fork lift and injured his right arm. The patient was evaluated by an MD 3 days ago. The patient reports, “Yesterday my arm started to go numb and turned purple.” A poor arterial pulse is found in the arm upon evaluation. Which step should the physical therapist take first?
A: Notify the MD of the changes immediately
B: Begin light exercise program per MD orders
C: Apply E-stim and Ice to the extremity
D: Special test the right arm
2. A physical therapist is reviewing a patient’s medication during an evaluation. Which of the following medication would be contraindicated if the patient were pregnant?
3. A physical therapist is reviewing a patient’s PMH. The history indicates photosensitive reactions to medications. Which of the following drugs has not been associated with photosensitive reactions?
4. A patient has a diabetic ulcer on his right foot first ray region. The ulcer is in a chronic state of tissue inflammation and the patient is extremely obese. The wound is not infected at this time; however the patient is unable to ambulate at this time without applying pressure to the first ray region. Which of the following interventions would be the most beneficial to the patient?
A: Whirlpool 10 minutes followed by sharps debridement
B: Have the patient fitted to offload pressures on the first ray in a week.
C: Review the role of glucose and tissue healing with the patient.
D: Have the patient perform NWB gait with Axillary crutches with the extremity.
5. A thirty five year old male has been an insulin-dependent diabetic for five years and now is unable to urinate. Which of the following would you most likely suspect?
B: Diabetic nephropathy
C: Autonomic neuropathy
D: Somatic neuropathy
6. You are taking the history of a 14 year old girl who has a (BMI) of 18. The girl reports inability to eat, induced vomiting and severe constipation. Which of the following would you most likely suspect?
A: Multiple sclerosis
B: Anorexia nervosa
D: Systemic sclerosis
7. A patient has a Right T8 facet joint that has become extremely tight. Which of the following movements with stretch the joint with the best technique?
A: L Trunk Rotation and Extension
B: L Trunk Rotation and Flexion
C: R Trunk Rotation and Extension
D: R Trunk Rotation and Flexion
8. A fifty-year-old blind and deaf patient has been assigned to you for evaluation. As the lead physical therapist your primary responsibility for this patient is?
A: Let others know about the patient’s deficits
B: Communicate with your supervisor your concerns about the patient’s deficits.
C: Continuously update the patient on the social environment.
D: Provide a secure environment for the patient.
9. Your patient is getting discharged from a SNF facility. The patient has a history of severe COPD and PVD. The patient is primarily concerned about their ability to breath easily. Which of the following would be the best instruction for this patient?
A: Deep breathing techniques to increase O2 levels.
B: Cough regularly and deeply to clear airway passages.
C: Cough following bronchodilator utilization
D: Decrease CO2 levels by increase oxygen take output during meals.
10. Which of the following is the best exercise to correct a Trendelenburg gait pattern?
B: Bridging with Resisted Abduction
C: Bridging with Straight Leg Raise
1.(A) Vascular changes and Sensory changes to the extremity must be reported to the MD immediately.
2.(A) is contraindicated with pregnancy.
3.(A) All of the others have can cause photosensitivity reactions.
4.(C) If the glucose levels are not monitored and controlled the wound will never heal.
5.(C) Autonomic neuropathy can cause inability to urinate.
6.(B) All of the clinical signs and systems point to a condition of anorexia nervosa.
7.(B) Flexion and L Rotation would give maximal stretch to the R facet joint.
8.(D) This patient’s safety is your primary concern.
9.(C) The bronchodilator will allow a more productive cough.
10.(B) Trendelenburg gait is caused by weak hip extensors and abductors.