Physical Therapy Basic Skills 2

1. Sean sprained the deltoid ligament of his right ankle. During a physical therapy evaluation, Sean reported pain with palpation of the affected area and with ankle motion that stressed the ligament. To determine any change in the patient’s pain level during subsequent treatment, a physical therapist student should palpate which of the following areas?

• Anterior to the lateral malleolus while the patient's ankle is passively everted.

• Inferior to the medial malleolus while the patient's ankle is passively everted.

• Over the sinus tarsi while the patient's ankle is passively inverted.

• Deep to the Achilles tendon while the patient's ankle is passively dorsiflexed.

1. A patient complains of weakness in the right hip while she is ambulating. Upon examination, you notice that the patient has a significant drop of the left hip while in midstance on the right leg. The MOST appropriate treatment for this impairment would be?

• Standing resisted hip abduction of the left lower limb

• Standing resisted hip abduction of the right lower limb

• Standing resisted flexion of the left hip

• Standing resisted flexion of the right hip

1. A patient is in the inpatient rehabilitation unit for a total knee replacement. While reviewing the case, you note that the patient has been diagnosed with COVID-19 and is in an isolation room. What is the MOST appropriate action to take to prevent contamination?

• Don gown, face mask/face shield, and gloves, before entering the room wash hands after removing the PPEs.

• Limits therapy sessions to less than 15 minutes and limit contact during treatment.

• Don gloves when in contact with the patient and wash hands after.

• Wash hands before and after contact with the patient, but do not touch the patient.

Which of the following is most affected if full knee extension is not present?

• Seated balance

• Seated posture

• Ambulation

• Squatting

Which muscle is involved in the movement measured?

• Palmar interosseus

• Dorsal interosseus

• Palmaris longus

• Lumbricals

For finger abduction, determine/estimate the ROM the client demonstrates.

• 0-5

• 5-10

• 0-15

• 0-20

Which of the following needs to be stabilised for an accurate measurement?

• Radial bone

• Humerus

• Carpal bones

• 1st phalange

Which muscle is most likely to be contracting while the client moves through the motion measured?

• Extensor carpi radalis

• Extensor pollicis longus

• Abductor pollicis longus

• Flexor pollicis longus

Which joint end feel would be present if the client was unable to reach full motion due to pain?

• Hard

• Firm

• Empty

• Soft

• PROM

How should you objectively document this motion?

• Take a photo of the range demonstrated

• Measure from tip of thumb to base of 5th finger

• Use a goniometer

• Compare to opposite side