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Total questions: 20
Worksheet time: 10mins
You have been treating a patient for a few weeks. One day she mentions she’s pregnant saying she is 25 weeks along. At the beginning of the session you find the patient’s BP is higher than usual at rest, what should you do?
Continue on with your POC, monitoring BP
Promptly refer to the patient’s physician
Give the patient some old Lasix that was left in the clinic?
Check orthostatics
You see a patient in an acute setting. Their symptoms include increased urine frequency, urgency, burning with urination, and pain in the groin area. What is their likely diagnosis?
Kidney Stones
Indirect inguinal hernia
Elephantiasis
Lower UTI
You are seeing a patient in their home and often hear the patient tell you that they frequently need to change their clothing because they are unable to get to the bathroom in time. What type of incontinence is this and what is one intervention strategy?
Stress incontinence; practice yoga and Tai Chi
Urge incontinence; Tell them to drink less fluid
Functional Incontinence; work on improving sit to stand, create a voiding schedule to help bathroom trips
Mixed incontinence; refer to a physician, practice kegels
What is the procedure for testing for diastasis recti?
Passively lift the patient’s head and shoulders off the table, check how many fingers fit in the separation
Ask the patient to lift their head and shoulders off the table, check how many fingers fit in the separation
Perform cranial-sacral techniques to make the patient feel comfortable, measure the gap between abdominal muscles
Instruct the patient on the Jendrassik maneuver, then palpate the abdomen of abnormalities
How many finger separation is considered a positive sign for diastasis recti?
1
Greater than 2
It depends on the size of the patient
50, you are actually half centipede
A patient with Grave’s Disease presents to your clinic with the following symptoms: tachycardia, restlessness, agitation, abdominal pain, nausea, and vomiting. Your next step should be to?
Place patient in supine and reassess in 5 minutes
Continue therapy as normal
Hold therapy and refer out
Take BP and RR
While performing an evaluation on a patient in an acute rehab setting who had a TKA 2 days prior, you notice the patient is very flushed, out of breath, and has fruity breath. What would you expect to find in the patient’s PMH?
Type I DM
Type II DM
Thyroid Cancer
CVA
A patient with decreased levels of cortisol would be expected to have insufficiency of what gland?
Thyroid
Pituitary
Pancreas
Adrenal
What disease initially causes hyperthyroidism which is soon followed by hypothyroidism due to increased inflammation?
Grave’s Disease
Cushing’s Disease
Addison’s Disease
Hashimoto’s Disease
When working with a patient with Cushing’s Syndrome, what should be a focus of therapy from the options below?
Increasing thoracic ROM
Resisted exercises weight bearing exercises to maintain strength, bone density, and limit weight gain
Aerobic exercises to increase endurance
Dynamic balance exercises to decrease fall risk
Prior to initial evaluation, a physical therapist reviews a patient’s chart and finds that the patient has a PMH of diabetes and HTN and has been recently diagnosed with Stage 1 CKD. During the evaluation, the patient appears concerned and asks if she will have kidney disease forever or is it reversible. What is the most appropriate response?
Stage 1 CKD can be reversible by controlling diabetes and hypertension
Stage 1 CKD can be reversible but only with medications and dialysis
Stage 1 CKD is not reversible but the patient can slow progression with good habits
Stage 1 CKD is not reversible and requires dialysis for life
A chart review on a patient in the acute care setting reveals a BUN level of 75 (normal 7-20). Which of the following is a likely presentation of the patient?
Patient will likely present with jaundice
Patient will likely present with decreased exercise tolerance
Patient will likely present with a DVT
Patient will likely present with signs of infection
A patient has recently been placed on an ACE Inhibitor and had an ineffective consultation with her pharmacist. They ask if there are any side effects of which she should be aware. What is the most common side effect?
Depression
Restlessness
A productive cough
A dry cough
A physical therapist in an outpatient setting is treating a patient who receives dialysis. On what day respective to the patient’s dialysis is a patient most likely to feel the best?
The day before dialysis
The day of dialysis
The day after dialysis
The patient has the same feeling continuously
A patient in the acute care setting is diagnosed with kidney failure with resulting metabolic acidosis. How will their pH and CO2 levels relate to normal?
pH will be elevated, CO2 will be elevated
pH will be elevated, CO2 will be decreased
pH will be decreased, CO2 will be decreased
pH will be decreased, CO2 will be elevated
The gallbladder produces bile?
True
False
What anatomical structure is covered by the epiglottis?
Esophagus
Trachea
Pharynx
Larynx
What organ is responsible for regulating serum levels of fat, protein, and carbohydrates?
Liver
Pancreas
Spleen
Small intestines
What is the primary function of the sigmoid colon?
Absorb water
Hold feces
Absorb nutrients
Store glucose
A patient is found to have cholelithiasis. Their viscerogenic pain may be experienced _____ .
Left upper quadrant
Between the navel and right ASIS
Between the scapulae
Pyloric sphincter
