WorksheetsW2 PTA EXAM S5
Total questions: 150
Worksheet time: 1hrs 15mins
Name
Class
Date
1.
A physical therapist assistant completing daily documentation at a charting station is asked by a nurse to transfer a patient recently admitted to the intensive care unit. The most appropriate method to confirm the patient's identity prior to completing the transfer is:
a)
contact the attending physician
b)
check the patient's medical record
c)
ask the patient their name
d)
examine the patient's identification bracelet
2.
A patient classifies the intensity of exercise as a 16 using Borg's (20-point) Rate of Perceived Exertion Scale. This classification best corresponds to:
a)
40 percent of the maximum heart rate range
b)
55 percent of the maximum heart rate range
c)
70 percent of the maximum heart rate range
d)
85 percent of the maximum heart rate range
3.
A male patient rehabilitating from a lower extremity injury is referred to physical therapy for gait analysis. The physical therapist assistant begins the session by observing the patient at free speed walking. The normal degree of toe-out at this speed is:
a)
3 degrees
b)
7 degrees
c)
10 degrees
d)
12 degrees
4.
A physical therapist assistant performs a modified screening on a patient with a suspected cervical spine lesion. Which objective finding is not consistent with C5 involvement?
a)
muscle weakness in the supinator and wrist extensors
b)
diminished sensation in the deltoid area
c)
muscle weakness in the deltoid and biceps
d)
diminished biceps and brachioradialis reflex
5.
A physical therapist assistant uses vibration in conjunction with percussion as part of a postural drainage program. When should vibration occur?
a)
during expiration
b)
during inspiration
c)
after a maximal expiration
d)
before a maximal inspiration
6.
A physical therapist assistant treats a patient diagnosed with adhesive capsulitis with continuous ultrasound and mobilization. The patient has significant range of motion deficits and has been unable to return to work as a general contractor. Which objective finding provides the best support for the current treatment regimen?
a)
a decrease in the patient's pain level using a visual analog pain scale
b)
improved patient compliance with an established home exercise program
c)
a 10 degree increase in passive glenohumeral abduction range of motion
d)
a subjective report of warmth in the shoulder during and after ultrasound treatment
7.
A physical therapist assistant discusses risk factors associated with coronary artery disease with a patient in a cardiac rehabilitation program. Which risk factor would be the most relevant for the patient?
a)
age
b)
elevated serum cholesterol
c)
family history
d)
gender
8.
A patient rehabilitating from a spinal cord injury has significant lower extremity spasticity which often results in the patient's feet becoming dislodged from the wheelchair footrests. The most appropriate modification to address this problem is:
a)
hydraulic reclining unit
b)
elevating footrests
c)
heel loops and/or toe loops
d)
detachable swing-away legrests
9.
A physical therapist assistant utilizes a manual assisted cough technique on a patient with a midthoracic spinal cord injury. When completing this technique with the patient in supine, the most appropriate location for the therapist's hand placement is:
a)
diaphragm
b)
epigastric area
c)
xiphoid process
d)
umbilicus region
10.
A patient 72 hours status post stroke is referred to physical therapy. As part of the patient care program, the physical therapist assistant makes positioning recommendations to the nursing staff. How often should turning occur?
a)
every 30 minutes
b)
every two hours
c)
every four hours
d)
every six hours
11.
A patient is referred to physical therapy after sustaining a lower extremity injury. The physical therapist assistant identifies several postural abnormalities including genu varum. Which of the following motions or postures is not often correlated with genu varum?
a)
lateral patellar subluxation
b)
excessive hip abduction
c)
ipsilateral hip lateral rotation
d)
medial tibial torsion
12.
A physical therapist assistant prepares to use soft tissue massage as part of a treatment plan for a patient with an adductor strain. The most appropriate therapist action prior to initiating treatment is:
a)
utilize proper draping
b)
explain the treatment procedure and obtain patient consent
c)
ask another therapist to be present during the treatment session
d)
describe the benefits of soft tissue massage on muscle strains
13.
A physical therapist assistant moves a patient from sidelying to supine after the patient was unable to maintain the manual muscle test position for the hip abductors. Assuming the patient is able to complete full range of motion in the horizontal plane, the most appropriate muscle grade is:
a)
fair
b)
fair minus
c)
poor
d)
poor minus
14.
A physical therapist assistant completes a lower quarter screening on a patient diagnosed with trochanteric bursitis. Assuming a normal end-feel, which of the following classifications would be most consistent with hip extension?
a)
soft
b)
firm
c)
hard
d)
empty
15.
A physical therapist assistant prepares to work with a 21-year-old patient rehabilitating from a traumatic brain injury. The patient's level of cognitive functioning is best described as Rancho Los Amigos level IV. Which treatment approach would be least effective?
a)
offer the patient treatment options
b)
focus on teaching new skills associated with activities of daily living
c)
establish a daily treatment routine
d)
redirect the patient when distractions occur
16.
A patient with Alzheimer's disease is referred to physical therapy for instruction in an exercise program. The most appropriate initial step is:
a)
provide verbal and written instructions
b)
frequently repeat multiple step directions
c)
assess the patient's cognitive status
d)
avoid using medical terminology
17.
A patient positioned in standing with their arm positioned at their side with 90 degrees of elbow flexion completes shoulder medial and lateral rotation exercises using a piece of elastic tubing. Which plane of the body is utilized with this activity?
a)
coronal
b)
frontal
c)
sagittal
d)
transverse
18.
A physical therapist assistant working on a pulmonary rehabilitation unit works with a patient on therapeutic positioning. The patient has experienced a lengthy inpatient hospitalization and was only recently referred to physical therapy. The patient has significant weakness of the diaphragm and is hypertensive. The most appropriate patient position to initiate treatment is:
a)
prone
b)
supine
c)
Trendelenburg
d)
reverse Trendelenburg
19.
A physical therapist assistant performs rescue breathing on a patient that collapsed in the physical therapy gym. Which of the following is not accurate when performing rescue breathing on an adult?
a)
maintain open airway with head-tilt/chin-lift
b)
give one breath every five seconds
c)
pinch nose shut
d)
continue for 30 seconds; approximately six breaths
20.
A physical therapist assistant observes a line from an I.V. that is tangled around a patient's bed rail. What type of medical asepsis is indicated prior to coming in contact with the I.V. line?
a)
gloves
b)
gloves, gown
c)
gloves, gown, mask
d)
none
21.
The physical therapy department sponsors a community education program on diabetes mellitus. Which of the following is not characteristic of type I insulin-dependent diabetes?
a)
age of onset less than 25 years of age
b)
gradual onset
c)
controlled through insulin and diet
d)
islet cell antibodies present at onset
22.
A physical therapist assistant presents an inservice to the rehabilitation staff that compares traditional gait terminology with Rancho Los Amigos terminology. Which pair of descriptive terms describes the same general point in the gait cycle?
a)
midstance to heel off and initial swing
b)
heel strike and initial contact
c)
foot flat to midstance and loading response
d)
toe off and midswing
23.
A physical therapist assistant selects a therapeutic ultrasound generator with a frequency of 3.0 MHz. Which condition would most warrant the use of this frequency?
a)
lumbar paravertebral muscle spasm
b)
hip contracture
c)
quadriceps strain
d)
anterior talofibular ligament sprain
24.
A physical therapist assistant notices that a patient with a transfemoral amputation consistently takes a longer step with the prosthetic limb. The most likely cause of the deviation is:
a)
weak abdominal muscles
b)
hip flexion contracture
c)
weak residual limb
d)
fear and insecurity
25.
A physical therapist assistant gathers a variety of equipment prior to administering a series of sensory tests. Which form of sensation would be assessed by utilizing a tuning fork?
a)
joint position
b)
vibration
c)
stereognosis
d)
barognosis
26.
A physical therapist assistant employed in a rehabilitation hospital utilizes a variety of transfer techniques to move patients of various functional abilities. Which type of transfer would not be classified as dependent?
a)
sliding transfer
b)
hydraulic lift
c)
sliding board transfer
d)
two-person lift
27.
A patient four days status post transtibial amputation is transported to physical therapy for a scheduled treatment session. Assuming an uncomplicated recovery, the most appropriate patient transfer to utilize from a wheelchair to a mat table is:
a)
two-man lift
b)
hydraulic lift
c)
standing pivot
d)
sliding board
28.
A physical therapist assistant treats a patient rehabilitating from an Achilles tendon repair using cryotherapy. Which cryotherapeutic agent would provide the greatest magnitude of tissue cooling?
a)
frozen gel packs
b)
ice massage
c)
fluori-methane spray
d)
cold water bath
29.
A patient scheduled for posterior cruciate ligament reconstruction in two weeks is seen in physical therapy. The patient has diminished quadriceps strength and walks with a noticeable limp. The involved knee has mild edema and a 15 degree flexion contracture. The most appropriate treatment priority is:
a)
improve quadriceps strength
b)
improve fluidity of gait
c)
reduce edema
d)
improve range of motion
30.
A physical therapist assistant positions a patient in supine in preparation for goniometric measurements. When measuring medial rotation of the shoulder, the therapist should position the fulcrum:
a)
over the lateral epicondyle of the humerus
b)
perpendicular to the floor
c)
along the midaxillary line
d)
over the olecranon process
31.
A patient with a grade III inversion ankle sprain is referred to physical therapy. The patient sustained the injury approximately 36 hours ago while playing in a basketball game. The most appropriate treatment is:
a)
ice pack and intermittent compression
b)
whirlpool (29 degrees Celsius) and passive exercise
c)
ultrasound and electrical stimulation
d)
ice massage and mobilization
32.
A physician classifies a patient's heart rhythm as sinus bradycardia after examining data obtained from an electrocardiogram. Which description is most indicative of this condition?
a)
waveforms are irregular with a fluctuating rate
b)
waveforms are irregular with a diminished rate
c)
waveforms are normal with a rate greater than 100 beats per minute
d)
waveforms are normal with a rate less than 60 beats per minute
33.
A physical therapist assistant washes his hands thoroughly after treating a patient with a suspected infection. Which statement regarding handwashing is not accurate?
a)
wash all hand and wrist jewelry
b)
wash your hands, wrists, and two to three inches of your distal forearms
c)
wash for at least 30 seconds
d)
select warm water to allow soap to lather easily
34.
A physical therapist assistant participating in a team conference describes a patient's present cognitive functioning as a level IV, "confused-agitated" according to the Rancho Los Amigos Levels of Cognitive Functioning Scale. Which statement does not accurately describe this level?
a)
patient is in a heightened state of awareness
b)
verbalizations are often incoherent or inappropriate
c)
patient does not discriminate among persons or objects
d)
patient responds to simple commands fairly consistently
35.
A physical therapist assistant employed in an acute care hospital works with a patient on bed mobility activities. The therapist would like to incorporate a strengthening activity for the hip extensors that will improve the patient's ability to independently reposition in bed, however, the patient does not have adequate strength to perform bridging. The most appropriate exercise activity is:
a)
anterior pelvic tilts
b)
heel slides
c)
straight leg raises
d)
isometric gluteal sets
36.
A physical therapist assistant performs prosthetic training with a patient status post transfemoral amputation. Which initial instruction would be the most appropriate when ascending the stairs?
a)
utilize your arms to propel your legs to the next step simultaneously
b)
place your body weight on the prosthetic side and lead with your uninvolved leg
c)
place your body weight on the uninvolved side and lead with your prosthetic leg
d)
avoid using stairs with your prosthesis
37.
A patient with C5 tetraplegia exercises on a mat table. Suddenly, the patient begins to demonstrate signs and symptoms of autonomic dysreflexia including headache and sweating above the level of the lesion. The most appropriate assessment to validate the presence of autonomic dysreflexia is:
a)
pulse rate
b)
blood pressure
c)
respiratory rate
d)
oxygen saturation level
38.
A patient rehabilitating from a spinal cord injury informs a therapist that he will walk again. Which type of injury would make functional ambulation the most unrealistic?
a)
complete T9 paraplegia
b)
posterior cord syndrome
c)
Brown-Sequard's syndrome
d)
cauda equina injury
39.
As part of a sensory assessment, a physical therapist assistant measures two-point discrimination throughout the upper extremity. Which skin region would you expect to have the smallest measured distance between two perceived points?
a)
lateral arm
b)
posterior forearm
c)
over first dorsal interosseous muscle
d)
distal phalanx of the thumb
40.
A physical therapist assistant monitors a 29-year-old male with a C6 spinal cord injury positioned on a tilt table. After elevating the tilt table to 30 degrees, the patient begins to complain of nausea and dizziness. The patient's blood pressure is measured as 70/35 mm Hg. The patient's signs and symptoms are most indicative of:
a)
spinal shock
b)
postural hypertension
c)
autonomic dysreflexia
d)
orthostatic hypotension
41.
A physical therapist assistant reporting at a discharge team meeting indicates that a patient rehabilitating from a spinal cord injury should be able to perform household ambulation using knee-ankle-foot orthoses and crutches upon discharge. The patient's quadriceps strength is currently 2+/5. The most likely spinal cord injury level is:
a)
L1
b)
L3
c)
L5
d)
S1
42.
A physical therapist assistant reviews physical therapy treatment records as part of a department quality assurance program. Which treatment objective would be the most likely to be reimbursed by a third party payer?
a)
promote compliance with exercise activities
b)
prevent scar tissue and contractures
c)
maintain range of motion
d)
improve cardiovascular endurance
43.
A physical therapist assistant seeks patient consent prior to administering a selected treatment procedure. Which element is most essential when obtaining informed consent?
a)
specify treatment parameters
b)
provide the patient with a reasonable opportunity to refuse
c)
offer alternative treatment options
d)
justify the need for the selected treatment procedure
44.
A physical therapist assistant treats a 53-year-old factory worker with low back pain. The patient indicates he injured his back while lifting a cement block approximately two months ago. The patient has limited range of motion and paravertebral muscle spasm. The most appropriate deep heating agent is:
a)
hot pack
b)
pulsed ultrasound
c)
hydrotherapy
d)
shortwave diathermy
45.
A physical therapist assistant attempts to prevent alveolar collapse in a patient following thoracic surgery. Which breathing technique would be the most beneficial to achieve the established goal?
a)
diaphragmatic breathing
b)
pursed-lip breathing
c)
incentive spirometry
d)
segmental breathing
46.
A physical therapist assistant instructs a patient in a three-point gait pattern. Which assistive device would be most appropriate when performing the gait pattern?
a)
bilateral canes
b)
quad cane
c)
one axillary crutch
d)
Lofstrand crutches
47.
A physical therapist assistant reviews the surface anatomy of the hand in preparation for a patient status post wrist arthrodesis. Which bony structure does not articulate with the lunate?
a)
trapezium
b)
radius
c)
capitate
d)
scaphoid
48.
A physical therapist assistant conducts a sensory assessment on numerous areas of a patient's face. The cranial nerve most likely assessed using this type of testing procedure is:
a)
facial
b)
oculomotor
c)
trigeminal
d)
trochlear
49.
A physical therapist assistant treats a patient in a medical intensive care unit. The therapist notices that intravenous solution appears to be infusing into the tissues surrounding the dorsum of the patient's hand. The most appropriate therapist action is:
a)
contact nursing
b)
reposition the intravenous line
c)
remove the intravenous line
d)
document the incident in the medical record
50.
A physical therapist assistant completes a cognitive function test on a patient status post stroke. As part of the test, the therapist assesses the patient's abstract ability. Which of the following tasks would be the most appropriate?
a)
repetition of a series of letters
b)
reproduce a figure from a picture
c)
discuss how two objects are similar
d)
verbalize a written statement
51.
A physical therapist assistant documents in the medical record that a patient has moved from Stage 5 to Stage 6 of Brunnstrom's Stages of Recovery. This type of transition is characterized by:
a)
absence of associated reactions
b)
disappearance of spasticity
c)
voluntary movement begins outside of synergy patterns
d)
normal motor function
52.
A physical therapist assistant preparing a hot pack notices the water in the hot pack unit is cloudy. The most probable explanation is:
a)
power failure
b)
seepage from a hot pack
c)
ineffective heating element
d)
thermostat set too low
53.
A physical therapist assistant discusses the process of learning to drive an adapted van with a patient rehabilitating from a spinal cord injury. What is the highest spinal cord injury level where this activity would be a realistic independent functional outcome?
a)
C4
b)
C6
c)
T1
d)
T3
54.
A physical therapist assistant instructs a patient rehabilitating from thoracic surgery to produce an effective cough. Which patient position would be the most appropriate to initiate treatment?
a)
standing
b)
sitting
c)
sidelying
d)
hooklying
55.
A 65-year-old female falls while attempting to shovel snow in her driveway and sustains a nondisplaced humerus fracture. The patient has no significant past medical history and has lived alone since the death of her spouse approximately six years ago. The most appropriate setting for physical therapy is:
a)
inpatient rehabilitation hospital
b)
skilled nursing facility
c)
outpatient orthopedic practice
d)
home health services
56.
A physical therapist assistant conducts a treatment session with a patient with right hemiplegia. As part of the session the therapist positions the patient in supine. The most appropriate therapist action to facilitate spontaneous right hip abduction is to:
a)
apply manual resistance to the right hip adductors
b)
apply manual resistance to the left hip adductors
c)
apply manual resistance to the right hip abductors
d)
apply manual resistance to the left hip abductors
57.
A physical therapist assistant attempts to determine if a wheelchair is the appropriate size for a patient recently admitted to a rehabilitation program. As part of the assessment, the therapist examines the distance from the front edge of the seat to the posterior aspect of the lower leg. If the seat depth is appropriate, how much space should exist between these two landmarks?
a)
2 inches
b)
4 inches
c)
6 inches
d)
8 inches
58.
A physical therapist assistant applies silver sulfadiazine to a wound after hydrotherapy treatment. What type of aseptic equipment is necessary when applying the topical agent?
a)
gloves
b)
sterile gloves
c)
gloves, gown
d)
sterile gloves, gown
59.
A physical therapist assistant works with an 84-year-old female in the physical therapy gym. The patient answers the therapist's questions in a very soft voice and appears to be intimidated by the bustling environment. The most appropriate therapist action is:
a)
ask the patient if she understands why she was referred to physical therapy
b)
tell the patient to relax and speak louder
c)
complete the session in a private treatment room
d)
ask the patient about her rehabilitation goals
60.
A patient status post knee surgery receives instructions on the use of a continuous passive motion machine. Which of the following would be the most essential to ensure patient safety?
a)
instructions on progression of range of motion
b)
utilization of proximal and distal stabilization straps
c)
recommendations for cryotherapy following treatment sessions
d)
orientation to remote on/off switch
61.
A physical therapist assistant instructs a patient rehabilitating from a rotator cuff repair in a home exercise program. The patient is a 27-year-old male who is illiterate. The most appropriate action to promote compliance with the exercise program is:
a)
ask the patient to memorize the exercises
b)
use short sentences consisting of simple words
c)
draw pictures to demonstrate the exercises
d)
do not utilize a home exercise program
62.
A physical therapist assistant treats a patient status post femur fracture with external fixation. While monitoring the patient during an exercise session, the therapist observes clear drainage from a distal pin site. The most appropriate therapist action is:
a)
discontinue the exercise session and contact the referring physician
b)
use a gauze pad to absorb the drainage and notify nursing
c)
use a gauze pad to absorb the drainage and continue with the exercise session
d)
document the finding and discontinue the exercise session
63.
A patient attempts to complete a transfer from a wheelchair to a mat table. The most appropriate method to protect the patient while completing the transfer is:
a)
have the patient use non-skid socks
b)
utilize proper guarding technique
c)
insist the patient use a gait belt
d)
instruct the patient how to fall
64.
A physical therapist assistant uses a subjective pain scale to assess pain intensity in a patient with multiple sclerosis. The pain scale consists of a 10 cm line with each end anchored by one extreme of perceived pain intensity. The patient is asked to mark on the line the point that best describes their present pain level. This type of scale is best termed:
a)
descriptor differential scale
b)
verbal rating scale
c)
visual analog scale
d)
numerical rating scale
65.
A physical therapist assistant assesses end-feel while completing passive plantar flexion range of motion. The therapist classifies the end-feel as firm. Which of the following structures would not contribute to the firm end-feel?
a)
tension in the anterior joint capsule
b)
tension in the tibialis anterior
c)
tension in the anterior talofibular ligament
d)
tension in the calcaneofibular ligament
66.
A physical therapist assistant prepares to administer phonophoresis to a patient, but is concerned about the potential of the ultrasound to exacerbate the patient's current inflammation. The most effective method to address the therapist's concern is:
a)
utilize ultrasound with a frequency of 1 MHz
b)
limit treatment time to five minutes
c)
incorporate a pulsed 20% duty cycle
d)
select an ultrasound intensity less than 1.5 W/cm²
67.
A physical therapist assistant attempts to assess the integrity of the first cranial nerve. Which test would provide the therapist with the desired information?
a)
the patient protrudes the tongue while an examiner checks lateral deviation
b)
the patient completes a vision examination
c)
the patient performs a shoulder shrug against resistance
d)
the patient is asked to identify familiar odors with the eyes closed
68.
A patient eight days status post anterior cruciate ligament reconstruction using a patellar tendon autograft is referred to physical therapy. Which of the following exercises would be the most appropriate based on the patient's post-operative status?
a)
limited range isokinetics at 30 degrees per second
b)
unilateral leg press
c)
mini-squats in standing
d)
active knee extension in short sitting
69.
A physical therapy department in an acute care hospital utilizes physical therapy aides to perform a variety of patient care services. What health care professional is directly responsible for the actions of the physical therapy aide?
a)
the physical therapist of record
b)
the physical therapist assistant of record
c)
the director of physical therapy
d)
the director of rehabilitation
70.
A physical therapist assistant prepares to administer iontophoresis over the anterior surface of a patient's knee. The therapist would like to keep the current density low in order to avoid skin irritation. Which of the listed parameters would best accomplish the therapist's objective?
a)
current amplitude of 4 mA; electrode with an area of 12 cm²
b)
current amplitude of 4 mA; electrode with an area of 4 cm²
c)
current amplitude of 3 mA; electrode with an area of 6 cm²
d)
current amplitude of 3 mA; electrode with an area of 4 cm²
71.
A physical therapist assistant administers conventional transcutaneous electrical nerve stimulation (TENS) to treat a patient with acute low back pain. Which of the following parameters would best achieve this goal?
a)
phase duration of 200 microseconds with a frequency of 4 pulses per second
b)
phase duration of 300 microseconds with a frequency of 100 pulses per second
c)
phase duration of 40 microseconds with a frequency of 100 pulses per second
d)
phase duration of 40 microseconds with a frequency of 5 pulses per second
72.
A physical therapist assistant provides pre-operative instructions to a patient scheduled for lower extremity amputation. Which of the following is the most common cause of lower extremity amputation?
a)
tumor
b)
trauma
c)
peripheral vascular disease
d)
cardiac disease
73.
A physical therapist assistant completes documentation after administering an ultrasound treatment. Which treatment parameter would be the least important to document?
a)
patient position
b)
treatment time
c)
intensity
d)
duty cycle
74.
A physical therapist assistant completes a coordination assessment on a 67-year-old patient with central nervous system involvement. After reviewing the results of the assessment, the therapist concludes the clinical findings are indicative of cerebellar dysfunction. Which finding is not associated with cerebellar dysfunction?
a)
dysmetria
b)
hypertonia
c)
past-pointing
d)
nystagmus
75.
A patient status post open knee meniscectomy is referred to physical therapy for neuromuscular electrical stimulation. The most beneficial frequency of treatment to promote strengthening is:
a)
one time per week
b)
two times per week
c)
three times per week
d)
once every two weeks
76.
A physical therapist assistant reviews the medical record of a patient with a spinal cord injury. A note recently entered by the physician indicates that the patient contracted a respiratory infection. Which patient would be most susceptible to this condition?
a)
a patient with complete C4 tetraplegia
b)
a patient with cauda equina lesion
c)
a patient with Brown-Sequard's syndrome
d)
a patient with posterior cord syndrome
77.
A patient rehabilitating from an upper extremity injury uses a latissimus pull-down machine. The therapist specifically instructs the patient to pull the bar down behind their head. This action emphasizes strengthening of the:
a)
rhomboids and middle trapezius
b)
biceps and pectoralis major
c)
teres minor and middle trapezius
d)
pectoralis major and rhomboids
78.
A physically active 27-year-old male receives pre-operative instruction prior to anterior cruciate ligament reconstruction. The patient's past medical history includes a medial meniscectomy of the contralateral knee eight months ago. The most likely functional level of the patient following rehabilitation is:
a)
able to participate in light recreational activities
b)
able to participate in all recreational activities
c)
able to return to recreational and competitive athletic activities with a derotation brace
d)
able to return to previous functional level
79.
A physical therapist assistant adjusts the on/off time on an electrical stimulation unit prior to beginning treatment. When using the unit for muscle re-education the most appropriate on:off time ratio is:
a)
5:1
b)
15:1
c)
1:5
d)
1:15
80.
A physical therapist assistant elects to begin a trial of mechanical lumbar traction on a 165 pound male diagnosed with suspected nerve root impingement. The most appropriate amount of force to initiate the session is:
a)
20 lbs.
b)
35 lbs.
c)
60 lbs.
d)
80 lbs.
81.
A patient in the physical therapy gym suddenly grasps his throat and begins to cough. The physical therapist assistant, recognizing the signs of an airway obstruction should:
a)
attempt to ventilate
b)
administer abdominal thrusts
c)
perform a quick finger sweep of the mouth
d)
continue to observe the patient, but do not interfere
82.
A physical therapist assistant collects data that will be used in a research study that examines body composition as a function of aerobic exercise and diet. Which method of data collection would provide the therapist with the most valid measurement of body composition?
a)
anthropometric measurements
b)
bioelectrical impedance
c)
hydrostatic weighing
d)
skinfold measurements
83.
A physical therapist assistant prepares for gait training with a patient diagnosed with L3 paraplegia. What type of equipment would be the most appropriate for the treatment session?
a)
bilateral hip-knee-ankle-foot orthoses and crutches
b)
bilateral knee-ankle-foot orthoses and crutches
c)
bilateral ankle-foot orthoses and crutches
d)
crutches
84.
A physical therapist assistant instructs a patient that is partial weight bearing on the right lower extremity to ascend stairs using axillary crutches. The therapist's first command should be:
a)
place your right leg on the first step
b)
place your right leg and left crutch on the first step
c)
place your left leg on the first step
d)
place your left leg and right crutch on the first step
85.
A physical therapist assistant treats a patient diagnosed with carpal tunnel syndrome. As part of the session the therapist assesses end-feel in the wrist. The therapist classifies the end-feel associated with wrist extension as firm. The most logical explanation is:
a)
tension in the dorsal radiocarpal ligament and the dorsal joint capsule
b)
contact between the ulna and the carpal bones
c)
contact between the radius and the carpal bones
d)
tension in the palmar radiocarpal ligament and the palmar joint capsule
86.
A physical therapist assistant is scheduled to administer a whirlpool treatment to a patient that is HIV positive. The therapist is concerned about her ability to complete the treatment since she sustained a small paper cut on her fourth digit approximately three hours ago. The most appropriate therapist action is:
a)
refuse to treat the patient and document the rationale in the medical record
b)
treat the patient using appropriate medical asepsis
c)
ask the patient to reschedule their appointment
d)
select another appropriate treatment procedure
87.
A physical therapist assistant conducts a test for lower extremity muscle tightness by positioning a patient in supine with his knees bent over the edge of a treatment plinth. The patient is then asked to flex one knee to the chest and hold it. Which clinical finding would be most indicative of shortness in both the one-joint and two-joint hip flexors when assessing the test leg?
a)
25 degrees of hip flexion, 30 degrees of knee flexion
b)
10 degrees of hip flexion, 40 degrees of knee flexion
c)
20 degrees of hip flexion, 70 degrees of knee flexion
d)
10 degrees of hip flexion, 90 degrees of knee flexion
88.
A group of patients with arthritis completes an established aquatic exercise program. Which member of the health care team would be the most appropriate to supervise the exercise session?
a)
a physical therapist with six years of clinical experience
b)
a physical therapy aide with continuing education in aquatic exercise
c)
a recreational therapist with first aid and cardiopulmonary resuscitation training
d)
a physical therapist assistant certified in water safety instruction
89.
A physical therapist assistant works with a patient referred to physical therapy diagnosed with anterior compartment syndrome. The patient presents with an inability to dorsiflex the foot and a mild sensory disturbance between the first and second toes. The nerve most likely involved is the:
a)
deep peroneal nerve
b)
medial plantar nerve
c)
tibial nerve
d)
lateral plantar nerve
90.
A physical therapist assistant conducts a treatment session with a patient three days following shoulder surgery. The patient complains of general malaise and reports a slightly elevated body temperature during the last twenty-four hours. The therapist notes that the patient's shoulder is edematous and warm to the touch. A small amount of yellow fluid is observed seeping from the incision. The most appropriate therapist action is:
a)
send the patient to the emergency room
b)
communicate the information to the referring physician
c)
document the findings in the medical record
d)
ask the patient to make an appointment with the referring physician
91.
A physical therapist assistant inspects a patient's wound prior to applying a dressing. When documenting the findings in the medical record the therapist classifies the exudate from the wound as serous. Based on the documentation, the most likely color of the exudate is:
a)
clear
b)
pink
c)
red
d)
yellow
92.
A physical therapist assistant reads in the medical record that a wound located near a patient's ischial tuberosity was classified as "black" using the Red-Yellow-Black system. The most relevant finding associated with a "black" classification would be the presence of:
a)
granulation tissue
b)
exudate
c)
slough
d)
eschar
93.
A physical therapist assistant discusses the importance of the cool-down period following an exercise session with a patient participating in a cardiac rehabilitation program. The patient is four weeks status post myocardial infarction and has had an uncomplicated recovery. Which of the following best describes the purpose of the cool-down period?
a)
prevent pooling of the blood in the extremities
b)
minimize ventricular arrhythmias
c)
diminish patient numbers with vertigo
d)
provide an opportunity to monitor vital signs following exercise termination
94.
A patient confined to a wheelchair arranges for a local contractor to build a ramp that will allow entry into the patient's house. What is the maximum recommended grade for the ramp?
a)
6.2 %
b)
8.3 %
c)
9.5 %
d)
10.4 %
95.
A physical therapist assistant inspects the skin of a patient with a recent spinal cord injury. The therapist identifies several areas that appear to be susceptible to tissue breakdown. The most appropriate health care member to discuss this information with is:
a)
physician
b)
nurse
c)
case manager
d)
occupational therapist
96.
A patient begins to cry in the middle of a treatment session. The physical therapist assistant attempts to comfort the patient, however, eventually has to discontinue treatment. Which section of a S.O.A.P. note would be the most appropriate to document the incident?
a)
subjective
b)
objective
c)
assessment
d)
plan
97.
A 16-year-old female accompanied by her mother receives exercise instructions. During the treatment session the mother makes several comments to her daughter that appear to be extremely upsetting and result in the daughter losing concentration. The most appropriate physical therapist assistant action is:
a)
document the mother's comments in the medical record
b)
ask the patient if her mother is verbally abusive
c)
ask the mother to return to the waiting area
d)
discontinue the treatment session
98.
A physical therapist assistant employed in an acute care hospital reviews a patient's medical information prior to initiating an exercise program. Which condition would not be considered a contraindication for exercise?
a)
acute systemic illness
b)
systolic blood pressure drop of 25 mm Hg
c)
resting systolic blood pressure of 170 mm Hg
d)
active pericarditis
99.
A patient rehabilitating from knee surgery exhibits significant weakness in the involved extremity. During the most recent therapy session the patient was able to complete an independent straight leg raise as shown. What muscle is emphasized in the exercise?
a)
vastus medialis
b)
rectus femoris
c)
vastus lateralis
d)
sartorius
100.
A patient coverage form indicates selective debridement is to be performed on a patient rehabilitating from a lower extremity burn. Based on the coverage form, the most likely intervention would be:
a)
whirlpool
b)
wet-to-dry dressings
c)
enzymatic debridement
d)
wound irrigation
101.
A physical therapist assistant treats a patient with chronic back pain using transcutaneous electrical nerve stimulation. When administering sensory level stimulation, which statement most accurately describes the desired amplitude?
a)
non-perceptible
b)
perceptible tingling
c)
visible muscle contraction
d)
noxious stimuli
102.
A physical therapist assistant initiates an aerobic exercise program for a 54-year-old male rehabilitating from a Colles fracture. The patient is otherwise healthy and has previously participated in a formal exercise program. Which of the following values would fall within the patient's age-adjusted target heart range?
a)
99 bpm
b)
127 bpm
c)
166 bpm
d)
187 bpm
103.
A physical therapist assistant entering the hospital physical therapy clinic at 8:00
a)
m. finds the waiting room bustling with activity. Which of the following items should be given the highest priority?
b)
a patient 15 minutes early for a scheduled appointment
c)
a durable medical equipment vendor promoting a new sales line
d)
a young man scheduled to job shadow
e)
a patient seated in a chair crying
104.
A physical therapist is responsible for supervising a physical therapist assistant at an off site location. Which of the following would not necessitate a supervisory visit by the physical therapist?
a)
a change in the patient's medical status
b)
a modification in the treatment plan of care
c)
a request by the physical therapist assistant
d)
an alteration in the patient's level of motivation
105.
A physical therapist assistant employed in an outpatient private practice receives a referral for a patient diagnosed with spondylolisthesis. Which of the following scenarios would be most consistent with the medical diagnosis?
a)
a 13-year-old female gymnast with no significant medical history
b)
a 17-year-old female tennis player with a 15 degree lateral curvature of the spine
c)
a 28-year-old male machinist with a history of recurrent low back pain
d)
a 67-year-old male with a previous diagnosis of ankylosing spondylitis
106.
A physician instructs a 26-year-old male to utilize a knee derotation brace for all athletic activities. Which condition would most warrant the use of the derotation brace?
a)
medial meniscus repair
b)
anterior cruciate ligament reconstruction
c)
anterior cruciate ligament insufficiency
d)
posterior cruciate ligament reconstruction
107.
A physical therapist assistant obtains a gross measurement of hamstrings length by passively extending the lower extremity of a patient in short sitting. The most common substitution to exaggerate hamstrings length is:
a)
weight shift to the contralateral side
b)
anterior rotation of the pelvis
c)
posterior rotation of the pelvis
d)
hiking of the contralateral hip
108.
A patient with acute back pain is given a transcutaneous electrical nerve stimulation unit to use at home. The physical therapist assistant provides detailed instructions on the care and use of the unit. Which of the following activities is not the responsibility of the patient?
a)
modulate current intensity
b)
application of new electrodes
c)
change battery
d)
set pulse rate and width
109.
A physical therapist assistant inspects a wound that has large quantities of exudate and therefore requires frequent dressing changes. If the therapist applies a dressing that cannot handle the quantity of exudate present, the most likely outcome is:
a)
maceration
b)
granulation
c)
epithelialization
d)
infection
110.
A patient ambulating in the physical therapy gym suddenly grabs his therapist's arm and indicates that he feels faint. The most appropriate immediate action is:
a)
assess the patient's pulse rate
b)
ask the patient if he has ever previously fainted
c)
loosen tight clothing
d)
assist the patient to a sitting position
111.
A male physical therapist assistant provides exercise instructions to a female of Portuguese descent. During the treatment session, the patient does not make eye contact with the therapist. The most appropriate action is to:
a)
tell the patient to pay attention
b)
ask the patient if she would prefer a female therapist
c)
continue with the exercise instructions
d)
discontinue the exercise instructions
112.
A patient has difficulty accepting the reality of his condition following lower extremity amputation. Which physical therapist assistant action would not be helpful to promote acceptance?
a)
refer the patient to a peer support group
b)
avoid treating the patient in a busy area such as the physical therapy gym
c)
allow the patient to observe sports programs for the physically challenged
d)
offer the patient the opportunity to express feelings of grief and anxiety
113.
A physical therapist assistant reviews the results of an arterial blood gas analysis for a 28-year-old male. Which value would be considered within normal limits for oxygen saturation?
a)
84%
b)
88%
c)
92%
d)
97%
114.
A physical therapist assistant performs direct palpation to the shoulder of a patient diagnosed with rotator cuff tendonitis. With the patient in sitting, the most appropriate action to facilitate palpation of the rotator cuff is:
a)
passive abduction of the humerus
b)
active medial and lateral rotation of the humerus
c)
passive extension of the humerus
d)
active extension and flexion of the elbow
115.
A physical therapist assistant assesses a patient's heart rate by measuring the time necessary for 30 beats. Assuming the therapist measures this value as 22 seconds, the patient's heart rate should be recorded as:
a)
82 beats per minute
b)
86 beats per minute
c)
90 beats per minute
d)
95 beats per minute
116.
A physical therapist assistant treats a patient following a lower extremity amputation. The patient is currently one week post amputation and has a post-operative rigid dressing. Which of the following is not a benefit of the rigid dressing?
a)
limits the development of post-operative edema in the residual limb
b)
allows for early ambulation with the attachment of a pylon and foot
c)
allows for earlier fitting of a definitive prosthesis
d)
allows for daily wound inspection and dressing changes
117.
A physical therapist assistant prepares to formally assess the balance of a patient with a neurological disorder. The most appropriate method to assess the vestibular component of balance would be:
a)
assess cutaneous sensation
b)
apply a perturbation to alter the body's center of mass
c)
observe proprioception in a weight bearing posture
d)
quantify visual acuity and depth perception
118.
A physical therapist assistant inspects the skin of a child recently admitted to the hospital after sustaining a scald burn from hot water on his torso. The burn is moist and red with several areas of blister formation. The burn covers an area approximately 8 cm² and blanches with direct pressure. The most likely burn classification is:
a)
superficial
b)
superficial partial-thickness
c)
deep partial-thickness
d)
full-thickness
119.
A physical therapist assistant prepares to assess a patient's triceps using a reflex hammer. The most appropriate positioning of the patient's arm during the testing procedure is:
a)
shoulder extension and elbow flexion
b)
shoulder flexion and elbow extension
c)
shoulder extension and elbow extension
d)
shoulder flexion and elbow flexion
120.
A physical therapist assistant measures the blood pressure of a one-month-old infant. Which of the following measurements would be the most typical based on the infant's chronological age?
a)
55/40 mm Hg
b)
65/45 mm Hg
c)
85/60 mm Hg
d)
120/90 mm Hg
121.
A physical therapist assistant instructs a patient in an upper extremity proprioceptive neuromuscular facilitation pattern by telling the patient to begin by grasping an imaginary sword positioned in a scabbard on their left hip using their right hand. This type of command would be most appropriate to initiate:
a)
D1 extension
b)
D1 flexion
c)
D2 extension
d)
D2 flexion
122.
A physician examines a 36-year-old male with shoulder pain. As part of the examination the physician orders x-rays. Which medical condition could be confirmed using this type of diagnostic imaging?
a)
bicipital tendonitis
b)
calcific tendonitis
c)
supraspinatus impingement
d)
subacromial bursitis
123.
A physical therapist assistant participates in a research study that examines the effect of high-voltage galvanic electrical stimulation on edema following arthroscopic knee surgery. The most appropriate method to collect data is:
a)
anthropometric measurements
b)
circumferential measurements
c)
goniometric measurements
d)
volumetric measurements
124.
A male physical therapist assistant employed in an outpatient orthopedic clinic works with a patient diagnosed with cerebral palsy. The therapist has limited experience with cerebral palsy and is concerned about his ability to provide appropriate treatment. The most appropriate therapist action is:
a)
inform the patient of your area of expertise
b)
co-treat the patient with another more experienced therapist
c)
treat the patient
d)
refuse to treat the patient
125.
A patient with a 40 degree limitation in right shoulder flexion and a 35 degree limitation in lateral rotation is unable to perform a number of activities of daily living. Which activity would be the most difficult for the patient using the right upper extremity?
a)
tucking in shirt
b)
combing hair
c)
eating
d)
washing the left shoulder
126.
A physical therapist assistant implements an established plan of care for a patient status post knee surgery. As part of the plan of care the therapist elects to utilize a continuous passive motion machine. Which treatment objective would not be addressed using this intervention?
a)
increase vascular dynamics
b)
prevent muscle atrophy
c)
prevent contractures
d)
decrease pain
127.
As a component of a cognitive assessment, a physical therapist assistant asks a patient to count from one to twenty-five by increments of three. Which cognitive function does this task most accurately assess?
a)
attention
b)
constructional ability
c)
abstract ability
d)
judgment
128.
A physical therapist assistant using ultraviolet light determines a patient's minimal erythemal dose using a four-windowed shield of measured appropriately. Reddening of the skin caused by ultraviolet exposure for the minimal erythemal dose should disappear within:
a)
12 hours
b)
24 hours
c)
48 hours
d)
96 hours
129.
A physical therapist assistant completes an accessibility analysis at a local business. In order to meet minimum accessibility standards, the bathroom sink should have a knee clearance height of at least:
a)
23 inches
b)
29 inches
c)
34 inches
d)
39 inches
130.
An 80-year-old female is partial weight bearing on the left lower extremity after a total hip replacement. Her upper extremity strength is 3+/5 and she resides alone. Which assistive device would be the most appropriate for the patient?
a)
Lofstrand crutches
b)
axillary crutches
c)
large base quad cane
d)
walker
131.
A patient refuses physical therapy services after being transported to the gym. The physical therapist assistant explains the potential consequences of refusing treatment, however, the patient does not reconsider. The most appropriate initial therapist action is:
a)
treat the patient
b)
convince the patient to have therapy
c)
contact the referring physician
d)
document the incident in the medical record
132.
A patient with a suspected scaphoid fracture is referred to physical therapy. Which clinical sign is most indicative of a scaphoid fracture?
a)
localized edema along the dorsum of the hand
b)
crepitus with active range of motion
c)
localized bony tenderness in the anatomic snuff box
d)
pain with resisted wrist extension
133.
A patient in traction for six weeks following a femur fracture is referred to physical therapy. The patient presents with limited range of motion and diminished lower extremity strength. The most appropriate treatment option is:
a)
hot packs and proprioceptive neuromuscular facilitation
b)
cryotherapy and continuous passive motion
c)
electrical stimulation and isometric exercises
d)
ultrasound and isokinetic exercises
134.
A patient on prolonged bed rest attempts to get out of bed. Upon assuming a standing position the patient complains of lightheadedness and blurred vision. The most appropriate explanation is:
a)
decrease in blood pressure
b)
decrease in respiratory rate
c)
increase in pulse rate
d)
adverse reaction to medication
135.
A patient's job requires him to move boxes weighing 35 pounds from a transport cart to an elevated conveyor belt. The patient can complete the activity, however, is unable to prevent hyperextension of the spine. The most appropriate physical therapist assistant action is:
a)
implement a pelvic stabilization program
b)
design an abdominal strengthening program
c)
review proper body mechanics
d)
use an elevated platform when placing boxes on the belt
136.
A physical therapist assistant prepares to initiate treatment with a patient status post stroke with left hemisphere involvement. Which patient behavior would not be characteristic of this condition?
a)
difficulty sequencing movements
b)
difficulty producing language
c)
difficulty with mathematical reasoning and judgment
d)
difficulty processing information in a sequential, linear manner
137.
A physical therapist assistant monitors the blood pressure response to exercise of a 52-year-old male on a stationary bicycle. The therapist notes a relatively linear increase in systolic blood pressure with increasing exercise intensity. The change in the patient's systolic blood pressure with exercise is best explained by:
a)
increased cardiac output
b)
decreased peripheral resistance
c)
increased oxygen saturation
d)
decreased myocardial oxygen consumption
138.
A 64-year-old female patient is admitted to the hospital with a stage III decubitus ulcer over her right ischial tuberosity. The patient's past medical history includes severe chronic obstructive pulmonary disease. The most appropriate position for the patient is:
a)
supine with pillows under the knees
b)
prone with pillows under the knees
c)
left sidelying with pillows between the knees
d)
right sidelying with pillows between the knees
139.
A physical therapist assistant performs a manual muscle test on a patient's shoulder medial rotators. Which muscle would not be involved in this specific test?
a)
pectoralis major
b)
teres major
c)
latissimus dorsi
d)
teres minor
140.
A patient in an acute care hospital has a catheter inserted into the internal jugular vein. The catheter travels through the superior vena cava and into the right atrium. The device permits removal of blood samples, administration of medication, and monitoring of central venous pressure. The device is best termed:
a)
arterial line
b)
central venous pressure catheter
c)
Hickman catheter
d)
Swan-Ganz catheter
141.
A patient informs her physical therapist assistant that she noticed a small lump on her right breast while dressing. The patient was referred to physical therapy with lateral epicondylitis and has no significant past medical history. The most appropriate therapist action is:
a)
inspect the lump
b)
instruct the patient to make an immediate appointment with her physician
c)
inform the patient she may have cancer
d)
document the patient's comment in the medical record
142.
A physical therapist assistant attempts to confirm the fit of a wheelchair for a patient recently admitted to a skilled nursing facility. After completing the assessment, the therapist determines the wheelchair has excessive seat width. Which adverse effect results from excessive seat width?
a)
difficulty changing position within the wheelchair
b)
insufficient trunk support
c)
difficulty propelling the wheelchair
d)
increased pressure to the distal posterior thigh
143.
A physical therapist assistant observes a patient status post transfemoral amputation lying in supine with a pillow positioned under the residual limb. This position results in the patient being most susceptible to a:
a)
knee flexion contracture
b)
knee extension contracture
c)
hip flexion contracture
d)
hip extension contracture
144.
A physical therapist assistant identifies excessive lordosis in a patient during a posture screening. Which of the following is most likely associated with this type of finding?
a)
increased anterior pelvic tilt and lengthened hip extensors
b)
decreased anterior pelvic tilt and shortened hip flexors
c)
increased posterior pelvic tilt and shortened hip extensors
d)
decreased posterior pelvic tilt and lengthened hip flexors
145.
A physical therapist assistant receives a referral to instruct a patient in stair training using axillary crutches. The patient is rehabilitating from a tibial fracture and is currently partial weight bearing on the involved extremity. The most important action prior to initiating the training session is:
a)
apply a gait belt
b)
maintain proper body mechanics for yourself and the patient
c)
assess vital signs
d)
assess the patient's limitations and capabilities
146.
A physical therapist assistant contemplates possible wheelchair options for a patient with C4 tetraplegia. Which wheelchair would be the most appropriate for the patient?
a)
manual wheelchair with friction surface handrims
b)
manual wheelchair with handrim projections
c)
power wheelchair with sip-and-puff controls
d)
power wheelchair with joystick controls
147.
A physical therapist assistant employed in an inpatient rehabilitation center works with a patient rehabilitating from a total knee replacement. Which treatment activity would be the most appropriate to delegate to a physical therapy aide?
a)
monitoring vital signs
b)
measuring knee range of motion with a goniometer
c)
observing a patient complete a mat exercise program
d)
recording modality parameters in the medical record
148.
A physical therapist assistant prepares to work with a patient status post unilateral transtibial amputation. Assuming an uncomplicated recovery, what is the most appropriate number of weeks for prosthetic training?
a)
2 weeks
b)
4 weeks
c)
6 weeks
d)
8 weeks
149.
A 50-year-old male diagnosed with Parkinson's disease is referred to physical therapy. The patient presents with rigidity, postural tremors, and bradykinesia. He is unable to perform basic activities of daily living without assistance from family members. The most appropriate treatment objective is:
a)
1. improve lower extremity strength
b)
2. improve respiratory capacity
c)
3. improve initiation of movement
d)
4. improve sensory awareness
150.
A 21-year-old female is referred to physical therapy after sustaining a grade I ankle sprain two days ago in a marching band competition. The patient's description of the mechanism of injury is consistent with inversion and plantar flexion. Which of the following ligaments would most likely be affected?
a)
1. anterior talofibular ligament
b)
2. calcaneofibular ligament
c)
3. tibiofibular ligament
d)
4. deltoid ligament
100 %
