PCS- TEST # 1 QUESTIONS & ANSWERS
1. You are treating a 16-year-old female with a diagnosis of cystic fibrosis. She
has a very sedentary lifestyle and was referred to physical therapy by her
physician to start a fitness and wellness program to help improve her daily
participation level at school and home. You start her on a Bruce treadmill
exercise testing protocol. Her response to exercise is listed below- Answers --
Answers - O2 saturation below 90
2. When auditing charts in your outpatient clinic, you notice that there is a
lot of variability in the recommendations and treatment strategies physical
thera- pists are using for children with congenital muscular torticollis (CMT). A
group of physical therapists convene to review the clinical practice guideline
(CPG) for CMT and educate the staff on the evidence-based recommendations
of the CPG. All of the physical therapists in the practice will now be evaluating
infants with CMT the same way and using the CPG to guide clinical decision
making. How could you track the success of this new procedure in your clinic?-
Answers - Reaudit the charts to see if the new guidelines are impacting patient outcomes and number of
visits required before discharge
3. A 5-year-old child with spastic diplegic cerebral palsy functioning in GMFCS
level II presents to therapy with a goal of being able to jump off the floor with-
out support. During your examination, you observe a crouched gait pattern
with excessive hip and knee flexion and ankle dorsiflexion. The child's passive
joint range of motion is without limitation. Which motor impairment below
should you address in intervention to achieve maximum outcomes related to
the task of jumping without support?- Answers - Muscle co-contraction
4. You are evaluating an 8-year-old child with a referral diagnosis of back pain.
During your examination, you find lower extremity weakness bilaterally, back
,pain that radiates down each leg with activity, and decreased sensation on the
medial part of each leg. Mom reports that these symptoms started all of the
sudden and the pain is so bad sometimes the child has started having urinary
accidents during the day and night. Based on this history and physical exam,
what diagnosis is most likely?- Answers - Spondylolisthesis
5. A 16-year-old child with a history of asthma and Blount's disease is participat-
ing in a weight management program through a local physical therapy clinic. As
the physical therapist evaluating participants in the program, what information
,could have a significant impact on the safety and health of the child during the
program?- Answers - Medications the client is currently taking
6. You have designed a clinical study in which you are testing the efficacy of us-
ing Kinesiotape as an adjunct treatment strategy to your traditional treatment
protocol for congenital muscular torticollis. You complete traditional physical
therapy for 10 babies with congenital muscular torticollis and complete tradi-
tional physical therapy with the addition of Kinesiotape for another group of 10
babies. Your aim is to examine the time is takes for the torticollis to resolve with
a comparison between the two groups. In this study, what is the dependent
variable?- Answers - The use of Kinesiotape
7. You want to determine any quantitative benefits of thoracic lumbar sacral
orthosis (TLSO) wear on a young child's sitting balance during a functional
upper extremity task using a multiple phase, single subject research design.
Which response below best describes how you would implement this design
clinically?- Answers - At least one phase requires withdrawal of the intervention and measurement of sitting
balance
8. Under The Individuals with Disabilities Education Improvement Act (IDEA), an
18-month-old child determined eligible for services would have which of the
following guiding documents?- Answers - Individualized Family Service Plan
9. A 3-year-old child with Down syndrome arrives with his mother to his regular
weekly appointment with you in an outpatient clinic. Mom reports that the
patient had a hard, forward fall earlier that morning and since then he has been
a little off balance and has not been wanting to move his head. As the patient
is walking around the waiting room, you notice that he seems a little more
clumsy and off balance than usual. Based on your and mom's observations,
what would you recommend for this child.- Answers - Cancel his session and send him to
urgent care to assess his cervical spine for impingement
, 10. What would it mean if an infant had an Apgar score of "5" at 1 minute
and "3" at 5 minutes?- Answers - The infant's condition is declining and unstable
11. When is the most appropriate time to consider an internal shoe lift for a
child with a leg length discrepancy?- Answers - When the leg length discrepancy reaches 3
centimeters
12. What is the most common motor impairment for infants with periventricular
leukomalacia?- Answers - Spastic diplegic cerebral palsy
1. You are treating a 16-year-old female with a diagnosis of cystic fibrosis. She
has a very sedentary lifestyle and was referred to physical therapy by her
physician to start a fitness and wellness program to help improve her daily
participation level at school and home. You start her on a Bruce treadmill
exercise testing protocol. Her response to exercise is listed below- Answers --
Answers - O2 saturation below 90
2. When auditing charts in your outpatient clinic, you notice that there is a
lot of variability in the recommendations and treatment strategies physical
thera- pists are using for children with congenital muscular torticollis (CMT). A
group of physical therapists convene to review the clinical practice guideline
(CPG) for CMT and educate the staff on the evidence-based recommendations
of the CPG. All of the physical therapists in the practice will now be evaluating
infants with CMT the same way and using the CPG to guide clinical decision
making. How could you track the success of this new procedure in your clinic?-
Answers - Reaudit the charts to see if the new guidelines are impacting patient outcomes and number of
visits required before discharge
3. A 5-year-old child with spastic diplegic cerebral palsy functioning in GMFCS
level II presents to therapy with a goal of being able to jump off the floor with-
out support. During your examination, you observe a crouched gait pattern
with excessive hip and knee flexion and ankle dorsiflexion. The child's passive
joint range of motion is without limitation. Which motor impairment below
should you address in intervention to achieve maximum outcomes related to
the task of jumping without support?- Answers - Muscle co-contraction
4. You are evaluating an 8-year-old child with a referral diagnosis of back pain.
During your examination, you find lower extremity weakness bilaterally, back
,pain that radiates down each leg with activity, and decreased sensation on the
medial part of each leg. Mom reports that these symptoms started all of the
sudden and the pain is so bad sometimes the child has started having urinary
accidents during the day and night. Based on this history and physical exam,
what diagnosis is most likely?- Answers - Spondylolisthesis
5. A 16-year-old child with a history of asthma and Blount's disease is participat-
ing in a weight management program through a local physical therapy clinic. As
the physical therapist evaluating participants in the program, what information
,could have a significant impact on the safety and health of the child during the
program?- Answers - Medications the client is currently taking
6. You have designed a clinical study in which you are testing the efficacy of us-
ing Kinesiotape as an adjunct treatment strategy to your traditional treatment
protocol for congenital muscular torticollis. You complete traditional physical
therapy for 10 babies with congenital muscular torticollis and complete tradi-
tional physical therapy with the addition of Kinesiotape for another group of 10
babies. Your aim is to examine the time is takes for the torticollis to resolve with
a comparison between the two groups. In this study, what is the dependent
variable?- Answers - The use of Kinesiotape
7. You want to determine any quantitative benefits of thoracic lumbar sacral
orthosis (TLSO) wear on a young child's sitting balance during a functional
upper extremity task using a multiple phase, single subject research design.
Which response below best describes how you would implement this design
clinically?- Answers - At least one phase requires withdrawal of the intervention and measurement of sitting
balance
8. Under The Individuals with Disabilities Education Improvement Act (IDEA), an
18-month-old child determined eligible for services would have which of the
following guiding documents?- Answers - Individualized Family Service Plan
9. A 3-year-old child with Down syndrome arrives with his mother to his regular
weekly appointment with you in an outpatient clinic. Mom reports that the
patient had a hard, forward fall earlier that morning and since then he has been
a little off balance and has not been wanting to move his head. As the patient
is walking around the waiting room, you notice that he seems a little more
clumsy and off balance than usual. Based on your and mom's observations,
what would you recommend for this child.- Answers - Cancel his session and send him to
urgent care to assess his cervical spine for impingement
, 10. What would it mean if an infant had an Apgar score of "5" at 1 minute
and "3" at 5 minutes?- Answers - The infant's condition is declining and unstable
11. When is the most appropriate time to consider an internal shoe lift for a
child with a leg length discrepancy?- Answers - When the leg length discrepancy reaches 3
centimeters
12. What is the most common motor impairment for infants with periventricular
leukomalacia?- Answers - Spastic diplegic cerebral palsy
