FUNDAMENTAL ORTHOPEDIC
MANAGEMENT FOR THE PHYSICAL
THERAPIST ASSISTANT, 4TH EDITION
(MANSKE, 2026), CHAPTER 1-29 | ALL
CHAPTERS
,Table of content
Part i: basic concepts of orthopedic management
1. Patient supervision and observation during treatment
2. The role of the physical therapist assistant in physical assessment
3. Differential diagnosis and emergent conditions
4. Muscle flexibility and range of motion
5. Muscle strength
6. Endurance
7. Balance and coordination
part ii: review of tissue healing
8. Composition and function of connective tissue
9. Ligament healing
10. Bone healing
11. Cartilage healing
12. Muscle and tendon healing
13. Neurovascular healing and thromboembolic disease
part iii: basis for movement
14. Fundamentals of normal and abnormal gait
15. Concepts of joint and soft tissue mobilization
16. Biomechanics and kinesiology
part iv: management of orthopedic patients by region
17. Orthopedic management of the ankle, foot, and toes
18. Orthopedic management of the knee
19. Orthopedic management of the hip and pelvis
20. Orthopedic management of the lumbar, thoracic, and cervical spine
21. Orthopedic management of the shoulder
22. Orthopedic management of the elbow
23. Orthopedic management of the wrist and hand
part v: management of orthopedic patients by condition
24. Orthopedic management of rheumatic disorders
25. Orthopedic management of pain and pain syndromes
26. Orthopedic management of orthotics and prosthetics
27. Musculoskeletal-related dysfunctions of the pelvic floor
part vi: topics in orthopedics
28. Concepts of orthopedic pharmacology
29. Imaging for the physical therapist assistant
,chapter 01: patient supervision and observation during treatment
Multiple choice
1. Who is responsible for carrying out prescribed selected interventions, patient
supervision, data collection, and appropriate supervision of a patient during physical
therapy?
a. Physical therapist (pt)
b. Physical therapist assistant (pta)
c. Nursing assistant
d. Medical doctor
Ans: b
The pta is responsible for carrying out prescribed selected interventions, patient
supervision, data collection skills, and appropriate problem-solving and clinical decision
making.
Ref: p. 3
2. Which of the following is not a purpose of the clinical patient supervision process?
a. To gather relevant information and data
b. To establish and enhance rapport, trust, and confidence
c. To prescribe interventions the patient requires
d. To assist in the management of the patient
Ans: c
Ptas do not prescribe interventions for the patient. The pta observes, documents, and
discusses patient observations with the pt.
Ref: p. 4
3. Select the open-ended question.
a. What is your pain level today on a scale of 1-10?
b. When did the pain begin?
c. Tell me about the time that you injured knee.
d. When did you take your last pain medication?
Ans: c
The open-ended question leads the patient to say more than yes or no. Open-ended
questions provide much richer details about the incident or experience.
Ref: p. 6
4. Which of the following statements is true regarding the working environment of ptas?
a. Ptas work in isolation with their patient assignments.
b. Ptas work with a team of experts in all areas of a patient’s care.
c. Ptas work only with the pt in providing therapy.
d. Ptas are the most important people on the rehabilitation team when
providing therapy.
Ans: b
, The pta must be aware of the key members of the rehabilitation team. Occupational
therapists, pts, nurses, respiratory therapists, psychologists, and audiologists are only a
few of the important members of the rehabilitation team. The pta does not work in
isolation.
Ref: p. 4
5. Which of the following statements would be used in a discussion with a patient?
a. Your blood pressure is 150/90, which indicates hypertension and could
lead to a cerebral vascular accident if you don’t take your medications.
b. Your blood pressure is higher than normal today, 150/90. Did you take your
blood pressure medication this morning?
c. The doctor prescribed a beta-blocker for you a month ago. Has that been
helping your blood pressure?
d. The combination of your calcium-channel blocker and beta-blocker do not
seem to be controlling your blood pressure. Let’s call the doctor.
Ans: b
The pta should learn to communicate openly, freely, and in a professional manner. The
pta must employ appropriate and professional medical terminology with professional
people—but use familiar (lay) terms to describe the same condition to a patient or a
family member.
Avoiding the use of medical jargon (hypertension, beta-blocker, calcium-channel
blocker) with patients is required by ptas.
Ref: p. 4
6. How can a pta demonstrate accountability in their practice?
a. Maintain timely documentation about patient interventions.
b. Maintain good rapport with patients.
c. Continue their education past their initial degree.
d. Report all findings to the supervising pt so that modifications can be
made in response to changes in patient status.
Ans: d
Ptas are responsible for reporting all findings to the supervising pt so that modifications
can be made in accordance with changes in patient status.
Ref: p. 6
7. Which type of questioning would you use to find facts or obtain specific responses
from a patient about an injury to a limb or joint?
a. Open-ended questions
b. Closed-ended questions
c. A pause
d. Neutral phrase
Ans: b
Figure 1-1. Closed-ended questions are used to find out specific details, direct the
discussion, or elicit specific responses from the patient.
Ref: p. 8
8. Which of the following is an example of prompting during a physical therapy session?
a. “when you walk up the steps, which foot will you move first?”