Clinical Reasoning & Answer Explanations)
Functional position of wrist and hand position in splinting or immobilization - ANS ✔✔1. slight
wrist ext
2. slight Ulnar deviation
3. fingers flexed at MCP, PIP, DIP
4. thumb slight ABD
During a 5-position grip strength test, the HIGHEST grip strength measurement is most likely to
result from use of which handle position of a hand-held dynamometer?
1. 1
2. 2
3. 4
4. 5 - ANS ✔✔2. 2
The smallest grip (1) prevents much use of FDP & FDS because they are maximally shortened.
The widest grips (4 & 5) use mostly FDP.
Max grip strength occurs at middle grip (2 & 3)
A patient with the diagnosis of astrocytoma malignancy is receiving physical therapy in the
patient's home. While sitting in a chair at the dining room table, the patient begins to have a
grand mal seizure. The physical therapist lowers the patient to the floor. Which of the following
actions is the MOST appropriate NEXT step for the therapist?
1.Activate the emergency response system.
2.Protect the patient from biting the tongue by inserting a tongue blade.
3.Roll the patient to a sidelying position.
4.Extend the patient's neck for airway clearance. - ANS ✔✔3.Roll the patient to a sidelying
position.
, [help prevent aspiration]
Which of the following teaching strategies is MOST appropriate for an older adult patient with
mild dementia?
1.Use auditory or visual input separately.
2.Use metaphors to reinforce new concepts.
3.Establish a consistent pace for teaching.
4.Present one piece of new information at a time. - ANS ✔✔4.Present one piece of new
information at a time.
1 is not correct. Use both together is better
3 is not correct. Pace should be set by pt.
A patient with leukemia has developed thrombocytopenia after a bone-marrow transplant.
Which of the following measures is indicative of the status of the thrombocytopenia?
1.T4 lymphocyte count
2.Red blood cell count
3.Platelet count
4.White blood cell count - ANS ✔✔3.Platelet count
T4 lymphocyte: immune status
RBC: assess presence of anemia
Plc: thrombocytopenia 血小板减少症
WBC: infection, or degree of immunosuppression
A child is MOST likely to be able to FIRST perform hopping at which of the following ages?
1.Between 1 year to 2 years old
2.Between 2 to 3 years old
3.Between 3 to 4 years old