1. The intervention for a patient with limitation of shoulder flexion and medial (internal)
rotation includes mobilization. What glide is MOST appropriate for mobilizing this shoulder
to specifically increase the restricted motions?
A. Posterior
B. Anterior
C. Medial
Lateral
ANSWER
A.
The most appropriate mobilization technique for increasing both shoulder flexion and
medial (internal) rotation would be posterior (dorsal) glide. Lateral glide may be used as a
general joint distraction technique. Medial glide would not be appropriate to increase
flexion and medial (internal) rotation. Anterior glide is used to increase extension and lateral
(external) rotation.
1. A physical therapist examining wrist-joint play finds restriction in the direction indicated
by the arrow (downward). (The forearm in midposition with the ulnar side resting on the
table and the hand at the edge of the table, palm facing you.) The therapist should suspect a
decrease in which joint motion?
A. Radial deviation
B. Ulnar deviation
C. Flexion
Extension
,ANSWER
A.
The therapist is shown performing an ulnar glide which is the same joint motion used for
radial deviation. Limited motion in this direction indicates limited ability to perform radial
deviation.
1. Which of the following techniques is MOST appropriate for a patient with low postural
tone?
A. Slow regular rocking while sitting on a treatment bolster
B. Continuous pressure to the skin overlying the back muscles
C. Low-frequency vibration to the back muscles
D. Joint approximation applied through the shoulders to the trunk
ANSWER
D.
Options A, B and C are techniques used to decrease postural tone, which is not indicated for
this patient. Option D is the most appropriate technique for improving low postural tone.
1. What skin change associated with aging has the GREATEST effect on wound healing?
A. Reduction in sensation
B. Decreased elasticity of the skin
C. Decreased epidermal proliferation
D. Change in pigmentation
ANSWER
,C.
Wounds heal via a complex process involving re-epithelialization. With advanced aging, the
rate of epidermal proliferation decreases.
1. Which of the following techniques is MOST effective in teaching a patient with insulin-
dependent diabetes about foot care?
A. Reassure the patient that no infections will occur if the directions are followed, then
demonstrate procedures.
B. Tell the patient how foot care is performed, then watch the patient's performance.
C. Watch the patient perform a foot inspection and caution him that amputations result
from untended skin problems.
D. Have the patient demonstrate a foot inspection, then give feedback on the patient's
performance.
ANSWER
D.
Learning the process of foot care is a psychomotor skill and effective strategies to teach
psychomotor skills include repeat demonstration by the patient of the skill followed by
feedback from the therapist to highlight what was performed correctly and what areas need
improvement, if any. Reassurance about prevention of infection with proper foot care would
primarily be a cognitive skill and does not ensure that the patient can effectively perform
proper foot care. Options B and C do not include feedback that informs the patient about
their performance.
1. Utilization review and peer review are activities that are a part of a comprehensive:
A. policy and procedure manual.
, B. quality improvement program.
C. audit cycle.
D. performance evaluation
ANSWER
B.
According to the Standards of Practice for Physical Therapy there should be a written plan
for continuous improvement of quality care. This includes ongoing review and evaluation of
the physical therapy services provided. Utilization review and peer review are two types of
review processes.
1. The demographic information of the participants in a research study lists a mean age of 32
and median age of 35. The difference between the median and mean indicates:
A. the value of the standard deviation score.
B. the value of the Z-score.
C. that the distribution is skewed.
that the 2 measures should be averaged
ANSWER
C.
A "normally distributed" sample has a median and a mean that are equal in value. In that
type of distribution, the median and mean would be at the halfway point. One-half of the
scores (50 percent) would be distributed above the median and one-half below. If the
median and mean are not of equal value, the distribution is skewed. If the median is of a
higher value than the mean, the distribution is skewed to the left, if lower it is skewed to the
right. The standard deviation is a measure of the variability of the mean. The Z-score is a
standard score with a mean of zero and a standard deviation of one. Averaging the two
measures would not be appropriate or meaningful
rotation includes mobilization. What glide is MOST appropriate for mobilizing this shoulder
to specifically increase the restricted motions?
A. Posterior
B. Anterior
C. Medial
Lateral
ANSWER
A.
The most appropriate mobilization technique for increasing both shoulder flexion and
medial (internal) rotation would be posterior (dorsal) glide. Lateral glide may be used as a
general joint distraction technique. Medial glide would not be appropriate to increase
flexion and medial (internal) rotation. Anterior glide is used to increase extension and lateral
(external) rotation.
1. A physical therapist examining wrist-joint play finds restriction in the direction indicated
by the arrow (downward). (The forearm in midposition with the ulnar side resting on the
table and the hand at the edge of the table, palm facing you.) The therapist should suspect a
decrease in which joint motion?
A. Radial deviation
B. Ulnar deviation
C. Flexion
Extension
,ANSWER
A.
The therapist is shown performing an ulnar glide which is the same joint motion used for
radial deviation. Limited motion in this direction indicates limited ability to perform radial
deviation.
1. Which of the following techniques is MOST appropriate for a patient with low postural
tone?
A. Slow regular rocking while sitting on a treatment bolster
B. Continuous pressure to the skin overlying the back muscles
C. Low-frequency vibration to the back muscles
D. Joint approximation applied through the shoulders to the trunk
ANSWER
D.
Options A, B and C are techniques used to decrease postural tone, which is not indicated for
this patient. Option D is the most appropriate technique for improving low postural tone.
1. What skin change associated with aging has the GREATEST effect on wound healing?
A. Reduction in sensation
B. Decreased elasticity of the skin
C. Decreased epidermal proliferation
D. Change in pigmentation
ANSWER
,C.
Wounds heal via a complex process involving re-epithelialization. With advanced aging, the
rate of epidermal proliferation decreases.
1. Which of the following techniques is MOST effective in teaching a patient with insulin-
dependent diabetes about foot care?
A. Reassure the patient that no infections will occur if the directions are followed, then
demonstrate procedures.
B. Tell the patient how foot care is performed, then watch the patient's performance.
C. Watch the patient perform a foot inspection and caution him that amputations result
from untended skin problems.
D. Have the patient demonstrate a foot inspection, then give feedback on the patient's
performance.
ANSWER
D.
Learning the process of foot care is a psychomotor skill and effective strategies to teach
psychomotor skills include repeat demonstration by the patient of the skill followed by
feedback from the therapist to highlight what was performed correctly and what areas need
improvement, if any. Reassurance about prevention of infection with proper foot care would
primarily be a cognitive skill and does not ensure that the patient can effectively perform
proper foot care. Options B and C do not include feedback that informs the patient about
their performance.
1. Utilization review and peer review are activities that are a part of a comprehensive:
A. policy and procedure manual.
, B. quality improvement program.
C. audit cycle.
D. performance evaluation
ANSWER
B.
According to the Standards of Practice for Physical Therapy there should be a written plan
for continuous improvement of quality care. This includes ongoing review and evaluation of
the physical therapy services provided. Utilization review and peer review are two types of
review processes.
1. The demographic information of the participants in a research study lists a mean age of 32
and median age of 35. The difference between the median and mean indicates:
A. the value of the standard deviation score.
B. the value of the Z-score.
C. that the distribution is skewed.
that the 2 measures should be averaged
ANSWER
C.
A "normally distributed" sample has a median and a mean that are equal in value. In that
type of distribution, the median and mean would be at the halfway point. One-half of the
scores (50 percent) would be distributed above the median and one-half below. If the
median and mean are not of equal value, the distribution is skewed. If the median is of a
higher value than the mean, the distribution is skewed to the left, if lower it is skewed to the
right. The standard deviation is a measure of the variability of the mean. The Z-score is a
standard score with a mean of zero and a standard deviation of one. Averaging the two
measures would not be appropriate or meaningful
