PEAT EXAM 2 - COMPLETE QUESTIONS AND DETAILED
SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: A patient has a history of neck pain that is aggravated
by long periods of sitting. The pain becomes progressively worse
by evening. Range of motion and strength of the neck and
shoulders are within normal limits. Sensation and reflexes are
intact in both upper extremities. The patient has a forward head and
excessive thoracic kyphosis. The MOST appropriate exercise
program includes:
A. stretching of the neck flexors and pectoral strengthening
B. upper trapezius strengthening and pectoral stretching.
C. pectoral strengthening and rhomboid stretching
D. rhomboid strengthening and axial neck extension
Answer:
D.
Question 2: The history suggests that prolonged improper
positioning of the cervical spine resulted in neck pain. A chronic
forward head and kyphosis results in hyperextension in the upper
cervical spine and excessive flexion in the upper thoracic spine.
Further muscle length adaptation occurs with tight anterior
muscles and stretched posterior muscles. Treatment should
include correction of muscle weakness or imbalance. Rhomboid
strengthening and axial neck extension are the only options that
are both correct.
1. Upon removal of a wet-to-dry dressing from a draining wound, a
physical therapist observes that the skin immediately surrounding
a patient's wound is macerated. What should the therapist
,recommend for future wound care?
A. Continue using the current dressing type
B. Make the dressing more absorbent.
C. Leave the dressing on longer between dressing changes
D. Change to a pressure-type dressing
Answer:
B.
Question 3: Macerated tissue results from excessive moisture. A
more absorbent dressing would soak up the excessive moisture
and prevent the maceration.
1. A patient is performing a Phase I (inpatient) cardiac rehabilitation
exercise session. The physical therapist should terminate low-level
activity if which of the following values changes from resting level?
A. The diastolic blood pressure increases to 120 mm Hg.
B. The respiratory rate increases to 20 breaths per minute.
C. The systolic blood pressure increases by 20 mm Hg.
D. The heart rate increases by 20 bpm.
Answer:
A.
Question 4: During Phase I (inpatient) cardiac rehabilitation, vital
sign parameters with activity that warrant termination are: diastolic
blood pressure of 110 mm Hg or greater, systolic blood pressure
above 210 mm Hg or an increase greater than 20 mm Hg from
resting and a heart rate that increases beyond 20 beats per minute
above resting. The normal resting respiratory rate can range
between 12 to 20 breaths per minute in adults, so an increase to 20
breaths per minute with low-level activity would not be a reason to
,terminate the activity
1. A therapist is preparing to teach a patient who has Guillain-Barre
syndrome to transfer from wheelchair to a mat table. The patient
weighs 150 lbs., she has poor (2/5) grade in both of her lower
extremities and fair (4/5) grade in her left upper extremity; her right
upper extremity has normal (5/5) strength. Which of the following
would be the MOST appropriate assisted transfer for the initial
session of this patient?
A. 2-person lift to the right side
B. Sliding-board transfer to the right side
C. A hydraulic lift from the wheelchair to the mat
D. Full standing-pivot transfer to the right side
Answer:
B.
Question 5: Because this patient has significant weakness in both
lower extremities, a standing pivot transfer would not be safe.
However, since the patient does have fair to normal upper extremity
strength, and is not totally dependent, a hydraulic lift or two person
lift would not be appropriate because it would not be enhancing the
patient's functional skills. The most appropriate transfer method
would be for the patient to use a sliding board transfer to her
strongest (right) side.
1. In physical therapy program planning for geriatric patients, an
important age-related change that should be taken into
consideration is:
A. the inability to learn new motor tasks.
B. decreased pain sensation
C. decreased motivation.
, D. the inability to select alternative movement strategies
Answer:
B.
Question 6: Neurological changes that are age related include
decreased pain and vibratory sensation. The other changes listed
do not normally occur with aging in the absence of pathology.
1. To achieve maximum reduction of lymphedema following a
mastectomy in the upper extremity by means of massage, it is
MOST important that:
A. local heat be applied before the massage
B. the upper arm be massaged before the forearm
C. the hand be massaged before the forearm.
D. the massage strokes occur in a centrifugal direction
Answer:
B.
Question 7: Massaging the upper arm before the forearm helps
reduce the proximal resistance of lymphatic flow, which will
optimize the flow of fluid or edema from the distal areas. This has
been referred to as the "uncorking effect". Local heat would cause
vasodilation and may increase edema. Massaging the hand before
the forearm would not allow the "uncorking effect" to occur. The
massage strokes should be from distal to proximal (centripetal)
direction
1. A patient with a diagnosis of complete spinal cord lesion at
C4-C5 demonstrates a weak, cough mechanism. Which of the
following techniques would MOST effectively augment the patient's
SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: A patient has a history of neck pain that is aggravated
by long periods of sitting. The pain becomes progressively worse
by evening. Range of motion and strength of the neck and
shoulders are within normal limits. Sensation and reflexes are
intact in both upper extremities. The patient has a forward head and
excessive thoracic kyphosis. The MOST appropriate exercise
program includes:
A. stretching of the neck flexors and pectoral strengthening
B. upper trapezius strengthening and pectoral stretching.
C. pectoral strengthening and rhomboid stretching
D. rhomboid strengthening and axial neck extension
Answer:
D.
Question 2: The history suggests that prolonged improper
positioning of the cervical spine resulted in neck pain. A chronic
forward head and kyphosis results in hyperextension in the upper
cervical spine and excessive flexion in the upper thoracic spine.
Further muscle length adaptation occurs with tight anterior
muscles and stretched posterior muscles. Treatment should
include correction of muscle weakness or imbalance. Rhomboid
strengthening and axial neck extension are the only options that
are both correct.
1. Upon removal of a wet-to-dry dressing from a draining wound, a
physical therapist observes that the skin immediately surrounding
a patient's wound is macerated. What should the therapist
,recommend for future wound care?
A. Continue using the current dressing type
B. Make the dressing more absorbent.
C. Leave the dressing on longer between dressing changes
D. Change to a pressure-type dressing
Answer:
B.
Question 3: Macerated tissue results from excessive moisture. A
more absorbent dressing would soak up the excessive moisture
and prevent the maceration.
1. A patient is performing a Phase I (inpatient) cardiac rehabilitation
exercise session. The physical therapist should terminate low-level
activity if which of the following values changes from resting level?
A. The diastolic blood pressure increases to 120 mm Hg.
B. The respiratory rate increases to 20 breaths per minute.
C. The systolic blood pressure increases by 20 mm Hg.
D. The heart rate increases by 20 bpm.
Answer:
A.
Question 4: During Phase I (inpatient) cardiac rehabilitation, vital
sign parameters with activity that warrant termination are: diastolic
blood pressure of 110 mm Hg or greater, systolic blood pressure
above 210 mm Hg or an increase greater than 20 mm Hg from
resting and a heart rate that increases beyond 20 beats per minute
above resting. The normal resting respiratory rate can range
between 12 to 20 breaths per minute in adults, so an increase to 20
breaths per minute with low-level activity would not be a reason to
,terminate the activity
1. A therapist is preparing to teach a patient who has Guillain-Barre
syndrome to transfer from wheelchair to a mat table. The patient
weighs 150 lbs., she has poor (2/5) grade in both of her lower
extremities and fair (4/5) grade in her left upper extremity; her right
upper extremity has normal (5/5) strength. Which of the following
would be the MOST appropriate assisted transfer for the initial
session of this patient?
A. 2-person lift to the right side
B. Sliding-board transfer to the right side
C. A hydraulic lift from the wheelchair to the mat
D. Full standing-pivot transfer to the right side
Answer:
B.
Question 5: Because this patient has significant weakness in both
lower extremities, a standing pivot transfer would not be safe.
However, since the patient does have fair to normal upper extremity
strength, and is not totally dependent, a hydraulic lift or two person
lift would not be appropriate because it would not be enhancing the
patient's functional skills. The most appropriate transfer method
would be for the patient to use a sliding board transfer to her
strongest (right) side.
1. In physical therapy program planning for geriatric patients, an
important age-related change that should be taken into
consideration is:
A. the inability to learn new motor tasks.
B. decreased pain sensation
C. decreased motivation.
, D. the inability to select alternative movement strategies
Answer:
B.
Question 6: Neurological changes that are age related include
decreased pain and vibratory sensation. The other changes listed
do not normally occur with aging in the absence of pathology.
1. To achieve maximum reduction of lymphedema following a
mastectomy in the upper extremity by means of massage, it is
MOST important that:
A. local heat be applied before the massage
B. the upper arm be massaged before the forearm
C. the hand be massaged before the forearm.
D. the massage strokes occur in a centrifugal direction
Answer:
B.
Question 7: Massaging the upper arm before the forearm helps
reduce the proximal resistance of lymphatic flow, which will
optimize the flow of fluid or edema from the distal areas. This has
been referred to as the "uncorking effect". Local heat would cause
vasodilation and may increase edema. Massaging the hand before
the forearm would not allow the "uncorking effect" to occur. The
massage strokes should be from distal to proximal (centripetal)
direction
1. A patient with a diagnosis of complete spinal cord lesion at
C4-C5 demonstrates a weak, cough mechanism. Which of the
following techniques would MOST effectively augment the patient's
