PEAT EXAM 3 - COMPLETE QUESTIONS AND DETAILED
SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: A physical therapist is evaluating a patient for a
wheelchair prescription. The patient, who lives alone in a small
apartment, has bilateral lower extremity weakness and is unable to
stand to transfer. Trunk strength and upper extremity strength are
normal and the patient can transfer independently with a sliding
board. The MOST appropriate prescription for this patient is a
wheelchair with:
A. fixed, adjustable-height arm rests and detachable foot rests.
B. removable arm rests and detachable swing-away leg rests.
C. fixed arm rests and removable leg rests.
D. desk-style removable arm rests and fixed, elevating leg rests.
Answer:
B
Question 2: In order to facilitate transfers utilizing a sliding board,
the patient will need both removable armrests and detachable
swing-away leg rests. Fixed arm rests make sliding board transfers
extremely difficult and unsafe. Any of the other options would not
be optimal for this particular patient's needs.
1. A patient who is on bed rest and who exhibits orthostatic
hypotension upon standing will MOST likely experience:
A. increased venous tone in the lower extremities.
B. inadequate ventricular filling during diastole.
C. decreased hydrostatic pressure in the capillary beds.
D. parasympathetic stimulation of the heart.
Answer:
, B
Question 3: Orthostatic hypotension from bed rest occurs as a
result of decreased venous tone, which will lead to a pooling of
blood in the lower extremities upon standing. The pooling of blood
in the lower extremities will reduce the amount of blood returning
to the heart decreasing ventricular filling and ultimately decreasing
cardiac output. This results in a drop in blood pressure with
resultant dizziness. With pooling of blood in the lower extremities,
the hydrostatic pressure would increase. To compensate for the
decrease in cardiac output, the sympathetic system (not the
parasympathetic) would stimulate the heart.
1. Which of the following is the MOST appropriate intervention for a
patient with juvenile rheumatoid arthritis who is experiencing
painful swelling of both knees?
A. Resistive exercises
B. Stretching to prevent contractures
C. Gentle, active exercises
D. Walking program
Answer:
C
Question 4: All of the options, except for gentle, active exercises,
are precautions or contraindications for this patient.
1. A patient who has left hemiparesis exhibits shoulder subluxation
on the affected side. The patient has a demand-type cardiac
pacemaker. Which of the following interventions should be used
ONLY with extreme caution?
, A. Manual resisted exercise on the nonaffected side
B. Active exercise on the affected upper extremity
C. Functional electrical stimulation to the affected side
D. Biofeedback to the affected side
Answer:
C
Question 5: Electrical stimulation for patients with demand-type
pacemakers is often listed as a contraindication. However, even
though it is often listed as a contraindication in textbooks, research
studies apparently have not substantiated the suspected risks.
Nonetheless, it should only be applied with caution and close
supervision in these patients. Exercise, unless very strenuous,
would be indicated in this patient. Biofeedback introduces no
electrical signals into the body and therefore would not be
contraindicated
1. A 5 year-old patient with a closed head injury is exhibiting
behavior consistent with the confused/agitated level of cognitive
function. During physical therapy intervention, the patient becomes
combative. Which of the following techniques would be MOST
effective in calming the patient?
A. Providing brief moving touch to the face and turning on the
patient's favorite musical tape
B. Maintaining touch to the shoulders and brightening the room by
opening the curtains
C. Removing the patient from the current treatment environment and
placing the patient in a quiet setting
D. Wrapping the patient in a blanket and rocking the patient rapidly
Answer:
, C
Question 6: Sensory inputs such as intermittent music and
touching the face, rocking the patient rapidly, and brightening the
room elicit arousal. When a child becomes agitated and confused,
it is appropriate to reduce the general amount of environmental
stimulation. Decreasing auditory and visual activity in the room
may help the child focus.
1. The MOST appropriate therapeutic exercise to stretch the neck
muscles for a patient with an acute, right-sided torticollis is:
A. right rotation and right lateral flexion.
B. left rotation and right lateral flexion.
C. left rotation and left lateral flexion.
D. right rotation and left lateral flexion.
Answer:
D
Question 7: Isolated contraction of the right sternocleidomastoid
muscle would cause the head to rotate to the left and side bend
(lateral flexion) to the right. To stretch the muscle, the opposite
actions would be performed on the patient by the therapist: rotation
of the head to the right and lateral flexion to the left.
1. A patient presents to physical therapy with low back and leg
pain, with symptoms extending to the bottom of the foot. During
the physical therapy examination, the patient does not report leg
pain in the first test position (photograph #1), but reports a severe
increase in symptoms in the second test position (photograph #2).
These findings support which of the following conclusions?
SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: A physical therapist is evaluating a patient for a
wheelchair prescription. The patient, who lives alone in a small
apartment, has bilateral lower extremity weakness and is unable to
stand to transfer. Trunk strength and upper extremity strength are
normal and the patient can transfer independently with a sliding
board. The MOST appropriate prescription for this patient is a
wheelchair with:
A. fixed, adjustable-height arm rests and detachable foot rests.
B. removable arm rests and detachable swing-away leg rests.
C. fixed arm rests and removable leg rests.
D. desk-style removable arm rests and fixed, elevating leg rests.
Answer:
B
Question 2: In order to facilitate transfers utilizing a sliding board,
the patient will need both removable armrests and detachable
swing-away leg rests. Fixed arm rests make sliding board transfers
extremely difficult and unsafe. Any of the other options would not
be optimal for this particular patient's needs.
1. A patient who is on bed rest and who exhibits orthostatic
hypotension upon standing will MOST likely experience:
A. increased venous tone in the lower extremities.
B. inadequate ventricular filling during diastole.
C. decreased hydrostatic pressure in the capillary beds.
D. parasympathetic stimulation of the heart.
Answer:
, B
Question 3: Orthostatic hypotension from bed rest occurs as a
result of decreased venous tone, which will lead to a pooling of
blood in the lower extremities upon standing. The pooling of blood
in the lower extremities will reduce the amount of blood returning
to the heart decreasing ventricular filling and ultimately decreasing
cardiac output. This results in a drop in blood pressure with
resultant dizziness. With pooling of blood in the lower extremities,
the hydrostatic pressure would increase. To compensate for the
decrease in cardiac output, the sympathetic system (not the
parasympathetic) would stimulate the heart.
1. Which of the following is the MOST appropriate intervention for a
patient with juvenile rheumatoid arthritis who is experiencing
painful swelling of both knees?
A. Resistive exercises
B. Stretching to prevent contractures
C. Gentle, active exercises
D. Walking program
Answer:
C
Question 4: All of the options, except for gentle, active exercises,
are precautions or contraindications for this patient.
1. A patient who has left hemiparesis exhibits shoulder subluxation
on the affected side. The patient has a demand-type cardiac
pacemaker. Which of the following interventions should be used
ONLY with extreme caution?
, A. Manual resisted exercise on the nonaffected side
B. Active exercise on the affected upper extremity
C. Functional electrical stimulation to the affected side
D. Biofeedback to the affected side
Answer:
C
Question 5: Electrical stimulation for patients with demand-type
pacemakers is often listed as a contraindication. However, even
though it is often listed as a contraindication in textbooks, research
studies apparently have not substantiated the suspected risks.
Nonetheless, it should only be applied with caution and close
supervision in these patients. Exercise, unless very strenuous,
would be indicated in this patient. Biofeedback introduces no
electrical signals into the body and therefore would not be
contraindicated
1. A 5 year-old patient with a closed head injury is exhibiting
behavior consistent with the confused/agitated level of cognitive
function. During physical therapy intervention, the patient becomes
combative. Which of the following techniques would be MOST
effective in calming the patient?
A. Providing brief moving touch to the face and turning on the
patient's favorite musical tape
B. Maintaining touch to the shoulders and brightening the room by
opening the curtains
C. Removing the patient from the current treatment environment and
placing the patient in a quiet setting
D. Wrapping the patient in a blanket and rocking the patient rapidly
Answer:
, C
Question 6: Sensory inputs such as intermittent music and
touching the face, rocking the patient rapidly, and brightening the
room elicit arousal. When a child becomes agitated and confused,
it is appropriate to reduce the general amount of environmental
stimulation. Decreasing auditory and visual activity in the room
may help the child focus.
1. The MOST appropriate therapeutic exercise to stretch the neck
muscles for a patient with an acute, right-sided torticollis is:
A. right rotation and right lateral flexion.
B. left rotation and right lateral flexion.
C. left rotation and left lateral flexion.
D. right rotation and left lateral flexion.
Answer:
D
Question 7: Isolated contraction of the right sternocleidomastoid
muscle would cause the head to rotate to the left and side bend
(lateral flexion) to the right. To stretch the muscle, the opposite
actions would be performed on the patient by the therapist: rotation
of the head to the right and lateral flexion to the left.
1. A patient presents to physical therapy with low back and leg
pain, with symptoms extending to the bottom of the foot. During
the physical therapy examination, the patient does not report leg
pain in the first test position (photograph #1), but reports a severe
increase in symptoms in the second test position (photograph #2).
These findings support which of the following conclusions?
