PEAT EXAM 4 - COMPLETE QUESTIONS AND DETAILED
SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: In a research study, a physical therapist performs the
same goniometric measurement on the same group of control
subjects during two consecutive testing sessions. This process is
used to demonstrate which of the following measurement
properties?
1. External validity
2. Instrument reliability
3. Intrarater reliability
4. Interrater reliability
Answer:
3
Question 2: Intrarater reliability describes the repeatability of
measurements made by one person (repeatability within that
person).
1) Sensory-level electrical stimulation is MOST appropriate for a
patient with which of the following conditions?
1. Chronic low back pain of somatic origin
2. Acute ankle sprain with edema
3. Supraspinatus tendonitis
4. Active Raynaud syndrome
Answer:
4
,Question 3: Regarding chronic low back pain of somatic origin, the
patient has a chronic problem, so will most likely require
motor-level stimulation, because it provides a longer-lasting
analgesia. There is no evidence to indicate that sensory-level
stimulation is effective in the treatment of edema. For edema
reduction, rhythmic muscle contraction is preferred. Iontophoresis
is more appropriate than sensory-level electrical stimulation for
treatment of a tendonitis, because it involves the delivery of
anti-inflammatory medications. Raynaud syndrome is a condition
in which the smallest arteries that bring blood to the fingers or toes
constrict when exposed to cold or from an emotional upset.
Sensory-level stimulation over nerve roots and trunks can increase
peripheral vasodilatation.
1) A patient with which of the following diagnoses would MOST
likely benefit from pursed-lip breathing during exercise?
1. Peripheral vascular disease
2. Congestive heart failure
3. Emphysema
4. Sarcoidosis
Answer:
3
Question 4: Peripheral vascular disease is a vascular problem, not
a pulmonary problem. Congestive heart failure may lead to
pulmonary problems, but not obstructive problems. Emphysema is
an obstructive lung disease, for which pursed-lip breathing may be
beneficial. Sarcoidosis is a restrictive lung disease for which
pursed-lip breathing is not beneficial.
1) A patient has a history of neck pain that is aggravated by long
,periods of sitting and 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 should focus
on:
1. stretching of the neck flexors and pectoral strengthening.
2. upper trapezius strengthening and pectoral stretching.
3. pectoral strengthening and rhomboid stretching.
4. rhomboid strengthening and axial neck retraction.
Answer:
3
Question 5: 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) A patient suspected of having hypoglycemia is MOST likely to
show which of the following signs?
1. Fruity smelling breath
2. Thirst, nausea, and vomiting
3. Dry, crusty mucous membranes
4. Difficulty speaking and concentrating
Answer:
, 4
Question 6: A common mental state manifestation of hypoglycemia
is difficulty speaking and concentrating, whereas in hyperglycemia
there is outright confusion. The other options are all signs of
hyperglycemia and not signs of hypoglycemia.
1) A patient is limited in shoulder abduction, as shown in the
displayed radiograph. Which of the following mobilization
techniques is MOST likely to assist the patient in achieving
increased shoulder abduction?
1. Posterior glide
2. Anterior glide
3. Inferior glide
4. Superior glide
Answer:
4
Question 7: Neither posterior glide, anterior glide, nor superior
glide, would improve abduction. The radiograph shows limitation of
glenohumeral motion causing the reduction in shoulder abduction.
Inferior glide assists with improving abduction.
1) Which of the following assignments is MOST appropriate for a
physical therapist to delegate to a volunteer?
1. Restocking treatment booths with linens, ultrasound gel, and
massage lotion
2. Attending a patient who is on a tilt table while the therapist takes
a phone call
SOLUTIONS LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: In a research study, a physical therapist performs the
same goniometric measurement on the same group of control
subjects during two consecutive testing sessions. This process is
used to demonstrate which of the following measurement
properties?
1. External validity
2. Instrument reliability
3. Intrarater reliability
4. Interrater reliability
Answer:
3
Question 2: Intrarater reliability describes the repeatability of
measurements made by one person (repeatability within that
person).
1) Sensory-level electrical stimulation is MOST appropriate for a
patient with which of the following conditions?
1. Chronic low back pain of somatic origin
2. Acute ankle sprain with edema
3. Supraspinatus tendonitis
4. Active Raynaud syndrome
Answer:
4
,Question 3: Regarding chronic low back pain of somatic origin, the
patient has a chronic problem, so will most likely require
motor-level stimulation, because it provides a longer-lasting
analgesia. There is no evidence to indicate that sensory-level
stimulation is effective in the treatment of edema. For edema
reduction, rhythmic muscle contraction is preferred. Iontophoresis
is more appropriate than sensory-level electrical stimulation for
treatment of a tendonitis, because it involves the delivery of
anti-inflammatory medications. Raynaud syndrome is a condition
in which the smallest arteries that bring blood to the fingers or toes
constrict when exposed to cold or from an emotional upset.
Sensory-level stimulation over nerve roots and trunks can increase
peripheral vasodilatation.
1) A patient with which of the following diagnoses would MOST
likely benefit from pursed-lip breathing during exercise?
1. Peripheral vascular disease
2. Congestive heart failure
3. Emphysema
4. Sarcoidosis
Answer:
3
Question 4: Peripheral vascular disease is a vascular problem, not
a pulmonary problem. Congestive heart failure may lead to
pulmonary problems, but not obstructive problems. Emphysema is
an obstructive lung disease, for which pursed-lip breathing may be
beneficial. Sarcoidosis is a restrictive lung disease for which
pursed-lip breathing is not beneficial.
1) A patient has a history of neck pain that is aggravated by long
,periods of sitting and 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 should focus
on:
1. stretching of the neck flexors and pectoral strengthening.
2. upper trapezius strengthening and pectoral stretching.
3. pectoral strengthening and rhomboid stretching.
4. rhomboid strengthening and axial neck retraction.
Answer:
3
Question 5: 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) A patient suspected of having hypoglycemia is MOST likely to
show which of the following signs?
1. Fruity smelling breath
2. Thirst, nausea, and vomiting
3. Dry, crusty mucous membranes
4. Difficulty speaking and concentrating
Answer:
, 4
Question 6: A common mental state manifestation of hypoglycemia
is difficulty speaking and concentrating, whereas in hyperglycemia
there is outright confusion. The other options are all signs of
hyperglycemia and not signs of hypoglycemia.
1) A patient is limited in shoulder abduction, as shown in the
displayed radiograph. Which of the following mobilization
techniques is MOST likely to assist the patient in achieving
increased shoulder abduction?
1. Posterior glide
2. Anterior glide
3. Inferior glide
4. Superior glide
Answer:
4
Question 7: Neither posterior glide, anterior glide, nor superior
glide, would improve abduction. The radiograph shows limitation of
glenohumeral motion causing the reduction in shoulder abduction.
Inferior glide assists with improving abduction.
1) Which of the following assignments is MOST appropriate for a
physical therapist to delegate to a volunteer?
1. Restocking treatment booths with linens, ultrasound gel, and
massage lotion
2. Attending a patient who is on a tilt table while the therapist takes
a phone call
