Test Bank –
O'Sullivan and Schmitz's Physical Rehabilitation,
By George D. Fulk
8th edition
,TABLE OF CONTENTS
I. Clinical Decision Making and Examination
1. Clinical Decision Making
2. Examination of Vital Signs
3. Examination of Sensory Function
4. Musculoskeletal Examination
5. Examination of Motor Function: Motor Control and Motor Learning
6. Examination of Coordination and Balance
7. Examination of Gait
8. Examination of Function
9. Examination and Modification of the Environment
II. Intervention Strategies for Rehabilitation
10. Strategies to Improve Motor Function
11. Strategies to Improve Locomotor Function
12. Chronic Pulmonary Dysfunction
13. Heart Disease
14. Vascular, Lymphatic, and Integumentary Disorders
15. Stroke
16. Multiple Sclerosis
17. Amyotrophic Lateral Sclerosis
18. Parkinson’s Disease
19. Traumatic Brain Injury
20. Traumatic Spinal Cord Injury
21. Vestibular Disorders
22. Amputation
23. Arthritis
24. Burns
25. Chronic Pain
26. Psychosocial Issues in Physical Rehabilitation
27. Cognitive and Perceptual Dysfunction
28. Neurogenic Disorders of Speech and Language
29. Promoting Health and Wellness
III. Orthotics, Prosthetics, Seating and Wheeled Mobility
30. Orthotics
31. Prosthetics
32. Seating and Wheeled Mobility
,PART I: CLINICAL DECISION MAKING AND EXAMINATION
Chapter 1: Clinical Decision Making
1. Which model of clinical decision making emphasizes the integration of best available research
evidence, clinical expertise, and patient values?
A) The Hypothetico-Deductive Model
B) Evidence-Based Practice Model
C) The Pattern Recognition Model
D) The Narrative Reasoning Model
Answer: B
Rationale: Evidence-based practice (EBP) integrates the best research evidence with clinical expertise and
patient values/preferences to guide clinical decisions.
2. A physical therapist rapidly identifies a patient's condition based on prior experience with similar
presentations. This is BEST described as:
A) Hypothetico-deductive reasoning
B) Procedural reasoning
C) Pattern recognition
D) Conditional reasoning
Answer: C
Rationale: Pattern recognition (also called non-analytical reasoning) occurs when a clinician quickly
matches a patient presentation to a previously stored pattern from experience.
3. In the International Classification of Functioning, Disability and Health (ICF) model, difficulty walking
to the grocery store is classified at which level?
A) Body structure and function
B) Activity limitation
C) Participation restriction
D) Environmental factor
Answer: C
Rationale: Participation refers to involvement in life situations. Walking to the grocery store is a
community participation role. An activity limitation would be the inability to walk itself.
4. Which type of clinical reasoning focuses on the "story" of the patient and understanding the illness
experience from the patient's perspective?
A) Procedural reasoning
B) Interactive reasoning
C) Narrative reasoning
D) Pragmatic reasoning
, Answer: C
Rationale: Narrative reasoning focuses on understanding the patient's personal story, context, and
meaning of the illness or disability.
5. A PTA recognizes that a patient's home environment lacks adequate lighting and recommends
modifications. This consideration falls under which ICF domain?
A) Body function
B) Activity
C) Participation
D) Environmental factors
Answer: D
Rationale: Environmental factors include the physical, social, and attitudinal environment in which
people live. Lighting in the home is an environmental factor.
6. Which of the following BEST represents a hypothesis-driven approach to examination?
A) Performing a standardized battery of tests on every patient
B) Generating initial hypotheses from the history and selectively testing them
C) Relying solely on the physician's diagnosis to guide treatment
D) Using only outcome measures to determine the plan of care
Answer: B
Rationale: The hypothetico-deductive model involves generating hypotheses from the patient history and
then selectively testing them during the examination.
7. In the ICF model, decreased quadriceps strength is classified as:
A) An activity limitation
B) A participation restriction
C) An impairment of body function
D) A personal factor
Answer: C
Rationale: Impairments are problems in body function or structure. Decreased muscle strength is a body
function impairment.
8. A therapist considers the cost of treatment, available equipment, and time constraints when
developing a plan of care. This is an example of:
A) Ethical reasoning
B) Pragmatic reasoning
C) Interactive reasoning
D) Procedural reasoning
Answer: B
Rationale: Pragmatic reasoning addresses practical considerations such as resources, time, cost, and the
practice environment.
9. Which of the following is a key component of the patient/client management model described in the
APTA Guide to Physical Therapist Practice?
O'Sullivan and Schmitz's Physical Rehabilitation,
By George D. Fulk
8th edition
,TABLE OF CONTENTS
I. Clinical Decision Making and Examination
1. Clinical Decision Making
2. Examination of Vital Signs
3. Examination of Sensory Function
4. Musculoskeletal Examination
5. Examination of Motor Function: Motor Control and Motor Learning
6. Examination of Coordination and Balance
7. Examination of Gait
8. Examination of Function
9. Examination and Modification of the Environment
II. Intervention Strategies for Rehabilitation
10. Strategies to Improve Motor Function
11. Strategies to Improve Locomotor Function
12. Chronic Pulmonary Dysfunction
13. Heart Disease
14. Vascular, Lymphatic, and Integumentary Disorders
15. Stroke
16. Multiple Sclerosis
17. Amyotrophic Lateral Sclerosis
18. Parkinson’s Disease
19. Traumatic Brain Injury
20. Traumatic Spinal Cord Injury
21. Vestibular Disorders
22. Amputation
23. Arthritis
24. Burns
25. Chronic Pain
26. Psychosocial Issues in Physical Rehabilitation
27. Cognitive and Perceptual Dysfunction
28. Neurogenic Disorders of Speech and Language
29. Promoting Health and Wellness
III. Orthotics, Prosthetics, Seating and Wheeled Mobility
30. Orthotics
31. Prosthetics
32. Seating and Wheeled Mobility
,PART I: CLINICAL DECISION MAKING AND EXAMINATION
Chapter 1: Clinical Decision Making
1. Which model of clinical decision making emphasizes the integration of best available research
evidence, clinical expertise, and patient values?
A) The Hypothetico-Deductive Model
B) Evidence-Based Practice Model
C) The Pattern Recognition Model
D) The Narrative Reasoning Model
Answer: B
Rationale: Evidence-based practice (EBP) integrates the best research evidence with clinical expertise and
patient values/preferences to guide clinical decisions.
2. A physical therapist rapidly identifies a patient's condition based on prior experience with similar
presentations. This is BEST described as:
A) Hypothetico-deductive reasoning
B) Procedural reasoning
C) Pattern recognition
D) Conditional reasoning
Answer: C
Rationale: Pattern recognition (also called non-analytical reasoning) occurs when a clinician quickly
matches a patient presentation to a previously stored pattern from experience.
3. In the International Classification of Functioning, Disability and Health (ICF) model, difficulty walking
to the grocery store is classified at which level?
A) Body structure and function
B) Activity limitation
C) Participation restriction
D) Environmental factor
Answer: C
Rationale: Participation refers to involvement in life situations. Walking to the grocery store is a
community participation role. An activity limitation would be the inability to walk itself.
4. Which type of clinical reasoning focuses on the "story" of the patient and understanding the illness
experience from the patient's perspective?
A) Procedural reasoning
B) Interactive reasoning
C) Narrative reasoning
D) Pragmatic reasoning
, Answer: C
Rationale: Narrative reasoning focuses on understanding the patient's personal story, context, and
meaning of the illness or disability.
5. A PTA recognizes that a patient's home environment lacks adequate lighting and recommends
modifications. This consideration falls under which ICF domain?
A) Body function
B) Activity
C) Participation
D) Environmental factors
Answer: D
Rationale: Environmental factors include the physical, social, and attitudinal environment in which
people live. Lighting in the home is an environmental factor.
6. Which of the following BEST represents a hypothesis-driven approach to examination?
A) Performing a standardized battery of tests on every patient
B) Generating initial hypotheses from the history and selectively testing them
C) Relying solely on the physician's diagnosis to guide treatment
D) Using only outcome measures to determine the plan of care
Answer: B
Rationale: The hypothetico-deductive model involves generating hypotheses from the patient history and
then selectively testing them during the examination.
7. In the ICF model, decreased quadriceps strength is classified as:
A) An activity limitation
B) A participation restriction
C) An impairment of body function
D) A personal factor
Answer: C
Rationale: Impairments are problems in body function or structure. Decreased muscle strength is a body
function impairment.
8. A therapist considers the cost of treatment, available equipment, and time constraints when
developing a plan of care. This is an example of:
A) Ethical reasoning
B) Pragmatic reasoning
C) Interactive reasoning
D) Procedural reasoning
Answer: B
Rationale: Pragmatic reasoning addresses practical considerations such as resources, time, cost, and the
practice environment.
9. Which of the following is a key component of the patient/client management model described in the
APTA Guide to Physical Therapist Practice?
