PCM 3 Final Exam Questions And Answers 2022

A patient having experienced a L MCA ischemic stroke will most likely present with: A. Sparing of tongue motor control B. Full tongue motor control C. Pushers syndrome towards weak L side D. Sparing of the SCM D Sparing = pt. will have some motor control A & B = Tongue is unilateral innervation, so it will not be spared and they will not have full motor control. C = the R side will be weak because it was a L MCA D = SCM is bilaterally innervated, so one side will be ok. Which of the following areas is associated with receptive aphasia? A. Broca's area in R hemisphere B. Broca's area in L hemisphere C. Wernicke's area in R hemisphere D. Wernicke's area in L hemisphere D Wernicke's & Broca's are only in L hemisphere A patient having experienced a L MCA ischemic stroke with most deficits in the frontal lobe is most likely to present with: A. pushers syndrome B. apraxia C. apraxis D. expressive aphasia C Apraxia: difficulty with sequencing mm's to produce speech Apraxis: difficulty performing a skilled movement A patient having experienced a L MCA ischemic stroke with most deficits in the basal ganglia is most likely to present with: A. A. pushers syndrome B. apraxia C. apraxis D. receptive aphasia B Apraxia: difficulty with sequencing mm's to produce speech Apraxis: difficulty performing a skilled movement Kidney function is assessed with: A. dialysis B. glomerular filtration rate C. calcium levels D. PTH levels B A patient medical history states ESRD. You would expect this patient to present with? A. Asterixis B. Apraxia C. Aphagia D. Dysphagia A Asterixis: flapping tremor Apraxia: difficulty with sequencing mm's to produce speech Apraxis: difficulty performing a skilled movement Osteomalacia is commonly seen in which of the following patients? A. ESRD patients B. L MCA ischemic stroke patients C. COPD patients D. R sided heart failure patients A osteomalacia = demineralization of bone Uremia is a cluster of symptoms used to diagnose ESRD. Which of the following is not part of the cluster? A. kidneys unable to secrete renin B. asterixis C. glomerular filtration rate of 15 D. increased calcium levels D ESRD = ↓ calcium levels .. thats what leads to osteomalacia and higher risk of bone fractures Which of the following intervention would be best for an ESRD patient the day before dialysis A. resistive strengthening B. low load, high intensity C. low load, low intensity D. no exercise D With diastolic heart failure you would expect to see A. prolonged relaxation of the left ventricle B. increased cardiac output C. preserved ejection fraction D. increased stroke volume C Everything is opposite Diastolic HF is known as HF with preserved EF (ejection fraction) With systolic heart failure you would expect to see: A. increased stroke volume B. increased cardiac output C. increased ventricular stiffness D. increased ejection fraction D Ejection fraction decreased in systolic HF Systolic heart failure is called heart failure with reduced ejection fraction Which of the following BNP levels alerts you of heart failure: A. 56 B. 98 C. 380 D. 512 D Anything above 400 = HF 100-400 = a concern Throughout treatment sessions with a person with heart failure, which of the following should the PT avoid? A. diaphragmatic breathing in a sitting position B. diaphragmatic breathing in supine position C. low intensity, low impact aerobic exercise D. rest intervals longer than one minute B supine should be avoided as well as positions where the patient's legs are elevated above the heart A patient tends to become SOB and bothered by walking to his front yard to pick up the morning newspaper and complaints of SOB while sitting at the dinner table sometimes. What level NYHA is this patient considered? A. 0 B. 1 C. 2 D. 3 E. 4 D There is no level 0 in this one BNP release is triggered by: A. increased stiffness of type 1 cardiac fibers B. decreased function of the kidneys C. excess fluid buildup in the lungs D. stretch of cardiac endothelial cells D Peripheral edema is associated with: A. R sided heart failure B. L sided heart failure C. Back up of blood in left atrium and lungs D. Reduced cardiac output A B = C = D In patients with cardiac heart failure an increase in HR is due to: A. increased contractility of the cardiac muscles B. excessive treatment session that should be stopped C. decreased force of contraction of cardiac muscles D. hemodynamic instability C Diagnosis of chronic bronchitis requires: A. unproductive cough for 3 months for at least an entire year B. productive cough for 2 months for 3 years C. unproductive cough for 3 months for at least 2 years D. productive cough for 3 months for at least 2 years D chronic bronchitis patients = blue bloaters A barrel shaped chest, clubbing of nails, a productive cough, and polycythemia are all presentations of a patient with A. R heart failure B. emphysema C. ESRD D. chronic bronchitis D