PEAT EXAM 4 2025 WITH ACTUAL CORRECT
QUESTIONS AND VERIFIED DETAILED
ANSWERS|FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|NEWEST|LATEST
UPDATE|GUARANTEED PASS
1) A patient with a cerebellar stroke has received functional balance training for 4 weeks. Which
of the following tests is MOST appropriate to measure the effectiveness of the physical therapy
intervention?
1. Romberg Test
2. Berg Balance Scale
3. Fugl-Meyer Assessment
4. Barthel Index
2
Although the Romberg Test is a measure of the role of vision in balance, it alone would not be
the most appropriate measure for functional balance. The Berg Balance Scale is an objective
measure of static and dynamic balance abilities and consists of 14 commonly performed
functional tasks; therefore, it is the most appropriate tool to use as a measure of intervention
effectiveness. The Fugl-Meyer Assessment is appropriate for cortical strokes and would not be
the most appropriate for a cerebellar stroke. It is not as comprehensive in balance tasks as the
Berg Balance Scale. The Barthel Index is a more global instrument and is not as focused on
functional balance as the Berg Balance Scale.
1) A patient in the eighth month of pregnancy has numbness and tingling of the left hand,
except for the little finger (5th digit). She demonstrates edema of the hand and fingers, a
positive Tinel sign at the wrist, and a Good (4/5) muscle test grade of the wrist and finger
flexors. The MOST appropriate intervention is:
1. a wrist splint to position the wrist in full extension.
1|Page
,2. a hot pack followed by tendon gliding exercises.
3. resistive exercises for the wrist and finger flexors.
4. frequent rest and elevation of the left upper extremity.
4
Compression on the median nerve (carpal tunnel syndrome) is occurring, most likely as a
result of swelling associated with the individual being in the eight month of pregnancy. In this
case, rest and elevation would do the most to decrease the edema and relieve the symptoms.
The wrist should not be positioned in full extension. Initial conservative treatment sometimes
includes cock-up splinting to hold the wrist in neutral to 10° of extension, but not full
extension. Although tendon gliding exercises may be used, heat would not be indicated since
it may increase the edema. Resistive exercises for the wrist and fingers may aggravate the
compression in the carpal tunnel.
1) Which of the following locations corresponds to the sensory function of the nerve root
exiting between the third and fourth lumbar vertebrae?
1. Lateral knee joint line
2. Medial knee joint line
3. Plantar aspect of the heel
4. Dorsal web space between the first and second toes
2
The L3 nerve root exits between the third and fourth lumbar vertebrae and supplies sensory
information from the region of the medial knee joint line.
1) An inpatient physical therapy department has only one physical therapist and one physical
therapist assistant on duty, due to staff illness. Treatment of a patient with which of the
following conditions and circumstances is MOST appropriate for the therapist to delegate to the
assistant?
1. Ataxia, who is undergoing a trial to determine an appropriate assistive device
2. Hemiparesis, whose initial evaluation has not been completed
3. Multiple sclerosis, who is receiving gait training with a rolling walker
4. Alzheimer disease, who is easily agitated and is receiving initial gait training
3
2|Page
,A physical therapist would be required to perform the initial evaluation, plan of care,
reevaluations, modifications to the plan of care, and discharge plans for the patient. The
patient who is stable and has an existing program would be the most appropriate patient to
be delegated to the assistant. Therefore, the patient who has multiple sclerosis and who has
an established gait training program would be the most appropriate. The other three patients
are receiving their initial treatments.
1) When considering special tests for orthopedic assessment, selection of a test with adequate
validity is important because the:
1. results of the test can be standardized.
2. test measures what it is supposed to measure.
3. results of the test are reproducible.
4. test can be accurately performed by someone else.
2
Option 2 is the definition of validity. Options 3 and 4 refer to reliability measures. Option 1 is
incorrect because results can be standardized even though they are not valid.
1) A patient who recently had bilateral transtibial amputations wants to have a ramp built to
travel from the back deck of his house to the pool in his wheelchair. The vertical distance from
the door to the ground level is 5 ft (1.5 m). Which of the following ramp specifications is BEST
for the patient?
1. One continuous ramp, 60 ft (18 m) long
2. One continuous ramp, 30 ft (9 m) long
3. Two ramps, each 60 ft (18 m) long, connected by a level area
4. Two ramps, each 30 ft (9 m) long, connected by a level area
4
One continuous ramp that is 60 ft (18 m) long is too long of a run without a level area to rest.
One continuous ramp that is 30 ft (9 m) long is too steep a slope. Two ramps, each 60 ft (18 m)
long, even if connected by a level area, would be unnecessarily long. The rise should not be
greater than 30 in (76 cm) for any one run and should be 1 ft (.3 m) in length per each 1 in (2.5
cm) rise.
1) A physical therapist is developing an exercise program for an older adult to improve routine
health maintenance and fitness. The patient has a history of a right ankle fracture 15 years ago,
3|Page
, aortic aneurysm repair 3 years ago, and open-heart surgery for a valve replacement 6 years ago.
Which of the following activities is CONTRAINDICATED?
1. Aquatic exercise for 30 minutes
2. Cycling at 60% of maximum heart rate
3. Endurance exercise using basic calisthenics
4. Weight lifting at 50% of maximum voluntary contraction
4
Resistive exercise is contraindicated for a patient with a history of aortic aneurysm, even after
surgical repair
1) Which of the following home programs is MOST appropriate for a patient with chronic lateral
epicondylitis?
1. Using a forearm cuff to increase loading on the extensor tendons
2. Performing exercises for wrist strength and stretching
3. Administering iontophoresis with dexamethasone (Decadron) and lidocaine (Xylocaine)
4. Doing friction massage of the brachioradialis tendon
2
Lateral epicondylitis is caused by overuse of the wrist extensors that originate on the lateral
epicondyle of the humerus, especially the extensor carpi radialis brevis. If the lateral
epicondylitis is at a chronic stage, conditioning of the extensor muscles and sustained grip
activities will be most effective in long-term management. A forearm cuff is thought to
decrease the muscle loading. Iontophoresis would not be appropriate for a home program.
Friction massage of the brachioradialis would not be appropriate since the extensor carpi
radialis brevis muscle is usually the one affected.
1) A patient is receiving mechanical intermittent cervical traction with an on/off duty cycle of 20
seconds/10 seconds. The patient reports increased pain each time the traction unit cycles on,
which then subsides over the duration of the on time. Which of the following modifications to
the duty cycle is MOST appropriate?
1. Increase the off time to 20 seconds.
2. Increase the on time to 25 seconds.
3. Decrease the off time to 5 seconds.
4. Decrease the on time to 15 seconds.
4|Page
QUESTIONS AND VERIFIED DETAILED
ANSWERS|FREQUENTLY TESTED
QUESTIONS AND SOLUTIONS |ALREADY
GRADED A+|NEWEST|LATEST
UPDATE|GUARANTEED PASS
1) A patient with a cerebellar stroke has received functional balance training for 4 weeks. Which
of the following tests is MOST appropriate to measure the effectiveness of the physical therapy
intervention?
1. Romberg Test
2. Berg Balance Scale
3. Fugl-Meyer Assessment
4. Barthel Index
2
Although the Romberg Test is a measure of the role of vision in balance, it alone would not be
the most appropriate measure for functional balance. The Berg Balance Scale is an objective
measure of static and dynamic balance abilities and consists of 14 commonly performed
functional tasks; therefore, it is the most appropriate tool to use as a measure of intervention
effectiveness. The Fugl-Meyer Assessment is appropriate for cortical strokes and would not be
the most appropriate for a cerebellar stroke. It is not as comprehensive in balance tasks as the
Berg Balance Scale. The Barthel Index is a more global instrument and is not as focused on
functional balance as the Berg Balance Scale.
1) A patient in the eighth month of pregnancy has numbness and tingling of the left hand,
except for the little finger (5th digit). She demonstrates edema of the hand and fingers, a
positive Tinel sign at the wrist, and a Good (4/5) muscle test grade of the wrist and finger
flexors. The MOST appropriate intervention is:
1. a wrist splint to position the wrist in full extension.
1|Page
,2. a hot pack followed by tendon gliding exercises.
3. resistive exercises for the wrist and finger flexors.
4. frequent rest and elevation of the left upper extremity.
4
Compression on the median nerve (carpal tunnel syndrome) is occurring, most likely as a
result of swelling associated with the individual being in the eight month of pregnancy. In this
case, rest and elevation would do the most to decrease the edema and relieve the symptoms.
The wrist should not be positioned in full extension. Initial conservative treatment sometimes
includes cock-up splinting to hold the wrist in neutral to 10° of extension, but not full
extension. Although tendon gliding exercises may be used, heat would not be indicated since
it may increase the edema. Resistive exercises for the wrist and fingers may aggravate the
compression in the carpal tunnel.
1) Which of the following locations corresponds to the sensory function of the nerve root
exiting between the third and fourth lumbar vertebrae?
1. Lateral knee joint line
2. Medial knee joint line
3. Plantar aspect of the heel
4. Dorsal web space between the first and second toes
2
The L3 nerve root exits between the third and fourth lumbar vertebrae and supplies sensory
information from the region of the medial knee joint line.
1) An inpatient physical therapy department has only one physical therapist and one physical
therapist assistant on duty, due to staff illness. Treatment of a patient with which of the
following conditions and circumstances is MOST appropriate for the therapist to delegate to the
assistant?
1. Ataxia, who is undergoing a trial to determine an appropriate assistive device
2. Hemiparesis, whose initial evaluation has not been completed
3. Multiple sclerosis, who is receiving gait training with a rolling walker
4. Alzheimer disease, who is easily agitated and is receiving initial gait training
3
2|Page
,A physical therapist would be required to perform the initial evaluation, plan of care,
reevaluations, modifications to the plan of care, and discharge plans for the patient. The
patient who is stable and has an existing program would be the most appropriate patient to
be delegated to the assistant. Therefore, the patient who has multiple sclerosis and who has
an established gait training program would be the most appropriate. The other three patients
are receiving their initial treatments.
1) When considering special tests for orthopedic assessment, selection of a test with adequate
validity is important because the:
1. results of the test can be standardized.
2. test measures what it is supposed to measure.
3. results of the test are reproducible.
4. test can be accurately performed by someone else.
2
Option 2 is the definition of validity. Options 3 and 4 refer to reliability measures. Option 1 is
incorrect because results can be standardized even though they are not valid.
1) A patient who recently had bilateral transtibial amputations wants to have a ramp built to
travel from the back deck of his house to the pool in his wheelchair. The vertical distance from
the door to the ground level is 5 ft (1.5 m). Which of the following ramp specifications is BEST
for the patient?
1. One continuous ramp, 60 ft (18 m) long
2. One continuous ramp, 30 ft (9 m) long
3. Two ramps, each 60 ft (18 m) long, connected by a level area
4. Two ramps, each 30 ft (9 m) long, connected by a level area
4
One continuous ramp that is 60 ft (18 m) long is too long of a run without a level area to rest.
One continuous ramp that is 30 ft (9 m) long is too steep a slope. Two ramps, each 60 ft (18 m)
long, even if connected by a level area, would be unnecessarily long. The rise should not be
greater than 30 in (76 cm) for any one run and should be 1 ft (.3 m) in length per each 1 in (2.5
cm) rise.
1) A physical therapist is developing an exercise program for an older adult to improve routine
health maintenance and fitness. The patient has a history of a right ankle fracture 15 years ago,
3|Page
, aortic aneurysm repair 3 years ago, and open-heart surgery for a valve replacement 6 years ago.
Which of the following activities is CONTRAINDICATED?
1. Aquatic exercise for 30 minutes
2. Cycling at 60% of maximum heart rate
3. Endurance exercise using basic calisthenics
4. Weight lifting at 50% of maximum voluntary contraction
4
Resistive exercise is contraindicated for a patient with a history of aortic aneurysm, even after
surgical repair
1) Which of the following home programs is MOST appropriate for a patient with chronic lateral
epicondylitis?
1. Using a forearm cuff to increase loading on the extensor tendons
2. Performing exercises for wrist strength and stretching
3. Administering iontophoresis with dexamethasone (Decadron) and lidocaine (Xylocaine)
4. Doing friction massage of the brachioradialis tendon
2
Lateral epicondylitis is caused by overuse of the wrist extensors that originate on the lateral
epicondyle of the humerus, especially the extensor carpi radialis brevis. If the lateral
epicondylitis is at a chronic stage, conditioning of the extensor muscles and sustained grip
activities will be most effective in long-term management. A forearm cuff is thought to
decrease the muscle loading. Iontophoresis would not be appropriate for a home program.
Friction massage of the brachioradialis would not be appropriate since the extensor carpi
radialis brevis muscle is usually the one affected.
1) A patient is receiving mechanical intermittent cervical traction with an on/off duty cycle of 20
seconds/10 seconds. The patient reports increased pain each time the traction unit cycles on,
which then subsides over the duration of the on time. Which of the following modifications to
the duty cycle is MOST appropriate?
1. Increase the off time to 20 seconds.
2. Increase the on time to 25 seconds.
3. Decrease the off time to 5 seconds.
4. Decrease the on time to 15 seconds.
4|Page
