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1. In splinting or immobilization, the functional position of the hand includes
wrist:
A. extension, phalangeal flexion, and thumb abduction
B. extension, phalangeal extension and thumb abduction
C. extension, phalangeal flexion and thumb adduction
D. flexion, phalangeal flexion and thumb adduction ---------CORRECT ANSWER------
-----------A. The functional position of the wrist and hand describes the position
from which the optimal function is most likely to occur. This position is
described as
a) slight wrist extension
b) slight ulnar deviationc) fingers flexed at the MCP, PIP & DIP joints and d)
thumb slightly abducted.
2. During pregnancy, which of the following is contraindicated?
A. curl-ups
B. bridging
C. double leg lifts
D. deep breathing with forced expiration ---------CORRECT ANSWER-----------------C.
During pregnancy and postpartum period, the stretched abdominal muscles are
,unable to stabilize the lower back, as the legs are raised. Attempting to perform
double leg lifts can overwork the abdominal muscle and cause damage to the
spinal joints.
3. A target heart rate is determined for individual entering a training program in
order to:
A. regulate exercise intensity
B. estimate energy expenditure
C. control blood pressure and specific heart rate
D. ensure participants exercise at maximal capacity ---------CORRECT ANSWER------
-----------A. Exercise intensity can be expressed as O2 uptake during
activity. HR and O2 uptake have a relatively lower linear
relationship. Therefore, utilizing a target HR will ensure that the appropriate
exercise intensity is being achieved. Estimation of energy expenditure requires
measurement of O2 consumption that is then calculated into calories
metabolized during the activity. BP cannot be controlled at specific HR.
Exercising at maximal capacity does not achieve aerobic training benefits and is
unsafe for the majority of patient population.
4. A herniated nucleus pulposus at the L3-L4 disc produces which of the following
clinical findings?
A. Numbness in the back of the calf and dorsiflexor weakness
B. Numbness in the anteromedial thigh and knee and
quadriceps weakness
C. Numbness and weakness in the thigh, legs, feet and/or perineum
,D. Numbness in the back of the calf and atrophy of
gastrocnemius and soleus ---------CORRECT ANSWER-----------------B. Pressure on
the L3 L4 root causes numbness in the anteromedial thigh and knee and quads
weakness. Numbness in the back of the calf and dorsiflexor weakness is
indicative of L4, L5 and S1 nerve root involvement. Numbness and weakness in
the thighs, legs and feet and perineum is indicative of L2 through S1 nerve root
involvement. Numbness in theback of the calf and atrophy of gastrocsoleus is
indicative of the S1 nerve root involvement.
5. The intervention for a patient with limitation of shoulder flexion and medial
rotation includes mobilization. Which glide is the-most appropriate for mobilizing
this shoulder to specifically increase the restricted motion?
A. Posterior
B. Anterior
C. Medial
D. Lateral ---------CORRECT ANSWER-----------------A. The most appropriate
mobilization technique for increasing both shoulder flexion and medial rotation
would be posterior (dorsal) glide. Lateral glide may be used as a general joint
distraction technique. Medial glide would not be appropriate to increase flexion
and medial rotation. Anterior glide is used to increase extension and lateral
rotation.
6. Which of the following techniques is MOST appropriate for a patient with low
postural tone?
A. Slow regular rocking while sitting on the treatment bolster
B. Continuous pressure to the skin overlying the back muscle
C. Low frequency vibration to the back muscle
, D. Joint approximation applied through the shoulder to the
trunk ---------CORRECT ANSWER-----------------D. Options A, B & C are techniques
used to decrease postural tone, which is not indicated for this patient. Option D
is the most appropriate technique for improving low postural tone.
7. Which skin change associated with aging has the GREATEST effect on wound
healing?
A. Reduction in sensation
B. Decrease elasticity of the skin
C. Decrease epidermal proliferation
D. Change in pigmentation ---------CORRECT ANSWER-----------------C. Wounds heal
via a complex process involving re- epithelialization. With advanced aging, the
rate of epidermal proliferation decreases.
8. Which of the following techniques is MOST effective in teaching an IDDM
patient about foot care?
A. Reassure the patient that no infection will occur if the directions are followed,
then demonstrate procedure
B. Tell patient how foot care is performed, then watch patient's performance
C. Watch patient perform foot inspection and caution him that amputation results
from unattended skin problems
D. Have the patient demonstrate a foot inspection, then give feedback on
patient's performance ---------CORRECT ANSWER-----------------D. Learning the
process of foot care is a psychomotor skill and effective strategies to teach
psychomotor skills include repeat demonstration by the patient of the skill
followed by feedback from the therapist to highlight what was performed