FUNDAMENTAL ORTHOPEDIC MANAGEMENT for the Physical Therapist
Assistant 4th edition by Robert C. Manske COMPLETE GUIGE 2025
,Chapter 01: Patient Supervision and Observation During Treatment
MULTIPLE CHOICE
1. Who is responsible for carrying out prescribed selected interventions, patient supervision, data
collection, and appropriate supervision of a patient during physical therapy?
a. Physical therapist (PT)
b. Physical therapist assistant (PTA)
c. Nursing assistant
d. Medical doctor
ANS: B
The PTA is responsible for carrying out prescribed selected interventions, patient supervision,
data collection skills, and appropriate problem-solving and clinical decision making.
REF: P. 3
2. Which of the following is NOT a purpose of the clinical patient supervision process?
a. To gather relevant information and data
b. To establish and enhance rapport, trust, and confidence
c. To prescribe interventions the patient requires
d. To assist in the management of the patient
ANS: C
PTAs do not prescribe interventions for the patient. The PTA observes, documents, and
discusses patient observations with the PT.
REF: P. 4
3. Select the open-ended question.
a. What is your pain level today on a scale of 1-10?
b. When did the pain begin?
c. Tell me about the time that you injured knee.
d. When did you take your last pain medication?
ANS: C
The open-ended question leads the patient to say more than yes or no. Open-ended questions
provide much richer details about the incident or experience.
REF: P. 6
4. Which of the following statements is true regarding the working environment of PTAs?
a. PTAs work in isolation with their patient assignments.
b. PTAs work with a team of experts in all areas of a patient’s care.
c. PTAs work only with the PT in providing therapy.
d. PTAs are the most important people on the rehabilitation team when providing
therapy.
ANS: B
, The PTA must be aware of the key members of the rehabilitation team. Occupational
therapists, PTs, nurses, respiratory therapists, psychologists, and audiologists are only a few of
the important members of the rehabilitation team. The PTA does not work in isolation.
REF: P. 4
5. Which of the following statements would be used in a discussion with a patient?
a. Your blood pressure is 150/90, which indicates hypertension and could lead to a
cerebral vascular accident if you don’t take your medications.
b. Your blood pressure is higher than normal today, 150/90. Did you take your blood
pressure medication this morning?
c. The doctor prescribed a beta-blocker for you a month ago. Has that been helping
your blood pressure?
d. The combination of your calcium-channel blocker and beta-blocker do not seem to
be controlling your blood pressure. Let’s call the doctor.
ANS: B
The PTA should learn to communicate openly, freely, and in a professional manner. The PTA
must employ appropriate and professional medical terminology with professional people—but
use familiar (lay) terms to describe the same condition to a patient or a family member.
Avoiding the use of medical jargon (hypertension, beta-blocker, calcium-channel blocker)
with patients is required by PTAs.
REF: P. 4
6. How can a PTA demonstrate accountability in their practice?
a. Maintain timely documentation about patient interventions.
b. Maintain good rapport with patients.
c. Continue their education past their initial degree.
d. Report all findings to the supervising PT so that modifications can be made in
response to changes in patient status.
ANS: D
PTAs are responsible for reporting all findings to the supervising PT so that modifications can
be made in accordance with changes in patient status.
REF: P. 6
7. Which type of questioning would you use to find facts or obtain specific responses from a
patient about an injury to a limb or joint?
a. Open-ended questions
b. Closed-ended questions
c. A pause
d. Neutral phrase
ANS: B
Figure 1-1. Closed-ended questions are used to find out specific details, direct the discussion,
or elicit specific responses from the patient.
REF: P. 8
8. Which sof sthe sfollowing sis san sexample sof sprompting sduring sa sphysical stherapy ssession?
, a. “When syou swalk sup sthe ssteps, swhich sfoot swill syou smove sfirst?”
b. “All sright, snow spick sup syour sright sfoot sand sput sit son sthe snext sstep.”
c. Point sto sthe sstep sand stouch sthe spatient’s sright sleg.
d. Observe sthe sbehavior sof sthe spatient sto ssee sif sthey swill slift sup sthe scorrect sfoot
swhile swalking sup sthe ssteps.
ANS: s A
Prompting sa spatient sto sperform sa stask scan sbe sviewed sas sthe spresentation sof sa squestion.
sPrompting sallows spatients sto sdecipher sinformation, ssolve sproblems, sand sprovide ssolutions
sto sactivities sthey smust sovercome sduring srecovery. sCues sare sdirections.
REF: s P. s9
9. Who sholds sthe sultimate sresponsibility sfor sthe spatient’s sphysical stherapy?
a. PTA
b. Medical sdoctor
c. Nurse
d. PT
ANS: s D
To sminimize sthe sconfusing sarray sof streatment sprotocols, sthe sPTA smust seffectively sand
sefficiently scommunicate swith sthe ssupervising sPT sto sclarify sdifferences sin spatient scare,
salways sremembering sthat sthe sPT shas sthe sultimate sresponsibility sfor sthe sinterventions
sprovided.
REF: s P. s10
10. Which sof sthe sfollowing sactions sshould syou stake sif syou shave sa sdisagreement swith sthe sPT?
a. Refuse sto sprovide sthe streatment sor sintervention son sthe sPT’s splan sof scare.
b. Change sthe streatment sfor sthe sday sand sthen sreport sto sthe sPT swhat swas sdone
sat sthe send sof sthe sday.
c. Follow sthe splan sof scare sno smatter swhat schanges sare sobserved sin sthe
spatient sand sdocument slater.
d. Discuss syour sfindings sand srationale swith sthe sPT sto slearn sand sprovide sbetter scare.
ANS: s D
A sfull sunderstanding sof sthe srationale sand spurpose sof sPT sinterventions sallows sfor simproved
sdelivery sof scare sand ssafe sand seffective scare. sPTAs scannot schange sthe splan sof scare sby
sthemselves.
REF: s P. s10
11. What stype sof sbehavior sis sthe sPTA susing sin sthe sfollowing sexample?
The sPTA squickly sagrees sto sthe spatient’s srequest sto sslow sdown sand sstop sthe streatment sfor
sthe sday sinstead sof sdiscussing sthe spurpose sand sbenefits sof sthe streatment.
a. Dominance
b. Submission
c. Hostility
d. Warmth
ANS: s B
Assistant 4th edition by Robert C. Manske COMPLETE GUIGE 2025
,Chapter 01: Patient Supervision and Observation During Treatment
MULTIPLE CHOICE
1. Who is responsible for carrying out prescribed selected interventions, patient supervision, data
collection, and appropriate supervision of a patient during physical therapy?
a. Physical therapist (PT)
b. Physical therapist assistant (PTA)
c. Nursing assistant
d. Medical doctor
ANS: B
The PTA is responsible for carrying out prescribed selected interventions, patient supervision,
data collection skills, and appropriate problem-solving and clinical decision making.
REF: P. 3
2. Which of the following is NOT a purpose of the clinical patient supervision process?
a. To gather relevant information and data
b. To establish and enhance rapport, trust, and confidence
c. To prescribe interventions the patient requires
d. To assist in the management of the patient
ANS: C
PTAs do not prescribe interventions for the patient. The PTA observes, documents, and
discusses patient observations with the PT.
REF: P. 4
3. Select the open-ended question.
a. What is your pain level today on a scale of 1-10?
b. When did the pain begin?
c. Tell me about the time that you injured knee.
d. When did you take your last pain medication?
ANS: C
The open-ended question leads the patient to say more than yes or no. Open-ended questions
provide much richer details about the incident or experience.
REF: P. 6
4. Which of the following statements is true regarding the working environment of PTAs?
a. PTAs work in isolation with their patient assignments.
b. PTAs work with a team of experts in all areas of a patient’s care.
c. PTAs work only with the PT in providing therapy.
d. PTAs are the most important people on the rehabilitation team when providing
therapy.
ANS: B
, The PTA must be aware of the key members of the rehabilitation team. Occupational
therapists, PTs, nurses, respiratory therapists, psychologists, and audiologists are only a few of
the important members of the rehabilitation team. The PTA does not work in isolation.
REF: P. 4
5. Which of the following statements would be used in a discussion with a patient?
a. Your blood pressure is 150/90, which indicates hypertension and could lead to a
cerebral vascular accident if you don’t take your medications.
b. Your blood pressure is higher than normal today, 150/90. Did you take your blood
pressure medication this morning?
c. The doctor prescribed a beta-blocker for you a month ago. Has that been helping
your blood pressure?
d. The combination of your calcium-channel blocker and beta-blocker do not seem to
be controlling your blood pressure. Let’s call the doctor.
ANS: B
The PTA should learn to communicate openly, freely, and in a professional manner. The PTA
must employ appropriate and professional medical terminology with professional people—but
use familiar (lay) terms to describe the same condition to a patient or a family member.
Avoiding the use of medical jargon (hypertension, beta-blocker, calcium-channel blocker)
with patients is required by PTAs.
REF: P. 4
6. How can a PTA demonstrate accountability in their practice?
a. Maintain timely documentation about patient interventions.
b. Maintain good rapport with patients.
c. Continue their education past their initial degree.
d. Report all findings to the supervising PT so that modifications can be made in
response to changes in patient status.
ANS: D
PTAs are responsible for reporting all findings to the supervising PT so that modifications can
be made in accordance with changes in patient status.
REF: P. 6
7. Which type of questioning would you use to find facts or obtain specific responses from a
patient about an injury to a limb or joint?
a. Open-ended questions
b. Closed-ended questions
c. A pause
d. Neutral phrase
ANS: B
Figure 1-1. Closed-ended questions are used to find out specific details, direct the discussion,
or elicit specific responses from the patient.
REF: P. 8
8. Which sof sthe sfollowing sis san sexample sof sprompting sduring sa sphysical stherapy ssession?
, a. “When syou swalk sup sthe ssteps, swhich sfoot swill syou smove sfirst?”
b. “All sright, snow spick sup syour sright sfoot sand sput sit son sthe snext sstep.”
c. Point sto sthe sstep sand stouch sthe spatient’s sright sleg.
d. Observe sthe sbehavior sof sthe spatient sto ssee sif sthey swill slift sup sthe scorrect sfoot
swhile swalking sup sthe ssteps.
ANS: s A
Prompting sa spatient sto sperform sa stask scan sbe sviewed sas sthe spresentation sof sa squestion.
sPrompting sallows spatients sto sdecipher sinformation, ssolve sproblems, sand sprovide ssolutions
sto sactivities sthey smust sovercome sduring srecovery. sCues sare sdirections.
REF: s P. s9
9. Who sholds sthe sultimate sresponsibility sfor sthe spatient’s sphysical stherapy?
a. PTA
b. Medical sdoctor
c. Nurse
d. PT
ANS: s D
To sminimize sthe sconfusing sarray sof streatment sprotocols, sthe sPTA smust seffectively sand
sefficiently scommunicate swith sthe ssupervising sPT sto sclarify sdifferences sin spatient scare,
salways sremembering sthat sthe sPT shas sthe sultimate sresponsibility sfor sthe sinterventions
sprovided.
REF: s P. s10
10. Which sof sthe sfollowing sactions sshould syou stake sif syou shave sa sdisagreement swith sthe sPT?
a. Refuse sto sprovide sthe streatment sor sintervention son sthe sPT’s splan sof scare.
b. Change sthe streatment sfor sthe sday sand sthen sreport sto sthe sPT swhat swas sdone
sat sthe send sof sthe sday.
c. Follow sthe splan sof scare sno smatter swhat schanges sare sobserved sin sthe
spatient sand sdocument slater.
d. Discuss syour sfindings sand srationale swith sthe sPT sto slearn sand sprovide sbetter scare.
ANS: s D
A sfull sunderstanding sof sthe srationale sand spurpose sof sPT sinterventions sallows sfor simproved
sdelivery sof scare sand ssafe sand seffective scare. sPTAs scannot schange sthe splan sof scare sby
sthemselves.
REF: s P. s10
11. What stype sof sbehavior sis sthe sPTA susing sin sthe sfollowing sexample?
The sPTA squickly sagrees sto sthe spatient’s srequest sto sslow sdown sand sstop sthe streatment sfor
sthe sday sinstead sof sdiscussing sthe spurpose sand sbenefits sof sthe streatment.
a. Dominance
b. Submission
c. Hostility
d. Warmth
ANS: s B
