PEAT 4 Exam Questions and Guide Answers
100% Verified Graded A+
1. 1) A patient is performing a Phase I (inpatient) cardiac rehabilitation exercise
session. The physical therapist should terminate low-level activity if which of
the following changes occurs?
1. The diastolic blood pressure increases to 120 mm Hg.
2. The respiratory rate increases to 20 breaths per minute.
3. The systolic blood pressure increases by 20 mm Hg.
4. The heart rate increases by 20 bpm.
Answer: 1
During Phase I (inpatient) cardiac rehabilitation, vital sign parameters with activity that warrant termination are: diastolic
blood pressure of 110 mm Hg or greater, systolic blood pressure above 210 mm Hg or an increase greater than 20 mm Hg
from resting, and a heart rate that increases beyond 20 bpm above resting. The normal resting respiratory rate can range
from 12 to 20 breaths per minute in adults, so an increase to 20 breaths per minute with low-level activity would not be a
,reason to terminate the activity.
2. 1) A patient is being evaluated for possible carpal tunnel syndrome, and a
nerve conduction velocity test is performed. Which of the following findings
would MOST strongly support the diagnosis?
1. Decreased latency at the elbow.
2. Decreased latency at the carpal tunnel.
3. Increased latency at the carpal tunnel.
4. Increased latency at the forearm.
Answer: 3
Nerve conduction above and below the local nerve compression is usually normal. Latency is typically increased, not
decreased, across the carpal tunnel compression site. Nerve conduction above and below the local nerve compression is
usually normal.
3. 1) When examining a patient with a history of alcohol abuse, a physical ther-
apist notes that the patient demonstrates fine resting tremors and hyperactive
reflexes. The patient reports frequent right upper quadrant pain. Which of the
following additional signs is MOST likely?
,1. Jaundice
2. Hyperhidrosis
3. Hypotension
4. Nocturnal cough
Answer: 1
With a history of alcohol abuse and the presence of fine resting tremors and right upper quadrant pain, the patient is
presenting a history and signs and symptoms consistent with liver disease. Jaundice is a skin change associated with
disease of the hepatic system. Hyperhidrosis can be present with endocrine disorders but is not associated with liver
disease. Hypotension is not listed as a sign of liver disorders. A nocturnal cough can be associated with rheumatic fever, but
is not characteristic of liver disease.
4. 1) Which of the following examination findings would be expected in a patient
who also had sustained ankle clonus?
1. An upgoing great toe when the sole of the foot is stroked
2. Weakness of ankle plantar flexors with one-repetition strength testing
3. Absence of sensation to sharp/dull testing over the posterior lower leg
, 4. Hyporeflexia when deep tendon reflexes are elicited in the lower leg
Answer: 2
The C7 nerve root supplies sensation in the dorsal middle finger.
5. 1) Which of the following sensory testing locations corresponds to the C7
nerve root?
1. Volar aspect of the little finger (5th digit)
2. Dorsal aspect of the middle finger (3rd digit)
3. Lateral aspect of the upper arm
4. Medial aspect of the upper arm
Answer: 1
Sustained ankle clonus indicates a central nervous system dysfunction, as does the presence of a Babinski sign (that is, an
upgoing great toe with stroking of the plantar foot). The other options are associated with lower motor neuron
problems.
100% Verified Graded A+
1. 1) A patient is performing a Phase I (inpatient) cardiac rehabilitation exercise
session. The physical therapist should terminate low-level activity if which of
the following changes occurs?
1. The diastolic blood pressure increases to 120 mm Hg.
2. The respiratory rate increases to 20 breaths per minute.
3. The systolic blood pressure increases by 20 mm Hg.
4. The heart rate increases by 20 bpm.
Answer: 1
During Phase I (inpatient) cardiac rehabilitation, vital sign parameters with activity that warrant termination are: diastolic
blood pressure of 110 mm Hg or greater, systolic blood pressure above 210 mm Hg or an increase greater than 20 mm Hg
from resting, and a heart rate that increases beyond 20 bpm above resting. The normal resting respiratory rate can range
from 12 to 20 breaths per minute in adults, so an increase to 20 breaths per minute with low-level activity would not be a
,reason to terminate the activity.
2. 1) A patient is being evaluated for possible carpal tunnel syndrome, and a
nerve conduction velocity test is performed. Which of the following findings
would MOST strongly support the diagnosis?
1. Decreased latency at the elbow.
2. Decreased latency at the carpal tunnel.
3. Increased latency at the carpal tunnel.
4. Increased latency at the forearm.
Answer: 3
Nerve conduction above and below the local nerve compression is usually normal. Latency is typically increased, not
decreased, across the carpal tunnel compression site. Nerve conduction above and below the local nerve compression is
usually normal.
3. 1) When examining a patient with a history of alcohol abuse, a physical ther-
apist notes that the patient demonstrates fine resting tremors and hyperactive
reflexes. The patient reports frequent right upper quadrant pain. Which of the
following additional signs is MOST likely?
,1. Jaundice
2. Hyperhidrosis
3. Hypotension
4. Nocturnal cough
Answer: 1
With a history of alcohol abuse and the presence of fine resting tremors and right upper quadrant pain, the patient is
presenting a history and signs and symptoms consistent with liver disease. Jaundice is a skin change associated with
disease of the hepatic system. Hyperhidrosis can be present with endocrine disorders but is not associated with liver
disease. Hypotension is not listed as a sign of liver disorders. A nocturnal cough can be associated with rheumatic fever, but
is not characteristic of liver disease.
4. 1) Which of the following examination findings would be expected in a patient
who also had sustained ankle clonus?
1. An upgoing great toe when the sole of the foot is stroked
2. Weakness of ankle plantar flexors with one-repetition strength testing
3. Absence of sensation to sharp/dull testing over the posterior lower leg
, 4. Hyporeflexia when deep tendon reflexes are elicited in the lower leg
Answer: 2
The C7 nerve root supplies sensation in the dorsal middle finger.
5. 1) Which of the following sensory testing locations corresponds to the C7
nerve root?
1. Volar aspect of the little finger (5th digit)
2. Dorsal aspect of the middle finger (3rd digit)
3. Lateral aspect of the upper arm
4. Medial aspect of the upper arm
Answer: 1
Sustained ankle clonus indicates a central nervous system dysfunction, as does the presence of a Babinski sign (that is, an
upgoing great toe with stroking of the plantar foot). The other options are associated with lower motor neuron
problems.
