Test Bank for Physical Rehabilitation 7th Edition by Susan B. O'Sullivan
TEST BANK
for Physical Rehabilitation 7th
Edition by Susan B. O'Sullivan
, Test Bank for Physical Rehabilitation 7th Edition by Susan B. O'Sullivan
Chapter 1: Clinical Decision Making
Multiple Choice
1. What is the MOST appropriate classification of patient impairments that are the
result of inactivity and expanding multisystem dysfunction following a stroke?
a. Direct impairments
b. Indirect impairments
c. Composite impairments
d. Comprehensive impairments
2. Which one of the following statements BEST describes the difference between
measurement and diagnosis?
a. Measurement describes phenomena in terms that can be analyzed numerically, whereas
diagnosis is the process that labels patients and classifies their illnesses, leading to the
determination of prognoses.
b. Diagnosis describes phenomena in terms that can be analyzed numerically, whereas
measurement is the process that labels patients and classifies their illnesses, leading to the
determination of prognoses.
c. Diagnosis and measurement are part of the same process, and the terms can be used
interchangeably.
d. Measurement requires the use of SOAP notes, whereas diagnosis is facilitated exclusively
through the physical therapy guide.
3. Which one of the following BEST describes the FIRST step that a physical therapist
should take when integrating best evidence into clinical practice?
a. Identify current best evidence on the most successful interventions for the
patient’s diagnosis.
b. Mine the available data and critically appraise the evidence for its validity,
level of evidence, and applicability.
c. Integrate the best evidence into clinical decision making after discussing it
with the patient.
d. Identify a clinically relevant question that is important for the patient.
4. Which of the following questions is designed to assess capacity for functional activities
and participation when interviewing a patient who suffered a stroke?
a. How much of a problem do you have in walking long distances?
b. Is the problem of walking made worse or better by use of an assistive device?
c. How much difficulty do you have walking a quarter of a mile?
d. How much of a problem do you have going up and down stairs?
5. Which one of the following disability standardized instruments is MOST specific for a
patient recovering from a stroke?
a. Functional Independence Measure
b. Fugl-Meyer Assessment of Physical Performance
c. Short Form-36
d. Berg Balance Scale
6. If a clinical diagnostic test for patients with cervical radiculopathy is positive in
95% of patients who truly have the disease, but it is also positive in a large number
of healthy individuals, what is this test most useful for?
a. Ruling out cervical radiculopathy
b. Ruling in cervical radiculopathy
c. Neither ruling in nor ruling out cervical radiculopathy
d. Both ruling in and ruling out cervical
radiculopathy
, Test Bank for Physical Rehabilitation 7th Edition by Susan B. O'Sullivan
Chapter 1: Clinical Decision Making
Answer Section
MULTIPLE CHOICE
1. ANS: B
Explanation: These impairments are best classified as indirect impairments because they result
from inactivity and expanding multisystem dysfunction.
PTS: 1 REF: From: Chapter 1 TOP: Content:
Examination 2. ANS: A
Explanation: Measurement describes phenomena in terms that can be analyzed numerically,
whereas diagnosis is the process that labels patients and classifies their illnesses, leading to the
determination of prognoses. The test-taker will need to know and understand the differences
between the two concepts.
PTS: 1 REF: From: Chapter 1 TOP: Content:
Examination 3. ANS: D
Explanation: The importance of starting with a clinically relevant question that integrates
patient values is commonly overlooked, even though it is necessary for integrating best
evidence into clinical practice.
PTS: 1 REF: From: Chapter 1 TOP: Content:
Examination 4. ANS: C
Explanation: Asking whether the individual has difficulty walking a quarter of a mile is both
specific to capacity and quantifiable.
PTS: 1 REF: From: Chapter 1 TOP: Content:
Examination 5. ANS: B
Explanation: The test-taker needs to know that the Fugl-Meyer scale is specific to stroke,
whereas the other instruments are used in a variety of diagnoses.
PTS: 1 REF: From: Chapter 1 TOP: Content:
Examination 6. ANS: A
Explanation: The test-taker will need to understand the concepts of sensitivity and specificity
and understand their clinical utility in this example. This test is highly sensitive but has low
specificity; thus, it is more useful for ruling out the disease.
PTS: 1 REF: From: Chapter 1 TOP: Content: Examination
, Test Bank for Physical Rehabilitation 7th Edition by Susan B. O'Sullivan
Chapter 2: Examination of Vital Signs
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. In which location of the cardiovascular system is the highest concentration of
baroreceptors?
a. The aorta and carotid veins
b. The aorta and supraclavicular arteries
c. The aorta and carotid arteries
d. The aorta and femoral arteries
2. Which one of the following positions is recommended for obtaining consistent blood
pressure measurements?
a. Sitting with the arm in a horizontal, supported position at heart level
b. Supine position with arm resting comfortably on the chest
c. Sitting on the couch with arm resting comfortably by the side
d. Standing with arm by side and cuff positioned at heart level
3. Which one of the following population groups should be consistently tested for
underlying hypertension because of its higher incidence?
a. Caucasians
b. African Americans
c. Asians
d. Males over the age of 64
4. When are the Korotkoff’s sounds audible while measuring blood
pressure?
a. Upon full inflation of the cuff
b. Upon placement of the stethoscope over the artery
c. Upon beginning to lower the pressure of the inflated cuff
d. During the diastolic phase of the reading
5. A 67-year-old female smoker with a family history of high blood pressure and heart disease
presents with acute onset neck pain, headache, and a blood pressure of 175/100 mm Hg. What
should the physical therapist do FIRST?
a. Refer the patient for assessment by a physician.
b. Assume that this is a “white coat” effect and continue with the usual examination.
c. Continue the examination but modify the order and extent of the tests.
d. Modify the examination to avoid manual therapy and offer simple exercises.
6. Upon taking the popliteal blood pressure of a patient with unilateral distal limb pain, the physical
therapist notes that the popliteal pulse is easily palpable (compared to the nonsymptomatic side)
and that the blood pressure is 95/65 mm Hg (upper limb reading 145/90 mm Hg). Which one of
the following pathologies should be ruled out before proceeding with the rest of the physical
examination?
a. Deep venous
thrombosis b. Restless
leg syndrome
c. Popliteal aneurysm
d. Femoral artery occlusion
TEST BANK
for Physical Rehabilitation 7th
Edition by Susan B. O'Sullivan
, Test Bank for Physical Rehabilitation 7th Edition by Susan B. O'Sullivan
Chapter 1: Clinical Decision Making
Multiple Choice
1. What is the MOST appropriate classification of patient impairments that are the
result of inactivity and expanding multisystem dysfunction following a stroke?
a. Direct impairments
b. Indirect impairments
c. Composite impairments
d. Comprehensive impairments
2. Which one of the following statements BEST describes the difference between
measurement and diagnosis?
a. Measurement describes phenomena in terms that can be analyzed numerically, whereas
diagnosis is the process that labels patients and classifies their illnesses, leading to the
determination of prognoses.
b. Diagnosis describes phenomena in terms that can be analyzed numerically, whereas
measurement is the process that labels patients and classifies their illnesses, leading to the
determination of prognoses.
c. Diagnosis and measurement are part of the same process, and the terms can be used
interchangeably.
d. Measurement requires the use of SOAP notes, whereas diagnosis is facilitated exclusively
through the physical therapy guide.
3. Which one of the following BEST describes the FIRST step that a physical therapist
should take when integrating best evidence into clinical practice?
a. Identify current best evidence on the most successful interventions for the
patient’s diagnosis.
b. Mine the available data and critically appraise the evidence for its validity,
level of evidence, and applicability.
c. Integrate the best evidence into clinical decision making after discussing it
with the patient.
d. Identify a clinically relevant question that is important for the patient.
4. Which of the following questions is designed to assess capacity for functional activities
and participation when interviewing a patient who suffered a stroke?
a. How much of a problem do you have in walking long distances?
b. Is the problem of walking made worse or better by use of an assistive device?
c. How much difficulty do you have walking a quarter of a mile?
d. How much of a problem do you have going up and down stairs?
5. Which one of the following disability standardized instruments is MOST specific for a
patient recovering from a stroke?
a. Functional Independence Measure
b. Fugl-Meyer Assessment of Physical Performance
c. Short Form-36
d. Berg Balance Scale
6. If a clinical diagnostic test for patients with cervical radiculopathy is positive in
95% of patients who truly have the disease, but it is also positive in a large number
of healthy individuals, what is this test most useful for?
a. Ruling out cervical radiculopathy
b. Ruling in cervical radiculopathy
c. Neither ruling in nor ruling out cervical radiculopathy
d. Both ruling in and ruling out cervical
radiculopathy
, Test Bank for Physical Rehabilitation 7th Edition by Susan B. O'Sullivan
Chapter 1: Clinical Decision Making
Answer Section
MULTIPLE CHOICE
1. ANS: B
Explanation: These impairments are best classified as indirect impairments because they result
from inactivity and expanding multisystem dysfunction.
PTS: 1 REF: From: Chapter 1 TOP: Content:
Examination 2. ANS: A
Explanation: Measurement describes phenomena in terms that can be analyzed numerically,
whereas diagnosis is the process that labels patients and classifies their illnesses, leading to the
determination of prognoses. The test-taker will need to know and understand the differences
between the two concepts.
PTS: 1 REF: From: Chapter 1 TOP: Content:
Examination 3. ANS: D
Explanation: The importance of starting with a clinically relevant question that integrates
patient values is commonly overlooked, even though it is necessary for integrating best
evidence into clinical practice.
PTS: 1 REF: From: Chapter 1 TOP: Content:
Examination 4. ANS: C
Explanation: Asking whether the individual has difficulty walking a quarter of a mile is both
specific to capacity and quantifiable.
PTS: 1 REF: From: Chapter 1 TOP: Content:
Examination 5. ANS: B
Explanation: The test-taker needs to know that the Fugl-Meyer scale is specific to stroke,
whereas the other instruments are used in a variety of diagnoses.
PTS: 1 REF: From: Chapter 1 TOP: Content:
Examination 6. ANS: A
Explanation: The test-taker will need to understand the concepts of sensitivity and specificity
and understand their clinical utility in this example. This test is highly sensitive but has low
specificity; thus, it is more useful for ruling out the disease.
PTS: 1 REF: From: Chapter 1 TOP: Content: Examination
, Test Bank for Physical Rehabilitation 7th Edition by Susan B. O'Sullivan
Chapter 2: Examination of Vital Signs
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. In which location of the cardiovascular system is the highest concentration of
baroreceptors?
a. The aorta and carotid veins
b. The aorta and supraclavicular arteries
c. The aorta and carotid arteries
d. The aorta and femoral arteries
2. Which one of the following positions is recommended for obtaining consistent blood
pressure measurements?
a. Sitting with the arm in a horizontal, supported position at heart level
b. Supine position with arm resting comfortably on the chest
c. Sitting on the couch with arm resting comfortably by the side
d. Standing with arm by side and cuff positioned at heart level
3. Which one of the following population groups should be consistently tested for
underlying hypertension because of its higher incidence?
a. Caucasians
b. African Americans
c. Asians
d. Males over the age of 64
4. When are the Korotkoff’s sounds audible while measuring blood
pressure?
a. Upon full inflation of the cuff
b. Upon placement of the stethoscope over the artery
c. Upon beginning to lower the pressure of the inflated cuff
d. During the diastolic phase of the reading
5. A 67-year-old female smoker with a family history of high blood pressure and heart disease
presents with acute onset neck pain, headache, and a blood pressure of 175/100 mm Hg. What
should the physical therapist do FIRST?
a. Refer the patient for assessment by a physician.
b. Assume that this is a “white coat” effect and continue with the usual examination.
c. Continue the examination but modify the order and extent of the tests.
d. Modify the examination to avoid manual therapy and offer simple exercises.
6. Upon taking the popliteal blood pressure of a patient with unilateral distal limb pain, the physical
therapist notes that the popliteal pulse is easily palpable (compared to the nonsymptomatic side)
and that the blood pressure is 95/65 mm Hg (upper limb reading 145/90 mm Hg). Which one of
the following pathologies should be ruled out before proceeding with the rest of the physical
examination?
a. Deep venous
thrombosis b. Restless
leg syndrome
c. Popliteal aneurysm
d. Femoral artery occlusion
