Fundamental Orthopedic Management for the Physical Therapist Assistant
Robert C. Manske
5th Edition
Chapters 1-29 (Questions with Rationalized Answers)
,Table of Contents
PART I: BASIC CONCEPTS OF ORTHOPEDIC MANAGEMENT
1. Patient Supervision and Observation During Treatment
2. The Role of the Physical Therapist Assistant in Physical Assessment
3. Differential Diagnosis and Emergent Conditions
4. Muscle Flexibility and Range of Motion
5. Muscle Strength
6. Endurance
7. Balance and Coordination
PART II: REVIEW OF TISSUE HEALING
8. Composition and Function of Connective Tissue
9. Ligament Healing
10. Bone Healing
11. Cartilage Healing
12. Muscle and Tendon Healing
13. Neurovascular Healing and Thromboembolic Disease
PART III: BASIS FOR MOVEMENT
14. Fundamentals of Normal and Abnormal Gait
15. Concepts of Joint and Soft Tissue Mobilization
16. Biomechanics and Kinesiology
PART IV: MANAGEMENT OF ORTHOPEDIC PATIENTS BY REGION
17. Orthopedic Management of the Ankle, Foot, and Toes
18. Orthopedic Management of the Knee
19. Orthopedic Management of the Hip and Pelvis
20. Orthopedic Management of the Lumbar, Thoracic, and Cervical Spine
21. Orthopedic Management of the Shoulder
22. Orthopedic Management of the Elbow
23. Orthopedic Management of the Wrist and Hand
PART V: MANAGEMENT OF ORTHOPEDIC PATIENTS BY CONDITION
24. Orthopedic Management of Rheumatic Disorders
25. Orthopedic Management of Pain and Pain Syndromes
26. Orthopedic Management of Orthotics and Prosthetics
27. Musculoskeletal-Related Dysfunctions of the Pelvic Floor
PART VI: TOPICS IN ORTHOPEDICS
28. Concepts of Orthopedic Pharmacology
29. Imaging for the Physical Therapist Assistant
, 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.