PEAT-3 Practice (200) Questions and Answer Key 2024/2025 Complete

PEAT-3 Practice (200) Questions and Answer Key 2024/2025 Complete 1. During pregnancy, which of the following exercises is CONTRAINDICATED? A. Curl-ups B. Bridging C. Double leg lifts D. Deep breathing with forced expiration 2. A target heart rate is determined for individuals entering a training program in order to: A. regulate exercise intensity. B. estimate energy expenditure C. control blood pressure at a specific heart rate. D. ensure that participants exercise at maximal capacity. 3. For a child with Duchenne muscular dystrophy, the MOST appropriate physical therapy goal is: A. prevention of contractures and determination of the best method of mobility B. preservation of strength and muscle tone. C. inhibition of abnormal muscle tone and facilitation of normal movement and postural reactions D. facilitation of normal movement and improvement of strength. 4. Outcomes of a prenatal exercise program would NOT include A. improved body mechanics. B. application of relaxation techniques. C. improved ligamentous flexibility. D. strengthened pelvic-floor musculature 5. A patient has limited ankle dorsiflexion following open reduction and internal fixation of the distal tibia. Radiographs reveal that the fracture is well healed. Treatment with passive mobilization should include: A. posterior glide of the talus on the tibia. B. lateral glide of the calcaneus on the tibia. C. posterior glide of the tibia on the talus. D. anterior glide of the talus on the tibia. 6. A patient who has recently and successfully completed a 12-week program of Phase III cardiac rehabilitation will MOST likely demonstrate a decrease in: A. carbon dioxide elimination in maximal work B. cardiac output in maximal work. C. stroke volume at a given level of submaximal work. D. heart rate at a given level of submaximal work. 7. Redness on the inferior aspect of the patella upon removal of a patellar-tendon-bearing prosthesis indicates that the residual limb: A. is not far enough into the prosthesis, and fewer socks should be worn B. is not far enough into the prosthesis, and additional socks should be worn C. has slipped too far into the prosthesis, and fewer socks should be worn. D. has slipped too far into the prosthesis, and additional socks should be worn 8. A physical therapist is evaluating a patient with an acute lumbar disc protrusion and a right lateral shift of the thoracic spine. Which of the following findings is the BEST indicator that the symptoms will respond positively to physical therapy intervention? A. The pain is referred only into the buttock and not the thigh B. The patient prefers standing and walking to sitting. C. There is a decrease in lumbar lordosis D. Repeated backward bending centralizes the pain 9. A physical therapist evaluates a patient who has lateral epicondylitis. The patient reports a subjective pain rating of 8/10. The patient also reports pain and shows weakness with resisted wrist extension. The therapist decides to use ice massage as an intervention. The MOST appropriate length of time for the ice massage is: A. 10 minutes. B. until the area turns red, and the patient reports a burning sensation C. until the patient reports that the area feels numb D. no longer than 5 minutes. 10. To conduct an experimental study on pain in postsurgical orthopedic patients, a physical therapist randomly assigns patients into 2 groups. One group is treated with transcutaneous electrical nerve stimulation, heat, and exercise; the second receives heat and exercise only. In this experimental design, transcutaneous electrical nerve stimulation is the: A. continuous variable. B. dependent variable C. discrete variable D. independent variable. 11. It is important to perform cool-down exercises immediately following a general aerobic exercise program PRIMARILY in order to prevent: A. venous pooling. B. cardiac arrhythmia. C. decreased body temperature D. muscle tightening. 12. The intervention for a patient who has right sciatic pain caused by piriformis compression should NOT include: A. instruction in mild self-stretching in sitting with the right hip and knee flexed and pressure applied in the medial direction to the distal thigh with the left upper extremity. B. contract-relax exercises to the hip external rotators performed with the patient sidelying on the left and the right hip and knee positioned in 90° of flexion C. active resistive strengthening exercises to the piriformis with the patient prone and the knee flexed. D. application of cold to the area of sciatic nerve irritability. 13. A physical therapist is assigned the planning and implementation of physical therapy service for all members of a community. The therapist’s FIRST step should be to: A. develop a brochure for distribution to the community. B. organize a health fair to provide screening for the community. C. evaluate existing services and community resources. D. initiate contacts in the medical community to establish prescriptive relationships. 14. A patient is referred to physical therapy reporting severe pain in the right hip and groin area, which increases during walking. The patient reports tenderness when the therapist palpates the area over the right greater trochanter. The MOST likely cause of the patient’s signs and symptoms is: A. sacroiliac joint derangement. B. a hip fracture. C. a strain of the adductor longus muscle. D. hip bursitis. 15. When working with neurological patients to ensure that physical therapy services are adequately documented, it is MOST important to record changes in: A. muscle tone. B. functional abilities. C. cognitive status. D. quality of movement. 16. A patient has right hemiparesis resulting from a traumatic brain injury. When assessing motor control in the right lower extremity with the patient standing, the physical therapist finds that the patient cannot extend the hip while flexing the knee or flex the hip while extending the knee. In which of the following functional activities will this problem be MOST apparent? A. Shifting weight while standing B. Walking sideways C. Walking backward D. Moving from a sitting position to a standing position 17. A physical therapist examining wrist-joint play finds restriction in the direction indicated by the arrow. To address the restriction, the therapist should include an intervention to increase which motion of the index finger (2nd digit)? A. Flexion B. Extension C. Abduction D. Rotation 18. In which of the following conditions is a nerve conduction velocity test MOST appropriate? A. Carpal tunnel syndrome B. Cerebrovascular accident C. Myotonia D. Duchenne muscular dystrophy 19. A patient with leukemia has developed thrombocytopenia following a bone-marrow transplant. Which of the following measures are indicative of the status of the thrombocytopenia? A. T4 lymphocyte count B. Red blood cell count C. Platelet count D. White blood cell count 20. For a patient with insulin-dependent diabetes who is completing a cardiovascular fitness program, what change in diabetic management is MOST likely to be instituted as fitness increases? A. Switching to oral rather than injected medication B. Decreasing caloric intake for 2 to 3 hours following exercise sessions C. Decreasing the amount of insulin taken daily D. Increasing the amount of insulin taken daily 21. An elderly patient presents with a sacral pressure ulcer measuring 6 in x 6 in (15 cm x 15 cm). The wound has moderate serous fluid drainage and is loosely covered with necrotic and fibrotic tissue, although there are no indications of infection present. The BEST method of debridement is: A. daily vigorous scrubbing of the wound. B. wet-to-dry dressings with normal saline 2 times/day. C. daily wet-to-dry dressings with 1:1 diluted povidone-iodine (Betadine). D. whirlpool jet agitation 2 times/day. 22. A patient has disuse atrophy of the anterior compartment muscles following cast removal after a fracture of the tibia. The patient has Poor (2/5) strength in the ankle dorsiflexors. Electrical stimulation is to be used to enhance dorsiflexor strength in conjunction with exercise. Initially, which of the following waveform characteristics are MOST appropriate to stimulate the muscles? A. Monophasic pulse with a frequency of 100 pps and an on/off cycle ratio of 3:1 B. Biphasic pulse with a frequency of 30 pps and an on/off cycle ratio of 1:5 C. Direct current waveform with an on/off ratio of 1:1 D. Interferential waveform with a beat frequency of 1 pps 23. A patient is referred to physical therapy with a 20° knee flexion contracture following arthroscopic knee surgery 1 month ago. All of the following interventions are appropriate EXCEPT: A. stretching of the semimembranosus muscle B. strengthening of the vastus medialis. C. inferior gliding of the patella. D. mobility of the posterior capsule of the knee joint. 24. During an evaluation, a patient lacks 10° of passive ankle dorsiflexion. The same degree of limitation is present whether the knee is flexed or extended. The muscle MOST likely contributing to this restriction is the A. gastrocnemius. B. tibialis anterior. C. plantaris. D. soleus. 25. A patient sustained a severe brain stem injury 1 week ago and has demonstrated minimal change since the incident. The patient’s cognitive status is MOST likely to include: A. a decreased level of arousal B. a decreased level of intelligence C. an increased level of agitation D. an increased level of impulsivity 26. To maximize continuity of patient care, the physical therapist should begin discharge planning when the: A. physician refers the patient for discharge B. therapist makes the discharge evaluation of the patient C. discharge planner requests information pertinent to the patient’s discharge status. D. therapist performs the initial evaluation of the patient. 27. A manual muscle test of a patient who sustained a gunshot wound just superior to the elbow joint reveals specific muscle weakness from a partial median nerve injury. The physical therapy intervention for this patient should include strengthening activities for wrist flexion, forearm: A. pronation, finger flexion, and thumb adduction. B. pronation, finger flexion, and thumb opposition. C. supination, finger abduction, and thumb opposition D. supination, finger flexion, and thumb extension. 28. A measurable objective for a community education program on proper exercise techniques would be for participants to: A. understand the importance of a sufficient warm-up period. B. list 5 stretching techniques that can be used when warming up C. overcome lower extremity problems and adhere to a regular exercise program. D. appreciate the effects of increasing intensity of exercise on heart rate. 29. During manual muscle testing of the hip flexors in the sitting position, a patient exhibits lateral (external) rotation with abduction of the thigh as resistance is applied. The physical therapist should suspect muscle substitution by the: A. sartorius. B. tensor fascia latae. C. adductor longus. D. semimembranosus. 30. A physical therapist is treating a patient who has lymphedema in the right lower extremity. The therapist decides to use mechanical, intermittent pneumatic compression as an intervention, using a sleeve that covers the foot, leg, and thigh. The therapist measures the patient’s blood pressure at 135/85 mm Hg. At the first treatment session, the MOST appropriate inflation pressure for the sleeve is: A. 20 mm Hg. B. 60 mm Hg. C. 100 mm Hg. D. 140 mm Hg. 31. A physical therapist receives a telephone call from a woman who identifies herself as a friend of one of the therapist’s patients. She wants to know how the patient is doing and if he will be able to go up and down the stairs, because she wants to take him home for a weekend visit. Which of the following actions is MOST appropriate for the therapist to take A. Discuss the patient’s program and functional status with the caller. B. Invite the caller to observe the patient’s next therapy session. C. Refuse to discuss the patient, unless the patient’s permission is obtained D. Refer the caller to the patient’s social worker. 32. The parents of a 1 month-old child with myelomeningocele report that the child has been increasingly irritable and has changed sleeping patterns over the past 3 days. The child has also been vomiting. Which of the following actions is MOST appropriate for the therapist to take? A. Refer for immediate medical follow-up. B. Instruct the parents to monitor head circumference daily C. Advise the parents to watch the child for worsening symptoms. D. Take head circumference measurements to compare at subsequent visits 33. A physical therapist is developing a gait training program for a patient following a total hip arthroplasty of the right hip done via an anterolateral approach 2 weeks ago. The proper instructions and rationale for crutch training utilizing 1 crutch include holding the crutch in the: A. right hand to decrease activity in the right hip abductors. B. right hand to facilitate activity in the right hip abductors. C. left hand to decrease activity in the right hip abductors D. left hand to facilitate activity in the right hip abductors 34. A right-handed woman is being examined by a physical therapist for right-sided weakness in her upper and lower extremities. Her muscle tone is hypotonic and she is ataxic during walking. She has a history of hypertension and alcoholism. Passive range of motion is normal with deep tendon reflexes showing hyporeflexia. She has an intention tremor when she tries to pick up an object from a table and exhibits difficulty in performing the finger to nose test. What is the location of the MOST probable area of the lesion? A. Right side, cervical spinal cord B. Left side, cerebral hemisphere C. Left side, substantia nigra D. Right side, cerebellar hemisphere 35. A patient received a gunshot wound to the distal posterior thigh that resulted in complete severance of the common fibular (peroneal) nerve. Which of the following exercises is necessary in the early rehabilitation period to prevent contracture formation? A. Active plantarflexion, inversion, and toe extension B. Passive dorsiflexion, eversion, and toe extension C. Active dorsiflexion, eversion, and toe flexion D. Passive plantarflexion, eversion, and toe flexion 36. A patient with a mild closed head injury and bilateral femur fractures requires instruction in a lower extremity exercise program. To plan the most effective teaching methods for this patient, what is MOST critical to assess at the initial visit? A. Comprehension of written, verbal, and demonstrated instructions B. Short-term memory capacity C. Auditory and visual status D. Any personality changes compared to the patient’s premorbid status 37. For a patient with a bilateral transfemoral amputation to maximize balance in a wheelchair, the rear wheels should be positioned more: A. laterally. B. posteriorly. C. anteriorly. D. inferiorly. 38. On day 4 of physical therapy treatment, a patient who has had an open reduction and internal fixation for a hip fracture develops a large ecchymosis over the unaffected hip. The patient has MOST likely developed A. a hemangioma. B. a complication of anticoagulant therapy. C. a hematocele. D. deep vein thrombophlebitis 39. A patient who is exercising on a bicycle ergometer in the cardiac rehabilitation unit is being monitored with electrocardiogram leads. During the exercise, the ST segment becomes depressed by 2 mm. If the cardiologist has given no specific guidelines, the physical therapist should A. terminate the session immediately. B. reduce the resistance load. C. instruct the patient to slow down D. direct the patient to continue as before. 40. Prior to starting an exercise training program, a patient with cardiac problems who is receiving beta-blocking medication should receive an explanation of the: A. greater benefits from cardiovascular exercise to be achieved at lower rather than at higher metabolic levels. B. need to use measures other than heart rate to determine intensity of exercise C. need for exercise training sessions to be more frequent but of shorter duration D. need for longer warm-up periods and cool-down periods during exercise sessions. 41. A physical therapist places electrodes on a patient to monitor surface electromyographic activity. The electrode placement shown in the photograph is MOST appropriate to monitor which of the following muscles? A. Tensor fasciae latae B. Sartorius C. Rectus femoris D. Gluteus minimus 42. A patient with chronic adhesive capsulitis of the shoulder is to be treated with joint mobilization to increase joint range of motion. Which of the following is the MOST appropriate to increase shoulder abduction? A. Distraction with inferior glide B. Anterior glide with internal rotation C. Superior glide with approximation D. Distraction with posterior glide 43. An 8 year-old child who has juvenile rheumatoid arthritis is developing bilateral knee flexion contractures. Which of the following is LEAST appropriate? A. Exercises to increase joint mobility B. Ultrasound to the hamstring insertions to increase tissue extensibility C. Progressive weight-bearing by walking in a therapeutic pool to increase endurance D. Exercise to increase quadriceps strength 44. A physical therapist is screening a young adult patient for a possible right thoracic, left lumbar structural scoliosis. The postural deviation commonly seen with this diagnosis is: A. spinous processes of thoracic spine rotated to the right B. high left shoulder. C. posteriorly protruding scapula on the left. D. prominent right posterior rib cage. 45. An exercise program for a patient with Parkinson’s disease would MOST likely include exercises to: A. decrease movement of the upper extremities and trunk. B. increase trunk flexor strength. C. improve balance reactions and reciprocation D. stretch the back extensor muscles 46. If a transtibial prosthesis has an excessively firm heel wedge, the patient is MOST likely to walk with: A. excessive knee flexion in foot flat (loading response). B. premature knee flexion in heel off (terminal stance). C. insufficient knee flexion in foot flat (loading response). D. excessive knee flexion in heel off (terminal stance). 47. A physical therapist is planning a patient education program for a group of patients with chronic low back pain. To increase the likelihood that the patients will utilize the proper body mechanics at the work site, the therapist should: A. ask the patients to demonstrate use of proper body mechanics. B. provide a reference list of articles describing body mechanics C. ask the patients to describe actions they do that increase their back pain. D. provide information on the frequency of low back injuries due to improper body mechanics 48. A patient presents with hemiparesis and demonstrates a foot drop during the swing phase of gait. It is MOST appropriate to administer functional electrical stimulation to the tibialis anterior and the: A. gastrocnemius. B. tibialis posterior. C. extensor digitorum longus. D. peroneus longus. 49. A physical therapist is treating a patient with iontophoresis. If the current is set at 4 mA, the duration at 15 minutes, and the dexamethasone (Decadron) solution at 0.04%, with an electrode area of 4 cm2, how should the therapist record the current dosage in the patient’s chart? A. 0.16 mA-mg B. 16 mA/cm2 C. 0.60 mg/min D. 60 mA-min 50. An elderly patient has a diabetic neuropathy. Upon examination, the patient shows marked mediolateral instability of the left ankle while walking. The patient also has fluctuating edema and glove-and-stocking sensory loss in both of the lower extremities. The MOST appropriate orthotic aid is: A. a double-upright metal ankle-foot orthosis. B. high-top shoes. C. a prefabricated plastic solid ankle-foot orthosis D. a spiral ankle-foot orthosis. 51. A 25 year-old patient with cystic fibrosis has been experiencing successful mobilization of thickened secretions by standard percussion and postural drainage. During the current treatment session, the patient coughs up sputum that has a small, brownish streak of blood. The physical therapist should: A. percuss more vigorously in an attempt to clear out any other blood that is present in the airways B. perform postural drainage in upright positions for this type of patient only. C. continue treatment with little modification, unless more blood is noted. D. stop the treatment and send the patient to the emergency room. 52. Which of the following should be recommended for a patient following a medial meniscectomy, if the physical therapy plan is to exercise the quadriceps femoris against accommodating resistance? A. Knee bends through half of the range B. Knee extension with a sandbag at the ankle C. Knee extension on an isokinetic exercise device D. Straight-leg raising with a sling suspension 53. A physical therapist is examining a patient who has difficulty making a fist. Results of the patient’s muscle tests show the following: Flexors of the index, middle, ring, and little fingers (2nd to 5th digits) at the proximal interphalangeal joint are Normal (5/5). Flexors of the index finger (2nd) and middle finger (3rd digit) at the distal interphalangeal joint are Normal (5/5). Flexors of the ring finger (4th digit) and little finger (5th digit) at the distal interphalangeal joint are Poor (2/5).These findings are consistent with a lesion of the: A. median nerve C8-T1. B. median nerve C5-C6. C. ulnar nerve C5-C6. D. ulnar nerve C8-T1. 54. An elderly man who lives alone fell in his home, sustaining a hip fracture, which necessitated a total hip arthroplasty. The patient was previously able to perform all activities of daily living independently. He has been admitted to a skilled nursing facility for rehabilitation. The patient’s goal is to return home. His family believes he should be admitted to a long-term care facility for his own safety once acute rehabilitation is completed. The physical therapist’s MOST appropriate action is to: A. advise the family that the patient should determine his own discharge environment. B. recommend a team conference with the patient and his family to discuss discharge plans. C. schedule a home visit to determine if home modifications are needed before discharge. D. implement a treatment plan with a long-term goal of discharge to home. 55. During lower extremity exercise, a patient with incomplete C6 quadriparesis reports a new onset of tingling and numbness in both hands. A manual muscle test reveals that overall strength has decreased by 1 grade. In this situation, the MOST appropriate action for the physical therapist to take is to: A. modify the exercise program to accommodate the change in strength. B. apply an ice massage prior to exercise C. continue the lower extremity therapeutic exercise and use facilitation techniques to stimulate more activity. D. discontinue all exercise and notify the physician immediately. 56. A physical therapist is treating a patient with moderately well-controlled type 1 diabetes. One of the goals is to help the patient regulate insulin dosage through exercise. In establishing an exercise program, the therapist should be aware that regular exercise will generally: A. lower blood glucose levels and decrease the amount of insulin required. B. lower blood glucose levels and increase the amount of insulin required C. raise blood glucose levels and decrease the amount of insulin required D. raise blood glucose levels and increase the amount of insulin required. 57. A physical therapist recognizes that departmental patient education materials are written on a reading level that is too difficult for some of the patients. The physical therapist can help the patients to better understand the materials by: A. including illustrations and a larger print. B. including illustrations and a simpler sentence structure. C. reducing the number of syllables and lengthening the sentences. D. using a large print format to present specific medical terminology 58. During inspiration, a patient demonstrates increased upper chest expansion with retraction of the epigastric area. The physical therapist should suspect weakness of the: A. scalene muscles. B. diaphragm. C. rectus abdominis. D. intercostal muscles. 59. A patient with low back pain has been undergoing treatment for 2 sessions. The patient tells the physical therapist that today the pain is centralizing with the extension exercises, but is as intense as it was at the first treatment session. The patient is frustrated by this reaction. The MOST appropriate response of the therapist is to : A. continue with the present program. B. eliminate the extension exercises C. consult the patient’s physician about the situation D. progress to trunk flexion exercises 60. An attorney calls the physical therapy department seeking information on the status of his client, a patient who is undergoing rehabilitation following total knee surgery. The patient’s physical therapist should: A. refer the attorney to the patient’s insurance carrier. B. describe the patient’s current status. C. require written authorization from the patient to release information. D. obtain verbal permission from the patient to release information 61. Involving interdisciplinary team members in making decisions about continuity of patient care has all of the following benefits EXCEPT: A. promoting each individual’s commitment to, and responsibility for, the decisions that have been made by the group B. discouraging 1 or 2 team members from being in control and having all the authority. C. enabling decisions regarding quality of care to be made quickly. D. promoting quality of care by including several aspects of the patient’s care. 62. A physical therapist examines a patient with multiple sclerosis who is in a period of exacerbation. The patient is independent with bed mobility, can sit unassisted at the edge of the bed, and requires physical assistance to stand with a walker. Which of the following activities of daily living is the MOST important for the initial intervention session? A. Wheelchair propulsion up a 10-ft (3-m) ramp B. Wheelchair transfers C. Walking with an assistive device D. Tub transfers 63. While examining a patient who had a baby 3 days ago by vaginal delivery, the physical therapist notices that the patient has a 2-cm diastasis of the rectus abdominis. To address this problem, the patient should: A. perform partial sit-ups supporting her abdominal muscles with her hands, while lifting her head in the supine position. B. not perform exercises, until the diastasis heals spontaneously. C. perform sit-ups with the knees bent and arms behind the head. D. perform partial sit-ups with legs straight and arms in front. 64. When evaluating wheelchair positioning of a child with cerebral palsy, the physical therapist should FIRST examine the position of the child’s: A. pelvis. B. lower extremities. C. head. D. spine. 65. For a patient with a right-middle-lobe pneumonia, the proper bronchial drainage position is supine with the body: A. one-quarter turned to the left and the foot of the bed raised 14 in (35.6 cm). B. one-quarter turned to the right and the bed flat. C. three-quarters turned to the left and the head of the bed raised 14 in (35.6 cm). D. three-quarters turned to the right and the foot of the bed raised 14 in (35.6 cm). 66. To avoid the appearance of increased motion, what movement MUST be prevented during goniometric measurement of shoulder abduction? A. Upward rotation of the scapula B. Medial (internal) rotation of the shoulder C. Lateral (external) rotation of the shoulder D. Lateral flexion of the trunk to the opposite side 67. A patient who received an organ transplantation 4 years ago demonstrates progressive weakness and is referred to physical therapy for strengthening exercises. In reviewing the medical history, the physical therapist learns that the patient takes prednisone (Deltasone) and immunosuppressive drugs. Which of the following does the therapist need to consider? A. Isokinetic strengthening will be preferable for this patient B. The patient may have limited range of motion from increased bone mass. C. The patient will need to be treated in an isolation room. D. Muscle strengthening may be limited in this patient. 68. The results of a developmental screening of a 4 month-old infant indicate a possible right hip dislocation. The presence of which of the following is the MOST consistent with this diagnosis? A. Pelvic obliquity, apparent pain on movement of the right hip, and decreased hip abduction on the left side B. Asymmetrical gluteal folds, femoral telescoping, and limited hip abduction on the right side C. Decreased active movement of the right hip, increased femoral neck retroversion, and atrophy of the gluteus maximus on the right side D. Hip flexion contracture on the right side, apparent leg-length discrepancy, and inability to tolerate supported sitting 69. A 14 month-old child with brachial nerve palsy has motor and sensory loss in the right upper extremity in the areas innervated by C5 and C6. Which of the following activities is MOST difficult for the child to accomplish with the affected upper extremity? A. Pushing a wagon B. Carrying a teddy bear in the crook of the arm C. Holding a raisin in the palm of the hand D. Grasping a cup 70. A physical therapist is treating a patient who has been diagnosed with a nerve root impingement on his right side due to a narrowing of the intervertebral foramen between L4 and L5. The therapist decides to use mechanical, lumbar traction as an intervention. Which of the following positions, on a traction table, is MOST appropriate to relieve pressure on the nerve root? A. Supine with the hips and knees flexed B. Supine with the hips and knees straight and laterally shifted to the right C. Prone with the hips and knees straight D. Sidelying on the right with a bolster between the table and patient 71. A patient who is transported to the physical therapy department in a wheelchair reports severe, bilateral lower extremity pain. A purple discoloration of both feet is observed. The pain is relieved when the patient’s feet are raised just above the horizontal plane. These signs are MOST indicative of: A. arterial insufficiency. B. intermittent claudication. C. venous insufficiency. D. a psychosomatic episode. 72. A patient who completes a Phase I (in-hospital) cardiac rehabilitation program should be expected to achieve: A. independence in self-monitored walking. B. increased aerobic capacity to physical activity. C. modification of risk factors. D. increased blood pressure at a given workload. 73. A physical therapist has been working with a patient who has a spinal cord injury. To document that the patient has been educated about skin care, the therapist should record that the patient: A. is unable to tolerate more than 1 hour in a wheelchair. B. is unable to tolerate more than 1 hour in a wheelchair. C. is able to state 3 causes of skin breakdown. D. is able to perform 10 push-ups in the wheelchair. 74. A patient reports pain lateral to the coracoid process. When palpating the shoulder to assess the possible cause of the pain, starting at the coracoid process and moving laterally, the physical therapist should expect to find the following sequence of structures: A. lesser tuberosity, biceps tendon, and greater tuberosity B. greater tuberosity, biceps tendon, and lesser tuberosity. C. lesser tuberosity, coracobrachialis tendon, and greater tuberosity D. greater tuberosity, coracobrachialis tendon, and lesser tuberosity. 75. A factor that MUST be considered in designing an exercise program for a patient with angina pectoris is that when the arms are exercised: A. angina occurs at a lower heart rate than when exercising the lower extremities. B. heart rate and blood pressure rise more steeply in relation to workload than when exercising the lower extremities C. pulmonary ventilation increases less rapidly than when exercising the lower extremities. D. angina occurs at higher workloads than when exercising the lower extremities 76. A physical therapist is treating a patient for limitation of motion following knee surgery several weeks ago. The patient’s passive knee extension is lacking 15° from full extension, and knee flexion is limited to 95°. Both movements have a capsular end-feel. Which of the following mobilization techniques is MOST appropriate for increasing knee flexion? A. Anterior glide of the tibia on the femur B. Posterior glide of the tibia on the femur C. Superior glide of the patella D. Posterior glide of the femur on the tibia 77. When considering special tests for orthopedic assessment of a client, the validity of a test is important because the: A. results of the test can be standardized. B. test measures what it is supposed to measure. C. results of the test are reproducible D. test can be accurately performed by someone else. 78. A patient sustained a Colles’ fracture 8 weeks ago and has been in a cast since that time. Immediately after cast removal, it is MOST appropriate for the physical therapy intervention for the wrist and hand to include: A. passive and active assistive range of motion exercises. B. progressive resistive exercises. C. grade-4 joint mobilization techniques. D. return to prefracture level of activity. 79. A patient with a traumatic brain injury is receiving outpatient physical therapy. The physical therapist notices that the patient becomes agitated during therapy sessions. To which of the following professionals should the patient be referred for assessment and diagnosis? A. Occupational therapist B. Neuropsychologist C. Vocational counselor D. Speech-language pathologist 80. During examination of the jaw-opening pattern of a patient with a temporomandibular joint problem, the therapist notes early protrusion of the mandible. Which of the following mandibular movements MOST likely causes the protrusion? A. Condylar translation B. Mandibular depression C. Condylar rotation D. Lateral glide 81. A child who has cerebral palsy has been receiving physical therapy 1 time/week for the past month. During the fourth visit, the physical therapist instructs the parents in a daily exercise program for the child, including stretching techniques. The BEST method to ensure correct implementation and carry-over of the program is for the therapist to: A. reassess the patient’s range of motion 1 month after instructing the parents. B. review the parents’ written notes on the child’s progress. C. demonstrate exercises for the parents and ask them to return for a program check in 1 week. D. ask the parents to demonstrate the exercises and to return for a program check in 1 week. 82. Excessive upward rotation of the right scapula is noted when a patient attempts to perform shoulder flexion. Which of the following exercises is MOST appropriate to help correct the excessive scapular rotation? A. Right scapular protraction against resistance with the right arm at 90° of flexion B. Bilateral scapular elevation with the upper extremities at 180° of flexion C. Wall push-ups with an isometric hold at end range with the elbows extended D. Bilateral scapular adduction with the upper extremities medially (internally) rotated and adducted across the back 83. A physical therapist is measuring ankle range of motion in a patient. The measurement shown in photograph A is greater than that measurement shown in photograph B. The MOST likely cause of the difference in measurement is: A. Talocrural joint capsule restriction. B. Weakness of the ankle dorsiflexors. C. Tightness in the hamstrings. D. Tightness in the gastrocnemius 84. A patient with left hemiparesis is being discharged from a rehabilitation center. The physical therapist has been unsuccessful in getting the family’s cooperation to instruct them in transfers, bed mobility, and safety precautions. The MOST appropriate action for the physical therapist to take is to: A. educate the patient so she can tell others how to assist her. B. contact social services and arrange for a team and family meeting C. refer the patient for home care and document the appropriate interventions. D. write a home program and give it to the family. 85. A patient is being examined for medial epicondylitis. With this diagnosis, the physical therapist should expect to MOST likely find pain over the: A. origin of the flexor digitorum profundus with resisted finger flexion. B. origin of the pronator teres muscle with active pronation. C. medial epicondyle with passive wrist flexion. D. insertion of the triceps brachii with passive elbow extension. 86. In treating a patient who has had recurrent anterior shoulder dislocation, the physical therapist should AVOID which of the following extreme shoulder motions? A. Adduction and lateral (external) rotation B. Abduction and lateral (external) rotation C. Hyperextension and medial (internal) rotation D. Abduction and medial (internal) rotation 87. During the examination of a patient with carpal tunnel syndrome, the physical therapist is MOST likely to find: A. paresthesia of the medial palmar surface of the hand B. weakness of finger extension of the lateral 3 digits. C. paresthesia of the lateral 3 digits. D. weakness in wrist flexion and ulnar deviation 88. A patient with Guillain-Barré syndrome experiencing progressive paralysis is admitted to the intensive care unit. As a member of the interdisciplinary team managing this patient’s care, the MOST appropriate physical therapy intervention is for the physical therapist to: A. alter the patient’s mechanical ventilation settings. B. develop the patient’s medication schedule. C. perform airway clearance techniques. D. discuss the patient’s medical prognosis with the family. 89. A patient with complete C4 quadriplegia is working on a program to increase tolerance to the upright position. While on the tilt table, the patient begins to have a pounding headache with flushing and profuse sweating. The physical therapist should FIRST: A. lower the tilt table to a flat position. B. remove the patient from the tilt table and return to room. C. check the patient’s catheter. D. check the patient’s blood pressure. 90. A 6 year-old child with spastic diplegia is walking in the parallel bars. The child walks with increased trunk and hip flexion. What is the MOST appropriate assistive device for this patient? A. Standard walker B. Forearm crutches C. Posterior rolling walker D. Bilateral quad canes 91. The physical therapist is teaching a patient with T12 paraplegia to fall. The patient walks with bilateral knee-ankle- foot orthoses and bilateral forearm cuff crutches using a swing-to gait. The MOST appropriate method to use to prevent injury is to: A. have the patient wear a helmet and practice on a soft padded surface. B. give the patient written instructions and illustrations on falling. C. demonstrate and guide the patient through the correct process of falling. D. demonstrate the correct method of falling. 92. A physical therapist is designing an exercise program for a healthy elderly individual. Which of the following types of exercises is MOST stressful to the cardiovascular system of this patient? A. Upper-limb ergometry B. Spinal range-of-motion exercise C. Quadriceps setting exercise D. Lower-limb diagonal proprioceptive neuromuscular facilitation patterns 93. A physical therapist is evaluating a patient for a wheelchair prescription. The patient, who lives alone in a small apartment, has bilateral lower extremity weakness and is unable to stand to transfer. Trunk strength and upper extremity strength are normal and the patient can transfer independently with a sliding board. The MOST appropriate prescription for this patient is a wheelchair with: A. fixed, adjustable-height arm rests and detachable foot rests. B. removable arm rests and detachable swing-away leg rests. C. fixed arm rests and removable leg rests. D. desk-style removable arm rests and fixed, elevating leg rests. 94. A patient who is on bed rest and who exhibits orthostatic hypotension upon standing will MOST likely experience: A. increased venous tone in the lower extremities. B. inadequate ventricular filling during diastole. C. decreased hydrostatic pressure in the capillary beds. D. parasympathetic stimulation of the heart. 95. Which of the following is the MOST appropriate intervention for a patient with juvenile rheumatoid arthritis who is experiencing painful swelling of both knees? A. Resistive exercises B. Stretching to prevent contractures C. Gentle, active exercises D. Walking program 96. A patient who has left hemiparesis exhibits shoulder subluxation on the affected side. The patient has a demand- type cardiac pacemaker. Which of the following interventions should be used ONLY with extreme caution? A. Manual resisted exercise on the nonaffected side B. Active exercise on the affected upper extremity C. Functional electrical stimulation to the affected side D. Biofeedback to the affected side 97. A 5 year-old patient with a closed head injury is exhibiting behavior consistent with the confused/agitated level of cognitive function. During physical therapy intervention, the patient becomes combative. Which of the following techniques would be MOST effective in calming the patient? A. Providing brief moving touch to the face and turning on the patient’s favorite musical tape B. Maintaining touch to the shoulders and brightening the room by opening the curtains C. Removing the patient from the current treatment environment and placing the patient in a quiet setting D. Wrapping the patient in a blanket and rocking the patient rapidly 98. The MOST appropriate therapeutic exercise to stretch the neck muscles for a patient with an acute, right-sided torticollis is: A. right rotation and right lateral flexion. B. left rotation and right lateral flexion. C. left rotation and left lateral flexion. D. right rotation and left lateral flexion. 99. A patient presents to physical therapy with low back and leg pain, with symptoms extending to the bottom of the foot. During the physical therapy examination, the patient does not report leg pain in the first test position (photograph #1), but reports a severe increase in symptoms in the second test position (photograph #2). These findings support which of the following conclusions? A. The pain is the result of a herniated disc. B. The patient may be displaying nonorganic symptoms. C. The symptoms are the result of an inflamed sciatic nerve. D. The hamstrings are in a facilitated state of contraction. 100. A patient who is re-learning the task of moving from sit to stand following traumatic brain injury is frustrated because of repeated failed attempts. To facilitate the patient’s success, the physical therapist should FIRST do which of the following? A. Permit the patient to rest until the next physical therapy session and re-attempt the activity. B. Encourage the patient to visualize success with the task, before resuming attempts. C. Provide incentive by holding a desired object for the patient to reach toward. D. Decrease the challenge of the task, so that the patient experiences success 101. The result of which of the following nerve tension tests is MOST likely to be positive for a waiter who has hand pain when carrying trays overhead? A. Ulnar B. Median C. Radial D. Musculocutaneous 102. A patient reports dizziness and blurred vision when walking and turning the head to either the left or the right. The patient has no problem when the head is kept still while walking. Which of the following systems is MOST likely involved? A. Visual B. Vestibular C. Somatosensory D. Musculoskeletal 103. Which of the following questions is the MOST appropriate for a functional outcome measurement tool? A. “How high can you lift your arm?” B. “How long have you had this pain?” C. “How often do you walk with a limp?” D. “How much does this leg bother you?” 104. A patient describes bilateral posterior lower leg aching that resolves with sitting and is exacerbated by walking, especially down hills. What diagnosis is MOST likely responsible for this pain? A. Lateral spinal stenosis B. Central disc herniation C. Bilateral piriformis syndrome D. Neoplastic spinal lesion 105. A patient, who is a tennis player, has been receiving physical therapy intervention following an anterior capsular reconstruction of the dominant shoulder. The physical therapist determines that the patient is ready to begin dynamic stabilization exercises. Which of the following is an appropriate dynamic stabilization exercise for this patient? A. Hitting a tennis ball against a wall using a forehand stroke B. Practicing slow forehand strokes with elastic tubing attached to the racquet grip C. Maintaining a follow through position while the therapist provides rhythmic stabilization resistance D. Performing push-ups against the wall with emphasis placed on scapular protraction 106. Which of the following ranges of motion is MOST important to obtain for an individual with a T12 spinal cord injury to walk? A. Neutral dorsiflexion B. Full hip extension C. Normal knee flexion D. 110° straight-leg raise 107. The physical therapy intervention of a patient with dark skin pigmentation includes superficial heat. After 5 minutes of this intervention, the physical therapist removes the heat and observes that the skin over the region being treated is blotchy with both darker and lighter areas. What is the MOST appropriate action for the physical therapist to take? A. Discontinue superficial heat and initiate ultrasound. B. Continue with the use of superficial heat, as this is a normal response. C. Discontinue superficial heat and initiate diathermy. D. Continue with the use of superficial heat, but add more towel layers. 108. A 50 year-old patient had an uncomplicated open repair of a rotator cuff tear 2 weeks ago. The patient asks the physical therapist when the shoulder will be normal again. Which of the following expected outcome time frames MOST accurately addresses this patient’s question? A. 3 weeks to lift 5-lb (2.3-kg) objects B. 3 weeks to sleep on the involved side C. 3 months to lift the upper extremity overhead to reach into a cabinet D. 3 months to play golf 109. A patient who had arthroscopic knee surgery 6 weeks ago currently has passive knee range of motion of 25° to 125° with pain at the end of the available range. Which of the following joint mobilization procedures is MOST appropriate for this patient? A. Large amplitude oscillations performed within the range of motion, moving the tibia anteriorly on the femur B. Small amplitude oscillations performed at the limit of the available motion and into tissue resistance, moving the tibia posteriorly on the femur C. Small amplitude oscillations performed at the limit of the available motion and into tissue resistance, moving the tibia anteriorly on the femur D. Large amplitude oscillations performed within the range of motion, moving the tibia posteriorly on the femur 110. The work modification shown in the photograph is MOST appropriate for a patient with which of the following pathologies? A. Central lumbar stenosis B. Deep vein thrombosis C. Thoracolumbar scoliosis D. Lumbar disc bulge 111. A patient had knee surgery 4 weeks ago. Which of the following descriptions represents the correct neuromuscular electrical stimulation parameters to use for strengthening the quadriceps muscle of this patient? A. 1 to 4 pps, 100 microseconds B. 1 to 4 pps, 350 microseconds C. 40 to 50 pps, 350 microseconds D. 100 pps, 100 microseconds 112. In order to manually assess a patient’s lower extremity circulation, a physical therapist should palpate the patient’s peripheral pulse at which of the following locations? A. Dorsal foot, near the base of the 1st metatarsal B. Lateral lower leg, just posterior to the fibular head C. Lateral ankle, just inferior to the lateral malleolus D. Plantar foot, just medial to the medial calcaneal tuberosity 113. A physical therapist is evaluating a 70 year-old female patient who reports the onset of midthoracic pain after working in a garden for several hours. The presence of which of the following history items should increase the therapist’s suspicion of a thoracic compression fracture in the patient? A. Bowel and bladder dysfunction B. Smoking and prolonged steroid use C. Hypertension and diabetes D. Emphysema and hormone replacement therapy 114. Which of the following sleeping positions is LEAST appropriate for a physical therapist to recommend for a patient with right glenohumeral joint anterior/inferior hypermobility and subacromial impingement? A. Supine B. Prone C. Right sidelying D. Left sidelying 115. Which of the following joints is indicated by the arrow in the radiograph? A. Tibiofibular B. Subtalar C. Talocrural D. Midtarsal 116. Which of the following positions is BEST to assess the length of a patient’s rectus femoris muscle? A. Sidelying with tested hip in flexion B. Supine with tested hip and knee in flexion C. Prone with tested knee in flexion D. Sidelying with tested hip in extension 117. A patient with an L4 - L5 posterolateral herniated nucleus pulposus is MOST likely to have sensory deficits in which of the following locations? A. Medial knee B. Medial ankle C. Plantar aspect of the foot D. Dorsum of the great toe 118. Which of the following descriptions describes the correct physical examination technique to assess tissue hydration in the hand? A. Pinch and lift the skin and determine the time for the skin to return to normal. B. Push into the skin and determine the time for the skin to return to normal. C. Measure the surface temperature over the volar aspect of the wrist. D. Obtain volumetric measurements on each arm and compare displacement measures. 119. A patient’s standing posture is characterized by a right thoracolumbar scoliosis. The scoliosis is not present when the patient is sitting. Which of the following dysfunctions is MOST likely the cause of this patient’s scoliosis? A. Lumbar facet dysfunction B. Unilaterally weak gluteus medius C. Short iliopsoas muscle D. Leg-length discrepancy 120. To obtain informed consent for an intervention, the physical therapist must disclose to the patient all of the following EXCEPT the: A. cost of the intervention. B. goals of the intervention. C. possible risks of the intervention. D. alternative interventions available. 121. Which of the following statements is an appropriately written short-term goal? A. In 2 weeks, the patient will increase walking distance from 50 ft to 100 ft (15 m to 30 m) with a wheeled walker. B. The patient will walk 100 ft (30 m) with a wheeled walker and minimal assistance in 3 weeks C. In 4 weeks, the patient will walk with minimal assistance 100 ft (30 m) without loss of balance. D. The patient will increase walking distance from 50 ft to 100 ft (15 m to 30 m) with a wheeled walker independently by discharge. 122. Which of the following pulmonary function tests measures the average total amount of air moved during inspiration of normal breathing? A. Vital capacity B. Inspiratory capacity C. Tidal volume D. Inspiratory reserve volume 123. A physical therapist is evaluating a patient who had a right lower lobe resection due to lung cancer yesterday. During auscultation of the patient’s lungs, the therapist notes decreased low-pitched crackles bilaterally. The patient’s vital signs are: heart rate – 99 bpm; blood pressure - 115/75 mm Hg; and pulse oximetry - 92% on 2 liters of oxygen while sitting at the edge of the bed. Which of the following actions should the therapist take NEXT? A. Begin walking for the patient on 4 liters of oxygen B. Contact the physician. C. Perform active range of motion exercises with the patient at bedside D. Initiate bronchopulmonary hygiene 124. A physical therapist is treating a patient who sustained a complete spinal cord injury. The patient currently walks with bilateral knee-ankle-foot orthoses and forearm crutches. The patient asks the therapist about how to correctly descend 1 step. Which of the following actions is MOST appropriate for the therapist to take? A. Instruct the patient to approach the step facing forward, lower the legs to the next step, and then place the crutches on that step. B. Instruct the patient to approach the step facing forward, place the crutches on the lower step, and then lower the legs to that step. C. Explain to the patient that descending stairs is not an appropriate goal at this time. D. Instruct the patient to approach the step facing forward, place one crutch on the lower step, lower the legs to that step, and then place the other crutch on that step. 125. A physical therapist is planning a 3-session educational series on physical therapy evaluation of the low back for fourth year medical students. Which of following is MOST important to include in the first session? A. An overview of the material that will be covered in all 3 sessions B. A pretest to determine the level of knowledge of the participants C. Active participation of the students in a low back evaluation D. A complete demonstration of a low back evaluation 126. A patient with which of the following diagnoses would MOST likely benefit from pursed-lip breathing during exercise? A. Peripheral vascular disease B. Congestive heart failure C. Emphysema D. Sarcoidosis 127. A patient who had a complete spinal cord injury 1 week ago is referred to physical therapy for transfer training. The examination by the physical therapist reveals that the patient has Good (4/5) upper extremity strength, Zero (0/5) lower extremity strength, and fair sitting balance. Which of the following transfers is most appropriate to utilize INITIALLY with this patient? A. Standing-pivot B. Sliding-board C. Sitting-pivot D. 2-man dependent 128. A patient comes to physical therapy with a wound on the plantar aspect of the heel. The patient reports that the wound developed after stepping on a tack without realizing it. The wound is now round, measures 0.75 in (2 cm) in diameter, and displays no signs of infection. Which of the following initial interventions is MOST appropriate? A. Bed rest B. Custom molded shoe C. Crutches with toe-touch weight-bearing D. Total-contact casting 129. A patient has pronounced weakness of the muscles of mastication on the left. A lesion in which of the following cranial nerves is MOST likely the cause of this impairment in the patient? A. Trochlear (IV) B. Trigeminal (V) C. Facial (VII) D. Hypoglossal (XII) 130. A physical therapist is working with a patient in phase II of a cardiac rehabilitation program. The patient’s current medications include a beta blocker and antidepressants. Prior to the start of exercise, the patient’s heart rate was 62 bpm, blood pressure - 110/75 mm Hg, and perceived rate of exertion - 6/20. After 10 minutes of aerobic exercise, the patient’s heart rate is 68 bpm, blood pressure - 120/70 mm Hg, and perceived rate of exertion - 14/20. Which of the following initial actions is MOST appropriate for the physical therapist to take now? A. Continue the exercise at a lower intensity. B. Continue the exercise at a higher intensity. C. Continue the exercise at the same intensity. D. Stop the exercise and contact the physician. 131. A patient is receiving physical therapy for a large wound on the lower leg. Today, after 3 weeks of treatment, the wound is free of necrotic tissue, but continues to have a copious amount of exudate. Which of the following dressings is MOST appropriate for the wound? A. Saline-saturated gauze B. Semipermeable film C. Gauze impregnated with zinc oxide D. Hydrocolloid paste 132. An athlete sustained a severe inversion sprain of the right ankle while playing basketball. To provide strapping support for the ankle, pressure and support should be applied over the tendons of the: A. flexor digitorum longus and tibialis posterior B. gastrocnemius and flexor hallucis longus C. peroneus longus and peroneus brevis. D. tibialis anterior and tibialis posterior. 133. A clean well-granulating Stage II pressure ulcer with minimal serous drainage is MOST appropriately dressed with: A. a nonadherent dressing. B. a packed dressing. C. topical medication only. D. dry-to-dry gauze. 134. A patient had final approval and checkout of a permanent prosthesis 2 weeks ago. The patient now reports to the physical therapist that the prosthesis is too heavy. The patient will benefit MOST from: A. an evaluation of the socket fit by the prosthetist. B. a prescription from the physician for a lighter-weight prosthesis. C. re-evaluation of hip strength by the physical therapist. D. adding a fork strap attachment to the prosthesis. 135. A researcher who studied the effects of exercise training on balance test scores measured pre-exercise and post- exercise. Both the exercise group and the control group were randomly selected from a group of elderly adults residing in an assisted living facility. A t-test was used to compare the pre-test and post-test results. The balance scores were significantly improved in the group that performed regular exercises, but were unchanged in the control group. In deciding whether or not to incorporate these results into practice, a physical therapist who works in an adult outpatient clinic should be MOST concerned about which type of validity? A. External B. Internal C. Construct D. Statistical conclusion 136. A patient is asked to grip a white card between the thumb (1st digit) and index finger (2nd digit) with both hands. The physical therapist pulls on the card in the direction of the arrow shown. The starting and ending result of the movement is shown in the photograph. The results indicate weakness in which of the following muscles: A. Flexor pollicis longus B. Abductor pollicis brevis C. Adductor pollicis D. Extensor pollicis longus 137. A physical therapist is observing the gait of a patient with a transtibial prosthesis. The therapist observes that at heel strike (initial contact) the patient’s knee is hyperextended. What is the MOST likely cause of the patient’s gait deviation? A. A heel cushion that is too soft B. The socket is placed too far anterior to the foot C. The prosthesis is too long D. Inadequate suspension of the prosthesis 138. A patient presents to physical therapy with a 4-month history of low back pain. The patient has previously received therapy from other health care practitioners for this same pain, without resolution. During examination by the physical therapist, the patient reports a history of difficulty sleeping, concern that the pain will never improve, and irritability. The physical therapist should refer this patient to a: A. social worker. B. psychiatrist. C. nutritionist. D. physiatrist. 139. A patient who is 8-months pregnant has an abdominal diastasis recti with a separation of 1.5 in (4 cm). Which of the following exercises would be the MOST appropriate initial exercise for abdominal strengthening in a supine position? A. Trunk curls B. Hook-lying head lifts C. Pelvic-tilt leg sliding D. Bilateral leg lowering 140. A physical therapist is obtaining the history of a patient, during an initial evaluation. The patient reveals a 5-year history of rheumatoid arthritis. The physical therapist should expect the patient to describe pain associated with the rheumatoid arthritis as: A. morning pain with stiffness that improves with activity. B. pain that is worse at the beginning of an activity. C. constant pain that lasts throughout the day. D. pain that increases throughout the day. 141. A physical therapist is observing a patient from behind during bilateral shoulder abduction. The therapist notes that the patient’s right scapula is more abducted than the left scapula at the end range of movement. The MOST likely cause of the altered scapula position on the right is: A. tightness of the rhomboid major and minor. B. weakness of the serratus anterior. C. restricted motion of the glenohumeral joint D. weakness of the upper trapezius 142. A physical therapist is evaluating a patient experiencing shoulder pain. The patient notices the shoulder pain when stocking shelves that are overhead at work. The pain is not apparent when stocking shelves at waist or chest level. The patient MOST likely has weakness in which of the following muscles? A. Pectoralis minor B. Upper trapezius C. Deltoid D. Rhomboid major 143. A physical therapist is evaluating a patient with low back pain and associated symptoms. Which of the following findings should cause the therapist to refer the patient back to the physician? A. Good (4/5) strength of the hamstrings B. Pain radiating down the back of the thigh into the calf C. Positive straight-leg test at 60° of hip flexion D. Saddle anesthesia around the perineum 144. A physical therapist is planning to use electromyographic biofeedback to evaluate muscle activity in a patient who had a cerebrovascular accident. The therapist is monitoring activity in the patient’s triceps brachii muscle. Which method of electromyographic biofeedback signal processing would give the BEST measure of the quantity of muscle activity during a planned activity? A. Integrated B. Full-wave rectified C. Amplified raw D. Low-pass filtered 145. On the first day following a patient’s total knee arthroplasty, a physical therapist establishes the use of a continuous passive motion device with a setting of 0° to 40° of motion. The MOST appropriate of the following reasons to use the continuous passive motion device is to: A. decrease length of the patient’s hospital stay. B. decrease prevalence of deep vein thrombosis in the patient. C. regain knee flexion in the patient D. prevent knee flexion contracture in the patient. 146. A patient presents with ptosis of the left eye, a lateral strabismus, and a dilated pupil on the left. The patient also reports double vision. Upon examination, results of which of the following cranial nerve tests is MOST likely to be abnormal? A. Pupillary light reflex B. Facial muscle strength C. Jaw-jerk reflex D. Pain sensation on the face 147. During steady rate exercise, the blood pressure in a normal person MOST typically responds with: A. systolic pressure increase and no change in diastolic pressure B. no change in systolic pressure and marked decrease in diastolic pressure. C. systolic pressure decrease and diastolic pressure increase. D. no change in systolic pressure, until the end point of the exercise bout. 148. A patient fell while rock climbing 2 days ago. The fall resulted in a fracture of the right ankle, requiring an open reduction internal fixation. The patient also sustained a brachial plexus injury which resulted in significant weakness in the muscles in the right C6-C7 myotome. The patient is to remain non-weight-bearing on the right. Which of the following assistive devices is MOST appropriate for this patient? A. Axillary crutches B. Wheelchair C. Standard walker D. Forearm crutches 149. A physical therapist is taking the history of a patient with low back pain. Which of the following questions is BEST for the therapist to ask, if the therapist suspects the pain is caused by an inflammatory reaction? A. “Is your pain constant or intermittent?” B. “What activity bothers you the most?” C. “Is it difficult to stand up straight after you’ve been sitting?” D. “Does your pain radiate down into the leg?” 150. Which of the following activities should be AVOIDED by a patient who has undergone a total hip arthroplasty using a posterolateral approach 5 days ago? A. Walking with a walker B. Isometric gluteal setting exercises C. Active hip abduction in supine D. Crossing the legs while seated in a chair 151. A patient has a 2 week history of constant left, lower quadrant, abdominal pain that occasionally refers to the low back, pelvis, and left lower extremity. The patient also reports having a low grade fever and bloody, loose stools during the last few days. Which of the following conditions MOST likely explains the patient’s signs and symptoms? A. Kidney stones B. Div