PEAT EXAM 3 PART 2 100% CORRECT
Over the telephone, a referring physician calls about a patient referral and states
suspicion that the patient is fabricating symptoms for secondary gain. He requests that
the therapist provide documentation to support such an impression. Which of the
following responses is BEST for the therapist to give?
1. Determining whether a patient is fabricating symptoms to achieve a secondary gain is
beyond the scope of the PT practice
2. The PT evaluation will involve tests that obviously identify nonorganic signs and
symptoms, including behavioral symptoms
3. The patient will be confronted on issues of symptom fabrication for secondary gain in
an attempt to alter the behavior
4. Patient must be referred to a psychologist before PT begins - ANSWER 2. The PT
evaluation will consist of examinations that will, in particular, look for non-organic signs
and behavioral symptoms
Question 3.14
A patient reports pain in the leg that is reproduced following 3 min of walking and is
relieved by lying down and allowing the leg to hang off the side of the bed. Which of the
following tests or measures would the PT use to determine the extent of the impairment?
1. Ankle brachial index
2. dynamic gait index
3. visual analog scale
4. angina scale ANSWER 1. ankle brachial index
Question 3.16
A patient complains of a 4-day history of weakness that began with moderate weakness
of the LEs and has progressed to an inability to perform most movements. The patient
, does describe paresthetic symptoms but denies any sensory loss. The MOST likely
diagnosis is?
1.amyotrophic lateral sclerosis.
2.Guillain-Barré syndrome.
3.multiple transient ischemic attacks.
4.subdural hematoma. - ANSWER 2. Guillain-Barre syndrome
Question 3.19
A patient's electrocardiogram report indicates the presence of significant Q waves. This
is indicative of which of the following?
1. premature atrial complex
2. myocardial infarction
3. supraventricular tachycardia
4. atrial fibrillation - ANSWER 2. myocardial infarction
Question 3.22
A patient who has a complete C6 spinal cord injury is MOST likely able to perform
complete AROM during which of the following actions?
1. elbow extension
2. elbow flexion
3. wrist ulnar deviation
4. thumb (1st digit) interphalangeal extension - ANSWER 2. elbow flexion
Question 3.25
Over the telephone, a referring physician calls about a patient referral and states
suspicion that the patient is fabricating symptoms for secondary gain. He requests that
the therapist provide documentation to support such an impression. Which of the
following responses is BEST for the therapist to give?
1. Determining whether a patient is fabricating symptoms to achieve a secondary gain is
beyond the scope of the PT practice
2. The PT evaluation will involve tests that obviously identify nonorganic signs and
symptoms, including behavioral symptoms
3. The patient will be confronted on issues of symptom fabrication for secondary gain in
an attempt to alter the behavior
4. Patient must be referred to a psychologist before PT begins - ANSWER 2. The PT
evaluation will consist of examinations that will, in particular, look for non-organic signs
and behavioral symptoms
Question 3.14
A patient reports pain in the leg that is reproduced following 3 min of walking and is
relieved by lying down and allowing the leg to hang off the side of the bed. Which of the
following tests or measures would the PT use to determine the extent of the impairment?
1. Ankle brachial index
2. dynamic gait index
3. visual analog scale
4. angina scale ANSWER 1. ankle brachial index
Question 3.16
A patient complains of a 4-day history of weakness that began with moderate weakness
of the LEs and has progressed to an inability to perform most movements. The patient
, does describe paresthetic symptoms but denies any sensory loss. The MOST likely
diagnosis is?
1.amyotrophic lateral sclerosis.
2.Guillain-Barré syndrome.
3.multiple transient ischemic attacks.
4.subdural hematoma. - ANSWER 2. Guillain-Barre syndrome
Question 3.19
A patient's electrocardiogram report indicates the presence of significant Q waves. This
is indicative of which of the following?
1. premature atrial complex
2. myocardial infarction
3. supraventricular tachycardia
4. atrial fibrillation - ANSWER 2. myocardial infarction
Question 3.22
A patient who has a complete C6 spinal cord injury is MOST likely able to perform
complete AROM during which of the following actions?
1. elbow extension
2. elbow flexion
3. wrist ulnar deviation
4. thumb (1st digit) interphalangeal extension - ANSWER 2. elbow flexion
Question 3.25
