Solutions
In order for a group of PTs and PTAs to conduct a study they are required to
have approval of the hospital Institutional Review Board. What is the
PRIMARY purpose of this committee?
1. Protect the hospital from unnecessary ligation
2. Ensure the rights of research subjects are protected
3. Examine the design of the research project
4. Assess the financial ramification of the research project Right Ans - 2
A patient with cardiovascular pathology is placed on a diuretic. What type of
laboratory test should be the MOST essential for the PTA to monitor based on
the patient's prescribed medication?
1. Cardiac biomarkers
2. Prothrombin time
3. Serum electrolytes
4. Serum cholesterol Right Ans - 3
A PTA prepares to measure medial rotation of a patient's shoulder with a
goniometer. Which of the following structures should the assistant use to align
the fulcrum?
1. On the lateral midline of the humerus using the lateral epicondyle as a
reference
2. Perpendicular to the floor
3. Along the midaxillary line of the thorax
4. Over the olecranon process Right Ans - 4
A PTA reviews the medical record of a patient with an arthritic condition.
Which piece of information would be the MOST useful to assist in the
definitive diagnosis of rheumatoid arthritis?
1. Pain profile
2. Joint symptoms
3. Blood tests
4. Age of onset Right Ans - 3
,A PTA reads in the medical record that a patient was recently prescribed a
thrombolytic agent. Which condition would be considered a contraindication
to this type of pharmacological agent?
1. Myocardial infarction
2. Hemorrhagic stroke
3. Pulmonary embolism
4. Venous thrombosis Right Ans - 2
A PTA reads a recent entry in a patient's medical record that indicates
aspiration was performed in the elbow region. This procedure is MOST
commonly associated with which of the following conditions?
1. Dorsal ganglion cyst
2. Lateral epicondylitis
3. Medial epicondylitis
4. Olecranon bursitis Right Ans - 4
A PTA monitors a patient with a C6 SCI positioned on a tilt table. After
elevating the tilt table to 30 degrees, the patient reports nausea and dizziness.
The assistant measures the patient's BP as 70/35 mmHg. The patient's signs
and symptoms are MOST indicative of which of the following conditions?
1. Spinal shock
2. Postural hypertension
3. Autonomic dysreflexia
4. Orthostatic hypotension Right Ans - 4
A PTA prepares to treat a patient with continuous ultrasound. Which general
rule BEST determines the length of treatment when using ultrasound?
1. Two minutes for an area that is two times the size of the transducer face
2. Five minutes for an area that is two times the size of the transducer face
3. Five minutes is the maximum treatment time regardless of the treatment
area
4. Ten minutes is the maximum treatment time regardless of the treatment
area Right Ans - 2
A patient successfully completes 10 anterior lunges. The PTA would like to
modify the activity to maximally challenge the patient in the sagittal plane.
Which of the following modifications would be the MOST appropriate to
accomplish this goal?
,1. Anterior lunge with concurrent bilateral elbow flexion to 45 degrees with
five pound weights
2. Anterior ling with concurrent bilateral shoulder flexion to 90 degrees with
five pound weights
3. Anterior lunge with concurrent unilateral shoulder flexion to 90 degrees
with a five pound weight
4. Anterior lunge with concurrent bilateral shoulder ABD to 45 degrees with
five pound weights. Right Ans - 2
A patient at a PT gym suddenly grasps their throat and begins to cough. The
PTA, recognizing the signs of an airway obstruction, should take which of the
following actions?
1. Attempt to ventilate
2. Administer abdominal thrusts
3. Perform a quick finger sweep of the mouth
4. Continue to observe the patient, but do not interfere Right Ans - 4
A PTA is performing gait training on a patient who has a transtibial
amputation. After 15 minutes of training, the patellar tendon-bearing
prosthesis is removed for skin inspection. Redness is noted on multiple areas
of the residual limb. Which area of redness should be the GREATEST concern
to the assistant?
1. Patellar tendon
2. Fibular shaft
3. Gastrocnemius muscle
4. Distal anterior tibia Right Ans - 4
A PTA prepares to work with a 2 month old infant diagnosed with
osteogenesis imperfecta. Which of the following outcomes should the
assistant recognize as the PRIMARY goal of therapy for this patient?
1. Improve muscle strength and diminish tone
2. Facilitate protected weight bearing
3. Promote safe handling and positioning
4. Diminish pulmonary secretions Right Ans - 3
A PTA utilizes the Six- Minute Walk Test as a means of quantifying endurance
for a patient who has a chronic pulmonary disease. What variable would be
the MOST appropriate for the assistant to measure when determining the
patient's endurance level with this objective test?
, 1. Perceived exertion
2. Heart rate response
3. Elapsed time
4. Distance walked Right Ans - 4
A PTA treats a patient diagnosed with plantar fasciitis. During the treatment
session, the assistant attempts to strengthen the muscles that support the
medial longitudinal arch. Which of the following muscles would be MOST
important to emphasize in the strengthening program?
1. Gastrocnemius, soleus, and plantaris
2. Fibularis (peroneus) longus and brevis
3. Tibialis anterior and extensor hallucis longus
4. Tibialis posterior and flexor digitorum longus Right Ans - 4
A PTA treats a patient with suspected ulnar nerve palsy. Which of the
following clinical findings is MOST consistent with this diagnosis?
1. Wasting of the hypothenar eminence
2. Wrist drop with increased flexion of the wrist
3. Increased flexion of the metacarpophalangeal joint
4. Proximal interphalangeal joint hyperextension and slight flexion of the
distal interphalangeal joint Right Ans - 1
A patient is scheduled to undergo a transtibial amputation of the LLE. In
addition, the patient is one month post R TKA (total knee arthroplasty). Given
the patient's past and current surgical history, the PTA should expect which of
the following activities to be the MOST difficult for the patient following their
amputation?
1. Rolling from supine to sidelying
2. Moving from supine to sitting
3. Moving from sitting to standing
4. Ambulating in the parallel bars Right Ans - 3
A PTA attempts to assess the temperature of a patient's skin in an area
susceptible to a pressure ulcer. Which area of the assistant's body would be
the MOST appropriate to utilize when assessing the patient's skin
temperature?
1. Dorsum of the hand
2. Hypothenar eminence
3. Thenar eminence