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A patient walks with excessive foot pronation during midstance through toe off (preswing). What
is the MOST likely cause of the patient's gait deviation?
1.Compensated rearfoot varus deformity
2.Compensated forefoot valgus deformity
3.Uncompensated lateral (external) rotation of the tibia
4.Uncompensated pes cavus 1.Compensated rearfoot varus deformity
Excessive foot pronation during midstance to toe off is the result of a compensated rearfoot (or
forefoot) varus deformity.
The position demonstrated in the photograph is BEST used to treat a patient who has which of
the following conditions?
1.Cubital tunnel syndrome
2.Carpal tunnel syndrome
3.Medial epicondyle tendinopathy
4.Lateral epicondyle tendinopathy 4.Lateral epicondyle tendinopathy
,The photograph shows a radial nerve glide (Kisner, p. 399). This maneuver is used to treat
symptoms related to shoulder girdle depression, radial nerve distribution, and disorders such as
tennis elbow (lateral epicondylalgia) and de Quervain syndrome
A patient who has a spinal cord injury reports having spastic (reflex) bowel function. Which of
the following descriptions BEST characterizes the patient's neurologic injury?
1.Injury above spinal segments S2-S4, leaving spinal defecation reflexes intact
2.Injury at or below spinal segments S2-S4, leaving spinal defecation reflexes intact
3.Injury above spinal segments S2-S4, abolishing spinal defecation reflexes
4.Injury at or below spinal segments S2-S4, abolishing spinal defecation reflexes 1.Injury
above spinal segments S2-S4, leaving spinal defecation reflexes intact
In spastic bowel dysfunction, the level of cord injury occurs above S2-S4, leaving the spinal
defecation reflexes intact.
A patient has diplopia, dysphagia, and bilateral weakness of the lower extremities. The patient
also has loss of vibratory sense, two-point discrimination, and position sense. There are no signs
of personality changes or aphasia. Which of the following arteries is MOST likely affected?
1.Basilar
,2.Anterior cerebral
3.Middle cerebral
4.Posterior cerebral 1.Basilar
Vertebral (basilar) arteries supply the brainstem and cerebellum. Lesions of these arteries usually
manifest as unilateral or bilateral weakness of extremities and loss of vibratory sense, two-point
discrimination, and position sense. Diplopia, homonymous hemianopsia, dysphagia, dysarthria,
nausea, and confusion may also occur.
Following a total knee arthroplasty, a patient has been receiving moist heat to the knee prior to
exercise and gait training. During the current visit, the physical therapist notes new redness,
swelling, and increasing warmth surrounding the knee. Which of the following actions should
the therapist take?
1.Notify the orthopedic surgeon of the changes.
2.Continue with the use of hot packs for 5 to 10 minutes prior to physical therapy.
3.Substitute ice instead of heat prior to physical therapy.
4.Discontinue physical therapy until the problems are resolved. 1.Notify the orthopedic
surgeon of the changes.
, New symptoms of redness, swelling, and increasing warmth following a surgical procedure are
indicators of a possible infection. The surgeon should be notified.
A child who has athetoid cerebral palsy is MOST likely to exhibit which of the following
characteristics?
1.Sustained limb posturing
2.Low frequency tremor
3.Rapid, jerky motions
4.Mixed muscle tone 4.Mixed muscle tone
Athetoid cerebral palsy is characterized by slow, involuntary, writhing, twisting, "wormlike"
movements. Some muscles demonstrate tone that is too high, and others demonstrate tone that is
too low.
A physical therapist is preparing to treat a patient in an acute care setting following a total hip
arthroplasty. The patient's past medical history includes chronic obstructive pulmonary disease.
Which of the following concomitant conditions MOST indicates that the therapist should defer
treatment?
1.White blood cell count of 16,000/mm3
2.Oxygen saturation level of 92% with activity