AND ANSWERS ALL CORRECT
A patient who had a cerebrovascular accident reports not taking phenytoin (Dilantin) as
prescribed. Failure to take the prescribed medication is MOST likely to increase the
patient's risk for which of the following conditions?
1. Anxiety
2. Seizures
3. Depression
4. Inflammation - Answer-Seizures
Phenytoin (Dilantin) is used to manage seizures. Not taking the medication would put
the patient at risk for seizures.
Which of the following conditions is associated with BOTH an upper motor neuron injury
and a lower motor neuron injury?
1. Hypotonia
2. Paralysis of muscles
3. Hypertonia
4. Absent deep tendon reflexes - Answer-Paralysis of muscles
Both upper motor neuron injuries and lower motor neuron injuries lead to muscle
paralysis
Hypotonia occurs after lower motor neuron damage
Hypertonia occurs after upper motor neuron damage
Loss of deep tendon reflexes occurs after lower motor neuron damage
A patient reports exacerbation of knee pain localized to the lateral femoral condyle
during running. The patient MOST likely has which of the following conditions?
1. Iliotibial band friction syndrome
2. Osgood-Schlatter disease
3. Pes anserine bursitis
4. Patellar tendinitis - Answer-Iliotibial band friction syndrome
Iliotibial band friction syndrome is a repetitive stress injury that results from friction of the
iliotibial band as it slides over the prominent lateral femoral condyle. It is common in
runners and is associated with pain at the lateral femoral condyle
A patient has muscle wasting due to use of a medication for chronic pulmonary disease.
Which of the following medications MOST likely caused the patient's muscle wasting?
1. Prednisone (Deltasone)
2. Albuterol (Ventolin)
3. Montelukast (Singulair)
,4. Ipratropium (Atrovent) - Answer-Prednisone (Deltasone)
Prednisone (Deltasone) is a corticosteroid medication used in the treatment of chronic
pulmonary disease. It can cause muscle wasting.
Passive stretching exercises are CONTRAINDICATED for a child who has which of the
following conditions?
1. Spina bifida
2. Duchenne muscular dystrophy
3. Cerebral palsy
4. Osteogenesis imperfecta - Answer-Osteogenesis imperfecta
Passive stretching exercises are routinely given as part of the treatment of children with
a diagnosis of spina bifida
2. Passive stretching is indicated as part of the treatment for Duchenne muscular
dystrophy
3. In addition to other activities, passive stretching exercises are recommended in
children with cerebral palsy
4. Children with osteogenesis imperfecta have very fragile bones and hypermobile
joints. Passive stretching is contraindicated in most cases because it can cause
fractures in the long bones.
Which of the following actions should a physical therapist assistant perform FIRST
before transferring a patient with anorexia nervosa?
1. Check respiratory rate.
2. Monitor blood pressure.
3. Check lower extremity sensation.
4. Monitor body temperature. - Answer-Monitor blood pressure.
People who have anorexia nervosa are at risk for developing orthostatic hypotension.
Therefore, blood pressure should be monitored.
Which of the following signs and symptoms would MOST likely be adverse effects of
diuretic medication?
1. Hypertension with headache
2. Electrolyte imbalance with fatigue
3. Fluid depletion with shortness of breath
4. Decreased heart rate with fatigue - Answer-Electrolyte imbalance with fatigue
Surgical intervention to remove the lining of a joint is BEST described by which of the
following terms?
1. Osteotomy
2. Arthrodesis
3. Synovectomy
4. Arthrotomy - Answer-Synovectomy
, Synovectomy involves removal of the synovium (lining of the joint) in the presence of
chronic joint inflammation. It is performed in patients who have rheumatoid arthritis with
chronic proliferative synovitis but minimal articular damage
A patient who has a neurological condition has greater motor involvement in the upper
extremities than in the lower extremities. Which of the following conditions does the
patient MOST likely have?
1. Central cord syndrome
2. Anterior cord syndrome
3. Cauda equina syndrome
4. Brown-Séquard syndrome - Answer-Central cord syndrome
1. Central cord syndrome typically affects the upper extremities more than the lower
extremities. Sensory impairments are typically less severe than motor impairments.
2. Anterior cord syndrome presents clinically as a loss of motor function and loss of the
sense of pain and temperature below the level of the lesion. Proprioception, light touch,
and vibratory sense are generally preserved.
3. Signs and symptoms of cauda equina syndrome include saddle anesthesia and
areflexic bowel and bladder. Lower extremity paralysis and paresis are variable
depending on the extent of the injury to the cauda equina.
4. Brown-Séquard syndrome presents clinically as an ipsilateral paralysis and sensory
loss and contralateral loss of sense of pain and temperature.
A patient who had an ischemic stroke has global aphasia, ideational apraxia, and right
homonymous hemianopsia. Which of the following cerebral arteries is MOST likely
affected?
1. Left middle
2. Right middle
3. Left posterior
4. Right posterior - Answer-Left middle
Clinical manifestations of a stroke involving the middle cerebral artery include aphasia,
apraxia, and contralateral homonymous hemianopsia (p. 600). Since the patient's
homonymous hemianopsia deficit is on the right, the contralateral artery would be the
correct answer, which is the left middle cerebral artery. In addition, dominant speech
centers are typically on the left side of the brain and are supplied by the middle cerebral
artery. Homonymous hemianopsia may be present with posterior cerebral artery
involvement, but the patient would not present with aphasia.
Which of the following wound characteristics is MOST consistent with an arterial ulcer?
1. Dry, necrotic tissue
2. Moderate amount of exudate
3. Round shape with an elevated rim
4. Red wound base with irregular edges - Answer-Dry, necrotic tissue
Dry, necrotic tissue is indicative of arterial ulcers.