PT365 Practice Q’s with Accurate Solutions
A physical therapist examines a patient who has been experiencing intermittent buttock and
lateral thigh pain for two weeks. Presently, the patient rates the pain as a "3" on a 0-10 scale,
however, indicates that the pain is a "6" or a "7" during activity or at night. Which of the
following conditions is MOST consistent with this clinical presentation?
A. Sacroilitis
B. Iliolumbar syndrome
C. Piriformis syndrome
D. Trochanteric bursitis
D...... Trochanteric bursitis refers to inflammation of the trochanteric bursa, which is a pad-like
sac that protects the soft tissue structures that cross the posterior portion of the greater
trochanter. The patient is often extremely sensitive to palpation over the bursa and mav
experience lateral thigh pain that is exacerbated by activity or periods of prolonged rest.
A patient diagnosed with fibromyalgia syndrome reports difficulty with managing flare-ups of
their symptoms. Which of the following interventions should the physical therapist MOST
emphasize in order to address the patient's complaint?
A. Lumbar stabilization exercises
B. Aerobic exercise
C. Instruction in pacing activities
D. General flexibility training
C...... Fibromyalgia syndrome (FMS) is classified as a nonarticular rheumatic condition. Pain is
the primary symptom caused by tender points within muscles, tendons, and ligaments. FMS is
best treated with a multidisciplinary approach including education, medical management, and
exercise. This population should not work through pain and often requires short exercise
sessions initially due to a low tolerance for exertion.
, Fibromyalgia treatment
- Instruction in pacing activities, so as not to push too hard or too little, is a key component of
the management of FMS in an attempt to avoid fluctuations or flare-ups of symptoms.
Individuals with FMS often cycle their activity around their pain on "good" and "bad" days, with
typically lower tolerance for activities and exercise. Learning to pace activities throughout the
day is an important strategy to break up the vicious cycle of pain leading to decreased activity,
which leads to deconditioning and more pain.
- low-intensity aerobic exercise programs with instruction in pacing activities have the
strongest evidence for managing the chronic pain associated with FMS and improving overall
function.
A patient with diabetes is being treated for a wound on the plantar surface of the foot. The
wound is documented as a deep ulcer with abscess. Which of the following numeric grades
would the physical therapist use when grading this ulcer based on the Wagner Ulcer Grade
Classification System?
A. 1
B. 2
C. 3
D. 5
C....... The Wagner Ulcer Grade Classification System is a scale used to grade dysvascular foot
ulcers. The classification system uses grades based on wound depth and the presence of
infection. It is a 6-point grading scale from 0 to 5, with higher scores indicating wounds of
greater involvement and severity.
A grade of 3 on the Wagner Ulcer Grade Classification
System is characterized by a deep ulcer that has progressed to include bone inflammation (i.e.,
osteitis), abscess or infection (i.e., osteomyelitis).
A physical therapist examines a patient who has been experiencing intermittent buttock and
lateral thigh pain for two weeks. Presently, the patient rates the pain as a "3" on a 0-10 scale,
however, indicates that the pain is a "6" or a "7" during activity or at night. Which of the
following conditions is MOST consistent with this clinical presentation?
A. Sacroilitis
B. Iliolumbar syndrome
C. Piriformis syndrome
D. Trochanteric bursitis
D...... Trochanteric bursitis refers to inflammation of the trochanteric bursa, which is a pad-like
sac that protects the soft tissue structures that cross the posterior portion of the greater
trochanter. The patient is often extremely sensitive to palpation over the bursa and mav
experience lateral thigh pain that is exacerbated by activity or periods of prolonged rest.
A patient diagnosed with fibromyalgia syndrome reports difficulty with managing flare-ups of
their symptoms. Which of the following interventions should the physical therapist MOST
emphasize in order to address the patient's complaint?
A. Lumbar stabilization exercises
B. Aerobic exercise
C. Instruction in pacing activities
D. General flexibility training
C...... Fibromyalgia syndrome (FMS) is classified as a nonarticular rheumatic condition. Pain is
the primary symptom caused by tender points within muscles, tendons, and ligaments. FMS is
best treated with a multidisciplinary approach including education, medical management, and
exercise. This population should not work through pain and often requires short exercise
sessions initially due to a low tolerance for exertion.
, Fibromyalgia treatment
- Instruction in pacing activities, so as not to push too hard or too little, is a key component of
the management of FMS in an attempt to avoid fluctuations or flare-ups of symptoms.
Individuals with FMS often cycle their activity around their pain on "good" and "bad" days, with
typically lower tolerance for activities and exercise. Learning to pace activities throughout the
day is an important strategy to break up the vicious cycle of pain leading to decreased activity,
which leads to deconditioning and more pain.
- low-intensity aerobic exercise programs with instruction in pacing activities have the
strongest evidence for managing the chronic pain associated with FMS and improving overall
function.
A patient with diabetes is being treated for a wound on the plantar surface of the foot. The
wound is documented as a deep ulcer with abscess. Which of the following numeric grades
would the physical therapist use when grading this ulcer based on the Wagner Ulcer Grade
Classification System?
A. 1
B. 2
C. 3
D. 5
C....... The Wagner Ulcer Grade Classification System is a scale used to grade dysvascular foot
ulcers. The classification system uses grades based on wound depth and the presence of
infection. It is a 6-point grading scale from 0 to 5, with higher scores indicating wounds of
greater involvement and severity.
A grade of 3 on the Wagner Ulcer Grade Classification
System is characterized by a deep ulcer that has progressed to include bone inflammation (i.e.,
osteitis), abscess or infection (i.e., osteomyelitis).
