FUNDAMENTAL ORTHOPEDIC MANAGEMENT for the Physical Therapist
Assistant 4th edition by Robert C. Manske COMPLETE GUIGE 2025
,Chapter 01: Patient Supervision and Observation During Treatment
MULTIPLE CHOICE
1. Who is responsible for carrying out prescribed selected interventions, patient supervision, data
collection, and appropriate supervision of a patient during physical therapy?
a. Physical therapist (PT)
b. Physical therapist assistant (PTA)
c. Nursing assistant
d. Medical doctor
ANS: B
The PTA is responsible for carrying out prescribed selected interventions, patient supervision,
data collection skills, and appropriate problem-solving and clinical decision making.
REF: P. 3
2. Which of the following is NOT a purpose of the clinical patient supervision process?
a. To gather relevant information and data
b. To establish and enhance rapport, trust, and confidence
c. To prescribe interventions the patient requires
d. To assist in the management of the patient
ANS: C
PTAs do not prescribe interventions for the patient. The PTA observes, documents, and
discusses patient observations with the PT.
REF: P. 4
3. Select the open-ended question.
a. What is your pain level today on a scale of 1-10?
b. When did the pain begin?
c. Tell me about the time that you injured knee.
d. When did you take your last pain medication?
ANS: C
The open-ended question leads the patient to say more than yes or no. Open-ended questions
provide much richer details about the incident or experience.
REF: P. 6
4. Which of the following statements is true regarding the working environment of PTAs?
a. PTAs work in isolation with their patient assignments.
b. PTAs work with a team of experts in all areas of a patient’s care.
c. PTAs work only with the PT in providing therapy.
d. PTAs are the most important people on the rehabilitation team when providing
therapy.
ANS: B
, The PTA must be aware of the key members of the rehabilitation team. Occupational
therapists, PTs, nurses, respiratory therapists, psychologists, and audiologists are only a few of
the important members of the rehabilitation team. The PTA does not work in isolation.
REF: P. 4
5. Which of the following statements would be used in a discussion with a patient?
a. Your blood pressure is 150/90, which indicates hypertension and could lead to a
cerebral vascular accident if you don’t take your medications.
b. Your blood pressure is higher than normal today, 150/90. Did you take your blood
pressure medication this morning?
c. The doctor prescribed a beta-blocker for you a month ago. Has that been helping
your blood pressure?
d. The combination of your calcium-channel blocker and beta-blocker do not seem to
be controlling your blood pressure. Let’s call the doctor.
ANS: B
The PTA should learn to communicate openly, freely, and in a professional manner. The PTA
must employ appropriate and professional medical terminology with professional people—but
use familiar (lay) terms to describe the same condition to a patient or a family member.
Avoiding the use of medical jargon (hypertension, beta-blocker, calcium-channel blocker)
with patients is required by PTAs.
REF: P. 4
6. How can a PTA demonstrate accountability in their practice?
a. Maintain timely documentation about patient interventions.
b. Maintain good rapport with patients.
c. Continue their education past their initial degree.
d. Report all findings to the supervising PT so that modifications can be made in
response to changes in patient status.
ANS: D
PTAs are responsible for reporting all findings to the supervising PT so that modifications can
be made in accordance with changes in patient status.
REF: P. 6
7. Which type of questioning would you use to find facts or obtain specific responses from a
patient about an injury to a limb or joint?
a. Open-ended questions
b. Closed-ended questions
c. A pause
d. Neutral phrase
ANS: B
Figure 1-1. Closed-ended questions are used to find out specific details, direct the discussion,
or elicit specific responses from the patient.
REF: P. 8
8. Which fof fthe ffollowing fis fan fexample fof fprompting fduring fa fphysical ftherapy fsession?
, a. “When fyou fwalk fup fthe fsteps, fwhich ffoot fwill fyou fmove ffirst?”
b. “All fright, fnow fpick fup fyour fright ffoot fand fput fit fon fthe fnext fstep.”
c. Point fto fthe fstep fand ftouch fthe fpatient’s fright fleg.
d. Observe fthe fbehavior fof fthe fpatient fto fsee fif fthey fwill flift fup fthe fcorrect ffoot
fwhile fwalking fup fthe fsteps.
ANS: f A
Prompting fa fpatient fto fperform fa ftask fcan fbe fviewed fas fthe fpresentation fof fa fquestion.
fPrompting fallows fpatients fto fdecipher finformation, fsolve fproblems, fand fprovide fsolutions fto
factivities fthey fmust fovercome fduring frecovery. fCues fare fdirections.
REF: f P. f9
9. Who fholds fthe fultimate fresponsibility ffor fthe fpatient’s fphysical ftherapy?
a. PTA
b. Medical fdoctor
c. Nurse
d. PT
ANS: f D
To fminimize fthe fconfusing farray fof ftreatment fprotocols, fthe fPTA fmust feffectively fand
fefficiently fcommunicate fwith fthe fsupervising fPT fto fclarify fdifferences fin fpatient fcare,
falways fremembering fthat fthe fPT fhas fthe fultimate fresponsibility ffor fthe finterventions
fprovided.
REF: f P. f10
10. Which fof fthe ffollowing factions fshould fyou ftake fif fyou fhave fa fdisagreement fwith fthe fPT?
a. Refuse fto fprovide fthe ftreatment for fintervention fon fthe fPT’s fplan fof fcare.
b. Change fthe ftreatment ffor fthe fday fand fthen freport fto fthe fPT fwhat fwas fdone
fat fthe fend fof fthe fday.
c. Follow fthe fplan fof fcare fno fmatter fwhat fchanges fare fobserved fin fthe fpatient
fand fdocument flater.
d. Discuss fyour ffindings fand frationale fwith fthe fPT fto flearn fand fprovide fbetter fcare.
ANS: f D
A ffull funderstanding fof fthe frationale fand fpurpose fof fPT finterventions fallows ffor fimproved
fdelivery fof fcare fand fsafe fand feffective fcare. fPTAs fcannot fchange fthe fplan fof fcare fby
fthemselves.
REF: f P. f10
11. What ftype fof fbehavior fis fthe fPTA fusing fin fthe ffollowing fexample?
The fPTA fquickly fagrees fto fthe fpatient’s frequest fto fslow fdown fand fstop fthe ftreatment ffor
fthe fday finstead fof fdiscussing fthe fpurpose fand fbenefits fof fthe ftreatment.
a. Dominance
b. Submission
c. Hostility
d. Warmth
ANS: f B
Assistant 4th edition by Robert C. Manske COMPLETE GUIGE 2025
,Chapter 01: Patient Supervision and Observation During Treatment
MULTIPLE CHOICE
1. Who is responsible for carrying out prescribed selected interventions, patient supervision, data
collection, and appropriate supervision of a patient during physical therapy?
a. Physical therapist (PT)
b. Physical therapist assistant (PTA)
c. Nursing assistant
d. Medical doctor
ANS: B
The PTA is responsible for carrying out prescribed selected interventions, patient supervision,
data collection skills, and appropriate problem-solving and clinical decision making.
REF: P. 3
2. Which of the following is NOT a purpose of the clinical patient supervision process?
a. To gather relevant information and data
b. To establish and enhance rapport, trust, and confidence
c. To prescribe interventions the patient requires
d. To assist in the management of the patient
ANS: C
PTAs do not prescribe interventions for the patient. The PTA observes, documents, and
discusses patient observations with the PT.
REF: P. 4
3. Select the open-ended question.
a. What is your pain level today on a scale of 1-10?
b. When did the pain begin?
c. Tell me about the time that you injured knee.
d. When did you take your last pain medication?
ANS: C
The open-ended question leads the patient to say more than yes or no. Open-ended questions
provide much richer details about the incident or experience.
REF: P. 6
4. Which of the following statements is true regarding the working environment of PTAs?
a. PTAs work in isolation with their patient assignments.
b. PTAs work with a team of experts in all areas of a patient’s care.
c. PTAs work only with the PT in providing therapy.
d. PTAs are the most important people on the rehabilitation team when providing
therapy.
ANS: B
, The PTA must be aware of the key members of the rehabilitation team. Occupational
therapists, PTs, nurses, respiratory therapists, psychologists, and audiologists are only a few of
the important members of the rehabilitation team. The PTA does not work in isolation.
REF: P. 4
5. Which of the following statements would be used in a discussion with a patient?
a. Your blood pressure is 150/90, which indicates hypertension and could lead to a
cerebral vascular accident if you don’t take your medications.
b. Your blood pressure is higher than normal today, 150/90. Did you take your blood
pressure medication this morning?
c. The doctor prescribed a beta-blocker for you a month ago. Has that been helping
your blood pressure?
d. The combination of your calcium-channel blocker and beta-blocker do not seem to
be controlling your blood pressure. Let’s call the doctor.
ANS: B
The PTA should learn to communicate openly, freely, and in a professional manner. The PTA
must employ appropriate and professional medical terminology with professional people—but
use familiar (lay) terms to describe the same condition to a patient or a family member.
Avoiding the use of medical jargon (hypertension, beta-blocker, calcium-channel blocker)
with patients is required by PTAs.
REF: P. 4
6. How can a PTA demonstrate accountability in their practice?
a. Maintain timely documentation about patient interventions.
b. Maintain good rapport with patients.
c. Continue their education past their initial degree.
d. Report all findings to the supervising PT so that modifications can be made in
response to changes in patient status.
ANS: D
PTAs are responsible for reporting all findings to the supervising PT so that modifications can
be made in accordance with changes in patient status.
REF: P. 6
7. Which type of questioning would you use to find facts or obtain specific responses from a
patient about an injury to a limb or joint?
a. Open-ended questions
b. Closed-ended questions
c. A pause
d. Neutral phrase
ANS: B
Figure 1-1. Closed-ended questions are used to find out specific details, direct the discussion,
or elicit specific responses from the patient.
REF: P. 8
8. Which fof fthe ffollowing fis fan fexample fof fprompting fduring fa fphysical ftherapy fsession?
, a. “When fyou fwalk fup fthe fsteps, fwhich ffoot fwill fyou fmove ffirst?”
b. “All fright, fnow fpick fup fyour fright ffoot fand fput fit fon fthe fnext fstep.”
c. Point fto fthe fstep fand ftouch fthe fpatient’s fright fleg.
d. Observe fthe fbehavior fof fthe fpatient fto fsee fif fthey fwill flift fup fthe fcorrect ffoot
fwhile fwalking fup fthe fsteps.
ANS: f A
Prompting fa fpatient fto fperform fa ftask fcan fbe fviewed fas fthe fpresentation fof fa fquestion.
fPrompting fallows fpatients fto fdecipher finformation, fsolve fproblems, fand fprovide fsolutions fto
factivities fthey fmust fovercome fduring frecovery. fCues fare fdirections.
REF: f P. f9
9. Who fholds fthe fultimate fresponsibility ffor fthe fpatient’s fphysical ftherapy?
a. PTA
b. Medical fdoctor
c. Nurse
d. PT
ANS: f D
To fminimize fthe fconfusing farray fof ftreatment fprotocols, fthe fPTA fmust feffectively fand
fefficiently fcommunicate fwith fthe fsupervising fPT fto fclarify fdifferences fin fpatient fcare,
falways fremembering fthat fthe fPT fhas fthe fultimate fresponsibility ffor fthe finterventions
fprovided.
REF: f P. f10
10. Which fof fthe ffollowing factions fshould fyou ftake fif fyou fhave fa fdisagreement fwith fthe fPT?
a. Refuse fto fprovide fthe ftreatment for fintervention fon fthe fPT’s fplan fof fcare.
b. Change fthe ftreatment ffor fthe fday fand fthen freport fto fthe fPT fwhat fwas fdone
fat fthe fend fof fthe fday.
c. Follow fthe fplan fof fcare fno fmatter fwhat fchanges fare fobserved fin fthe fpatient
fand fdocument flater.
d. Discuss fyour ffindings fand frationale fwith fthe fPT fto flearn fand fprovide fbetter fcare.
ANS: f D
A ffull funderstanding fof fthe frationale fand fpurpose fof fPT finterventions fallows ffor fimproved
fdelivery fof fcare fand fsafe fand feffective fcare. fPTAs fcannot fchange fthe fplan fof fcare fby
fthemselves.
REF: f P. f10
11. What ftype fof fbehavior fis fthe fPTA fusing fin fthe ffollowing fexample?
The fPTA fquickly fagrees fto fthe fpatient’s frequest fto fslow fdown fand fstop fthe ftreatment ffor
fthe fday finstead fof fdiscussing fthe fpurpose fand fbenefits fof fthe ftreatment.
a. Dominance
b. Submission
c. Hostility
d. Warmth
ANS: f B
