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A physical therapist assistant completes an isokinetic test on an 18 year old male
rehabilitating from a medial meniscectomy. The therapist notes that the patient
generates 140 ft/lbs of force using the uninvolved quadriceps at 60 degrees per
second. Assuming a normal ratio of hamstring to quadriceps strength, which of
the following would be an acceptable hamstrings value at 60 degrees per second?
1. 64 ft/lbs
2. 84 ft/lbs
3. 114 ft/lbs
4. 116 ft/lbs - CORRECT ANSWER-2. 84 ft/lbs
A physical therapist assistant examines a patient's subtalar range of motion.
When goniometrically assessing subtalar range of motion, the moving arm of the
goniometer should be positioned over the:
1. posterior midline of the calcaneus
2. anterior aspect of the ankle midway between the malleoli
3. over the posterior aspect of the ankle between the malleoli
,4. anterior midline of the second metatarsal - CORRECT ANSWER-1. Posterior
midline of the calcaneus
A physical therapist assistant employed in a home health setting treats a patient
with a mild traumatic brain injury. During the treatment session, the patient's
combative behavior results in the physical therapist assistant growing increasingly
concerned about her own safety. The MOSTappropriate therapist action is:
1. attempt to calm the patient by changing the focus of the intervention activities
2. request that the patient's spouse observe the treatment session
3. request another therapist observe the session
4. discontinue the treatment session - CORRECT ANSWER-4. discontinue
treatment session
A physical therapist assistant instructs a patient with a Foley catheter in
ambulation activities. During ambulation, the therapist should position the
collection bag:
1. above the level of the patient's bladder
2. below the level of the patient's bladder
3. above the level of the patient's heart
4. Below the level of the patient's heart - CORRECT ANSWER-2. Below the level
of the patients bladder
A physical therapist assistant monitors a patient's pulse after ambulation
activities. The therapist notes that at times the rhythm of the pulse is irregular.
When assessing the patient's pulse rate, the therapist should measure the pulse
for:
,1. 10 seconds
2. 15 seconds
3. 30 seconds
4. 60 seconds - CORRECT ANSWER-4. 60 seconds
A physical therapist assistant treats a five-year-old child rehabilitating from
injuries sustained in a motor vehicle accident. During the session the child's
mother mentions that her daughter often complains of sharp pain in her right leg.
The MOST appropriate method to gain additional information on the child's pain
is:
1. ask the child to quantify her pain using a visual analogue pain scale
2. ask the child to describe the pain she is experiencing
3. ask the child to rate her pain on a subjective pain scale from 0-10
4. ask the mother to describe the exact location and severity of her daughter's
pain - CORRECT ANSWER-2. Ask the child to describe the pain she is
experiencing.
A patient performing ambulation activities suddenly begins to demonstrate signs
of weakness including shaking of the legs and impaired balance. When asked
about her status, the patient reports she cannot continue walking. The MOST
appropriate physical therapist assistant action is:
1. call for assistance
2. provide verbal encouragement
3. walk the patient to a chair
4. slowly lower the patient to the floor - CORRECT ANSWER-4. Slowly lower the
patient to the floor
, A physical therapist assistant performs a special test on a 45-year-old male
diagnosed with carpal tunnel syndrome by asking the patient to maximally flex his
wrists and hold the position by pushing the wrists together for 60 seconds. Which
finding would be MOST indicative of a positive test?
1. pain in an area innervated by the ulnar nerve
2. pain in an area innervated by the median nerve
3. tingling into the thumb, index finger, middle, and lateral half of the ring finger
4. tingling into the palmar aspect of the hand - CORRECT ANSWER-3. Tingling
into the thumb, index finger, middle, and lateral half of the ring finger.
A physical therapist assistant works on balance reeducation activities with a
patient diagnosed with diabetes mellitus and peripheral neuropathy. Which of the
following activities would be the MOST challenging for this patient?
1. activities in single-leg stance
2. reaching in and out of the base of support in standing
3. standing on foam with eyes closed
4. lateral weight shifting - CORRECT ANSWER-3. Standing on foam with eyes
closed
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