AAPMR QBank Medical Rehabilitation
Exam 2026 Questions and Answers
An immediate post coronary artery bypass graft rehabilitation program includes:
A.Primary prevention education on modifiable risk factors
B.Ambulation on the second postoperative day
C.Upper extremity aerobic training and strengthening exercises
D.Initiation of an outpatient aerobic program - Correct answer-B:
Mobilization after surgery is started and progressed as quickly as possible. Patients
should be up in a chair the first postoperative day and then are started on limited
ambulation the second postoperative day. Patients having already undergone
coronary artery bypass graft (CABG) are too late for primary prevention but will
benefit from secondary prevention and risk factor modification. Most CABG
patients are on sternotomy precautions postoperatively and are therefore highly
restricted in upper extremity activity. Outpatient aerobic programs are usually
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,delayed until patients are completely healed from surgery, which is usually about 6
weeks after CABG.
In a 20-year-old pregnant female with T4 complete paraplegia, which factor may
help distinguish autonomic dysreflexia from pre-eclampsia during labor?
A.Extremity swelling
B.Blood pressure
C.Heart rate
D.Headache - Correct answer-A:
Autonomic dysreflexia (AD) during labor and delivery is a risk for women with
spinal cord injuries about T6. The symptoms of AD often include elevation in
blood pressure, headache, and bradycardia or tachycardia. Symptoms of AD often
occur acutely and coincide with uterine contractures. Pre-eclampsia is a severe
elevation in blood pressure seen in pregnant women and occurs at similar rates in
those with and without disabilities. Pre-eclampsia also involves an acute increase
in blood pressure, with or without a headache and generally with tachycardia.
Symptoms occur throughout labor rather than isolated to contractions. Both can
present with elevated blood pressure, headache, and elevated heart rate, however
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,rapid weight gain and extremity swelling are seen only in pre-eclampsia. It is
important to distinguish between the two as management is different.
Which centrally acting sympatholytic hypertensive medication can worsen erectile
dysfunction?
A.Disopyramide
B.Hydrochlorothiazide
C.Carvedilol
D.Clonidine - Correct answer-D:
Sexual dysfunction can be a side effect from many cardiovascular medications. Of
the options, clonidine is a centrally acting sympatholytic, hydrochlorothiazide is a
diuretic, carvedilol is a beta-blocker, and disopyramide is an antiarrhythmic.
The most common location for metastatic brain tumors is:
A.Cerebral hemisphere
B.Cerebellum
C.Pons
D.Medulla - Correct answer-A:
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, Metastatic brain tumors are more common than primary tumors. 85% of metastatic
brain tumors occur in the cerebral hemispheres, 15% in the cerebellum, and 5% in
the brainstem.
In adults with myelomeningocele, what percentage of individuals report consistent
bowel continence?
A.30%
B.50%
C.70%
D.90% - Correct answer-B:
Approximately 55% of adults (older than 20 years) with myelomeningocele report
consistent bowel continence. Bowel continence has been positively associated with
quality of life, employment, and educational attainment.
Enhanced exercise tolerance achieved during pulmonary rehabilitation for patients
with chronic pulmonary obstructive disease (COPD) results predominantly from:
A.Reduced myocardial oxygen requirements
B.Peripheral training effect in skeletal muscle
C.Increased forced expiratory volume in 1 second (FEV1)
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
Exam 2026 Questions and Answers
An immediate post coronary artery bypass graft rehabilitation program includes:
A.Primary prevention education on modifiable risk factors
B.Ambulation on the second postoperative day
C.Upper extremity aerobic training and strengthening exercises
D.Initiation of an outpatient aerobic program - Correct answer-B:
Mobilization after surgery is started and progressed as quickly as possible. Patients
should be up in a chair the first postoperative day and then are started on limited
ambulation the second postoperative day. Patients having already undergone
coronary artery bypass graft (CABG) are too late for primary prevention but will
benefit from secondary prevention and risk factor modification. Most CABG
patients are on sternotomy precautions postoperatively and are therefore highly
restricted in upper extremity activity. Outpatient aerobic programs are usually
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,delayed until patients are completely healed from surgery, which is usually about 6
weeks after CABG.
In a 20-year-old pregnant female with T4 complete paraplegia, which factor may
help distinguish autonomic dysreflexia from pre-eclampsia during labor?
A.Extremity swelling
B.Blood pressure
C.Heart rate
D.Headache - Correct answer-A:
Autonomic dysreflexia (AD) during labor and delivery is a risk for women with
spinal cord injuries about T6. The symptoms of AD often include elevation in
blood pressure, headache, and bradycardia or tachycardia. Symptoms of AD often
occur acutely and coincide with uterine contractures. Pre-eclampsia is a severe
elevation in blood pressure seen in pregnant women and occurs at similar rates in
those with and without disabilities. Pre-eclampsia also involves an acute increase
in blood pressure, with or without a headache and generally with tachycardia.
Symptoms occur throughout labor rather than isolated to contractions. Both can
present with elevated blood pressure, headache, and elevated heart rate, however
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,rapid weight gain and extremity swelling are seen only in pre-eclampsia. It is
important to distinguish between the two as management is different.
Which centrally acting sympatholytic hypertensive medication can worsen erectile
dysfunction?
A.Disopyramide
B.Hydrochlorothiazide
C.Carvedilol
D.Clonidine - Correct answer-D:
Sexual dysfunction can be a side effect from many cardiovascular medications. Of
the options, clonidine is a centrally acting sympatholytic, hydrochlorothiazide is a
diuretic, carvedilol is a beta-blocker, and disopyramide is an antiarrhythmic.
The most common location for metastatic brain tumors is:
A.Cerebral hemisphere
B.Cerebellum
C.Pons
D.Medulla - Correct answer-A:
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, Metastatic brain tumors are more common than primary tumors. 85% of metastatic
brain tumors occur in the cerebral hemispheres, 15% in the cerebellum, and 5% in
the brainstem.
In adults with myelomeningocele, what percentage of individuals report consistent
bowel continence?
A.30%
B.50%
C.70%
D.90% - Correct answer-B:
Approximately 55% of adults (older than 20 years) with myelomeningocele report
consistent bowel continence. Bowel continence has been positively associated with
quality of life, employment, and educational attainment.
Enhanced exercise tolerance achieved during pulmonary rehabilitation for patients
with chronic pulmonary obstructive disease (COPD) results predominantly from:
A.Reduced myocardial oxygen requirements
B.Peripheral training effect in skeletal muscle
C.Increased forced expiratory volume in 1 second (FEV1)
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
