FUNDAMENTALS & TEACHING/LEARNING |
RATIONALES INCLUDED | PASS YOUR FINALS
Comprehensive Exam: Fundamentals of PT & Teaching
and Learning
1. A PT is performing an initial evaluation. Which of
the following is the correct order of a standard clinical
examination?
A. Physical Examination, History, Explanation.
B. History, Physical Examination, Explanation.
C. Explanation, History, Physical Examination.
D. History, Explanation, Physical Examination.
Rationale: The clinical process must begin with a subjective
history to guide the objective physical tests; it concludes with
an explanation of findings to the patient.
Answer: B
2. A student therapist is practicing a transfer. The
clinical instructor (CI) provides feedback during the
task to correct the student's hand placement. This is
an example of:
A. Reflection-on-action.
B. Reflection-for-action.
C. Reflection-in-action.
D. Summative evaluation.
Rationale: Reflection-in-action occurs during the event,
allowing for immediate adjustment of performance.
Answer: C
,3. According to the ABCD model for writing behavioral
objectives, the "D" stands for:
A. Diagnosis.
B. Duration.
C. Degree.
D. Discipline.
Rationale: Degree specifies the criteria for success, such as
"with 90% accuracy" or "independently in 3 out of 4 trials."
Answer: C
4. A patient is performing a squat while the PT
provides verbal praise every time the form is correct.
This educational approach is rooted in which theory?
A. Constructivism.
B. Cognitivism.
C. Behaviorism.
D. Humanism.
Rationale: Behaviorism relies on reinforcement (stimulus-
response) to strengthen desired behaviors.
Answer: C
5. Which of the following is considered a "Red Flag"
during a patient history for low back pain?
A. Pain that increases with movement.
B. History of a sedentary lifestyle.
C. Sudden, unexplained weight loss and night pain.
D. Tightness in the hamstrings.
Rationale: Unexplained weight loss and night pain are classic
systemic red flags that may indicate malignancy.
Answer: C
6. A PT is teaching a patient a home exercise program
(HEP). The patient says, "I understand why this is
important for my recovery." This reflects which
characteristic of adult learners?
A. Dependence on the teacher.
,B. Readiness to learn based on social roles.
C. Orientation to learning is life-centered or task-centered.
D. Preference for passive listening.
Rationale: Adult learners are motivated when they perceive
the immediate relevance of the information to their personal
goals or recovery.
Answer: C
7. When measuring joint Range of Motion (ROM),
where should the fulcrum of the goniometer be
placed?
A. Over the muscle belly.
B. Over the joint axis.
C. On the distal bone segment.
D. On the proximal bone segment.
Rationale: The fulcrum must align with the axis of rotation of
the joint being measured.
Answer: B
8. A patient is in the "Contemplation" stage of the
Transtheoretical Model. Which of the following best
describes their mindset?
A. They have no intention of changing their behavior.
B. They are actively performing the new behavior.
C. They are aware a problem exists but are not yet committed to
action.
D. They have maintained the change for over six months.
Rationale: Contemplators are "thinking about" changing but
are often ambivalent about the effort required.
Answer: C
9. Manual Muscle Testing (MMT) grade of 3/5 is
defined as:
A. Trace contraction visible but no joint movement.
B. Complete ROM with full resistance.
, C. Complete ROM against gravity with no added resistance.
D. Complete ROM in a gravity-minimized position.
Rationale: A grade of 3 (Fair) indicates the muscle can move
the joint through full range against gravity only.
Answer: C
10. "Bloom’s Taxonomy" is a framework used to
classify:
A. Muscle fiber types.
B. Levels of cognitive educational objectives.
C. Types of gait deviations.
D. Bone fractures.
Rationale: Bloom’s Taxonomy categorizes learning from
simple recall to complex evaluation and creation.
Answer: B
11. A PT observes a patient’s IV line is occluded by the
bedrail. What is the most appropriate immediate
action?
A. Call the physician.
B. Document the occlusion and continue the session.
C. Reposition the rail or tubing to resolve the occlusion.
D. Stop the PT session and leave the room.
Rationale: PTs are responsible for immediate safety hazards;
resolving the occlusion is a priority to maintain patient
stability.
Answer: C
12. In Vygotsky’s theory, the "Zone of Proximal
Development" refers to:
A. The distance between the clinic and the patient's home.
B. The gap between what a learner can do alone and what they
can do with guidance.
C. The anatomical region of a muscle spindle.
D. The final stage of motor learning.