FSBPT Section 4 - Questions With Clear Solutions
Which of the following is an ABNORMAL response to aerobic exercise?
1. Increase in respiratory rate
2. Decrease in systolic blood pressure
3. Increase in pulse rate
4. Minimal change in diastolic pressure Right Ans - 1. An increase in
respiratory rate is a normal, expected response (p. 773.e326).
Correct:
2. A significant drop in systolic pressure in response to an increasing
workload is an abnormal response and requires stopping of aerobic activity
(p. 773.e329).
3. An increase in pulse rate is a normal, expected response (p. 773.e325).
4. A minimal change in diastolic pressure is a normal, expected response (p.
773.e328).
If a patient is able to resist moderate pressure against elbow flexion during
seated muscle testing, the elbow flexor strength should be documented as:
1. Good (4/5).
2. Normal (5/5).
3. Poor (2/5).
4. Fair (3/5). Right Ans - Correct:
1. The ability to resist moderate pressure against gravity through the full
range of motion is consistent with a grade of Good (4/5) elbow flexor
strength.
2. Normal (5/5) elbow flexor strength requires the ability to maintain end-
point range against maximum resistance.
3. Poor (2/5) elbow flexor strength is indicated by the ability to move through
full range of motion with gravity minimized.
4. Fair (3/5) elbow flexor strength is indicated by the ability to move through
full range of motion against only the resistance of gravity.
A postsurgical patient is referred for strengthening exercises for hip extension
combined with passive range of motion exercises for hip flexion for the same
limb in the pool. How should the physical therapist assistant instruct the
patient to exercise in the water?
,1. Stand on the uninvolved leg. Allow the involved-side knee to float up
toward the surface. Push the foot back down to the bottom of the pool.
2. Stand on the involved leg. Bend the uninvolved hip and knee to perform a
mini-squat. Relax and float back up into standing.
3. Stand on the uninvolved leg. Allow the involved leg to float to the side
toward the surface. Push the foot back down to the bottom of the pool.
4. Stand on the involved leg. Allow the uninvolved knee to float up toward the
surface. Push the foot down to the bottom of the pool. Right Ans - Correct:
1. Buoyancy of the water allows the hip to passively flex by floating to the top;
then the hip extensors are actively strengthened by pushing the foot back
down.
2. Mini-squats in the pool would provide buoyancy-assisted hip extension and
resisted hip flexion. This is the opposite of what is desired.
3. Raising the leg to the side and pushing the foot back down would
strengthen the hip abductors, not the hip flexors.
4. Static standing on the involved leg will not promote range of motion.
In order to accelerate a power-driven wheelchair, a patient with spastic
quadriplegia secondary to cerebral palsy extends his head and thereby
extends his upper extremity. Which reflex is the patient using to accelerate his
wheelchair?
1. Symmetrical tonic neck reflex
2. Asymmetrical tonic neck reflex
3. Protective extension reflex
4. Tonic labyrinthine reflex Right Ans - Correct:
1. In the symmetrical tonic neck reflex, extending the head elicits arm
extension (O'Sullivan, p. 150).
2. Asymmetrical tonic neck reflex requires head rotation to elicit limb
response (O'Sullivan, p. 150).
3. The protective extension reflex is a reaction to loss of balance (O'Sullivan, p.
244).
4. The tonic labyrinthine reflex is elicited in prone or supine positions
(O'Sullivan, p. 150).
While walking, a patient with muscular dystrophy is beginning to show signs
of toe walking. Which of the following should be a component of the current
treatment?
, 1. Assist the patient's family with wheelchair selection and use.
2. Modify the home environment to facilitate care.
3. Incorporate stretching exercises into a home program.
4. Modify orthoses and provide an assistive device to facilitate walking.
Right Ans - 1. The patient is ambulatory and therefore does not need a
wheelchair (pp. 252-253).
2. Modification of the home environment is not appropriate for a patient at
this level of function (pp. 254-255).
Correct:
3. Stretching exercises to slow the development of contractures will help
maintain ambulation (pp. 248, 250).
4. The patient does not wear orthoses and would not need an assistive device
at this level of function (pp. 251-252).
A physical therapist assistant is measuring the active range of motion of a
patient's knee following total knee arthroplasty. The patient lacks 20° of full
knee extension and has 87° of knee flexion. How should this be documented as
a range?
1. -20° to 87°
2. 20° to 0° to 87°
3. -20° to 0° to 87°
4. 20° to 87° Right Ans - 1. The patient cannot achieve 0°; -20° is beyond 0°.
2. The patient cannot achieve 0°.
3. The patient cannot achieve 0°.
Correct:
4. Range of motion for a patient who lacks 20° of full knee extension and has
87° of knee flexion should be documented 20° to 87°. No negative sign is
needed for 20°.
A patient who has degenerative joint disease of the lumbosacral spine reports
pain in the belly of the gastrocnemius muscle. This pain may result from
compression of the nerve root at which of the following spinal levels?
1. L4
2. L5
3. S2
Which of the following is an ABNORMAL response to aerobic exercise?
1. Increase in respiratory rate
2. Decrease in systolic blood pressure
3. Increase in pulse rate
4. Minimal change in diastolic pressure Right Ans - 1. An increase in
respiratory rate is a normal, expected response (p. 773.e326).
Correct:
2. A significant drop in systolic pressure in response to an increasing
workload is an abnormal response and requires stopping of aerobic activity
(p. 773.e329).
3. An increase in pulse rate is a normal, expected response (p. 773.e325).
4. A minimal change in diastolic pressure is a normal, expected response (p.
773.e328).
If a patient is able to resist moderate pressure against elbow flexion during
seated muscle testing, the elbow flexor strength should be documented as:
1. Good (4/5).
2. Normal (5/5).
3. Poor (2/5).
4. Fair (3/5). Right Ans - Correct:
1. The ability to resist moderate pressure against gravity through the full
range of motion is consistent with a grade of Good (4/5) elbow flexor
strength.
2. Normal (5/5) elbow flexor strength requires the ability to maintain end-
point range against maximum resistance.
3. Poor (2/5) elbow flexor strength is indicated by the ability to move through
full range of motion with gravity minimized.
4. Fair (3/5) elbow flexor strength is indicated by the ability to move through
full range of motion against only the resistance of gravity.
A postsurgical patient is referred for strengthening exercises for hip extension
combined with passive range of motion exercises for hip flexion for the same
limb in the pool. How should the physical therapist assistant instruct the
patient to exercise in the water?
,1. Stand on the uninvolved leg. Allow the involved-side knee to float up
toward the surface. Push the foot back down to the bottom of the pool.
2. Stand on the involved leg. Bend the uninvolved hip and knee to perform a
mini-squat. Relax and float back up into standing.
3. Stand on the uninvolved leg. Allow the involved leg to float to the side
toward the surface. Push the foot back down to the bottom of the pool.
4. Stand on the involved leg. Allow the uninvolved knee to float up toward the
surface. Push the foot down to the bottom of the pool. Right Ans - Correct:
1. Buoyancy of the water allows the hip to passively flex by floating to the top;
then the hip extensors are actively strengthened by pushing the foot back
down.
2. Mini-squats in the pool would provide buoyancy-assisted hip extension and
resisted hip flexion. This is the opposite of what is desired.
3. Raising the leg to the side and pushing the foot back down would
strengthen the hip abductors, not the hip flexors.
4. Static standing on the involved leg will not promote range of motion.
In order to accelerate a power-driven wheelchair, a patient with spastic
quadriplegia secondary to cerebral palsy extends his head and thereby
extends his upper extremity. Which reflex is the patient using to accelerate his
wheelchair?
1. Symmetrical tonic neck reflex
2. Asymmetrical tonic neck reflex
3. Protective extension reflex
4. Tonic labyrinthine reflex Right Ans - Correct:
1. In the symmetrical tonic neck reflex, extending the head elicits arm
extension (O'Sullivan, p. 150).
2. Asymmetrical tonic neck reflex requires head rotation to elicit limb
response (O'Sullivan, p. 150).
3. The protective extension reflex is a reaction to loss of balance (O'Sullivan, p.
244).
4. The tonic labyrinthine reflex is elicited in prone or supine positions
(O'Sullivan, p. 150).
While walking, a patient with muscular dystrophy is beginning to show signs
of toe walking. Which of the following should be a component of the current
treatment?
, 1. Assist the patient's family with wheelchair selection and use.
2. Modify the home environment to facilitate care.
3. Incorporate stretching exercises into a home program.
4. Modify orthoses and provide an assistive device to facilitate walking.
Right Ans - 1. The patient is ambulatory and therefore does not need a
wheelchair (pp. 252-253).
2. Modification of the home environment is not appropriate for a patient at
this level of function (pp. 254-255).
Correct:
3. Stretching exercises to slow the development of contractures will help
maintain ambulation (pp. 248, 250).
4. The patient does not wear orthoses and would not need an assistive device
at this level of function (pp. 251-252).
A physical therapist assistant is measuring the active range of motion of a
patient's knee following total knee arthroplasty. The patient lacks 20° of full
knee extension and has 87° of knee flexion. How should this be documented as
a range?
1. -20° to 87°
2. 20° to 0° to 87°
3. -20° to 0° to 87°
4. 20° to 87° Right Ans - 1. The patient cannot achieve 0°; -20° is beyond 0°.
2. The patient cannot achieve 0°.
3. The patient cannot achieve 0°.
Correct:
4. Range of motion for a patient who lacks 20° of full knee extension and has
87° of knee flexion should be documented 20° to 87°. No negative sign is
needed for 20°.
A patient who has degenerative joint disease of the lumbosacral spine reports
pain in the belly of the gastrocnemius muscle. This pain may result from
compression of the nerve root at which of the following spinal levels?
1. L4
2. L5
3. S2
