A patient with a recent history of immobilization has a new onset of unilateral
leg swelling with dependent edema. This condition is MOST likely due to:
1. congestive heart failure.
2. peripheral arterial disease.
3. deep vein thrombosis.
4. lymphedema. Right Ans - Deep vein thrombosis
Which of the following structures would be MOST commonly involved in a
surgical release for Dupuytren contracture?
1. First metacarpal joint capsule
2. Transverse carpal ligament
3. Annular pulleys
4. Palmar fascia Right Ans - Palmar fascia
Which of the following problems is MOST important to address in a 10-year-
old child who has Duchenne muscular dystrophy?
1. Increased joint mobility
2. Increased ligamentous laxity
3. Decreased ability to walk independently
4. Decreased sensation in the lower extremities Right Ans - Decreased
ability to walk independently
As a child with Duchenne muscular dystrophy ages and muscle degeneration
progresses, physical therapy is essential in addressing ambulation aids as well
as seated mobility options to maximize functional mobility.
Which of the following value ranges is considered NORMAL for ejection
fraction of the heart?
1. 5% to 20%
2. 25% to 45%
3. 55% to 75%
4. 80% to 100% Right Ans - 3. 55% to 75%
Ejection fraction measures ventricular contractility. Ejection fraction is
determined by stroke volume divided by left ventricle end diastolic volume.
Since not all blood should be pumped out of the ventricle during contraction,
normal ejection fraction is 55% to 75%.
,Which of the following signs or symptoms is MOST likely to occur in a patient
who becomes dehydrated during a strenuous cardiac conditioning program?
1. Hypertension
2. Hypotension
3. Weight gain
4. Decreased body temperature Right Ans - Hypotension
In a patient who becomes dehydrated, hypotension occurs secondary to
decrease in fluids and consequent increase in heart rate and decrease in blood
pressure.
A patient who has Guillain-Barré syndrome is MOST likely to exhibit which of
the following signs and symptoms?
1. Muscle weakness that progresses from proximal to distal and diminished
deep tendon reflexes
2. Muscle weakness that progresses from distal to proximal and diminished
deep tendon reflexes
3. Muscle weakness that progresses from proximal to distal and diplopia
4. Muscle weakness that progresses from distal to proximal and diplopia
Right Ans - Muscle weakness that progresses from distal to proximal and
diminished deep tendon reflexes
Proximally progressing muscle weakness and diminished deep tendon
reflexes are two of the common signs and symptoms of Guillain-Barré
syndrome
The results of a patient's spirometry test reveal a tidal volume of 500 mL,
residual volume of 1300 mL, and vital capacity of 4600 mL. The patient MOST
likely has which of the following conditions?
1. Sarcoidosis
2. Cystic fibrosis
3. Diabetes mellitus
4. Systemic lupus erythematosus Right Ans - Cystic fibrosis
Obstructive pulmonary diseases are classified by normal or elevated tidal
volume, normal or elevated residual volume, and normal or elevated vital
capacity. In this patient, tidal volume and vital capacity are normal, but
residual volume is elevated. Cystic fibrosis is an obstructive lung disease
Which of the following hand deformities is MOST commonly related to the
progression of rheumatoid arthritis?
, 1. Volar (palmar) subluxation with ulnar drift
2. Volar (palmar) subluxation with radial drift
3. Dorsal subluxation with radial drift
4. Dorsal subluxation with ulnar drift Right Ans - Volar (palmar)
subluxation with ulnar drift
The carpals move into subluxation toward the volar (palmar) surface of the
hand, not the dorsum (back) of the hand.
Which of the following conditions is BEST characterized by early-stage joint
space narrowing and articular cartilage erosion, and late-stage osteophyte
formation and articular cartilage fissuring and eburnation?
1. Osteoporosis
2. Rheumatoid arthritis
3. Osteoarthritis
4. Ankylosing spondylitis Right Ans - Osteoarthritis
Osteoarthritis is characterized by early-stage joint space narrowing and
articular cartilage erosion with late-stage osteophyte formation and articular
cartilage fissuring and eburnation
A patient who has decreased resistance to infection reports paresthesia and
heaviness in the right upper extremity and exhibits decreased range of motion
in the extremity. The patient's signs and symptoms are MOST closely
associated with which of the following conditions?
1. Gout
2. Lymphedema
3. Osteomyelitis
4. Deep vein thrombosis Right Ans - Lymphedema
The clinical manifestations of lymphedema include increased size of the limb,
sensory disturbances, decreased resistance to infection, and decreased range
of motion
A patient with a diagnosis of left-sided Bell's palsy would have difficulty:
1. smiling.
2. chewing food.
3. scanning to the left.
4. hearing on the left. Right Ans - smiling
Bell palsy is a unilateral condition affecting the facial nerve (CN VII), which
innervates the facial muscles of expression, so smiling would be difficult