QUESTIONS AND CORRECT ANSWERS
Coulomb
1. A coulomb is a term used to describe electrical charge. One coulomb equals 6.25 X 10
electrons per second.
Physical therapists should possess an understanding of the basic principles associated with
electricity. As part of this
knowledge, therapists should be aware of the standard units associated with commonly
utilized electrical terminology. - CORRECT ANSWER A physical therapist using an
electrical stimulation device attempts to quantify several characteristics of a monophasic
waveform. When measuring phase charge, the standard unit of measure is the:
1. coulomb
2. ampere
3. ohm
4. second
Eccentric
Eccentric contractions require a lengthening of the involved muscle. The contraction
generally occurs when there is
a need to decelerate a body part. The hip extensors would lengthen when moving from
standing to sitting.
The gluteus maximus and the hamstrings muscles function as primary hip extensors. These
muscles contract in an
eccentric fashion when moving from standing to sitting. - CORRECT ANSWER A
physical therapist assesses the functional strength of a patient's hip extensors while observing
the patient move from
standing to sitting. What type of contraction occurs in the hip extensors during this activity?
,1. concentric
2. eccentric
3. isometric
4. isokinetic
Piriformis
The picture shows a patient stretching the right piriformis. The patient uses the left leg
to assist with lateral rotation of the right hip. The patient will perceive tension in the
right buttock when performing the stretch.
The piriformis muscle originates on the sacrum and inserts on the greater trochanter. The
muscle acts to lateraily
rotate the femur, however, with the hip flexed more than 60 degrees, the piriformis medially
rotates the femur. - CORRECT ANSWER A physical therapist instructs a patient in a
home stretching program that includes the
pictured stretch. The MOST likely structure targeted is the:
1. gluteus medius
2. iliotibial band
3. piriformis
4. rectus femoris
maintained pressure to the palm of the hand
Primitive reflexes are reflexes which begin during gestation or in early infancy. Most of these
reflexes become integrated
' as the infant ages. Integration indicates that the reflex is no longer present when the stimulus
is provided. Fallure to
integrate primitive reflexes can lead to impaired movement and function
,The palmar grasp reflex is elicited through maintained pressure to the palm of the hand
resuiting in finger flexion.
The reflex begins at birth and is integrated at approximately four to six months of age. -
CORRECT ANSWER A physical therapist completes a developmental assessment on a
five-month-old infant. If the therapist elects to examine
the infant's palmar grasp reflex, which of the following stimuli is the MOST appropriate?
1. contact to the ball of the foot in upright standing
2. maintained pressure to the palm of the hand
3. noxious stimulus to the palm of the hand
4. sudden change in the position of the head
you may have a tendency to become fatigued
Anemia refers to a reduction in the number of circutating red biood cells or reduction in
hemoglobin. Symptoms of
anemia include pallor of the skin, vertigo, and general malaise.
Anemia is a common cause of fatigue. Fatigue often results since there are an inadequate
number of red blood cells *
available to transport oxygen to the tissues of the body. - CORRECT ANSWER A
patient recently admitted to the hospital with an acute iliness is referred to physical therapy.
During a scheduled
treatment session the patient asks what effect anemia will have on his ability to complete a
formal exercise program. The
MOST appropriate therapist response is:
1. you may feel as though your muscles are weak
2. you may experience frequent nausea
3. your aerobic capacity may be reduced
4. you may have a tendency to become fatigued
Dependence with donning and doffing prosthesis
, The problem list, located in the assessment portion of a $.0.A.P. note, should summarize the
significant findings from the
examination. Since the problem list relates back to the subjective and objective portion of the
note, each entry should be
described in broad terms. items in the probiem list should be capable of being influenced or
changed by physical therapy
Iintervention.
The entry summarizes the patient's problem without providing unnecessary specificity which
would already be
included in the objective section of the 5.0.A.P. note.
4. The entry more closely approximates a goal since it describes - CORRECT
ANSWER A physical therapist develops a problem list after examining a patient with a
transtibial amputation. Which of the
following would be the MOST appropriate entry in the patient problem list?
1. donning and doffing prosthesis requires verbal cues
2. donning and doffing prosthesis requires verbal cues and minimal assist of one
3. dependence with donning and doffing prosthesis
4. independent donning and doffing prosthesis in one week
Extremity circumference
If the bladder of the blood pressure cuff is too narrow in relation to the circumference of the
patient's arm, the reading
will be erroneously high. Conversely, if the bladder is too wide, the reading will be
erroneously low.
The width of a bladder should be approximately 40% of the circumference of the midpoint of
the limb. Bladder