1.

A PT attempts to select a non-equilibrium test

of coordination for a patient with a cerebellar 6. 6. A PT implements a series of extension
disorder. Which of the following tests would be activities with a patient rehabilitating from a disk
the MOST appropriate? protrusion. During the session the therapist notes
a. Romberg test that the patient is able to tolerate lying in prone
b. Finger to nose on a firm surface. To progress the patient, the
c. Walking therapist should instruct the patient to:
d. Marching in place a. Perform a prone press-up
b. Position himself in prone on elbows
2. 2. A Physical Therapist reviews the c. Begin bridging activities in supine
medical record of a patient diagnosed with a d. Perform extension exercises in standing
lower motor neuron disorder. Which finding
would be LEAST likely based on the presented 7. 7. A PT performs a lower extremity range
information? of motion screening on a morbidly obese patient
a. Diminished deep tendon reflexes rehabilitating from thoracic surgery. The MOST
b. Clonus likely end-feel classification associated with the
c. Hypotonia patient's knee flexion range of motion would be:
d. Fasciculations a. Soft
b. Firm
3. 3. PT identifies significant weakness in the c. Hard
muscles of the face and proximal limbs of a 48- d. Empty
year-old female. Based on the patient's
diagnosis, the therapist concludes the cause of 8. 8. A PT states that a patient demonstrates
the weakness is neurogenic, specifically related a festinating gait pattern. This type of gait pattern
to the neuromuscular junction. The MOST likely is MOST often associated with:
patient diagnosis is: a. Cerebral palsy
a. Amyotrophic lateral sclerosis b. Parkinson's disease
b. Poliomyelitis c. Spina bifida
c. Spinal muscular atrophy d. Myasthenia gravis
d. Myasthenia gravis
9. 9. A PT lightly strokes the corner of an
4. 4. An athlete who has completed a three- infant's mouth as part of a reflex assessment.
month upper extremity strengthening program This type of stimulus is associated with the:
expresses some degree of frustration since she a. Startle reflex
does not feel the activity has translated to b. Moro reflex
improved performance on the volleyball court. c. Rooting reflex
The principle MOST likely to explain the patient's d. Galant reflex
observation is:
a. Overload 10. 10. A PT prepares to elicit a
b. Specificity patient's biceps reflex by positioning his thumb
c. Fatigue directly over the biceps tendon. Assuming a
d. Neuromuscular efficiency normal response, what action is MOST likely
after striking the thumb with the reflex hammer?
5. 5. A PT employed in an acute care hospital a. Elbow extension
works with a patient diagnosed with CHF. While b. Elbow flexion
discussing the planned treatment with the patient c. Elbow extension and marked forearm
the therapist identifies several findings consistent pronation
with the medical diagnosis. Which finding wound d. Elbow flexion and marked forearm
be the MOST likely? supination
a. Decreased accessory muscle use during
respiration 11. 11. A PT reads in an existing
b. Muscle fasciculations and atrophy patient's medical record that a patient will be
c. Productive cough and decreased seen in physical therapy two times a week for an
respiratory rate additional three weeks. Using a S.O.A.P. note
d. Peripheral edema and dyspnea format, this information would appear in the:
a. Subjective section wrist and hand. When working with the patient,
b. Objective section the therapist should:
c. Assessment section a. Sit on the right side of the patient's body
d. Plan section to assure that the patient is attending to the
therapy session
12. 12. A physical therapist prepares to b. Avoid providing tactile cues to the
administer iontophoresis using lidocaine on a 36- patient's involved hand and arm
year-old male patient diagnosed with patellar c. Encourage the patient to look at his left
tendonitis. Based on the identified hand and arm while performing therapeutic
pharmacological agent, the MOST likely activities
treatment objective is to reduce: d. Use the right upper extremity to
a. Spasticity compensate for the impaired left upper extremity
b. Pain
c. Calcium deposits 16. 16. A patient is observed using a
d. Scar tissue toothbrush as an eating utensil. When asked, the
patient is not able to name the toothbrush and is
13. 13. A PT administers mechanical also unable to describe the toothbrush's use.
cervical traction to a patient diagnosed with This is an example of:
nerve root impingement. The therapist initiates a. Anomia
continuous traction with 10 pounds of force with b. Visual agnosia
the patient positioned in supine. Shortly after c. Impaired figure ground
beginning the session the patient experiences a d. Cortical blindness
dramatic peripheralization of symptoms. The
MOST appropriate therapist action is: 17. 17. PT prepares to order a
a. Continue with traction using the wheelchair for a patient with complete C4
specified parameters quadriplegia. Which type of wheelchair would be
b. Attempt traction in an alternate position the MOST appropriate for the patient?
c. Decrease the amount of force and utilize a. Hemichair with one arm drive
intermittent traction b. Manual wheelchair
d. Discontinue traction c. Manual wheelchair with hand rim
projections
14. 14. A PT is treating a 78 year old d. Power wheelchair
female with advanced Alzheimer’s disease in the
patient’s home. One day, the PT arrives at the 18. 18. A PT observes a patient
patient’s home and finds that the patient’s complete a test that requires the patient to
daughter, who lives with the patient, is in tears perform quick alternating pronation and
and expressing extreme frustration. The PT supination of the forearm. This test can be used
should: to identify:
a. Contact the local agency on aging to a. Dysmetria
report an abusive situation b. Dysphagia
b. Recommend that the daughter consider c. Dysdiadochokinesia
respite care for her mom and provide her with d. Dysarthria
information
c. Begin the therapy session, focusing on 19. 19. A 36-year-old female who gave
the needs of the patient birth to three children over the span of nine years
d. Try to be supportive to the daughter by is referred to physical therapy during her fourth
saying “I know this is frustrating, but you really pregnancy. The patient presents with complains
need to worry about your mom right now” of involuntary urine leakage when she coughs or
sneezes and when she participates in an
15. 15. A 65-year-old male status post aerobics class. Her physician tested for organ
CVA is relearning how to use his left upper prolapse, however the test was negative. What is
extremity. The patient has minimal movement of the MOST appropriate term for the urinary
the arm and hand and demonstrates mild left leakage the patient is experiencing?
neglect. He can complete gross flexor a. Urge incontinence
movements, but has no active extension of the b. Overflow incontinence
c. Function incontinence touch. The patient complains of pain in the calf
d. Stress incontinence with passive dorsiflexion and reports mild
discomfort to light touch. The MOST likely
20. 20. A patient presents with an explanation is:
increase in lumbar lordosis and decreased a. Compartment syndrome
flexibility in the rectus femoris. Based on this b. Deep vein thrombosis
information, the pelvis would tend to be c. Infection
positioned in a/an: d. Peroneal nerve palsy
a. Neutral pelvic tilt
b. Posterior pelvic tilt 25. 25. A PT completes a home
c. Lateral pelvic tilt d assessment for a 39-year-old male who uses a
d. Anterior pelvic tilt wheelchair for household and community
mobility. In order for the patient to enter his
21. 21. A PT administers grade I and II home, the doorway width should be a MINIMUM
mobilizations to the left shoulder of a patient after of:
completing a series of upper extremity resistive a. 24 inches
exercises. The PRIMARY purpose of the b. 28 inches
intervention is to: c. 32 inches
a. Increase periarticular extensibility d. 36 inches
b. Decrease pain
c. Reduce hypomobility 26. 26. A PT attempts to identify
d. Facilitate muscle recruitment several strategies to improve the left neglect of a
patient rehabilitating from a stroke. Which of the
22. 22. A PT examines a 58-year-old following would be the LEAST useful to
patient who is recovering from a humeral neck accomplish the therapist's objective?
fracture. The therapist determines that all a. Have the patient dress in front of a
passive and active movements of the shoulder mirror
joint are moderately restricted. Which of the b. Have the patient's husband sit on her
following techniques would be the MOST right side while she is eating dinner
appropriate to improve the patient's lateral c. Have the patient perform self-retrograde
rotation? massage on her left hand
a. Anterior gliding of the head of the d. Have the television in the patient's room
humerus on the glenoid fossa placed slightly to the left of her field of vision
b. Posterior gliding of the head of the while she is lying in bed
humerus on the glenoid fossa
c. Inferior gliding of the head of the 27. 27. An 82-year-old female is
humerus on the glenoid fossa referred to physical therapy for treatment of hand
d. Superior gliding of the head of the pain and weakness. Visual inspection reveals
humerus on the glenoid fossa extension of the metacarpophalangeal joints and
distal interphalangeal joints with flexion of the
23. 23. A PT discusses positioning with proximal interphalangeal joints of the patient's
a 42-year-old female patient rehabilitating from a index and middle fingers. Which of the following
transfemoral amputation. Based on the patient's BEST describes this type of deformity?
postoperative status, which type of contracture is a. Boutonniere deformity
the patient MOST susceptible to? b. Trigger finger
a. Hip flexor and hip extensor c. Garden spade deformity
b. Hip extensor and hip adductor d. Swan neck deformity
c. Hip flexor and hip abductor
d. Hip extensor and hip abductor 28. 28. A Physical therapist is asked to
provide an educational session on the topic of
24. 24. A PT treats a patient status post osteoarthritis. As part of the session the physical
open reduction internal fixation secondary to a therapist lists common symptoms associated
hip fracture. While preparing to transfer the with this condition. Which list would be the MOST
patient the therapist notes that the calf on the accurate?
surgical side is swollen and extremely warm to
a. Morning stiffness, pain at rest, increased a. Explain to the patient that this is a result
pain with weather changes of delayed onset muscle soreness and decrease
b. Sleep disturbances, heberden's nodules, the amount and intensity of the strength training
low grade fever b. Explain to the patient that this is to be
c. Subcutaneous nodules, bilateral expected and he needs to keep working hard in
involvement, weakness order to gain additional strength
d. Increased incidence of Raynaud's c. Increase the intensity of the strength
disease, progressive joint deformity training in order to build up the patient's muscle
strength
29. 29. A 55-year-old female is referred d. Stop using weights for strengthening
to physical therapy after being diagnosed with and increase the intensity of closed chain
adhesive capsulitis. The patient's range of functional exercises
motion restriction is consistent with a capsular
pattern at the shoulder. Which motion would 33. 33. PT observes a patient's
typically be MOST limited? breathing pattern prior to initiating an exercise
a. Lateral rotation session. The PT concludes the rate and rhythm
b. Medial rotation are within normal limits. This type of breathing is
c. Flexion BEST termed:
d. Adduction a. Apnea
b. Dyspnea
30. 30. A PT attempts to assess the c. Eupnea
Babinski reflex as part of an examination. To d. Orthopnea
effectively elicit the Babinski reflex. The therapist
should: 34. 34. A 60-year old male suddenly
a. Stroke the lateral aspect of the foot becomes ill during a meeting and is taken to the
beneath the lateral malleolus emergency room. The patient is later diagnosed
b. Stroke the anteromedial tibial surface with a CVA involving a portion of the left middle
c. Stroke the lateral aspect of the sole of cerebral artery. Which impairments would be
the foot expected based on the patient's medical
d. Firmly squeeze the calf diagnosis?
a. Impaired right upper extremity motor
31. 31. A PT works with a 68-year-old function, impaired speech, and impaired right
male that was diagnosed with guillain-barre upper extremity sensation
syndrome two weeks ago. The patient did not b. Impaired right lower extremity motor
require ventilator support and his strength has function, impaired speech, and impaired spatial
gradually improved in the past week. Which two awareness
signs would be MOST consistent with the c. Impaired left upper extremity motor
patient's medical diagnosis? function, impaired left upper extremity sensation,
a. Loss of bowel function and impaired and impaired spatial awareness
sensation in bilateral fingers d. Impaired left lower extremity motor
b. Asymmetrical weakness and slowed function, impaired speech, and impaired spatial
nerve conduction velocity awareness
c. Rapidly ascending symmetrical
weakness and slowed nerve conduction velocity 35. 35. A patient with multiple sclerosis
d. Clonus in bilateral ankles and bilateral is examined in physical therapy. The PT
distal sensory loss determines that the patient's right shoulder is
noticeably higher than the left due to the
32. 32. A 42-year-old patient presence of a spinal deformity. The PT notes that
rehabilitating from a lower extremity injury reports the patient has difficulty keeping his feet on the
to outpatient physical therapy complaining of foot rests of his wheelchair and has a bright red
soreness in his legs. During the previous session area of skin over the right ischial tuberosity. The
the patient completed lower extremity eccentric MOST likely cause of the patient's skin redness
strengthening exercises with five pound weights. is:
The MOST appropriate therapist action is to: a. Increased muscle tone on the right side
b. Inadequate distribution of weight bearing
forces
c. Failure to do weight shifting exercises
on a regular basis
d. Sensory impairment
36. 36. A PT treats a patient status post
open reduction internal fixation secondary to a
hip fracture. While preparing to transfer the
patient the therapist notes that the calf on the
surgical side is swollen and extremely warm to
touch. The patient complains of pain in the calf
with passive dorsiflexion and reports mild
discomfort to light touch. The most likely
explanation is
a. Compartment Syndrome
b. Deep Vein Thrombosis
c. Infection
d. Peroneal nerve palsy
37. 37. A PT prepares to transfer a 62-
year-old male patient from supine to short sitting.
The patient was adritted to a skilled nursing
facility two weeks ago and currently requires
maximum assistance to complete all transfers.
When transferring the patient it is MOST critical
to:
a. Provide clear and concise verbal
commands
b. Utilize appropriate guarding technique
c. Lead with the patient's stronger side
d. Maintain direct contact with the patient
38. 38. A PT notices that a 52-year-old
male diagnosed with Parkinson's disease
frequently experientes freezing episodes. The PT
hypothesizes that the episodes may be related to
several recent changes in the patient's
medications. Which physical therapy
management technique would be the MOST
appropriate during the described episodes?
a. Passive range of motion exercises and
positioning instructions
b. Strengthening exercises for the trunk
and all four extremities
c. Gait training activities with appropriate
bracing
d. Electrical stimulation to the non-
functioning
39. 39. A PT works with a 36-year-old
male diagnosed with rotator cuff tendonitis.
During the session the therapist asks the patient
to medially rotate the arm behind the back with
the dorsum of the hand resting in the mid-lumbar
region. The therapist then instructs the patient to
attempt to lift the hand off the back. This test is
MOST appropriate to assess the
a. Infraspinatus
b. Subscapularis
c. Supraspinatus
d. Teres minor
40. 40. A PT works with a patient
recently admitted to a rehabilitation hospital.
During the initial session the therapist notes that
the patient has significant difficulty with language
to the extent that it is extremely difficult to convey
even basic information. This type of clinical
presentation would be MOST consistent with:
a. A 63-year-old female status post right
CVA
b. A 41-year-old female diagnosed with
GBS
c. A 32-year-old male with a traumatic
brain injury presently classified as confused
appropriate
d. A 52 year old male status post left CVA
41. 41. A 25-year-old male immigrant
with low back pain is referred to PT. After
completing the examination, the PT recommends
ongoing PT services.The patient politely declines
the recommendation and states that he will be
using traditional herbal remedies. The MOST
appropriate therapist action is to:
a. Listen respectfully to the patient, then
provide him with a detailed explanation to help
him understand the correct treatment for the
condition
b. Listen carefull to the patient and if it
becomes clear that he is committed to his beliefs,
inform him that you will be unable to assist him
c. Inform the patient that you cannot assist
him and refer the patient to a traditional healer
who will provide alternative models of care
d. Listen to the patient's explanation of his
problem, provide an explanation from a physical
therapy perspective, and negotiate a program
that is acceptable for the patient
42. 42. A PT attempts to assess the BP
of a 49-year-old male participating in a cardiac
rehabilitation program. Which pharmacological
agent would act to decrease the patient's blood
pressure?
a. ACE inhibitors
b. Anticoagulants
c. Digitalis
d. Antihistamines

43. 43. A PT volunteers at a community
basketball tournament. During the contest a 25-
year-old male becomes very short of breath due
to exercise-induced asthma. Which advice would
be the MOST appropriate based on the patient's
medical condition?
a. Use pursed-lip breathing to slow his
breathing rate when he becomes short of breath
b. Use an incentive spirometer to increase
the strength of his respiratory muscle
c. Encourage the patient to avoid playing
basketball because of exercise-induced asthma
d. Use an inspiratory muscle trainer before
exercise to prevent dyspnea
44. 44. A PT prepares to measure a
patient's passive elbow flexion range of motion.
Which of the following steps would be the FIRST
to occur when performing the goniometric
assessment?
a. Palpate bony anatomical landmarks
b. Align the goniometer
c. Read and record the range of motion
d. Stabilize the distal joint segment
45. 45. A patient status post thoracic
surgery has significantly altered his breathing
pattern. The therapist hypothesizes that the
alteration in breathing may be exacerbated due
to pain from a sternotomy. The MOST
appropriate intervention to treat and prevent
atelectasis is:
a. Pursed-lip breathing
b. Inspiratory muscle training
c. Incentive spirometry
d. Postural drainage
46. 46. A PT prepares to write a
S.O.A.P. note after performing gait training
activities with a patient status post total hip
replacement. The statement "I'm getting a little
dizzy, I better sit down" should be included in the
section labeled:
a. Subjective
b. Objective
c. Assessment
d. Plan
47. 47. A PT employed in an inpatient
rehabilitation hospital treats a patient diagnosed
with a TBI. The patient has difficulty with rolling
secondary to the presence of a primitive reflex.
When the patient attempts to initiate rolling
through turning his head, his arms move into a
"fencing" posture with the upper extremity
extended on the side to which the head is turned
and the other extremity flexed. This posture is
associated with which of the following reflexes?
a. Neck righting action on body
a. Symmetrical tonic neck reflex
b. Asymmetrical tonic neck reflex
c. Symmetrical tonic labyrinthine
48. 48. A 52-year-old male is referred
to physical therapy after being diagnosed with
MS. During the examination the therapist places
a key in the patient's hand. Without looking at the
object, the patient is asked to identify it by touch.
This method of testing assesses:
a. Directional cutaneous kinesthesia
b. Graphesthesia
c. Proprioception
d. Stereognosis
49. 49. PT reviews the medical record
of a 26-year-old female recently involved in a
motor vehicle accident. A note in the medical
record indicates that the patient uses a halo vest
cervicothoracic orthosis. The MOST likely
medical diagnosis is:
a. Spinal fracture
b. Acute myofascial pain syndrome
c. Traumatic brain injury
d. Herniated nucleus pulposus
50. 50. A Pt works with a patient who
sustained a closed tibia fracture. The patient was
non-weight bearing and casted for six weeks
prior to being referred to physical therapy. As
part of a treatment session the therapist explains
how resistance training will increase the patient's
knee extensor strength. From a physiological
perspective the change in strength is due to:
a. Hypertrophy of muscle fibers causing an
increase in the cross sectional area of the
muscle
b. Increase in the number of active muscle
fibers
c. Splitting of current muscle fibers
d. Increase in bone density of the femur
and tibia
51. 51. During an examination a female patient
expresses to the physical therapist that she has
difficulty shrugging her shoulders and turning her
head due to a nerv injury. Based on the patient's
comment, the cranial nerve MOST likely affected
is:
a. Vestibulocochlear
b. Vagus 56. 56. A PT is concerned about the
c. Spinal accessory potential for a patient to develop skin breakdown
d. Hypoglossal over the sacral and ischial regions. As a result
the therapist closely inspects the patient's skin
52. 52. A PT inspects the palmar twice daily during physical therapy treatment.
surface of the hand of a 57-year-old male Which of the following is the earliest sign of a
recently referred to physical therapy. During the pressure ulcer that can be obtained through
inspection, the PT palpates several nodules in inspection?
the palmar aponeurosis immediately inferior to a. Macerated tissue
the ring and little finger. This type of finding is b. Localized redness
MOST commonly associated with: c. Pale or blanched skin
a. Boutonniere deformity d. Decubitus ulceration
b. Dupuytren's contracture
c. De Quervain's tenosynovitis 57. 57. A PT examines a 29-year-old
d. Bouchard's nodes female referred to PT with low back pain. The
patient is 22 weeks pregnant and according to
53. 53. A PT examines a patient two the medical record she frequently experiences
weeks status post right total knee arthroplasty. supine hypotension. Based on the patient's
During the examination, the PT notes a medical condition the MOST appropriate position
significant restriction of passive and active to avoid the effects of supine hypotension would
inferior patellar mobility. Which of the following be:
would be the MOST likely clinical finding? a. Supine with both knees bent
a. Diminished active and passive knee b. Right sidelying
flexion c. Left sidelying
b. Presence of an extension lag d. Supine with head elevated on two
c. Increased pain with active knee range of pillows
motion
d. Diminished knee flexion strength 58. 58. A PT examines a 14-year-old
male diagnosed with Osgood-Schlatter disease.
54. 54. A PT notices that a patient The patient reports limiting the intensity and
being treated following an arthroscopic knee duration of activities due to a progressive
procedure has a stage I ulcer on the left forearm. increase in pain over the last month. The MOST
The patient reports mild pain and the skin likely objective finding based on the diagnosis is:
appears to be completely intact. The MOST a. Patella crepitus
predictable clinical presentation based on the b. Increased lateral tibial rotation
stage of the ulcer is: c. Inability to extend the knee against
a. Blister gravity
b. Non-blanchable erythema d. Tenderness to palpation over the tibial
c. Partial disruption of the dermis tubercle
d. Abrasion
59. 59. A PT guards a patient that is
55. 55. A PT observes a patient with a descending a flight of stairs with handrails. The
transtibial amputation who is donning his patient has left lower extremity weakness due to
prosthesis. After the patient completes this task a tibial plateau fracture eight weeks ago.
you notice that his residual limb is not fully in the Assuming the patient descends the stairs
socket and he complains of pain on the tibial according to the normal flow of traffic, the MOST
tubercle. To resolve this problem the physical appropriate therapist position when guarding the
therapist should: patient is:
a. Call the prosthetist and ask him to alter a. Beside the patient on the involved side
the socket b. Beside the patient on the uninvolved
b. Remove a one-ply residual limb sock side
c. Add a one-ply residual limb sock c. In front of the patient on the uninvolved
d. Initiate a desensitization program side
d. In front of the patient on the involved
side
 a. Specify the parameters for superficial
60. 60. A PT examines a patient modality application
diagnosed with "whiplash" following a motor b. Specify the frequency and duration of
vehicle accident. The accident occurred range of motion exercises
approximately two months ago. Prior to initiating c. Determine weight bearing status
a trial of manual traction the therapist attempts to d. Select an appropriate resistive exercise
determine if the patient is an appropriate program
candidate. Which of the following findings would
be considered a contraindication for the specified 65. 65. Computer tomography reveals
intervention? that a patient admitted to the hospital two days
a. Rheumatoid arthritis ago sustained a stroke involving the left middle
b. Cervical hypomobility cerebral artery. Based on the identified area of
c. Headaches involvement the patient would MOST likely
d. Neck pain demonstrate the following signs and symptoms
EXCEPT:
61. 61. A PT designs a general a. Apraxia
strengthening program for a male patient b. Aphasia
rehabilitating from a flexor tendon repair. The c. Right hemiparesis
therapist instructs the patient to place the rubber d. Neglect
band around his fingers when they are together
and then asks the patient to move the fingers as 66. 66. A PT instructs a patient
far apart as possible. The PRIMARY objective of rehabilitating from knee surgery in several
this activity is to: positioning strategies to decrease the likelihood
a. Stretch the lumbricals of developing a knee flexion contracture. Which
b. Stretch the interossei of the following would be the MOST desirable
c. Strengthen the lumbricals position?
d. Strengthen the interossei a. Supine with a pillow under the knee
b. Prone with a pillow under the hip
62. 62. A female patient who is status c. Supine with a pillow under the calf and
post stroke is working on ambulation in physical ankle
therapy. The patient has good sensation and her d. Prone with a pillow under the distal tibia
strength is within functional limits. When walking
in the community, the patient is able to walk 67. 67. A PT attempts to identify a
upstairs with supervision. Yet, when the patient subjective means of monitoring exercise intensity
practices this task in the therapy gym, the patient for patients participating in a cardiac
is unable to complete the activity. This is MOST rehabilitation program. The MOST appropriate
likely a problem of: method to utilize is:
a. Ideomotor apraxia a. Pulmonary function tests
b. Impaired body schema b. Perceived exertion scale
c. Impaired problem solving c. Target heat rate range
d. Ideational apraxia d. Metabolic equivalent

63. 63. A PT completes a series of 68. 68. A/PT performs an inhibitory,

tests to examine selected aspects of the sensory stimulation technique on a patient
neuromuscular system. Which test would MOST rehabilitating from a CVA. Which technique
likely be performed with the patient's eyes open? would be the MOST consistent with the
a. Two-point discrimination described intervention?
b. Stereognosis a. Approximation
c. Dysdiadochokinesia b. Light touch
d. Kinesthesia c. Prolonged stretch
d. Tapping
64. 64. A patient status post medial
meniscus repair is referred to physical therapy. 69. 69. A PT attempts to gather
Which of the following would be the responsibility information on the integrity of a cranial nerve by
of the physician post-operatively? assessing the patient's field of vision, This
technique would be MOST useful when a. A decrease in physical work capacity
assessing cranial nerve: b. An increase in lung volume and vital
a. I capacity
b. II c. An increase in the heart rate response to
c. VIll activity
d. X d. A negative nitrogen and calcium balance

70. 70. A PT receives a referral for a 48 75. 75. A PT discusses general

year old male with shoulder pathology. The PT guidelines for prevention of pressure ulcers with
examination indicates that the drop arm test was a patient during a whirlpool session. The patient
positive, however magnetic resonance imaging has diabetes and has been admitted to the
had earlier confirmed that the rotator cuff was not hospital due to a pressure ulcer over the patient's
torn. Which condition would be most likely to sacrum, which statement would be considered
produce the objective finding? the BEST advice?
a. Axillary Nerve Palsy a. Massage over areas with bony
b. Multidirectional instability prominences for adequate circulation
c. Thoracic outlet syndrome b. Reposition while in bed every 3-4 hours
d. Bell’s Palsy c. Use a "doughnut-type" ring when sitting
for long periods of time
71. 71. A PT utilizes a patient's d. Eat a balanced diet that is high in
glenohumeral joint in an attempt to decrease the protein, vitamins, and minerals
patient's present pain level. The therapist
administers large amplitude oscillations at the 76. 76. A PT performs a developmental
beginning of the range of motion. This technique assessment on a four-month-old infant. During
BEST describes: the assessment, the PT carefully drops the infant
a. Grade I backward from a sitting position. In response, the
b. Grade Il infant extends and abducts her arms and cries,
c. Grade Ill then quickly flexes and adducts her arms across
d. Grade IV her chest. The PT has just observed a:
a. Startle Reflex
72. 72. A PT performs gait training with b. Seizure
a patient rehabilitating from a traumatic c. Labyrinthine Reflex
amputation of the 1» MTP joint. The primary d. Moro Reflex
objective finding associated with this type of
injury would be: 77. 77. A PT and a physiatrist discuss
a. Excessive trunk extension potential respiratory complications secondary to
b. Decreased push-off with the involved a spinal cord injury. Which patient would have
lower extremity the GREATEST incidence of respiratory
c. Excessive hip hiking complications?
d. Decreased stride length a. A 47-year-old with C3 tetraplegia
b. A 32-year-old male with C7 tetraplegia
73. 73. A PT secures several cotton c. A 52-year-old female with anterior cord
balls to use during a sensory assessment of a syndrome
patient diagnosed with Multiple Sclerosis. The d. A 37-year-old female with T10
cotton balls would be MOST useful when paraplegia
assessing:
a. Superficial pain 78. 78. While teaching a 42-year-old
b. Two-point discrimination female patient diaphragmatic breathing the
c. Stereognosis therapist notices that during inspiration the
d. Light touch patient's upper chest expands more that her
abdomen. The MOST appropriate feedback for
74. 74. A patient placed on bed rest is the patient is:
examined in physical therapy. Which effect would a. Inhale through the nose and exhale
NOT typically be associated with extended bed through pursed lips
rest? b. The upper chest should move the most
c. The upper chest should move the least c. Seat width 18 inches, seat depth 16
d. The breathing pattern is correct inches
d. Seat width 20 inches, seat depth 18
79. 79. A PT employed in a inches
rehabilitation hospital works with a patient
recently diagnosed with GBS. During the 83. 83. A PT performs upper extremity
physical therapy session, the patient expresses passive range of motion exercises on a patient
concern regarding his future. Specifically, he with an I.V. connected to the dorsum of his right
states that his "life is ruined" and that "he knows hand. During the treatment session the therapist
he'll never be able to walk again." The PT notices a small amount of blood that has backed
should: up in the intravenous line. The PT's most
a. Tell the patient to discuss this with the immediate response should be to:
doctor a. Turn off the intravenous system
b. Inform the patient, "Keep your chin up b. Remove the intravenous line
because you're going to be just fine c. Reposition the peripheral intravenous
c. Inform the patient "although life is very line
difficult right now, the vast majority of patients d. Contact the primary physician
with GBS typically recover to near or full function
d. Ignore the patient’s statement but 84. 84. A PT attempts to identify the
suggest a referral to a psychologist presence of clonus on a patient diagnosed with a
traumatic brain injury. The MOST appropriate
80. 80. A PT presents an in-service stimulus to identify clonus is:
entitled The Geriatric Patient and the Effect of a. Forcefully flex the toes
Drugs on Rehabilitation. As part of the in-service b. Rapidly dorsiflex the ankle
the PT describes drug therapy for several c. Squeeze the calf
different cardiovascular diseases. Which of the d. Stroke the medial border of the foot
following is the MOST common type of
medication prescribed to patients with congestive 85. 85. A PT works with a patient
heart failure? diagnosed with anterior interosseous syndrome.
a. Anticoagulants While examining the patient, what activity would
b. Vasodilators the therapist expect to be the MOST difficult for
c. Diuretics the patient to perform?
d. Calcium channel blockers a. Wrist ulnar deviation with the thumb
tucked inside a closed fist
81. 81. A patient completes a home b. Pinching together the tips of the index
exercise program consisting of progressive finger and thumb
resistive exercises in a sagittal plane. Which of c. Opposition
the following exercises would be appropriate? d. Resisted wrist extension with the elbow
a. Shoulder abduction with a two-pound flexed to 90 degrees
dumbbell
b. Hip medial rotation with a one-pound 86. 86. A PT treats a 21-year-old male
cuff weight that sustained a burn to his entire right upper
c. Elbow flexion with elastic tubing extremity. The anticipated deformity at the elbow
d. Horizontal adduction with a wall pulley would be:
a. Flexion and supination
82. 82. A PT measures patient for a b. Flexion and pronation
wheelchair. Assuming a full grown adult of c. Extension and supination
average size and build, which of the following d. Extension and pronation
wheelchair dimensions would be the MOST
appropriate? 87. 87. A PT treats a 22-year-old male
a. Seat width 14 inches, seat depth 12 athlete rehabilitating from shoulder surgery. As
inches part of the patient's treatment plan the therapist
b. Seat width 16 inches, seat depth 14 utilizes a proprioceptive neuromuscular
inches facilitation pattern that incorporates shoulder
flexion, abduction, and lateral rotation. This a. Lateral flexion of the neck to the right
description is MOST consistent with: and rotation to the left
a. D1 flexion b. Lateral flexion of the neck to the left and
b. D1 extension rotation to the right
c. D2 flexion c. Lateral flexion of the neck to the right
d. D2 extension and rotation to the right
d. Lateral flexion of the neck to the left and
88. 88. A PT instructs a patient status rotation to the left
post abdominal surgery how to use an incentive
spirometer in order to prevent the occurrence of 93. 93. A PT attempts to gain
pulmonary complications. The MINIMUM information on the L4-L5 spinal level by
frequency for the patient to use the incentive assessing the tibialis posterior reflex. The PT
spirometer is: administers the reflex by striking the muscle's
a. Once each ten minutes tendon with a reflex hammer immediately
b. Once every two hours posterior to the medial malleolus. The anticipated
c. Twice per day response would be:
d. Once per day a. Dorsiflexion and inversion
b. Plantar flexion and eversion
89. 89. A nurse notifies a PT that a c. Dorsiflexion and eversion
patient has been placed on hold. The nurse d. Plantar flexion and inversion
indicates the patient has been diagnosed with
respiratory acidosis. Which of the following is 94. 94. A PT employed in an acute care
NOT a typical symptom of this condition? hospital works with a patient on bed mobility
a. Dyspnea activities. The therapist would like to incorporate
b. Restlessness a strengthening activity for the hip extensors that
c. Anxiety will improve the patient's ability to independently
d. Vomiting reposition in bed, however, the patient does not
have adequate strength to perform bridging. The
90. 90. A patient with a hip flexion MOST appropriate exercise activity is:
contracture exhibits inadequate hip extension a. Anterior pelvic tilts
while ambulating. During which phase of gait b. Heel slides
would this type of deviation be identified? c. Straight leg raises
a. Foot flat through heel off d. Isometric gluteal sets
b. Midstance through toe off
c. Heel strike through midstance 95. 95. A PT administers Phalen's test
d. Deceleration through midstance to a patient diagnosed with a repetitive use injury
of the right wrist and hand. As part of the testing
91. 91. A PT completes manual muscle procedure the therapist asks the patient to push
testing using the ASIA standards on a patient his wrists together while moving them into a fully
status post spinal cord injury. What key muscle flexed position. How long would be the MOST
should the therapist test in order to determine appropriate time period to maintain the described
whether or not the patient has motor innervation position?
at the C6 spinal level? a. 10 seconds
a. Extensor carpi radials longus b. 30 seconds
b. Triceps c. 1 minute
c. Biceps d. 3 minutes
d. Abductor digit minimi
96. 96. PT prepares to initiate an
92. 92. A PT examines a patient exercise program with a patient three weeks
recently referred to Physical therapy with status post anterior glenohumeral dislocation.
congenital muscular torticollis. During the The patient has no prior past medical history of
examination the therapist notes extremely limited shoulder instability and has been immobilized in
muscle length in the right sternocleidomastoid a sling for three weeks. Which type of
muscle. The MOST likely clinical presentation strengthening exercise should the therapist
based on the examination is: INITIALLY include in the program?
a. Eccentric
b. Concentric
c. Isometric
d. Isotonic

97. 97. A PT performs a series of lower

extremity manual muscle tests on a patient with
suspected unilateral weakness. The therapist
begins one of the tests by placing the patient in a
prone position with the knee flexed to 90 degrees
while extending the hip. The position is MOST
appropriate for testing the:
a. Biceps Femoris
b. Gluteus Medius
c. Gluteus Maximus
d. Hamstrings

98. 98. During a physical therapy

examination, a female patient with rheumatoid
arthritis indicates that she has significant difficulty
opening jars, writing, and dressing. According to
the Nagi Model, the described difficulties are
MOST representative of a/an:
a. Pathology
b. Impairment
c. Functional limitation
d. Disability

99. 99. A patient with a spinal cord

injury presents with decreased upper and lower
extremity strength and sensation. The therapist
notes that strength is greater in the lower
extremities compared to the upper extremities.
The clinical presentation is MOST consistent
with:
a. Brown Sequard's syndrome
b. Anterior cord syndrome
c. Posterior cord syndrome
d. Central cord syndrome

100. 100. PT inspects the skin of a patient

during an iontophoresis treatment using
dexamethasone and concludes the patient is
having an adverse skin reaction. The MOST
appropriate therapist action is:
a. Discontinue the intervention
b. Decrease the duration of the treatment
session
c. Decrease the current intensity
d. Select an alternate therapeutic ion