Disorders of CNS/PNS | Integumentary | Prosthetics, Orthotics, Amputation | Cardiopulmonary | Misc |
---|---|---|---|---|
MS
Which disorder is treated with “ABC” drugs?
Parkinson’s MS ALS Alzheimer’s |
C) Discuss w PT
A PTA is treating a patient for carpal tunnel pain. The patient has a history of mastectomy two years ago and states that she has noticed not only pain in her wrist, but also that her wrist watch no longer fits and she has a sense of heaviness in her hand. What would be the most appropriate step for the PTA?
A.) Utilize ice modality to attempt to reduce inflammation B.) Fit this patient for a compression garment C.) Discuss this with the overseeing PT as this patient should be referred back to her position to evaluate these complaints D.) Utilize retrograde massage to reduce the edema into the upper extremity |
Push up transfer
A patient is learning transfer techniques 3 days status post transfemoral amputation. The patient has normal upper extremity strength and has no other known medical problems. The MOST effective transfer technique for this patient would be:
Dependent squat pivot transfer Assisted Stand Pivot Two-person lift Push up transfer |
C) Chronic bronchitis
Which condition is typically NOT indicated for manually assisted airway clearance techniques?
A.) Aspiration B.) Atelectasis C.) Chronic bronchitis D.) Cystic fibrosis |
A.) Functional incontinence
The PT is working with a patient who has dementia. His genitourinary anatomy is intact, yet he has urinary incontinence. Which type of urinary incontinence is described?
A.) Functional incontinence B.) Stress incontinence C.) Overflow incontinence D.) Urge incontinence |
Walking with alterations in speed
A PTA concludes that a pt exhibits dysmetria after performing tests. Which test would be LEAST helpful?
Drawing a circle or figure 8 Pointing and past pointing Placing the feet on markers while walking Walking with alterations in speed |
B.) Superficial partial-thickness burn
You observe a burn on the dorsal surface of a pts. arm. The wound area is mottled red with a number of blisters. You inform the pt. that healing should take place in less than three weeks. The description is most indicative of a:
A. superficial burn B. superficial partial-thickness burn C. deep partial-thickness burn D. full-thickness burn |
Lift insert placed in right shoe
A PTA is working with an individual who has a true leg length discrepancy. The patient's static standing posture is indicative of the following:
R LE: Foot is in pronation, ankle is in dorsiflexion, knee is slightly flexed, hip is slightly internally rotated Supine examination reveals .25" discrepancy with knee extended. With knees flexed and PTA viewing the knees from a lateral view, the right tibial tuberosity is most prominent. The patient complains of pain in the R knee and hip with ambulation. The PTA reports to the PT with recommendations for this MOST appropriate intervention: Lift insert placed in the left shoe Lift insert placed in the right shoe TENS to R knee and hip Flexibility exercises to bilateral lower extremities |
Sustained ventricular tachycardia
A PTA administers a graded exercise test to a pt referred to a phase II cardiac rehab program. Which of the following would most warrant termination of test?
Diastolic BP rises to 100mmHg Systolic BP rises to 200mmHg Multifocal premature ventricular contractions (PVCs) Sustained ventricular tachycardia |
3. Cerebral Palsy
A 9 month old infant born prematurely is unable to roll or sit independently, has spasticity in bilateral elbow flexors, hip adductors, and knee flexors. This clinical scenario is MOST consistent with:
1. Down Syndrome 2. Spina Bifida 3. Cerebral Palsy 4. Spinal Cord Injury |
C.) Standing marches and cone tapping with the lower extremity
A PTA is working with an individual with Parkinson's disease. He displays difficulty with ambulation and freezing episodes and difficulty transitioning over threshold. Which intervention would best address this limitation?
A.) Passive stretching for trunk rotation B.) Seated long arc quads and repeated sit to stand C.) Standing marches and cone tapping with the lower extremity D.) Seated balance activity over the exercise ball |
B) Include resistance strengthening
When performing lymphatic drainage exercises for an upper extremity affected with lymphedema, which is NOT appropriate?
A.) Begin with AROM of the shoulder and then isometric exercises of shoulder B.) Include resistance strengthening with 5 to 10 lb weights to build strength C.) Progress to distal musculature (elbow, forearm, wrist, hand) after shoulder exercises D.) Perform with affected extremity elevated, supine position |
myoplasty
A surgical technique used in amputation where the antagonistic muscles are sutured together to prevent contraction is called:
myodesis myoplasty fascioplasty fish smile procedure |
Dizziness & weakness
A pt with heart failure has been prescribed digoxin (Lanoxin) as part of the pharmacological management of an exacerbation of the disease. Which of the following adverse signs or symptoms should the assistant be MOST alert for during exercise based on the prescribed med?
Bradycardia & hemorrhage Dizziness & weakness Headache & myalgias Involuntary movements and tremors |
3. Flexion of arms and legs
A PT places a 4 month old on their stomach. If tonic labyrinthine reflex is not yet integrated, what response would the therapist expect to observe?
1. Flexion of arms and extension of legs 2. Extension of arms and flexion of legs 3. Flexion of arms and legs 4. Extension of arms and legs |
GBS
Which PNS disorder presents with progressive motor weakness which starts distally and ascends? Muscle strength returns in a descending pattern, opposite of during disease onset.
GBS Post polio Bells palsy MG |
A) Clear trunk quadrants first, followed by proximal upper extremities and then distal upper extremity, with the direction of flow toward the trunk
When performing manual lymphatic drainage for an upper limb lymphedema, which is the correct technique?
A.) Clear trunk quadrants first, followed by proximal upper extremities and then distal upper extremity, with the direction of flow toward the trunk B.) Clear trunk quadrants first, followed by proximal upper extremity and then distal upper extremity, with the direction of flow away from the trunk C.) Clear trunk quadrants first, followed by distal upper extremity and then proximal upper extremity, with the direction of flow toward the trunk D.) Clear proximal upper extremity and then distal upper extremity, followed by the trunk, with the direction of flow away from the trunk |
plyometric exercises
Appropriate exercises for a patient 10 days status post amputation include all of the following EXCEPT:
Isometric exercises Positioning exercises Core stability exercises Plyometric exercises |
B) Ejection fraction
Regarding cardiovascular hemodynamics, which is the term that describes the percentage of blood emptied from the ventricle during systole?
A.) Left ventricular end-diastolic pressure B.) Ejection fraction C.) Stroke volume D.) Cardiac output |
Cardiac arrhythmias
A PTA treats a pt diagnosed w epilepsy who is taking carbamazepine (Tegetrol). Which of the following potential adverse side effects should the assistant recognize as a primary side effect of this med?
Muscle wasting/atrophy Cardiac arrhythmias Joint pain & swelling Respiratory depression |
D.) Reaching for cones outside base of support in standing
As a result of multiple sclerosis, a patient is displaying impaired dynamic standing balance deficiencies. Which intervention is best indicated for this patient?
A.) Standing with eyes closed on even surface B.) Standing with narrow base of support in tandem stance C.) Alternating isometrics in standing D.) Reaching for cones outside base of support in standing |
A) Emphasize abduction, flexion, and external rotation
For patients with burns, it is important that the therapy teamwork to prevent or reduce complications of immobilization through positioning and splinting to prevent contractures. Which is the correct position to place a patient with a shoulder burn?
A.) Emphasize abduction, flexion, and external rotation B.) Emphasize adduction and internal rotation C.) Emphasize shoulder extension D.) Emphasize anatomical position |
A) Stiff heel cushion or high shoe heel
When analyzing the gait of a patient with a below knee amputation, the PTA notices excessive knee flexion and initial contact of early stance. What is a likely contributing factor for this deviation?
A.) Stiff heel cushion or high shoe heel B.) Excessive foot inset C.) Soft heel cushion or low shoe heel D.) Excessive foot outset |
Anterior basal segment of L lower lobe
A PTA is treating a pt w cystic fibrosis in an outpatient setting. The pt has gastroesophageal reflux disease & takes Prevacid. When performing postural drainage, the treatment of which lung segment would be the MOST problematic for this patient?
Anterior basal segment of L lower lobe Apical segment of L upper lobe Superior segment of R lower lobe Posterior segment of R upper lobe |
A.) Pancreatic islet cells
Which component of the endocrine system controls the release of insulin, glucagon, and somatostatin?
A.) Pancreatic islet cells B.) Parathryoid glands C.) Kidney D.) Thryoid |