O'Sullivan Selected Qs from 1-100 Exam A

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O'Sullivan Selected Qs from 1-100 Exam A
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Exam A O'Sullivan Selected questions from 1-100
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  1. A3 A transtibial amputation patient takes off there PTB socket (patellar tendon bearing) where should you not see redness?
    1. anterior tibia and tibial crest
    2. patellar tendon and tib tube
    3. medial tibial and fibular plateaus
    4. medial and lateral distal ends of limb
    • 1. anterior tibia and tibial crest
    • -anterior tib and tibial crest, fibular head and peroneal nerve are relieved with a PTB
  2. A5 A pt is recoveting from a complete SCI at L2. The expected outcome mostly likely includes
    1. spastic or reflex bladder
    2. some recovery of fxn because dmg is to peripheral nerve roots
    3. loss of motor function and pain and temp sensation bbelow the level of the lesion with light touch, proprio, and position sense preserved
    4. greater loss of UE fxn over LE
    • 2. some recovery of fxn because dmg is to peripheral nerve roots
    • lesions below L1 is a cauda equina lesion which makes them peripheral nerves
  3. A7 Pt with a dx of acute synovitis of TMJ. What intervention would be most beneficial to help resolve early stage acute inflam
    1. application of an intraoral appliance and phonophoresis
    2. joint mob and postural awareness
    3. instruction to eat soft-food and phonophoresis
    4. temporalis stretching and joint mob
    3. instruction to eat soft-food and phonophoresis
  4. A8 Appropriate fine motor behavior for a 9mo. y/o is
    1. Pick up raise with a fine pincer graps
    2. build a tower of 4 blocks
    3. hold a cup by the handle while drinking
    4. t/f objs from one hand to another
    • 4. t/f objs from one hand to another
    • all other 3 are for older ages
  5. A10 T correctly measure a calf circumference sp/ TKA
    1. area of greatest edema then 2 inches prox than 2 inches distal
    2. inferior angle of g. tro and inferior angle of lateral malleolus
    3. inferior angle of lateral malleolus and 2 to 4 inch increments proximally stopping proximal to the edematous area
    3. inferior angle of lateral malleolus and 2 to 4 inch increments proximally stopping proximal to the edematous area
  6. A14 in a research study in which there is a skewed distribution with extreme scores on a balance measure that deviate from the performance of the total group the most accurate rep of central tendency is
    1. mean
    2. mode
    3. median
    4. standard deviation
    3. median
  7. A18 Initial eval for a pt with R CVA shows pt has a profound homonymous hemianopsia. The BEST INITIAL strat for this deficit
    1. teach pt to turn head to the affected side
    2. provide constant reminders, printed notes on the L side, telling pt to look to the L
    3. place items, eating utensils on pt's L side
    4. rearrange room so while pt is in bed the L side is facing the doorway.
    • 1. teach pt to turn head to the affected side
    • first 3 are good techniques but 1 is the best INITIAL one
  8. A19 whats the difference between massed practice and a distributed practice
    massed is exercise time exceeds rest, distributed is vice versa
  9. A22 Which of these four skills wouldn't you expect out of a 4.5 y/o
    1. skilled tandem walking
    2. jumping down off a step
    3. toe-walking
    4. jumping from two feet
    • 1. skilled tandem walking
    • the other 3 develop between ages 3 and 4
  10. A25 Patient who understand the adverse effects of Digitalis (digoxin) should report what sx to PT during tx
    1. confusion and memory loss
    2. slowed HR
    3. involuntary movements and shaking
    4. weakness and palpitations
    • 4. weakness and palpitations
    • these are potential results of the drug
  11. A26 How would you provide ionto with hydrochloride
    mono or bipolar
    cathode or anode
    • mono anode
    • the drug has a positive charge so positive current to push drug in
  12. A27 contra to initiating joint mobilization with chronic pulmonary disease
    1. reflex muscle guarding
    2. long-term corticosteroid therapy
    3. concurrent inhalation therapy
    4. fxnal chest wall immob
    • 2. long-term corticosteroid therapy
    • long term use of ^ affects ligamentous integrity which typically results in hypomobility
  13. A29 elderly pt presents with red, hot, edmatous skin over shins of both LEs. Also has a mild fever. PTA should report to PT with suspicion of
    1. dermatitis
    2. celluitis
    3. herpes simplex infection
    4. scleroderma
    2. celluitis
  14. A30 12y/o has 4/10 pain at knee, which modality would be precautioned
    1. IFC
    2. diathermy
    3. TENS
    4. low-dose US
    • 4. US
    • due to US working mechanically it should be cautioned at growth plates
  15. hypertrophy is to be expected within at least
    1. 1-2wk
    2. 3-4wk
    3. 2-3wk
    4. 6-8wk
    4. 6-8wk
  16. A32 which position best exposes the bicipital tendon for phonophoresis
    1. ER and ext
    2. IR and abd
    3. horiz add
    4. abd
    1. ER and ext
  17. A33 with a weak glute max what deviation is seen with stance
    backward trunk lean
  18. A34 deep partial thickness burn over 30% of body what type of healing would you expect?
    1. depressed skin area that heals with grafting and scarring
    2. mod edema with spontaneous healing and min grafting
    3. marked edema with slow healing and extensive hypertrophic scarring
    3. marked edema with slow healing and extensive hypertrophic scarring
  19. A36 pt dx L CHF exercising can be expected to demonstrate
    1. chest pain w/ SOB
    2. weight gain dependent edema
    3. anorexia and nausea with abdom pain and distention
    4. dyspnea with fatigue and muscle weakness
    • 4. dyspnea with fatigue and muscle weakness
    • LCHF is failure/weakness of L ventricle to pump oxygenated blood to the body
    • choice 1 is signs of impending MI
  20. A37 which type of contracture does a transfemoral amputee normally experience? which position should you place pt to avoid it?
    • hip flexion contracture is common as is ER
    • prone lying with neutral rotation
  21. A43 Describe BERG balance scale in general
    pt's ability to maintain posture and control during a variety of daily activities such as stepping onto and off a step, turning looking over shoulder, and stooping to pick something off of floor
  22. A44 PTs w/ PMH MI 4wks ago need to demonstrate how many METs with no anginal sns or ST segment depression for resistive strengthening to be appropriate?
    5
  23. A45 whats lowest % of body weight for lumbar traction for initial force?
    1. 25
    2. 15
    3. 55
    4. 85
    25
  24. A48 which stroke DX would required more safety awareness during tx
    1. anosognoisa
    2. ideational apraxia
    3. unilateral neglect
    4. ideomotor apraxia
    1. anosognoisa
  25. A49 which of these are pressure tol surfaces for a quadrilateral socket prosthesis for a transfemoral amputee
    1. isch tube and lat sides of limb
    2. adductor magnus and medial side of limb
    3. distolateral end of femur and ischial seat
    4. perineal are and medial side of limb
    • 1. isch tube and lat sides of limb
    • isch tube, gluteals, and lateral sides of limb are pressure tol
  26. A52 which muscles are most important to strengthen for crutch gait
    1. UT, rhomboids, levator
    2. deltoid, tris, wrist flexors
    3. mid trap, lats, and tris
    4. LT, lats, and tris
    • 4. LT, lats, and tris
    • shoulder depression and elbow extension strg is crucial for crutch gait
  27. A53 t/f pregnant women must limit aerobic exercising to just the 1st and 2nd trimester
    false
  28. A55 dx of supraspinatus impinge 4wk s/p in subacute phase which intervention is best
    1. active assistive pulley ex
    2. modalities to reduce pain and inflam
    3. small-amplitude oscillations to tissue limit of GH joint
    4. resistance ex
    • 1. active assistive pulley ex
    • 3 and 4 are for later stages
    • 2 is for earlier stage
  29. A56 difference between interrater and intrarater reliability
    • inter is comparison between two or more independent raters
    • intra is the consistency of an examiner on repeat tests
  30. A58 an external shoe modification that shifts WB from the matatarsal joints to the metarsal shaft is a
    1. thomas heel
    2. scaphoid pad
    3. metatarsal pad
    4. metatarsal bar
    a metatarsal bar is an external modification indicated to take pressured off the metatarsal heads and improve push off. The metatarsal pad ia an internal shoe modification that does the same thing. Scaphoid pads and Thomas heels help to manage flexible flat foot.
  31. A59 Best intervention to manage hypertrophic scars is
    1. primary excision followed by autografts
    2. application of custom-made pressure garments
    3. application of compression wraps
    4. application of occlusive dressings
    • 2. application of custom-made pressure garments
    • surgery is last resort
    • compression wraps and occlusive dressings have no impact on hypertrophic scarring
  32. COPD pt with respiratory acidosis needs to be watched closely for
    1. disorientation
    2. tinglings or numbness of extremities
    3. dizziness or lightheadedness
    4. hyperreflexia
    • disorientation
    • increased CO2 is acidosis
    • tinglings or numbness of extremities, dizziness or lightheadedness, hyperreflexia are all sx of alkalosis or decrease of CO2 in arterial blood
  33. A61 which ex modification is most appropriate for pregnant women
    1. encouraging unilateral ex of LEs
    2. standing rather than supine LE resistive band ex
    3. avoid quadruped ex
    4. placing a small wedge under R hip during supine ex
    • placing a small wedge under R hip during supine ex
    • wedge under R hip helps decrease the effects of uterine compression on abd vessels and improves CO
    • asymmetrical activites should be avoided and avoid hip extension past midline
  34. A63 C6 tetraplegia uses which muscles to slide board t/f
    • shld extensors, ERs, and anterior delt
    • C6 lacks tricepts
  35. A65which is most appropriate for treating a patient with TB
    1. pt must wear a tight fitting mask
    2. pta must wash hands only upon leaving
    3. pta must wear a tight fitting mask, gloves, and gown
    4. pt must be in a private negative pressurized room
    • 4. pt must be in a private negative pressurized room
    • the room is considered potentially infected environment
    • pta must don a tight fitting mask but gloves and gown are not always neccesary
  36. A72 whats quasi-experimental hypothesis mean? nondirectional hypothesis?
    • quasi- subjects cannot be randomly assigned to groups
    • nondirectional- a direction of change cannot be predicted
  37. A73 whats a common approach to fighting chronic/constant diplopia
    eye patching
  38. A74 most appropriate positioning strategy for a recovering stroke with flaccid UE
    1. supine with the affected UE flexed with hand resting on stomach
    2. sidelying on sound side with the affected shoulder protracted and UE extended on a pillow
    3. supine with the affected elbow extended and ULE positioned close to the side of the trunk
    4. sidelying on the sound side with the affected UE flexed overhead
    2. sidelying on sound side with the affected shoulder protracted and UE extended on a pillow
  39. A75 pt c/o of new tenderness in groin, anterior hip, and thigh area this is indicative of
    1. constipation
    2. diarrhea
    3. inflammatory bowl disease
    4. gastritis
    1. constipation
  40. A78 which of the 4 TBI sx is life threatening
    1. developing irritability and disorientation
    2. decreasing fxn of eye movements
    3. rigidity in neck muscles
    4. decreasing consciousness and slowing of pulse
    • 4. decreasing consciousness and slowing of pulse
    • all problems listed are seen with TBI and are serious but number 4 is life threatening
  41. A79 what is neurapraxia
    mild peripheral nerve injury (conduction block ischemia) that causes transient loss of function that rapidly is reversed generally within 2-3wks
  42. A80 pt w/ PMH of HTN and hyperlipidemia is confused with SOB and generalized weakness the PTA should immediately report to there PT with regards of
    1. mental changes of early Alzheimers
    2. unstable angina
    3. pt forgot to take his or her HTN medication
    4. may be presenting with early sns of MI
    4. may be presenting with early sns of MI
  43. s/p glenoid labrum lesion pitcher the greatest stress during pitching would be 
    1. wind up
    2. cocking
    3. acceleration
    4. deceleration
    • 2. cocking
    • during cocking the UE is taken into end range of ER which stresses the anterior capsule and labrum
  44. A82 what is autolytic and which of the following promotes it
    1. wound irrigation using a syringe
    2. transparent film dressing
    3. wet to dry gauze dressing with antimicrobial ointment
    4. sharp debridement
    • 2. transparent
    • autolytic is the encouragement/use of the body's natural enzymes to promote healing by trapping under a synthetic, occlusive dressing
  45. A89 Drooping of the shoulder, winging of the same scapula and inability to shrug the shoulder is most likely
    1. muscle imbalance
    2. lesion of long thoracic nerve
    3. lesion of spinal accessory nerve
    • 3. lesion of spinal accessory nerve
    • all above are involved with winging but the shoulder drooping and inability to shrug tells its spinal accessory cause it innervates the traps
  46. A92 which fxnal strging ex is most appropriate for a T10 SCI with ischial seat redness
    1. supine chest press
    2. half standing t/fs
    3. B UE dips in parallel bars
    4. seated gravity resisted tricep curls
    • 3. B UE dips in parallel bars
    • its important to strg the muscles for wc push ups to help relieve pressure on pt's bottom. The above work just tris where as dips work lats too
  47. A93 You're working in an assisted living care facility and witness a pt collapse to the floor after calling for help whats the next immediate action
    1. open airway and give 2 rescue breaths
    2. get an AED and being CPR and use of AED
    3. roll victim over and give two quick abd thrusts
    4. deliver 5 cycles of CPR before calling for help
    • 2. get an AED and being CPR and use of AED
    • witness of a collapse makes AED a priority and assisted living homes should have one nearby. If you came upon a pt already unresponsive CPR is first choice.
  48. 18mo old child has AV shunt for hydrocephalus and has reports of vomiting in the morning and being irritable and lethargic you should
    1. call for emergency transportation and notify the PT immediately
    2. apply cold washcloths to rouse the child
    3. place child side lying and monitor vitals
    4. have mother give clear liquids because child vomited
    • 1. call for emergency transportation and notify the PT immediately
    • these are signs of a clogged or infected shunt
  49. A96 2 year hx of ALS when implementing plan of care the PTA should be careful to prevent
    1. radicular pain and paresthesias
    2. overwork and dmg in a weakened denervated muscle
    3. further ataxia
    4. further fxnal loss of a result of myalgia
    • 2. overwork and dmg in a weakened denervated muscle
    • important early goal of PT is to maintain the pt's level of conditioning while preventing overwork damage in denervated muscles
  50. A100 possible adverse effects of the medication prednisolone are
    1. wt gain and hyperkinetic behaviors
    2. hypoglycemia and nausea or vomiting
    3. muscle wasting, weakness, and OP
    4. spontaneous fxs with prolonged healing or mal-union
    • muscle wasting, weakness, and OP
    • its a corticosteroid and chronic use leads to adrenal suppression.

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