Question 1

During inspection of the soft tissue,the therapist notes rounding of the soft tissue of the distal fingers.What does this tell the therapist?

Accepted Answer

A) Cyanosis usually indicates a lack of oxygen and excessive carbon dioxide in the superficial blood vessels. 
B) Pallor usually indicates a decrease in blood flow or blood hemoglobin secondary to anemia or shock. 
C) Erythema usually indicates increased blood flow and inflammation in a localized area of the body. 
D) Clubbing usually indicates chronic hypoxia associated with cardiovascular or respiratory disease. 
A) Cyanosis usually indicates a lack of oxygen and excessive carbon dioxide in the superficial blood vessels. 
B) Pallor usually indicates a decrease in blood flow or blood hemoglobin secondary to anemia or shock. 
C) Erythema usually indicates increased blood flow and inflammation in a localized area of the body. 
D) Clubbing usually indicates chronic hypoxia associated with cardiovascular or respiratory disease. D

Question 2

What information can a therapist learn from an assessment of accessory joint movement?

Accepted Answer

A) The full range of motion available for a specific joint 
B) The patient's specific limitations of pain 
C) How well a muscle tolerates a stretched position 
D) How well specific joint structures tolerate stress 
A) The full range of motion available for a specific joint 
B) The patient's specific limitations of pain 
C) How well a muscle tolerates a stretched position 
D) How well specific joint structures tolerate stress D

Question 3

What is the correct procedure for performing a break test for muscle strength of a one-joint muscle?

Accepted Answer

A) The patient holds a joint position at end range of motion and the therapist gradually provides resistance and overpowers the patient. 
B) The therapist provides a constant amount of resistance while the patient moves through the range of motion. 
C) The patient holds a joint position at mid-range and the therapist rapidly provides resistance and overpowers the patient. 
D) The therapist provides a gradually increasing amount of resistance at the first ¼ and last ¼ of the range of motion. 
A) The patient holds a joint position at end range of motion and the therapist gradually provides resistance and overpowers the patient. 
B) The therapist provides a constant amount of resistance while the patient moves through the range of motion. 
C) The patient holds a joint position at mid-range and the therapist rapidly provides resistance and overpowers the patient. 
D) The therapist provides a gradually increasing amount of resistance at the first ¼ and last ¼ of the range of motion. A

Question 4

Which of the following should be assessed first and will help direct the rest of the examination of range of motion (ROM)?

Accepted Answer

A) Passive ROM 
B) Active-assisted ROM 
C) Active ROM 
D) Gravity-eliminated ROM 
A) Passive ROM 
B) Active-assisted ROM 
C) Active ROM 
D) Gravity-eliminated ROM

Question 5

A patient presents to the physical therapist after injuring the R shoulder during a fall.The shoulder is hot to the touch,swollen,and painful with movement.The patient is unable to tolerate any resistance to movement.In what stage of tissue healing is this patient?

Accepted Answer

A) Acute stage 
B) Subacute stage 
C) Chronic stage 
D) Cannot determine 
A) Acute stage 
B) Subacute stage 
C) Chronic stage 
D) Cannot determine

Question 6

When evaluating a patient's knee extension the therapist notes an abrupt stop of the motion.How would this best be described?

Accepted Answer

A) Soft end-feel 
B) Hard end-feel 
C) Empty end-feel 
D) Firm end-feel 
A) Soft end-feel 
B) Hard end-feel 
C) Empty end-feel 
D) Firm end-feel

Question 7

What does isokinetic dynamometry measure?

Accepted Answer

A) It measures the length of the muscle and its ability to contract at that length. 
B) It measures the ability of the muscle to hold a contraction over time. 
C) It measures the torque and range of motion as a function of time. 
D) It measures the weakness at specific points in the range of motion. 
A) It measures the length of the muscle and its ability to contract at that length. 
B) It measures the ability of the muscle to hold a contraction over time. 
C) It measures the torque and range of motion as a function of time. 
D) It measures the weakness at specific points in the range of motion.

Question 8

The patient informs the therapist that she has 15 steps in her home that lead to the only bedroom and bathroom.Why is this important for the therapist to know?

Accepted Answer

A) The therapist will have to speak to family members about modifying the house. 
B) The therapist may ask another clinician to see the patient to maintain their privacy. 
C) The therapist will need to perform a full home evaluation to know what the stairs look like. 
D) The therapist can include training with an appropriate device in stair-climbing. 
A) The therapist will have to speak to family members about modifying the house. 
B) The therapist may ask another clinician to see the patient to maintain their privacy. 
C) The therapist will need to perform a full home evaluation to know what the stairs look like. 
D) The therapist can include training with an appropriate device in stair-climbing.

Question 9

How will an understanding of the behavior of the symptoms help the therapist?

Accepted Answer

A) It will allow the therapist to determine what structures might be involved based on the mechanism of injury. 
B) It will allow the therapist to determine if the symptoms are more or less severe than those experienced by patients with the same diagnosis. 
C) It will allow the therapist to determine a diagnosis and the treatment interventions that might be most effective. 
D) It will allow the therapist to determine how the symptoms began and where each type of symptom is located on the body. 
A) It will allow the therapist to determine what structures might be involved based on the mechanism of injury. 
B) It will allow the therapist to determine if the symptoms are more or less severe than those experienced by patients with the same diagnosis. 
C) It will allow the therapist to determine a diagnosis and the treatment interventions that might be most effective. 
D) It will allow the therapist to determine how the symptoms began and where each type of symptom is located on the body.

Question 10

How will an understanding about the onset of symptoms help the therapist?

Accepted Answer

A) It will allow the therapist to determine what structures might be involved based on the mechanism of injury. 
B) It will allow the therapist to determine what structures might be involved based on the location of the symptoms. 
C) It will allow the therapist to determine what structures might be involved based on the description of the symptoms. 
D) It will allow the therapist to determine what structures might be involved based on the positions that alter the symptoms. 
A) It will allow the therapist to determine what structures might be involved based on the mechanism of injury. 
B) It will allow the therapist to determine what structures might be involved based on the location of the symptoms. 
C) It will allow the therapist to determine what structures might be involved based on the description of the symptoms. 
D) It will allow the therapist to determine what structures might be involved based on the positions that alter the symptoms.

Question 11

How would a therapist grade the muscle of a patient who is able to perform hip flexion through the full available range of motion,in a sidelying position,with no resistance?

Accepted Answer

A) 5/5 or Normal 
B) 4/5 or Good 
C) 3/5 or Fair 
D) 2/5 or Poor 
A) 5/5 or Normal 
B) 4/5 or Good 
C) 3/5 or Fair 
D) 2/5 or Poor

Question 12

What should the therapist remember when assessing passive range of motion (ROM)?

Accepted Answer

A) Pain during PROM is due to damage to contractile tissues. 
B) PROM is not affected by muscle strength. 
C) PROM encourages nonparticipation by the patient. 
D) The ROM available during AROM is greater than PROM. 
A) Pain during PROM is due to damage to contractile tissues. 
B) PROM is not affected by muscle strength. 
C) PROM encourages nonparticipation by the patient. 
D) The ROM available during AROM is greater than PROM.

Question 13

A patient presents with pain during active shoulder flexion and resisted isometric testing of shoulder flexion.The patient does not report pain with passive shoulder flexion.What would be the most likely involved structures causing the patient's pain?

Accepted Answer

A) Ligaments supporting the shoulder 
B) Muscles responsible for shoulder flexion 
C) Joint capsule of the shoulder 
D) Muscles responsible for shoulder extension 
A) Ligaments supporting the shoulder 
B) Muscles responsible for shoulder flexion 
C) Joint capsule of the shoulder 
D) Muscles responsible for shoulder extension

Question 14

Why is it important to obtain information about the patient's current symptoms and functional abilities?

Accepted Answer

A) It allows the patient to verbalize symptoms in order to see progress from session to session. 
B) It helps the therapist establish a baseline so that the effectiveness of the interventions can be evaluated. 
C) It allows the therapist time to listen to the patient and reduces the number of questions as the exam continues. 
D) It helps the patient understand the rehabilitation process better. 
A) It allows the patient to verbalize symptoms in order to see progress from session to session. 
B) It helps the therapist establish a baseline so that the effectiveness of the interventions can be evaluated. 
C) It allows the therapist time to listen to the patient and reduces the number of questions as the exam continues. 
D) It helps the patient understand the rehabilitation process better.

Question 15

What does an apprehension test evaluate?

Accepted Answer

A) Ligamentous tightness 
B) Ligamentous instability 
C) Muscle length 
D) Patient fear of movement 
A) Ligamentous tightness 
B) Ligamentous instability 
C) Muscle length 
D) Patient fear of movement

Question 16

What is one of the easiest methods for documenting the severity of the pain?

Accepted Answer

A) McGill-Melzack Pain Questionnaire 
B) A body chart filled in by the patient 
C) Palpation of the area of symptoms 
D) A numerical pain rating scale 
A) McGill-Melzack Pain Questionnaire 
B) A body chart filled in by the patient 
C) Palpation of the area of symptoms 
D) A numerical pain rating scale

Question 17

When evaluating a patient's hip flexion the patient tells the therapist to stop and the therapist is unable to passively move the patient to the end of the range of motion.How would this best be described?

Accepted Answer

A) Soft end-feel 
B) Hard end-feel 
C) Empty end-feel 
D) Firm end-feel 
A) Soft end-feel 
B) Hard end-feel 
C) Empty end-feel 
D) Firm end-feel

Question 18

When evaluating a patient's wrist flexion,the therapist notes a gradual increase in resistance toward the end of the motion.How would this best be described?

Accepted Answer

A) Soft end-feel 
B) Hard end-feel 
C) Empty end-feel 
D) Firm end-feel 
A) Soft end-feel 
B) Hard end-feel 
C) Empty end-feel 
D) Firm end-feel

Question 19

How would a therapist grade the muscle of a patient who is able to move through the full available range of motion,against gravity,with no resistance?

Accepted Answer

A) 5/5 or Normal 
B) 4/5 or Good 
C) 3/5 or Fair 
D) 2/5 or Poor 
A) 5/5 or Normal 
B) 4/5 or Good 
C) 3/5 or Fair 
D) 2/5 or Poor

Question 20

A patient tells the therapist at the end of the examination that he wants to be able to return to hiking.How can the therapist use this information?

Accepted Answer

A) The therapist can use the patient's goal to help establish the plan of care. 
B) The therapist can not use this information because the patient's goal is not realistic. 
C) The therapist will document this as the only goal for the patient. 
D) The therapist will allow the patient to verbalize the goals so he feels better. 
A) The therapist can use the patient's goal to help establish the plan of care. 
B) The therapist can not use this information because the patient's goal is not realistic. 
C) The therapist will document this as the only goal for the patient. 
D) The therapist will allow the patient to verbalize the goals so he feels better.

Exam 6: Musculoskeletal Examination

During inspection of the soft tissue,the therapist notes rounding of the soft tissue of the distal fingers.What does this tell the therapist?

What information can a therapist learn from an assessment of accessory joint movement?

What is the correct procedure for performing a break test for muscle strength of a one-joint muscle?

Which of the following should be assessed first and will help direct the rest of the examination of range of motion (ROM)?

A patient presents to the physical therapist after injuring the R shoulder during a fall.The shoulder is hot to the touch,swollen,and painful with movement.The patient is unable to tolerate any resistance to movement.In what stage of tissue healing is this patient?

When evaluating a patient's knee extension the therapist notes an abrupt stop of the motion.How would this best be described?

What does isokinetic dynamometry measure?

The patient informs the therapist that she has 15 steps in her home that lead to the only bedroom and bathroom.Why is this important for the therapist to know?

How will an understanding of the behavior of the symptoms help the therapist?

How will an understanding about the onset of symptoms help the therapist?

How would a therapist grade the muscle of a patient who is able to perform hip flexion through the full available range of motion,in a sidelying position,with no resistance?

What should the therapist remember when assessing passive range of motion (ROM)?

A patient presents with pain during active shoulder flexion and resisted isometric testing of shoulder flexion.The patient does not report pain with passive shoulder flexion.What would be the most likely involved structures causing the patient's pain?

Why is it important to obtain information about the patient's current symptoms and functional abilities?

What does an apprehension test evaluate?

What is one of the easiest methods for documenting the severity of the pain?

When evaluating a patient's hip flexion the patient tells the therapist to stop and the therapist is unable to passively move the patient to the end of the range of motion.How would this best be described?

When evaluating a patient's wrist flexion,the therapist notes a gradual increase in resistance toward the end of the motion.How would this best be described?

How would a therapist grade the muscle of a patient who is able to move through the full available range of motion,against gravity,with no resistance?

A patient tells the therapist at the end of the examination that he wants to be able to return to hiking.How can the therapist use this information?

Clinical Decision Making

Influence of Psychosocial Factors on Rehabilitation

Influence of Values on Patient Care: Foundation for Decision Making

Vital Signs

Examination of Sensory Function

Examination of Coordination

Examination of Motor Function: Motor Control and Motor Learning

Electromyography and Nerve Conduction Velocity Tests

Examination of Gait

Examination of Functional Status and Activity Level

Examination of the Environment

Strategies to Improve Motor Function

Locomotor Training

Chronic Pulmonary Dysfunction

Heart Disease

Vascular,lymphatic,and Integumentary Disorders

Stroke

Multiple Sclerosis

Amyotrophic Lateral Sclerosis

Parkinsons Disease

Traumatic Brain Injury

Traumatic Spinal Cord Injury

Vestibular Disorders

Amputation

Arthritis

Burns

Chronic Pain

Cognitive and Perceptual Dysfunction

Neurogenic Disorders of Speech and Language

Orthotics

Prosthetics

The Prescriptive Wheelchair

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