GOLD RANK REVIEW CENTER DECEMBER 2023

BOOK REVIEW RETENTION EXAMINATION: IER AND GILES & SAUNDERS

1. A physical therapist consults with an orthotist 7. A pregnant client in her third trimester completes a
regarding the need for an ankle-foot orthosis for a series of exercises in supine. In order to prevent vena
stroke client. The client has difficulty moving from cava compression during the exercise session the
sitting to standing when wearing a prefabricated therapist should ____?
ankle-foot orthosis. The therapist indicates the client a. place a folded towel under the right side of the
has poor strength at the ankle, intact sensation and client’s pelvis
does not have any edema or tonal influence. The b. place a folded towel under the left side of the
most appropriate type of ankle-foot orthosis for the client’s pelvis
client would incorporate___? c. complete the exercises in sidelying
a. an articulation at the ankle joint d. elevate the client’s feet 12 inches
b. tone reducing features 8. A 45-year-old female with psoriasis is referred to
c. metal uprights physical therapy. The client has several lesions on
d. dorsiflexion assist spring the posterior portion of the thigh extending into the
2. A therapist transports a client with multiple sclerosis popliteal fossa. The most appropriate therapeutic
to the gym for her treatment session. The client is modality to treat the client’s condition is ____?
wheelchair dependent and uses a urinary catheter. a. iontophoresis
When transporting the client, the most appropriate b. moist heat
location to secure the collection bag is_____? c. ultrasound
a. in the client’s lap d. ultraviolet
b. on the lower abdomen 9. A physical therapist treats a client with generalized
c. on the wheelchair armrest upper and lower extremity weakness following a
d. on the wheelchair leg rest prolonged hospitalization. As part of the client’s
3. The Occupational Safety and Health Administration treatment program, the therapist designs an aquatic
establishes regulations for health care facilities, which program emphasizing upper and lower extremity
are designed to protect their employees. Which of the range of motion. Which physical property of water
following regulations is not accurate? allows the client to move with greater ease?
a. Provide proper containers for the disposal of a. buoyancy
waste and sharp items. b. specific gravity
b. Educate employees on the methods of c. specific heat
transmission and the prevention of hepatitis B d. thermal conductivity
and HIV. 10. A male therapist is treating a 16 year-old female for a
c. Require all employees to receive the hepatitis B low back strain. During the treatment session the
vaccine. client makes several sexually suggestive remarks.
d. Provide education and follow up care to The therapist ignores the remarks, but the client
employees who are exposed to communicable reiterates them during the next treatment session.
diseases. The most appropriate therapist action is to___?
4. A therapist attempts to schedule a client for an a. continue to ignore the client’s remarks
additional therapy session after completing the initial b. explain to the client that her remarks are offensive
examination. The physician referral indicates the c. document the client’s behavior in the medical
client is to be seen two times a week. The therapist record
suggests several possible times to the client, but the d. transfer the client to another therapist’s schedule
client insists she can only come in on Wednesday at 11. A physical therapist conducts goniometric
4:30. The therapist would like to accommodate the measurements on a client in supine. When measuring
client, but already has two clients scheduled at that elbow flexion the therapist’s stabilizing force should
time. The most appropriate action is to ___? be directed at the ____?
a. schedule the client on Wednesday at 4:30 a. radioulnar joint
b. attempt to move one of the client’s schedule on b. olecranon
Wednesday at 4:30 to a different time c. distal humerus
c. schedule the client with another therapist on d. proximal humerus
Wednesday at 4:30 12. When evaluating a client for a wheelchair, a therapist
d. inform the referring physician the client only will determines that the client’s hip width in sitting and the
be seen once this week in therapy measurement from the back of the buttocks to the
5. A physical therapist using an electrical stimulation popliteal space are each 16 inches. Given these
device attempts to quantify several characteristics of measurements, which of the following wheelchair
a monophasic waveform. When measuring phase sizes would best fit this client?
charge, the standard unit of measure is___? a. seat width 16 inches, seat depth 14 inches
a. coulomb b. seat width 18 inches, seat depth 18 inches
b. ampere c. seat width 16 inches, seat depth 18 inches
c. ohm d. seat width 18 inches, seat depth 14 inches
d. seconds 13. A physical therapist is working with a child who has
6. A therapist adjusts the height of the parallel bars in cerebral palsy with spastic diplegia. All of the
preparation for client ambulation. When at the following could be used to improve the child’s ability
appropriate height, the parallel bars should provide to ambulate except ___?
___? a. stretching and range of motion
a. 5-15 degrees of elbow flexion b. strengthening of underlying weak muscles
b. 15-25 degrees of elbow flexion c. bilateral lower extremity activities such as “bunny
c. 30-40 degrees of elbow flexion hopping”
d. 35-45 degrees of elbow flexion d. trunk and pelvis dissociation activities

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14. A therapist discusses the importance of proper skin 23. A therapist determines that a client rehabilitating from
care with a client and his family. Which of the ankle surgery has consistent difficulty with functional
following sites is least likely to develop a pressure activities that emphasize the sagittal plane. Which of
ulcer in a wheelchair dependent client? the following activities would be difficult for the
a. scapula client?
b. ischium a. side lunge
c. heel b. 8-inch posterior step down
d. elbow c. 6-inch lateral step down
15. Pharmacological agents eventually must be d. NOTA
eliminated from the body to prevent an excessive
accumulation of a specific drug. Where is the major 24. The muscles that can function as synergists when
site for drug excretion? acting on the scapula are the:
a. gastrointestinal tract a. rhomboids and trapezius
b. kidneys b. rhomboids and serratus anterior
c. liver c. serratus anterior and levator scapulae
d. saliva d. teres major and infraspinatus
16. A therapist examines a grossly obese client referred
to physical therapy with a hip flexor strain. Which 25. In treating a 5-year-old with spastic diplegia, as part of
modality would have the greatest ability to elevate the the program, relaxation might be accomplished by:
temperature of fatty tissue to potentially dangerous a. use of rhythmic stabilization
levels? b. slow rocking
a. diathermy c. inhibition of parasympathetic fibers
b. hot packs d. facilitation of sympathetic fibers
c. paraffin
d. pulsed ultrasound 26. A physical Therapist designs an exercise program for
17. A therapist instructs a client to make a fist. The client a woman who is pregnant. following exercises would
can make a fist, but is unable to flex the distal phalanx be appropriate, except:
of the ring finger. This clinical finding can best be I. Pelvic floor isometrics
explained by _________? II. Squatting
a. a ruptured flexor carpi radialis tendon III. Standing push ups
b. a ruptured flexor digitorum superficialis tendon IV. Bilateral straight leg raising
c. a ruptured flexor digitorum profundus tendon a. I and III
d. a ruptured extensor digitorum communis tendon b. I, II, III
18. An eleven-month-old child with cerebral palsy c. II, III, IV
attempts to maintain a quadruped position. Which d. Only IV
reflex would interfere with this activity if it did not
integrate appropriately? 27. To promote upright posture and higher walking
a. Gallant reflex speeds in a child with spastic diplegia the ambulatory
b. symmetrical tonic neck reflex aid that is most beneficial is:
c. plantar grasp reflex a. an anterior rollator walker
d. positive support reflex b. a posterior rollator walker
19. There can be many adverse effects when clients are fit c. a reciprocating gait orthosis
incorrectly for a wheelchair. Which of the following d. a parapodium
could result from a wheelchair with excessive seat
depth? 28. A 17-year-old female softball player had an anterior
a. decreased trunk stability glenohumeral dislocation on her dominant side. Now
b. increased weightbearing on the ischial in her third week of rehabilitation, it would be MOST
tuberosities important to advise her to:
c. decreased balance a. not participate at all in softball practice until eight
d. increased pressure in the popliteal area weeks post injury.
20. A client informs his therapist that he has to use the b. avoid overhand throwing of the ball.
bathroom immediately after being transported outside c. avoid underhand throwing of the ball.
the hospital to practice car transfers. The therapist’s d. avoid any pushing motions on the involved side.
most appropriate response to meet the client’s
physical need is to ___? 29. When establishing a treatment plan for a patient who
a. ask the client if it is an emergency also demonstrates paranoid reactions, it could be
b. complete the transfer training as quickly as important for you to consider that this individual
possible and allow the client to use the bathroom might:
c. transport the client back into the hospital to use a. deny or refuse to recognize he has any orthopedic
the bathroom disability.
d. instruct the client that in the future he should use b. express false beliefs or imagine that he is being
the bathroom before beginning physical therapy persecuted.
21. A physical therapist instructs a client in ambulation c. repeatedly say the same words or do the same
activities using axillary crutches. What two points of act.
control should be used when guarding the client? d. have an impairment of intelligence and be unable
a. the client’s thorax and hip to safely follow directions.
b. the client’s shoulder and hip 30. A 13-year-old female diagnosed with cerebral palsy is
c. the client’s shoulder and thorax referred to physical therapy. The client exhibits slow,
d. the client’s elbow and hip involuntary, continuous writhing movements of the
22. The normal end-feel associated with full elbow upper and lower extremities. This type of motor
extension can be classified as: disturbance best describes ____?
a. empty a. spasticity
b. capsular b. ataxia
c. springy block c. hypotonia
d. hard d. athetosis

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31. A PT designs a cardiovascular training program for a 38. If a patient had normal quadriceps strength; but,
58-year-old male rehabilitating from a lower extremity unilateral weakness (3/5) of the hamstring muscles,
injury. The pt. has no known cardiovascular pathology during swing phase you might observe:
and has been cleared for exercise by his physician. a. excessive compensatory hip extension on the
The patients age predicted maximum heart rate during sound side
exercise should be calculated as: b. decreased hip flexion followed by increased knee
a. 172 beats per minute flexion on the weak side
b. 162 beats per minute c. excessive hip extension followed by abrupt knee
c. 181 beats per minute extension on the weak side
d. 191 beats per minute d. excessive hip flexion followed by abrupt knee
32. A client paralyzed from the waist down discusses extension on the weak side
accessibility issues with an employer in preparation 39. A therapist wishes to study the progress of her
for her return to work. The client is concerned about patients with paraplegia who are discharged from a
her ability to navigate a wheelchair in certain areas of rehabilitation setting. Starting with the patient’s
the building. What is the minimum space required to discharge, and once a month for three years, another
turn 180 degrees in a standard wheelchair? therapist will measure their joint range of motion of
a. 32 inches both hips and knees. Accurate analysis of this time
b. 48 inches series study is heavily dependent upon:
c. 60 inches a. random sampling
d. 72 inches b. interrater reliability
33. During a soccer game, a 17-year-old player was kicked c. intrarater reliability
in the shin. Later in the day, the athlete’s mother d. predictive validity of the measurements
phones you and describes her son’s leg as badly
swollen and warm to touch. His foot tingles and he 40. A patient has a complete spinal cord lesion at the C6
cannot dorsiflex his toes. As a friend as well as a level. It is important for this patient to generate a
physical therapist, you should advise your neighbor functional cough in order to avoid potential
to: respiratory problems. In this case, effective
a. Do nothing coughing:
b. Put ice on the shin and elevate the leg but have a. should be facilitated by use of phrenic nerve
her son come to your physical therapy clinic the stimulator
next day to be evaluated b. should be facilitated by use of glossopharyngeal
c. Take her son to an emergency room or see a breathing
physician immediately c. can be elicited with manual abdominal pressure
d. NOTA provided with the assistance of a caregiver
34. Physical therapists use a wide variety of measurement d. can elicited with manual abdominal pressure
methods in their daily documentation. These provided independently by the patient
measurements usually are categorized as subjective
or objective methods. Which of the following 41. An investigator wants to study the effectiveness of a
measurement methods would not be considered post-coronary rehabilitation program on both male
objective except? and female patients. The variables in this study are:
I. Duration of attention a. Interval
II. Goniometric measurements b. Nominal
III. Rating of perceived exertion scale c. Ordinal
IV. Time required to perform a selected activity d. Ratio
a. I, II and IV e. NOTA
b. Only III 42. During gait analysis, you note that a patient is
c. II and IV lurching backward during stance phase as a result of
d. Only IV gluteus maximus weakness. This compensatory
35. A Physical therapist monitors a 6 foot 3 inch, 275 motion prevents:
pound, male’s blood pressure using the brachial a. circumduction with external rotation of the
artery. Which of the following is most important when involved extremity
selecting an appropriate size blood pressure cuff? b. lateral trunk lean over the involved stance
a. Patient age extremity
b. Percent body fat c. knee instability with possible buckling
c. Somatotype d. excessive hip flexion and anterior pelvic tilt
d. Extremity circumference 43. Following trauma, prolonged cold application greater
36. Twenty-four hours following a major thermal burn, a than 1 hour in the area of the fibular head, could result
patient experiences syncope while the physical in unwanted:
therapist works on positioning as part of edema a. Neuropraxia
management. The syncope is most likely a result of: b. Vasoconstriction
a. orthostatic hypotension c. Elevated pain threshold
b. extreme pain d. Decrease in tissue metabolism
c. intravascular hypovolemia 44. A patient has a complete spinal cord injury at the C6
d. massive infection neurological level. He has been fitted with a tenodesis
37. While ambulating a patient in the parallel bars, you orthosis that will enhance hand function. The motion
lose control and the patient falls hitting her head on required to operate this device is:
the bar. The patient lies motionless on the floor a. Metacarpal phalangeal flexion
between the bars bleeding heavily form a scalp b. Wrist flexion
laceration. The first thing you should do is: c. Wrist extension
a. put thick gauze over and apply manual pressure d. Elbow extension
to the scalp wound 45. A physical therapist, working in a school system,
b. check for responsiveness. wishes to examine a child with a complex medical
c. call Emergency Medical Services history. The therapist should first contact the:
d. immediately determine the patient’s heart rate and a. Parents c. student
blood pressure b. Physician d. Teacher

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46. You are gait training a patient for the first time 54. A Physical therapist establishes the following short-
following a recent cerebrovascular accident. The term goal for a patient rehabilitating from total knee
patient is having great difficulty advancing the leg on replacement surgery. Patient will ambulate with walker
the hemiplegic side. The type of feedback MOST 50% weight bearing and moderate assist of 1 for 20
SUITABLE in this situation is: feet within one week. Three days later, The patient
a. guided movement by actually advancing the successfully achieves the established goal. Which of
affected extremity to the correct position the following would be the most appropriate revision
b. demonstration followed by verbal feedback of the short term goal?
encouraging the patient to perform the gait a. Ambulate with walker 25% weight bearing and
pattern correctly moderate assist of 1 for 30 feet within one week
c. intermittent feedback which allows for self- b. Ambulate with walker 50% weight bearing and
correction moderate assist of 2 for 30 feet within one week
d. positive feedback given only after correct c. Ambulate with walker 50% weight bearing and
behavior minimal assist of 1 for 30 feet within one week
47. All of the following activities might help to break up d. Ambulate with the walker 25% weight bearing and
lower extremity synergy combinations in a patient minimal assist of 1 for 10 feet within one week
with hemiplegia with the exception of:
(IER A-16) (IER B-17) 55. A physical Therapist instructs a patient in breathing
a. balance training in a kneeling position exercises to improve ventilation and oxygenation. The
b. backward leg lifts with the knee extended on the therapist’s treatment objective emphasizes the
affected side expansion of a selected area of the chest wall during
c. bridging in the hooklying position inspiration. The most appropriate breathing exercise
d. rolling from a hooklying position to achieve the desired outcome is:
a. Deep breathing
48. A fee from a payer for each insured member per b. Segmental breathing
month regardless of number or duration of visits c. Diaphragmatic breathing
would be considered: d. Abdominal breathing
a. capitation.
b. case rate. 56. The only activity which is APPROPRIATE for a
c. fee-for-service. physical therapist assistant to perform is to:
d. diagnostic related grouping. a. Discharge a patient from home physical therapy
49. A therapist prepares to complete an assisted standing care if the assistant feels that the patient has
pivot transfer with a client that requires moderate achieved maximum benefit
assistance. In order to increase a client’s b. Immediately discontinue any treatment
independence with the transfer, which of the following procedures which, in the assistant’s judgement,
instructions would be the most appropriate? appears to be harmful to the patient
a. Only grab onto me if it is absolutely necessary c. Write the discharge plan for the patient
b. Use the power in your legs to assist you during d. Alter the treatment plan if, in the assistant’s
the transfer judgement, it would benefit the patient
c. I want you to help me perform the transfer
d. Try to utilize your own strength to complete the 57. You are evaluating the shoulder of a referred patient.
transfer The patient experiences maximal pain after 150
50. Following TBI, an 18-year-old male demonstrates degrees of active abduction. This pain pattern is
signs of ideational apraxia. To evaluate the extent of MOST characteristic of:
this type of apraxia, it would be MOST appropriate to a. AC sprain
ask the patient to: b. Subacromial bursitis
a. Wash his hands with soap and water c. Supraspinatus bursitis
b. Pick out a fork from a group of different utensils d. Glenohumeral subluxation
c. Identify familiar objects, such as a clock, both by
sight and sound 58. One of your evaluative findings of a patient reveals
d. Draw in the hands on a clock picture to indicate a hypoesthesia in the midpalmar region and the
particular time terminal phalanges of the index and middle fingers.
51. You are instructing a new mother to perform range of These symptoms are MOST characteristics of:
motion and stretching on her newborn who has a a. Carpal tunnel syndrome
clubfoot. You would advise her to carefully stretch in b. Scalene anticus syndrome
the direction of: c. GBS
a. plantarflexion and inversion d. Alcoholic peripheral polyneuropathy
b. plantarflexion and eversion e. NOTA
c. dorsiflexion and inversion
d. dorsiflexion and eversion 59. A patient is having difficulties combing her hair as a
52. A physical therapist attempts to examine the strength result of weakness and tightness of her shoulder
of the patient’s ms in the upper extremities. The girdle musculature. All of the following would be
preferred method to examine and document ms. appropriate to incorporate into the management of the
strength is: problem with the EXCEPTION of:
a. Sensory test for light touch a. Strengthening the upper trapezius and pectoralis
b. Manual muscle test major muscles
c. Functional assessment for rolling in bed b. Strengthening the serratus anterior and anterior
d. Finger to nose deltoid muscles
53. A PT prepares a pt. for prosthetic training. Which of c. Stretching the pectoralis major and serratus
the ff. Amputations would require the highest energy anterior muscles
expenditure when using the appropriate prosthesis? d. Stretching the rhomboids and pectoralis minor
a. Syme’s amputation muscles.
b. Bilateral transtibial amputation e. NOTA
c. Unilateral transtibial amputation
d. Unilateral tranfemoral amputation

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60. It is most likely than when treating a patient with Lyme 67. When using a patellar-tendon-bearing prosthesis, a
Disease of more than one year’s duration, the physical patient will experience delayed knee flexion in early
therapy focus will be on management of arthritic stance if the:
changes primarily affecting the: a. socket is aligned too far anteriorly
a. small joints of the hands and feet b. socket is aligned too far posteriorly
b. large joints of the body; especially the knee c. foot is outset excessively
c. axial joints, especially the lumbosacral spine d. foot is inset excessively
d. axial joints, especially the cervical and thoracic 68. A boutonniere deformity of the finger may be
spine characterized by all of the following except:
61. A child with spastic diplegia is now independent in I. hyperextension of the proximal interphalangeal
using a walker. Additional goals desired by the joint
physical therapist include increasing the child’s II. overstretch of the extensor digitorum
energy-efficiency and velocity while ambulating. In communis tendon
this case, the selection of walker that is most likely to III. volar slippage of the lateral bands
help improve these factors is: IV. hyperflexion of the distal interphalangeal joint
a. a standard anterior walker with no wheels a. I and IV
b. an anterior rollator walker with two wheels b. I and III
c. a posterior rollator walker with two wheels c. Only C
d. a posterior rollator walker with four wheels d. Only D

62. In degenerative joint disease, Bouchard’s node are 69. A patient with angina pectoris has been instructed to
most frequently noted in the: use sublingual nitroglycerin in case of anginal attack.
a. distal interphalangeal joints of the fingers This medication will help to ease the situation
b. proximal interphalangeal joints of the fingers primarily by:
c. distal interphalangeal joints of the fingers and a. lowering blood pressure
toes b. increasing resistance in the peripheral
d. distal and proximal interphalangeal joints of the vasculature
fingers and toes c. increasing venous return
63. A patient with quadriplegia at the C6 level should be d. increasing cardiac afterload, thus decreasing the
instructed to transfer using a sliding board with her: work of the heart
a. forearms pronated, wrists and fingers extended e. NOTA
b. forearms pronated, wrists extended and fingers
extended 70. An 18-year-old female soccer player, with a Q angle in
c. forearms pronated, wrists and fingers flexed excess of 30 degrees, exhibits patello-femoral
d. forearms pronated, wrists extended and fingers tracking problems. While playing soccer, it would be
flexed best if she wore a:
a. patellar stabilizing brace with a lateral buttress
64. A patient’s peripheral skin color progresses from blue b. patellar stabilizing brace with a medial buttress
to white to red. This would be most characteristic of: c. neoprene sleeve with a patellar cutout
a. chronic venous insufficiency d. derotation brace
b. acute venous insufficiency e. NOTA
c. vasomotor disorders
d. acute arterial insufficiency 71. The left phrenic nerve of a patient was accidentally
severed during thoracic surgery. The physical
65. In the management of systemic lupus erythematosus, therapist should work on facilitating and
all of these treatments might be of help with the strengthening all of the following muscles to provide
exception of: substitute function with the exception of the:
a. nonsteroidal anti-inflammatory agents to control a. sternocleidomastoid
arthralgia b. external intercostals
b. resting splints to decrease joint pain and prevent c. scalenes
deformity d. external obliques
c. ultraviolet irradiation to help decrease the skin
lesions and rash often associated with the 72. While evaluating the gait of a patient with left
disorder hemiplegia, you note toe drag during midswing on the
d. endurance training to compensate for left. The least likely cause of this deviation would be:
cardiopulmonary dysfunction that is often present a. inadequate concentric activity of the ankle
with the disorder dorsiflexors
b. excessive extensor synergy
66. All of the following are possible means of fitting a c. knee and ankle joint pain
patient for adjustable axillary crutches: d. decreased proprioception
I. placing the patient supine and measuring from
the anterior axillary fold to the bottom of the foot 73. A 77-year-old female has a compression fracture at
and adding 2 inches T12 secondary to severe osteoporosis. The patient is
II. placing the patient supine and measuring from active and alert though in some pain. To help prevent
the anterior axillary fold to a point 6 inches further risk of compression fractures, elements of
lateral to the foot your therapeutic program could include
III. placing the patient in standing with shoes on, recommending:
and the crutches placed 6 inches lateral to the a. active flexion to strengthen abdominals and use
foot of a semi-rigid lumbosacral brace
IV. subtracting 16 inches from the height of the b. active flexion to strengthen abdominals and use
patient of a dorsal-lumbar corset
a. I, II, III c. active strengthening of back extensors and use of
b. I, II, IV a dorsal-lumbar corset
c. I, III, IV d. active strengthening of back extensors and use of
d. All are correct a lumbosacral corset

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74. Following a double-blind study to determine the 82. A patient with a crush injury to the foot developed
effectiveness of a new arthritis medication, the data reflex sympathetic dystrophy. Now, two months into
analyzed should clearly consider the effects of: the RSD, the clinical presentation you would expect
a. epidemiology is:
b. the measures of central tendency a. edema and osteoporosis with decreased sweating
c. the null hypothesis and nail growth
d. the placebo b. a cool, dry extremity with the beginning of
75. A 72-year-old woman has a clinical diagnosis of ankylosis
osteoporosis with moderate to severe bone loss. She c. causalgia with vasomotor reflex spasm resulting
is sedentary and smokes a pack of cigarettes per day. in warm, dry skin with increased nail growth
All of these would be appropriate treatment d. pain on motion with trophic skin changes and
recommendations with the exception of: osteoporosis
a. advice to stop smoking immediately 83. Following a cerebrovascular accident involving the
b. advice to take up to 1200 mg of calcium per day dominant right hemisphere, a patient exhibiting
c. postural exercises to correct kyphosis and unilateral neglect would generally not:
forward head a. eat food only from the right side of the plate.
d. increased weightbearing to include a daily b. bump a one-arm driven wheelchair into things on
walking program the left side.
e. NOTA c. ignore or deny the existence of the left-sided
76. Following an exercise session in a Phase 3 cardiac limbs.
rehabilitation program, in which some patient may d. shave or put make-up only on the left side of the
experience angina pectoris, the therapist employs a face.
gradual and prolonged cool down period primarily to 84. A patient with a transtibial amputation of 2 months
prevent: duration complains to you of an intense burning pain
a. exertional dyspnea that seems to emanate from his heel. This phantom
b. tachycardia pain mirrored preoperative pain which was the result
c. venous pooling of previous damage to the:
d. hypertension a. dorsalis pedis artery.
e. NOTA b. popliteal artery.
77. You are evaluating a 48-year-old tennis player with a c. peroneal nerve.
lower extremity problem. You would use the Homan’s d. tibial nerve.
test to assess for: 85. To prepare a patient with a cauda equina lesion for
a. anterolateral rotational instability of the knee ambulation with crutches, the upper quadrant
b. iliopsoas tightness muscles that would be most important to strengthen
c. rectus femoris tightness would be the:
d. Achilles tendon rupture a. upper trapezius, rhomboids and levator scapulae.
e. NOTA b. deltoid, coracobrachialis, and brachialis.
c. middle trapezius, serratus anterior, and triceps.
78. A therapist wants to know whether joint mobilization d. lower trapezius, latissimus dorsi and pectoralis
is an effective treatment tool in reducing joint pain in major.
patients with degenerative joint disease. In designing 86. During a treatment session in a rehabilitation hospital
a clinical research study, joint mobilization is the: a patient asks the physical therapist assistant to let
a. control variable him see the physical therapy progress notes in his
b. intervening variable medical record. The physical therapist assistant
c. independent variable should:
d. dependent variable a. refuse to let the patient see the record.
b. allow the patient to see the notes.
79. A resting pulse rate of 40-60 beats per minute could c. get the permission of the physical therapist
be considered normal in all but: supervisor before giving the patient the chart.
a. marathon runners d. contact the patient’s physician and explain the
b. patients taking digitalis situation.
c. elderly individuals with arteriosclerotic heart 87. The most functional way to teach an individual with a
disease T4 complete paraplegia to transfer from wheelchair to
d. children under five years of age mat is by using a:
a. stand pivot technique
80. The parents of an eight-year-old child with Down b. squat pivot technique
Syndrome ask your advice about appropriate c. sliding board
recreational activities for their son. All of the d. back-out technique
following would be reasonable to recommend with the
exception of: 88. A weightlifter with hypertrophy of the scalene muscles
a. mountain biking on fairly level trails complains of pain and paresthesia in the right upper
b. non-contact martial arts extremity when lifting the weight overhead. It is most
c. gymnastics including tumbling likely that this is a manifestation of:
d. kayaking or canoeing a. thoracic outlet syndrome
b. vertebral artery obstruction
81. Your patient with flaccid hemiplegia exhibits pain in c. cervical radiculitis
the shoulder region secondary to glenohumeral d. reflex sympathetic dystrophy
subluxation. Using electrical stimulation as orthotic
substitution, it would be best to place the electrodes 89. You are performing sensory tests on a patient
over the: diagnosed with C6 nerve root impingement. Testing
a. supraspinatus and upper trapezius should concentrate on the:
b. supraspinatus and anterior deltoid a. 3rd, 4th and 5th fingers
c. anterior and posterior deltoid b. ulnar border of the hand
d. anterior, middle and posterior deltoid c. thumb and index fingers
e. NOTA d. medial forearm

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90. You are working with a patient who exhibits a fluent 98. You have assessed the deep tendon reflexes of a
aphasia. This form of aphasia is usually characterized patient recently diagnosed with amyotrophic lateral
by: sclerosis. The results are 1+ left and 3+ right. Your
a. normal auditory comprehension interpretation is that the reflexes are:
b. very slow speech a. diminished on the left and normal on the right
c. impaired reading and writing b. normal on the left and exaggerated on the right
d. impaired articulation c. exaggerated, but within normal limits on both
91. Patients with Parkinson’s disease who have been sides
receiving levodopa for prolonged periods of time will d. diminished on the left and exaggerated on the
most likely exhibit: right
a. dyskinesia e. exaggerated on both sides
b. elevated blood pressure
c. a sense of euphoria 99. In the neonate, the most serious developmental
d. cogwheel rigidity problem would result from lack of the:
92. An external shoe modification that would be a. optical righting response
appropriate for a patient exhibiting flexible subtalar b. asymmetrical tonic neck reflex
varus deformity is: c. Moro reaction
a. cushion heel d. rooting response
b. lateral heel wedge
c. medial sole wedge 100. In managing the residual limb of a 72-year-old patient
d. medial heel wedge with a transfemoral amputation, the most important
93. A patient has sustained a trimalleolar fracture on the factor to consider is: (IER B-19)
right and a fracture of the left distal radius. For partial a. contracture of hip musculature.
weight bearing it is best if the therapist has the patient b. residual limb shape.
use: c. muscle atrophy.
a. axillary crutches d. residual limb healing.
b. forearm crutches
c. platform crutches
d. Lofstrand crutches
94. After gait training a patient with a new below-knee
prosthesis, you notice redness along the patellar
tendon and medial tibial flare. This would indicate:
a. the socket is too small and the residual limb is not
seated properly.
b. the socket is too large and pistoning is occurring
c. improper weight distribution during stance
d. pressure tolerant weightbearing during stance
95. Following grafting of the lower extremities for burns, a
patient is now ready to initiate ambulation. However,
when standing in the upright position, the patient
cannot tolerate the pain. To assist the patient in
preparing for standing, it would be best if the therapist
utilized:
a. parallel bars
b. tilt table
c. a rolling walker
d. pool therapy
96. Following serious trauma, a patient is casted as a
result of multiple bilateral wrist and hand fractures. It
would be best if physical therapy intervention begins:
a. as early as possible to maintain or regain strength
and range of motion in nonimmobilized joints of
the upper extremities
b. as soon as the casts are removed to regain
strength of the wrists and hands
c. about two weeks after the casts are removed so
as not to damage vulnerable soft tissue
d. after six weeks of immobilization to ensure that
bone healing is almost complete
97. A neonate’s APGAR score at one minute after birth is
8 and four minutes later is 9. You would expect that
this baby would probably: (IER A-49) (IER B-49)
a. have a heart rate of less than 100 beats per
minute with slow and irregular respirations and
not require resuscitation
b. require extensive resuscitation efforts including
intubation
c. require some resuscitation and administration of
supplemental oxygen
d. have a heart rate of greater than 100 beats per
minute, good respiration and require resuscitation
e. have a heart rate of greater than 100 beats per
minute, good respiration and not require
resuscitation