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Copyright 1999 Advanced Physical Therapy Concepts, All rights reserved.

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1: An 18 year old C-5 tetraplegic patient is placed in bed after PT

treatment. You notice that he is sweating, anxious, and reports a
headache. After removal of noxious stimuli what should you do?
A. Raise the foot of the bed.
B. Notify the patient's doctor.
C. Drain bladder.
D. Sit him upright.

2: 68 year old female two days post total hip arthroplasty is

performing bed mobility training. She becomes apprehensive,
complains of chest pain, and shortness of breath. She is most likely at
risk for what?
A. Pulmonary embolism.
B. Dislocation of hip implant.
C. Deep Vein Thrombosis in the leg surgery was performed on.
D. Cardiac arrhythmia.

3: You are treating an 18 year old soccer player who has an acutely
sprained ankle with decreased dorsiflexion. The best treatment to
increase range of motion would be?
A. Distract and anterior glide talus grade II.
B. Distract and posterior glide talus grade II.
C. Compress and posterior glide talus grade II.
D. Compress and anterior glide talus grade II.
4: A 32-year-old female secretary diagnosed with rheumatoid arthritis
6 years ago comes to you with complaints of stiffness in her
metacarpal phalanx joints of her right hand. The best mobility
treatment would be what?
A. Gentle grade I.
B. Grade II.
C. Grade III.
D. Gentle grade IV.

5: A 25-year-old pregnant woman with low back pain is in your clinic

for pain relief. The best treatment for pain relief would be?
A. A moist heat pack for 15 minutes to sacrum.
B. An ice pack for 15 minutes to sacrum.
C. Interferential electrical stimulation to sacrum.
D. Ultrasound, constant at 1.2 w/cm2 to sacrum.

6: A patient that is post ORIF to the radius now has Raynaud's

phenomenon after being removed from a cast 2 weeks ago. He
complains of pain and numbness in his hand and there is swelling
present. Which treatment should be avoided?
A. Continuous Ultrasound 3mhz 1.0 w/cm2.
B. Ice massage.
C. Paraffin bath.
D. Iontophoresis to flexor tendons.

7: A 22-year-old college football player has patellar tendon graft ACL

repair. At 10 weeks after surgery which of the following activities
should be avoided?
A. Full knee flexion.
B. Full knee extension.
C. Full weight bearing.
D. Straight leg raising.
8: A 42 year old, obese, woman with shoulder pain should be assessed
for what?
A. Blood pressure.
B. Heart rate.
C. Hematocrit results in chart.
D Passive range of motion at glenohumeral joint.

9: A patient returns to you after you performed grade 2 oscillatory

mobilizations to the shoulder with complaints of the pain increased and
flexion range of motion is decreased. The best treatment for this
person would be?
A. Grade 3 inferior glides.
B. Grade 4 oscillations.
C. Active assisted exercises.
D. Moist heat packs.

10: A 36-year-old warehouseman who has complained of back pain

after a lifting incident may need to be referred back to the referring
doctor. Which of the following might suggest kidney stones?
A. Pain with side bending on the side away from bending.
B. Non tenderness of lumbar or lower thoracic pain where he
complains ache is.
C. Excruciating occasional pain in upper right back.
D. Pain with side bending on the same side as bending.

11: A football player is tackled at his knees from the side while he is
turning away. What is the most likely injury he will sustain?
A. Medial meniscus tear.
B. Lateral meniscus tear.
C. Medial collateral sprain.
D. Quadriceps strain.
12: You observe a patient with the following gait deviation. She has
foot slap at the loading response phase of gait. The most probable
cause of this deviation is?
A. Posterior tibialis weakness.
B. Anterior tibialis weakness.
C. L 5 disc pathology.
D. Peroneal nerve dysfunction.

13: A patient comes in for physical therapy complaining of right calf

pain after walking nine holes of golf. He is 57, plays golf and has had a
total knee arthroplasty. You notice he is vaulting on the right leg. The
most probable impairment is?
A. Left leg length discrepancy.
B. Limited hip flexion.
C. Excessive inversion of left leg.
D. Weak plantar flexors.

14: A 30 year old truck driver diagnosed with low back pain arrives at
your clinic and walks in with a 15 degree forward lean. The most likely
cause for his lean is?
A. Tight tensor fascia latae.
B. Poor hip extensor flexibility.
C. Hip flexor contraction.
D. Weak lumbar extensors.

15: A sixteen year old cheer leader from the local high school is sent
to you with a diagnosis of posterior knee pain. You notice she has a
knee extension thrust gait deviation. The best choice for what might
cause this would be?
A. Quadriceps hypertonicity.
B. Knee extensor contracture.
C. Knee flexor contracture.
D. Impaired knee proprioception.
16: A 52 year diabetic, with cardiovascular disease arrives in your
clinic two months post transtibial amputation. You notice he
excessively flexes his knee and appears he may fall. What could be the
best reason for causing this?
A. Low shoe heel.
B. Weak quadriceps.
C. Hamstring weakness.
D. Socket too far anterior.

17: A thirty-five year old male post-traumatic transfemoral amputation

is seeing you for gait training. You notice that he has a circumducting
gait pattern. The most likely cause of his problem is?
A. Sharp lateral wall of prosthesis.
B. Externally rotated foot.
C. Weak hip flexors.
D. Sharp medial wall of prosthesis.

18: Which of the following is the best indicator that an ulcer will heal?
A. Patient has cardiovascular disease.
B. Patient's age.
C. Patient's nutritional status.
D. Patient has diabetes.

19: A nineteen year who was shot in the chest has suffered a Brown-
Sequard lesion at the fourth thoracic level. What would be the most
likely clinical presentation?
A. Ipsilateral paralysis and contralateral anesthesia below the
nipple level.
B. Paralysis to both legs with ipsilateral anesthesia below the nipple
level.
C. Paralysis to both legs with contralateral anesthesia below the
nipple level.
D. Ipsilateral paralysis and anesthesia below the nipple level.

20: A twenty-one year old who had a burst fracture is now diagnosed
with C-6 quadriplegia. Which of the following functional activities is the
highest expected level of function?
A. Level transfers independently.
B. Use a hand controlled powered wheelchair.
C. Manipulate objects using a tenodesis grip.
D. Ambulate with KAFO's and Loftstrand crutches.

21: A patient lacks full glenohumeral abduction range of motion and

has pain in the posterior shoulder. Which of the following would be the
most appropriate treatment to gain more range of motion?
A. Moist heat pack to the anterior and posterior shoulder.
B. Electrical stimulation to the rotator cuff muscle for pain relief.
C. Cross friction massage to the long head of biceps.
D. Ultrasound, continuous to the anteroinferior aspect of the joint.

22: A deconditioned patient with low back pain due to postural hyper
lordosis would benefit the most from which exercise?
A. William's flexion exercises.
B. Mckenzie extension exercises.
C. Anterior pelvic tilt exercises.
D. Stationary bicycle riding.

23: A fifty year old man who recently was hospitalized for two weeks
has balance problems. He uses the hip strategy when there are small
perturbations. Which would be the most appropriate training technique
for him?
A. Perturbation stressing in parallel bars with an assistant.
B. Balance training blind folded.
C. Balance training while moving his head side to side.
 D. Standing on a one inch high balance board for the ankle
strategy.

24: Which treatment would improve the flexibility of the hamstrings

the best?
A. Ballistic stretching of the hamstrings.
B. Petrissage to the hamstring muscles.
C. Terminal knee quadriceps strengthening exercises.
D. Prolonged static stretching of hamstrings.

25: A patient lacks glenohumeral flexion. Which of the following would

be the most appropriate treatment?
A. Longitudinal distraction of humerus from glenoid.
B. External rotation strengthening.
C. Active-assisted range of motion exercises.
D. Inferior glide of humerus on glenoid.

26: A seventy-six year old female who recently had triple bypass
surgery has been bed ridden for two weeks and now cannot stand. She
was ambulating independently prior to surgery. What order of activity
should be followed?
A. sitting, bridging, prone on elbows, quadruped.
B. bridging, prone on elbows, sitting, quadruped.
C. prone on elbows, bridging, quadruped, sitting.
D. sitting, prone on elbows, bridging, quadruped.

27: A 59 year old male has right sided hemiplegia as a result of a

stroke two days ago will need which of the following the most?
A. Self-care training for discharge planning purposes.
B. Transfer training towards the hemiplegic side.
C. Sitting with symmetrical weight bearing.
D. Sitting with lateral side flexion away from the hemiplegic side.
28: A seventy two year old woman is recovering from a stroke with
right sided hemiplegia. She has a flexor synergy pattern. Which
treatment would be best for her?
A. Maintaining the hemiplegic arm in pronation with shoulder
flexion.
B. Maintaining the hemiplegic arm in supination and shoulder
adduction.
C. Promoting swing of the hemiplegic arm in supination and arm at
her side.
D. Maintaining the hemiplegic arm in elevation, extension, and
abduction.

29: A 57 year old man diagnosed with Parkinson's Disease a year and
a half ago is now having difficulty getting out of bed. Which of the
following exercises would be most beneficial?
A. Practicing lower trunk rotation in side-lying.
B. Bridging exercises supine.
C. Trunk movement exercises in quadruped.
D. Practicing rolling from prone position.

30: A 43 year old diabetic with a lower leg ulcer has 50 percent loose
yellow eschar coverage and 50 percent granulation. Which of the
following would be the best treatment?
A. Topical enzymatic debridement.
B. Wet to dry dressing changes daily.
C. Calcium alginate dressings.
D. Sharp debridement with forceps and scissors.

31: A sixty-nine year old woman has had a total knee arthroplasty
revision. She has been placed into a continuous passive motion device
five days post-operation. What would be the expected available range?
A. 0-35 degrees flexion.
B. 5-40 degrees flexion.
 C. 0 90 degrees flexion.
D. 5-75 degrees flexion.

32: A 24 year old female with a C-7 cord transection is using a

wheelchair. Upon discharge, what is the expected level of performance
for her?
A. Bowel and bladder self care.
B. Assistance getting into a car.
C. Transfers with sliding board.
D. Manual cough.

33: You need to perform a joint mobilization on a 55 year old person

with low back pain. Which of the following would be the best way to
prepare the patient for the mobilization?
A. Show this technique being performed on another person.
B. Explain what you will do to their back.
C. Show diagrams from a text book.
D. Practice the technique on them prior to actually performing it.

34: Following a rotator cuff surgery what is the expected strength

measurement needed prior to proceeding with lifting an object over
head?
A. External rotation of 5/5 strength.
B. Abduction of 4+/5 strength.
C. Flexion of 5/5 strength.
D. Flexion of 4+/5 strength.

35: A sixty-two year old woman who has had a left CVA is about to be
discharged from the hospital to her apartment. She must be able to do
which of the following to be safe?
A. Sit unsupported.
B. Ambulate with a cane in her dwelling.
 C. Perform grooming.
D. Determine water temperature prior to bathing.

36: A seventy-four year old man has left sided hemiplegia. Which of
the following findings lead you to believe he is not a safe ambulator?
A. Decreased left ankle dorsiflexion.
B. Fair dynamic balance rating.
C. Absent left visual field.
D. Forgetful.

37: A fifty-four year old male with late onset diabetes and peripheral
vascular disease has recently been treated for foot ulcers. In order for
him to be discharged completely he must be able to do what?
A. Trim his toe nails effectively.
B. Clean his feet daily.
C. Demonstrate that he can administer his insulin shots.
D. Examine his feet appropriately.

38: You are treating a three year old who is developmentally delayed.
Presently he can walk well. What would be the best short term goal?
A. Pull to stand and then run.
B. Throw ball then kick ball.
C. Jump, then run.
D. Walk up steps then kick ball.

39: A forty-one year old male has just been discharged from the ICU
after having a massive myocardial infarction. He underwent a triple
bypass surgery with saphenous vein graft. He can now sit unsupported
on his bed. His expected level of activity now is what?
A. Be able to groom himself with comb and brush.
B. Be able to perform lower extremity exercises.
C. Be able to transfer from supine to sit.
D. Be able to ambulate fifty feet.
40: A forty year old female diagnosed with Multiple Sclerosis has had a
recent exacerbation and has been hospitalized. Prior to this regression
she was an independent ambulator. Upon discharge it is important that
she is able to do which of the following?
A. Begin a strengthening exercise program.
B. Learn how to use a wheelchair in the community.
C. Continue with balance training.
D. Ambulate for endurance training daily.

41: A 35 year old male after an automobile accident has a contused

knee with limited, painful knee range of motion and weakness. Which
would you try to achieve first?
A. Knee extension to 0 degrees.
B. Knee flexion to 120 degrees.
C. Normal gait.
D. Quadriceps strength 5/5.

42: A 42 year old woman has fractured her olecranon process and has
been placed in a cast for nine weeks. The most appropriate goal to
achieve with physical therapy should be?
A. Full elbow extension to 15 degrees.
B. Full supination to 80 degrees.
C. Full pronation to 75 degrees.
D. Full flexion to 110 degrees.

43: What would be the best goal for someone who has just finished
wearing a semi-rigid dressing and has a prosthesis?
A. Perform home exercise program independently and ambulate in
parallel bars.
B. Full knee extension, able to transfer independently.
C. Full knee flexion, don and doff prosthesis.
D. Inspect residual limb, perform transfers.
44: You have just read the previous therapist's evaluation and found
that the toddler girl you are treating is able to bang two cubes
together. What goals do you expect her to meet next?
A. Pass a cube to you on command.
B. Put the cube into a cup.
C. Stack 2 cubes.
D. Take the cube from your hand upon command.

45: You are treating a young child who is able to use a spoon and fork
now. What do you expect is the best choice for her to be able to do
next?
A. Drink from cup.
B. Wave good-bye.
C. Remove shirt.
D. Brush teeth.

46: A patient has a peripheral nerve injury to the right peroneal nerve.
He does have some improved dorsiflexion control. The best acceptable
goal would be?
A. Reduced foot slap.
B. Increased toe off.
C. Increased stance time.
D. Increased stride length.

47: Your patient is diagnosed with plantar fascitis. Heel pain is his
main complaint. As his symptoms resolve what do you expect will
occur first with his gait?
A. Increased toe off.
B. Increased stance time.
C. Increased stride length.
D. Improved heel contact.
48: You notice that a patient has excessive hip flexion during
ambulation in parallel bars. Which activity best addresses this goal
first?
A. Decrease hip flexor hypertonicity.
B. Strengthen plantarflexors.
C. Strengthen dorsiflexors.
D. Strengthen contralateral gluteus medius.

49: A thirty-nine year old male with a right CVA is now able to sit erect
on a mat table with upper extremity support. What is the best
acceptable goal for him now?
A. Reach over head with left upper extremity.
B. Sit on exercise ball with upper extremity support.
C. Reach forward and grab object off table.
D. Stand in parallel bars with upper extremity support.

50: A six year old child with athetoid type cerebral palsy has
decreased upper extremity strength. Which treatment rationale is best
for increasing strength?
A. Prone on ball with hands on floor for support.
B. Finger ladder with toy at top of ladder.
C. Shoulder pulley system exercises.
D. Throwing a tennis ball.

51: A thirty-three year old recreational basketball player complains of

immediate pain in his ankle. You perform a Thompson test. This test is
best used to determine what?
A. Antero talofibular ligament stability.
B. The possibility of a DVT.
C. Whether his Achilles tendon is intact.
D. Deltoid ligament stability.
52: An Achilles deep tendon reflex is tested in someone with low back
pain. This procedure is done to best determine what?
A. If the level of injury is lumbar 5 or lower.
B. There is a peripheral nerve injury to the sciatic nerve.
C. There is a peripheral nerve injury to the peroneal nerve.
D. There is an upper motor neuron lesion.

53: You are testing the cranial nerves of someone who has recently
had a brainstem tumor removed. You ask the patient to follow your
finger with their eyes from your left to right. Which statement best
describes what is being tested?
A. Third cranial nerve right eye.
B. Fourth cranial nerve left eye.
C. Facial nerve both eyes.
D. Abducens right eye.

54: A 65 year old male has recently began to take L-dopa for his
Parkinson's disease. Which is the best functional goal statement?
A. Able to perform home exercise program independently.
B. Able to initiate upper extremity movements.
C. Able to ambulate 150 feet with rolling walker.
D. Transfers independently.

55: You are treating someone with an acute coronary arterial bypass
graft. Which is the best functional goal statement?
A. Independent ambulation on 1 flight of stairs with a heart rate of
120 bpm.
B. Performs grooming with little to no difficulty.
C. Ambulates on level surface with no assistive device.
D. Able to recognize when baseline measurements are high and
needs triglycerine.

56: You are treating a 59 year old woman 2 weeks post hip
replacement. Which is the best functional goal statement?
A. Sit to stand in parallel bars.
B. 5/5 hip abduction strength.
C. Good standing static balance.
D. Ambulates independently in hallway with walker.

57: A 32 year old mechanic has experienced a flash burn to his face
and neck while working on a car. The most appropriate outcome
measurement for this type of injury is?
A. Pre injury cardiovascular status.
B. Clean wound and adhering graft.
C. Minimize facial scarring.
D. Full cervical range of motion.

58: A goal was set to improve balance for a 83 year woman who had a
Transient Ischemic Attack. Specifically which of the following best
describes good dynamic balance?
A. Ambulating with a quad cane.
B. Walking down stairs.
C. Transferring from bed to chair independently.
D. Dressing with no assistance.

59: A baseball player has a partial thickness wound on his lateral lower
leg. At 7 days post injury, which of the following statements best
describes the amount of healing?
A. The wound has serous exudate of a minimal amount.
B. The wound size is 10 percent smaller.
C. Eschar has formed over the wound.
D. Capillary buds appear in a mosaic pattern.

60: When a patient has brain damage that has effected short term
memory. Which of the following would you expect the patient to have
the most difficulty doing?
 A. Tying his shoes.
B. Transferring from bed to wheel chair.
C. Finding the cafeteria.
D. Identifying family members.

61: A patient has ideomotor apraxia. Which of the following would you
expect him to have the most difficulties with?
A. Grooming.
B. Walking.
C. Writing his name.
D. Following commands.

62: A patient with a left CVA who has homonymous hemianopsia

would be most at risk for which of the following?
A. Walk into a pole on her left side.
B. Walk into a pole on her right side.
C. Unable to place her cane in the correct place on the right.
D. Unable to find her wheelchair when transferring to the left

63: Which question would address the highest level of cognitive

function of a 17 year old with traumatic brain injury?
A. What season are we in now?
B. Why are you here in rehab?
C. What happened to you?
D. What is your name and age?

64: You are preparing for the rehabilitation team meeting where you
will be discussing a patient with a lack of progress. Which of the
following might be the best description of someone depressed?
A. Patient is uncooperative and at times confused as to what to do.
B. Patient states she can not perform tasks when asked and needs
cueing.
 C. Patient takes risks, at times is careless, and stubborn.
D. Patient seems to be upset and sad over the loss of her limb

65: You are asked to evaluate someone with a possible diagnosis of

conversion disorder. Although she presents with what seems to be
paralysis of her wrist, which findings would you suspect to confirm this
diagnosis?
A. She complains of numbness about the medial elbow.
B. She can flex her shoulder.
C. She follows directions poorly.
D. Holds wrist in neutral to rub face.

66: A thirty two year old male factory worker complains of shoulder
pain. Which of his symptoms might suggest his pain is not of
musculoskeletal origin?
A. Painful range of motion in non-capsular pattern.
B. Lancinating pain.
C. Awakened at night by pain.
D. Unable to sleep due to pain.

67: You are treating a 57 year old male who has undergone a carpal
arthrodesis one year ago and has had 47 treatments to improve upper
extremity function. Which of the following statements would lead you
to stop treatment?
A. No change in range of motion.
B. No change in grip strength.
C. Only a 10 % change in grip strength over 2 months.
D. Patient seems to lack interest during treatment.

68: You are working with a patient who has difficulty following
directions after having a right CVA. The patient is having a difficult
time performing hip abduction exercises in side lying. What can be
done to make the treatment more effective?
A. Move patient into supine to perform hip abduction exercise.
 B. Provide manual feedback while performing exercises.
C. Demonstrate yourself what correct performance of exercise is.
D. Have patient perform hip abduction standing in front of a mirror.

69: Treatment of someone with long standing back pain has had
various improvements and setbacks. Which of the following best
describes a possible psychosocial stessor that may be impeding
progress?
A. Patient has had 4 episodes of low back pain in the past three
years.
B. Patient's most recent worker compensation injury has lasted 3
months.
C. The patient expresses anger towards employer.
D. Patient states he is now cleaning and cooking to make
contribution to family.

70: A person with low back pain receives moist hot packs as part of
her treatment. Her position of comfort is supine. Which is the best
position for using the hot pack on her?
A. Supine with her legs elevated in the crook lying position.
B. Prone with a hot pack placed on her lumbar region.
C. In side-lying with a hot pack secured against her lumbar region.
D. Sitting with a hot pack on her back.