A physical therapist examines a patient with an acute grade II lateral ankle sprain. The most common mechanism for an anterior talofibular ligament sprain is
-inversion and dorsiflexion
-inversion and plantarflexion
-inversion
-eversion and dorsiflexion - correct answer inversion and plantarf...
A physical therapist examines a patient with an acute grade II lateral ankle sprain. The most common
mechanism for an anterior talofibular ligament sprain is
-inversion and dorsiflexion
-inversion and plantarflexion
-inversion
-eversion and dorsiflexion - correct answer inversion and plantarflexion
A 46-year-old male with high blood pressure is placed on diuretics in an attempt to lower his blood
pressure. What is the most serious complication of diuretic therapy?
-hypernatremia
-hypokalemia
-hypercalcemia
-hypocythemia - correct answer Diuretics function by increasing the formation and excretion of urine
and as a result serve to decrease the volume of fluid in the vascular system. Sodium depletion
(hyponatremia) and potassium depletion (hypokalemia) are serious side effects of diuretics.
A patient employed in a machine shop is referred to physical therapy with a diagnosis of carpal tunnel
syndrome. The patient indicates that he is scheduled for a diagnostic test that may help to confirm the
diagnosis. Which of the following electrodiagnostic tests would be the most appropriate?
,A physical therapist interviews a 21-year-old football player referred to physical therapy after sustaining
a grade II acromioclavicular sprain. Which of the following patient descriptions best describes the injury
mechanism associated with an acromioclavicular sprain?
-"I was being tackled and landed directly on my shoulder."
-"I fell with my arm extended and another player fell on top of me."
"My arm was hit with a helmet while I was throwing the ball."
"My arm was stepped on while I was lying on the ground." - correct answer 1. The injury mechanism
associated with an acromioclavicular injury is a direct blow to the tip of the shoulder that serves to
displace the acromion inferior to the clavicle.
volar vs dorsal - correct answer volar = palm of hand
dorsal = back of hand
A physical therapist examines a patient referred to physical therapy with sacroiliac pain. As part of the
examination, the therapist assesses the position of the sacrum by palpating the inferior lateral angles.
Which spinal level is most consistent with the inferior lateral angles?
-S1
-S3
-S4
-S5 - correct answer inferior angles formed by transverse processes of S5
What position to test scapular adductors? - correct answer Prone
A physical therapist records grip strength measurements on a patient diagnosed with bilateral carpal
tunnel syndrome. Which description does not accurately describe typical results when using a handheld
dynamometer?
,-a bell curve is seen when charting multiple recordings from adjustable hand spacings in consecutive
order
20 to 25 percent differences in grip strength may be observed between the dominant and non-dominant
hand
discrepancies of more than 25 percent is a test-retest situation may indicate the patient is not exerting
maximal force.
an individual who does not exert maximal force for each test will not show the typical bell curve -
correct answer 2. Grip strength is only varying by 5-10%!
A physical therapist examines the motor component of the trigeminal nerve by observing a patient open
and close his mouth repeatedly. Which clinical finding would be most indicative of weakness of the right
pterygoid muscles?
-right deviation of the jaw during opening of the mouth
-left deviation of the jaw during opening of the mouth
-difficulty depressing the mandible during opening of the mouth
-audible crepitation during opening of the mouth - correct answer 1. The trigeminal nerve innervates
the primary muscles of mastication including the pterygoids. The pterygoids on one side function to
open the jaw and cause the jaw to deviate to the opposite side. As a result, if the right pterygoids are
weak, the jaw will deviate to the right with opening
How to measure lower abdominal strength? - correct answer Double leg lowering
peronius tertius action - correct answer dorsiflexion, eversion TO TEST IT IS THE OPPOSITE (PF and Inv)
Step length vs stride length - correct answer *Step length* is the distance measured between right heel
strike and left heel strike.
*Stride length* is distance measured between right heel strike and following right heel strike.
, A physical therapist presents a community inservice on risk factors associated with coronary artery
disease. Which of the following individuals would be at greatest risk?
a 45-year-old male with a cholesterol level of 260 mg/dL.
a 39-year-old female with a cholesterol level of 180 mg/dL and a family history of cardiac disease
a 42-year-old male with a cholesterol level of 200 mg/dL and hypertension
a 47-year-old female with a cholesterol level of 170 mg/dL, moderate hypotension, and a family history
of cardiac disease - correct answer 3. Positive risk factors for coronary artery disease include age, male
gender, family history, current cigarette smoking, hypertension, Hypercholesterolemia, diabetes
mellitus, and sedentary lifestyle. Hypertension combined with borderline cholesterol levels places the
42-year-old male at the greatest risk for coronary artery disease.
Bronchophony - correct answer the spoken voice sound heard through the stethoscope, which sounds
soft, muffled, and indistinct over normal lung tissue
ST depression: Distance significant - correct answer Greater than 1mm is signficant
Calcium Channel Blockers - correct answer agents that inhibit the entry of calcium ions into heart
muscle cells, causing a slowing of the heart rate, a lessening of the demand for oxygen and nutrients,
and a relaxing of the smooth muscle cells of the blood vessels to cause dilation; used to prevent or treat
angina pectoris, some arrhythmias, and hypertension
Angiotensin-converting enzyme (ACE) inhibitors - correct answer lower blood pressure by inhibiting the
conversion of angiotensin I (an inactive enzyme) to angiotensin II (a potent vasoconstrictor)
Vasodilators - correct answer medications that cause dilation of blood vessels
Ankle Brachial Index - correct answer Comparison of the blood pressure in the leg vs. the arm; normal
ratio is greater than 1
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