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PTA PRACTICE EXAM 1 QUESTIONS AND ANSWERS
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PTA PRACTICE EXAM 1 QUESTIONS AND ANSWERS
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PTA PRACTICE EXAM 1 QUESTIONS AND ANSWERSA physical therapist assistant contemplates the necessary amount of force to overcome
friction when performing mechanical lumbar traction using a non-split traction table.
What percentage of a patient's body weight would be MOST representative of this
value? - Answers -25%
A physical therapist assistant works with a 75-year-old female that presents with
residual periodic loss of balance secondary to a recent stroke. The patient has minor
residual strength deficits in her affected upper and lower extremities and will need an
assistive device for ambulation. Based on the patient's present status what would be the
MOST appropriate assistive device? - Answers -Rolling walker
A 52-year-old female is referred to physical therapy with right shoulder pathology. The
patient reports a gradual onset of pain beginning six months ago with a progressive loss
of range of motion and strength, most notably in lateral rotation and abduction. The
patient reports an inability to perform a number of activities of daily living including any
tasks requiring the arm to be lifted overhead. Which medical condition is MOST
consistent with this scenario? - Answers -Adhesive capsulitis
During a family meeting in an acute rehabilitation hospital a 26-year-old male with
complete C7 tetraplegia asks a variety of questions about self care and mobility
expectations. With an uncomplicated recovery, the patient can expect lower extremity
dressing to be performed with what level of assist in bed? - Answers -Modified
independence
A patient attending her third physical therapy session transitions from a hospital bed to
standing in preparation for ambulation activities. Which blood pressure response would
BEST support the physical therapist assistant's decision to return the patient to a
recumbent position? - Answers -A decrease in systolic blood pressure greater than 20
mm Hg after moving from a supine position to a sitting or standing position or a
decrease in diastolic blood pressure greater than 10 mm Hg is typically indicative of
orthostatic hypotension
A physical therapist assistant is treating an 82-year-old female that lives independently
in a single story house. The therapist uses the Tinetti Performance Oriented Mobility
Assessment as a screening tool to determine if the patient is at an increased risk for
falling. What is the PRIMARY method this tool uses to assess fall risk? - Answers -Gait
and balance
single task screening tool used to assess standing balance and risk of falling. A person
is required to stand upright with a static base of support. A yardstick is positioned to
measure the forward distance that a patient can reach without moving the feet. Three
trials are performed and averaged together. A patient that falls below the age
appropriate range for functional reach has an increased risk for falling. - Answers -The
Functional Reach test
,is a tool designed to assess a patient's risk for falling. There are fourteen tasks, each
scored on an ordinal scale from 0-4. These tasks include static activities, transitional
movements, and dynamic activities in sitting and standing positions. The maximum
score is a 56 with a score less than 45 indicating an increased risk for falling. This tool
can be used as a one-time examination or as an ongoing tool to monitor a patient who
may be at risk for falls. - Answers -The Berg Balance scale
is a functional performance screening tool used to assess a person's level of mobility
and balance. The person initially sits in a supported chair with a firm surface, transfers
to a standing position, and walks approximately 10 feet. The patient must then turn
around without external support, walk back towards the chair, and return to a sitting
position. The patient is scored based on amount of postural sway, excessive
movements, reaching for support, side stepping or other signs of loss of balance.
Patients who are independent can complete the multi-task process in 10 seconds or
less. Patients that require 30 seconds or more are at a high risk for a fall. - Answers -
The Timed Get Up and Go test
A physical therapist assistant educates a patient about their medical condition during a
physical therapy session. During the discussion, the physical therapist assistant
mentions that most patients experience resolution of symptoms when they stop
growing. Which medical condition is MOST consistent with this scenario? - Answers -
Osgood-Schlatter disease
is a condition characterized by malalignment of the femoral head within the acetabulum.
The condition develops during the last trimester in utero and is often treated with the
use of a harness, bracing, splinting or traction. The malalignment does not resolve with
skeletal maturity, although it can be effectively treated through conservative or surgical
methods. - Answers -Congenital hip dysplasia
is a self-limiting condition that results from repetitive traction on the tibial tuberosity
apophysis. Symptoms include point tenderness over the patella tendon at the insertion
on the tibial tubercle, antalgic gait, and pain. - Answers -Osgood-Schlatter disease
is a general term describing pain or discomfort in the anterior knee. Adolescents are at
increased risk for developing patellofemoral syndrome, although reaching skeletal
maturity does not necessarily lead to the resolution of symptoms. - Answers -
Patellofemoral syndrome
is characterized by degeneration of the femoral head due to a disturbance in the blood
supply (i.e., avascular necrosis). This type of structural condition does not resolve with
skeletal maturity. - Answers -Legg-Calve-Perthes disease
A physical therapist assistant works with a patient on abdominal strengthening. The
physical therapist assistant attempts to have the patient complete a modified sit-up with
their head and shoulders positioned on a wedge while in supine. What is the MOST
, likely rationale associated with the use of the wedge? - Answers -Weak rectus
abdominis
may be susceptible to skin breakdown in the prone position, but not in the supine
position. - Answers -patella, anterior superior illiac spine, anterior shoulder
A physical therapist assistant reviews the medical record of a patient post myocardial
infarction. The patient is currently in the coronary care unit and is scheduled to begin
cardiac rehabilitation tomorrow. Which of the following complications is MOST common
following a myocardial infarction? - Answers -Arrhythmias
is a syndrome that reflects an inability of the heart to maintain a cardiac output sufficient
to meet the oxygen and nutritional needs of the tissues. - Answers -Heart failure
are caused by abnormalities in cardiac impulse generation, conduction, or both and
occur in 90% of individuals who have experienced a myocardial infarction. - Answers -
Arrhythmias
A physical therapist assistant implements a home exercise program for a patient
rehabilitating from a lower extremity injury. Which step would be the MOST appropriate
to maximize patient compliance? - Answers -Select exercises consistent with the
patient's rehabilitation goals
A physical therapist assistant documents that the Neer impingement test is positive after
a patient reports marked pain during the testing procedure. What is the PRIMARY
source of pain when performing this test? - Answers -Compression of the greater
tuberosity against the anterior acromion
A physical therapist assistant reviews the medical record of a 46-year-old female
diagnosed with myasthenia gravis. A recent physician entry indicates that the patient is
currently taking immunosuppressive medication. Which laboratory test should be the
MOST frequently monitored based on the patient's medication? - Answers -White blood
cell count
measures the percentage of red blood cells in a volume of blood. may be decreased
with anemia, nutritional deficiency, and leukemia. may be increased with dehydration,
polycythemia, and burns. - Answers -hematocrit
is the iron containing pigment in red blood cells that functions to carry oxygen in the
blood. Low _________ may indicate anemia or blood loss; elevated _____________
suggests polycythemia or dehydration. - Answers -hemoglobin
are small blood cells that are necessary for clotting. If the ___________ level is high, it
indicates increased risk of thrombosis and if the level is low, it indicates increased risk
of bruising and bleeding. - Answers -platelets
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