PTFE Practice Exam 1 Questions with Correct Answers.
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PTFE
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PTFE
PTFE Practice Exam 1 Questions with Correct
Answers.
A 21-year-old female patient presents with neck pain and stiffness that has gradually
worsened over the last two weeks. Upon examination, the patient is noted to have
pain with left side bending with left rotation and reports pain on the l...
PTFE Practice Exam 1 Questions with Correct
Answers.
A 21-year-old female patient presents with neck pain and stiffness that has gradually
worsened over the last two weeks. Upon examination, the patient is noted to have
pain with left side bending with left rotation and reports pain on the left at the C5-6
junction. Hypomobility is also noted with right side-gliding of C6. Which of the
following techniques will be most appropriate to decrease pain
1) Closing technique for the mid-thoracic spine.
2) Closing manipulation in extension for C5-C6
3) Gapping manipulation in flexion for C5-C6.
4) Flexion/opening manipulation for mid-thoracic spine - Correct Answers 2
The hypomobility is noted at C6 with right side-gliding and pain with left SB and
rotation, indicating a closing restriction at the left C5-6 facet joint. Thus, interventions
would require assistance with closing (approximation).
A patient presents to the clinic with right shoulder pain and complains of difficulty
reaching overhead, with pain especially from 60-120 degrees of shoulder flexion.
Which special test would be MOST informative for this set of symptoms?
1) Neer Test
2) Empty Can Test
3) Crossover Test
4) Push Off Test - Correct Answers 1
The Neer Test is a test for subacromial impingement and is typically associated with
the painful arc.
A physical therapist is evaluating a patient with back pain. The patient reports having
pain that has increased steadily over the last 2 months and is constant and
unremitting. The pain radiates into both lower extremities. The patient also feels
marked weakness throughout the right lower extremity. What is the MOST
appropriate initial treatment?
1) Discontinue treatment and refer patient to primary care physician for further
testing.
2) Begin a program of core strengthening, focusing on transversus abdominis training
and progressing toward a long term stabilization program.
3) Instruct the patient in appropriate lower extremity exercises to improve leg
strength, focusing on the right leg.
4) Initiate piriformis stretching as tolerated and instruct the patient in self mobilization
techniques to improve mobility throughout the lumbar spine. - Correct Answers 1
,Constant pain without any relation to position is a key indicator of spinal cancer.
While examining a patient's lumbar x-ray films, a physical therapist notices that the
L5 vertebra is displaced anteriorly on sacrum by approximately 50% of the vertebral
body. How will this MOST affect physical therapy if the patient is being treated for
low back pain?
1) Emphasize core strengthening, especially in spine neutral
2) Begin progressive gluteal and quad strengthening to assist the lumbopelvic fascia
3) Avoid extension activities, especially in standing
4) Add progressive external oblique training as tolerated to assist proper spinal
alignment - Correct Answers 3
Extension activities will exacerbate any pain from this spondylolisthesis. Hertling D.
Lumbar Spine.
A physical therapist is treating a patient with cervical pain. The patient reports that
the pain occurs with most movements and feels "stiff" with active range of motion.
What is the MOST appropriate course of action?
1) Refer to the primary care physician for further testing.
2) Initiate thoracic spine mobilization.
3) Instruct the patient on cervical spine stabilization exercises and issue a home
exercise program.
4) Initiate an upper extremity exercise routine to improve shoulder internal rotation
range of motion and progress as tolerated. - Correct Answers 2
Increasing amounts of the literature suggest that for hypomobility of the neck, thrust
manipulation of the thoracic spine can provide short-term improvements in patients
with mechanical neck pain.
A physical therapist is treating an individual recovering from a total knee replacement.
The therapist desires to make an objective measure regarding the functional
ambulation status of this individual. Which of the following devices would be MOST
useful?
A stopwatch for the TUG or 6 MWT would be MOST useful. These are excellent
tests in determining function in a community ambulator.
A patient is being treated for difficulty with overhead activities and subacromial
bursitis. Which of the following strengthening activities will be MOST helpful?
Shoulder rotation, especially external rotation, is the MOST helpful at strengthening
the rotator cuff, which will be the MOST helpful at treating subacromial bursitis.
A patient is receiving physical therapy 10 weeks after an elbow fracture and displays
a significant elbow flexion joint contracture. The patient's physician states the fracture
is well-healed. Which of the following is the MOST appropriate initial intervention to
improve elbow range of motion?
1) Maitland Grade II and III joint mobilizations
2) Progressive active-assisted range of motion to elbow joint
3) Isometric elbow extension exercises
4) Progressive resisted active range of motion exercises to elbow joint - Correct
Answers 1
Joint mobilizations will be quite effective initially to improve range of motion,
especially for contracted joint tissue. Stretching and passive range of motion will be a
great adjunct to improve range of motion, but not the most appropriate
A pregnant patient is being treated for low back pain. When placing the patient
supine on the plinth, which of the following positions is MOST appropriate?
1) Supine with pillows under the left hip
2) Supine with pillows under the right hip
3) Supine with the head slightly elevated
4) Supine with the feet slightly elevated - Correct Answers 2
The inferior vena cava travels along the right side of the spinal column. Because it is
a low pressure system, the venous blood can be occluded by the weight of the fetus.
Thus, care must be taken to decrease the pressure on the inferior vena cava in
supine. In general, pregnant patients should avoid a full flat supine position, however,
many treatment necessitate a supine position, thus placing pillows under the right
side of the body will help offload the inferior vena cava during treatment.
A patient is 6 weeks status post anterior cruciate ligament reconstruction. Which of
the following is the MOST important treatment consideration?
1) The graft reaches its weakest point at this phase.
2) Use passive range of motion to improve knee flexibility.
3) Inflammation and swelling should be actively managed.
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