DD
What is the classic symptom of biliary colic? A. Constant left upper abdominal pain B. Left upper abdominal pain that comes and goes in waves C. Constant right upper abdominal pain D. Right upper abdominal pain that comes and goes in waves
. Right upper abdominal pain that comes and goes in waves
The C Medicine recommends stopping exercise if the diastolic pressure exceeds what? 100mmhg 115 mmhm 130 mmhg 150 mmhm
115
1. Age is the most common primary risk factor for disease, illness, and comorbidities. What age range is more closely associated with developing shingles? A 30-39 . B. 40-49 C. 50-59 D 60-69
60-69
An appropriate follow-up question to ask a patient presenting with systemic lupus erythematosus is: A Do you drink diet soda or use asparatame, Equal, saccharin, . NutraSweet, Splenda, or other artificial sweeteners? B. Have you ever thought you should cut down on your drinking? C. Have you been in a fight or assault? D Are you satisfied with your eating patterns?
A Do you drink diet soda or use asparatame, Equal, saccharin, . NutraSweet, Splenda, or other artificial sweeteners?
Postural orthostatic hypotension is defined as: A decrease in systolic BP of at least 20 mm Hg, decrease in diastolic pressure of at least 10 mm Hg and a 10-20% increase in pulse rate An increase in systolic BP of at least 20 mm Hg, decrease in diastolic pressure of at least 10 mm Hg and a 10-20 % increase in pulse rate A decrease in systolic BP of at least 20 mm Hg, increase in diastolic pressure of at least 10 mm Hg and a 10-20 % increase in pulse rate A decrease in systolic BP of at least 20 mm Hg, decrease in diastolic pressure of at least 10 mm Hg, and a 10-20% decrease in pulse rate.
A decrease in systolic BP of at least 20 mm Hg, decrease in diastolic pressure of at least 10 mm Hg and a 10-20% increase in pulse rate
A line drawn down the middle of a lesion with two different halves suggests: A. A benign lesion B. A skin reaction to medication C. A malignant lesion D. A normal presentation
A malignant lesion
. Which of the following is considered an abnormal vital sign response to exercise? A. A change in diastolic pressure of 5 mm Hg B. An increase in HR with an increase in work level C. A systolic BP that falls during exercise D. A systolic BP that rises progressively as the work level increases
A systolic BP that falls during exercise
What test is considered the Sixth Vital Sign? Skin Inspection B. A timed 10-meter walk test C. The Berg Balance test D. The get up and go test
A timed 10-meter walk test
1. _________ are abnormal blowing or swishing sounds heard on auscultation as blood travels through narrowed or obstructed arteries such as the aorta or renal, iliac, or femoral arteries A. Bruits B. Murmurs C. Regurgitations
A. Bruits
Abnormal vital signs associated with anemia include which of the following? A. Increase in systolic blood pressure; increase in resting heart rate B. Decrease in systolic blood pressure; decrease in resting heart rate C. Increase in diastolic blood pressure; decrease in resting heart rate D. Decrease in diastolic blood pressure; increase in resting heart rate
A. Increase in systolic blood pressure; increase in resting heart rate
(Select all that apply). Peripheral cyanosis occurs with: Congestive heart failure Abnormal hemoglobin Cold environment Advanced lung disease
Abnormal hemoglobin
Abuse of what over-the-counter pain reliever is the leading cause of sudden liver failure in adults in the United States? A. NSAIDs B. Aspirin C. Acetaminophen D. Ibuprofen
Acetaminophen
(Select all that apply). Patients at risk for postural orthostatic hypotension include: Anyone having just donated blood Older adults using over the counter cough/cold preparations Anyone with an autonomic nervous system disease
All
Which tools have been used for screening for emotional overlay? A All of the above . B. McGill Pain Questionnaire C. Waddell's nonorganic signs D Pain Catastrophizing Scale
All of the above
1. The Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH) is an example of what? A visual analogue scale An outcome measure A questionnaire An impairment rating
An outcome measure
To assess Cranial Nerve V: Look for pupil size Assess ability of patient to hear Check the corneal reflex Have patient stick out the tongue
Assess ability of patient to hear Check the corneal reflex
Body temperature should be taken as part of vital sign assessment: A Only for clients who have not been seen by a physician . B. For any client who has musculoskeletal pain of unknown origin C. For any client reporting the presence of constitutional symptoms, especially fever or sweats D B and C . E. All of the Above
B and C
Leukonychia, or white nail syndrome, is characterized by dots or lines of white that progress to the free edge of the nail as the nail grows. It can be congenital or associated with what disease process: A Recent Myocardial Infraction . B. Arsenic poisoning C. Psoriasis D Hyperthroidism
B. Arsenic poisoning
Which of the following is a pathological condition that is a risk factor for falling? Decreased systolic blood pressure B. Cognitive Impairment C. Abnormal Gait D. Stooped or forward bent posture
B. Cognitive Impairment
Anemic patients may demonstrate which of the following that should be monitored during exercise? A Decreased normal resting pulse rate . B. Increased normal resting pulse rate C. Decreased resting blood pressure D Increased resting blood pressure
B. Increased normal resting pulse rate
Musculoskeletal symptoms associated with hepatic and biliary pathology are most often found where? A. Left shoulder B. Right shoulder C. Left Lower back D. Right lower back
B. Right shoulder
Gradual, progressive, and cyclical pain patterns are characteristic of: A Radicular pain . B. Visceral pain C. Referred pain D Somatic pain
B. Visceral pain
Spider angiomas occur as the result of the liver's inability to regulate what hormone? A. Human growth hormone B. Testosterone C. Estrogen D. Cortisol
C. Estrogen
When assessing the abdomen, what sequence of physical assessment is best? A. Auscultation, inspection, palpation, percussion B. Inspection, percussion, auscultation, palpation C. Inspection, auscultation, percussion, palpation D. Auscultation, inspection, percussion, palpation
C. Inspection, auscultation, percussion, palpation
What is the function of plasma? A. Acts in inflammatory and immune reponses B. Carries antibodies and nutrients to tissues and removes wastes C. Carries O2 to tissues and removes CO2 D. Aides in controlling blood clotting
Carries antibodies and nutrients to tissues and removes wastes
Which of the following scenarios should prompt immediate medical attention?
Client that reports sudden worsening of LE claudication
What disease process may also accompany the presentation of psoriasis? A. Liver Failure B. Gall bladder Diease C. Skin Cancer D. Arthritis
D. Arthritis
Bilateral Carpal or tarsal tunnel syndrome may be a sign of _______________? A. Cardiac disease B. Gall bladder disease C. Kidney disease D. Liver disease
D. Liver disease
Musculoskeletal pain associated with the liver refers to what anatomic location? A. Left hip B. Left shoulder C. Right hip D. Right shoulder
D. Right shoulder
Often jaundice is the first and only manifestation of disease of the hepatic system. Where is the best place to observe this? A. Abdomen B. Soles of the feet C. Palms of the hands D. Sclera of the eyes
D. Sclera of the eyes
A patient presenting with severe bruising, petchiae of the lower leg, skin or gums could have: A. Acute hemarthrosis B. Nadir C. Leukocytosis* D. Thrombocytopenia
D. Thrombocytopenia
1. Which of the following are not constitutional symptoms? A. Dizziness B. Diaphoresis C. Diplopia D. Diarrhea
Diplopia
Which of the following words best describes how a patient might report visceral pain (mark all that apply): A. Knifelike B. Dull C. Sharp D. Deep Aching
Dull Deep aching
The most basic skills required for a physical therapy interview include: . Open-ended questions B. Closed-ended questions C. Funnel sequence or technique D. Paraphrasing technique E. All of the above
E. All of the above
According to the Guide to physical therapist practice, Screening takes place where along the patient/client management pathway? Examination B. Evaluation C. Diagnosis D. Intervention E. At any point
E. At any point
Which of the following is NOT an immediate indication to refer for medical attention: Anginal pain not relieved within 20 minutes of administering nitroglycerin B. Positive palpation of McBurney's point C. Shoulder pain aggravated by deep breathing D. Back pain in a patient with a history of cancer E. They are all reasons to seek immediate medical attention
E. They are all reasons to seek immediate medical attention
Depression is a normal part of the aging process. 1 points True False
False
What is the significance of Kehr's sign? A. Thoracic disk herniation masquerading as chest or anterior neck pain. B. Esophageal cancer C. Gas, air, or blood in the abdominal cavity D. Infection of the peritoneum(peritonitis, appendicitis)
Gas, air, or blood in the abdominal cavity
A first sign associated with polycythemia is: A. Brittle nails B. Apathy C. Gout D. Drowsiness
Gout
What is the most common genetic disorder causing liver failure? A. Multiple sclerosis B. Hemochromatosis C. Wilson's disease D. Cystic fibrosis
Hemochromatosis
When considering gastrointestinal pain, how might a patient present with pancreatic pain? A In trunk flexion with tilting toward the right . B. In trunk flexion or supine with knees to chest C. In slight trunk flexion D In trunk flexion with tilting toward the left
In trunk flexion or supine with knees to chest
In a healthy adult, expect the systolic blood pressure to respond in which way with minimal to moderate exercise: A. Increase of 20 mm Hg or more B. Decrease of 20 mm Hg or more C. Stays the same
Increase of 20 mm Hg or more
Physical signs and symptoms of an eating disorder include which of the following: Irregular or absent menstrual cycles in females Mood swings Use of laxatives Preoccupation with calories and clothing size
Irregular or absent menstrual cycles in females
The International Society on Hypertension in Blacks recommends a blood pressure target of what in African-Americans? A Less than 120/80 . B. Less than 130/80 C. Less than 130/90 D Less than 140/80 .
Less than 130/80
Is the following description of joint pain systemic or musculoskeletal? Description: Pain that may be sharp but decreases with rest. A. Musculosketel B. Systemic
Musculoskeletal
The 5th vital sign is: A Blood pressure . B. Respiration C. Pain D Pulse
Pain
If a patient is taking medications such as beta-blockers and calcium channel blockers, which prevents the normal rise in pulse rate that occurs during exercise. What is the best method monitoring their response to exercise? Pulse rate Blood pressure Rating of perceived exertion scale Respiration rate
Rating of perceived exertion scale
1. If a woman of reproductive age presents consistently with elevated blood pressure, the therapist should refer this patient to her physician for a consultation.
True
According to the Vision 2020, Diagnosis by Physical Therapists (HOD P06-97-06-19) position statement: It is the physical therapist's responsibility in the diagnostic process to organize and interpret all relevant data including radiographic imaging and laboratory blood work.
True
True/ False: An enlarged liver that is palpable is always a red flag. True False
True
Screening for systemic disease or viscerogenic causes of NMS symptoms begins with a well-developed client history and interview.
True
Medical diagnosis of liver or gallbladder disease is made by which of the following? Blood test Ultrasound MRI Urinalysis
Ultrasound