Test 1

Which of the following modifications or adjustments can the PTA NOT make?

Add a intervention not outlined in the evaluation

Which of the following descriptions of the stretching procedures performed for several repetitions during a single treatment sessions and repeated over a series of stretching sessions represents the most effective process to achieve plastic lengthening of soft tissue?

Apply an end-range, low-load force slowly; maintain the end-range position for an extended time period and release the stretch force slowly

Why is it difficult to impossible for articular cartilage to heal itself?

Articular cartilage is an avascular cartilage that produces a limited vascular inflammatory response.

You are gait training a patient 2 days postoperatively. They have significant edema in their surgical leg. They report calf pain on the surgical limb. what should you do as the PTA?

Assess the LE for any warmth, redness, perform a Homan's sign, alert the nurse and the PT of the symptoms

Which of the following stages of soft tissue healing is characterized by remodeling and maturation of collagen in the scar?

Chronic stage

A patient who is wearing a knee brace locked in 0 degrees of knee extension will demonstrate what compensation in the gait pattern?

Circumduction

Which of the following statements explains the reversibility principle?

Loss of training begins within 1-2 weeks

A patient reports having pins and needles pain with reaching shoulder height, out to their side, into a cabinet to pick up light objects. Which of the following nerves would you need to further assess?

Median

To challenge the vestibular system which of the following activities should be used?

Moving head from left to right quickly

Using a joint mobilization to improve ROM should be classified as

Musculoskeletal impairment

Treating impaired balance and postural instability should be classified as

Neuromuscular Impairment

Which of the following exercises is a closed kinetic chain, reverse muscle action movement?

Pull up

A patient had surgery 1 day ago. You are walking with them in the hallway and they complain of shortness of breath and difficulty breathing. Which of the following diagnosis might this patient be having?

Pulmonary emboli

A patient in a knee immobilizer 2 weeks s/p ACL repair arrives at the clinic with (out?)crutches. the patient is WBAT which gait pattern is the MOST appropriate to progress this patient to using crutches?

Question is cut out- I tried my best

A patient demonstrates an anterior pelvic tilt in standing. Which of the following muscles would be weak?

Rectus abdominis, lower fibers

You are teaching a patient how to perform a non-tensioner to the ulnar nerve. Which of the following is the correct position?

Scapula is depressed, shoulder is at shoulder height, elbow flexed, forearm pronation, wrist extension, finger extension with heading sideflexed to ipsilateral side

You are teaching a patient s/p TKR how to use a leg looper around the foot to lift the leg into the bed. The hip is flexed to 90 degrees, the trunk is flexed, knee extended, and the ankle in DF. The pain is described as sharp and shooting. What tissue is possibly involved?

Sciatic Nerve

When instructing a patient to perform self stretching exercise to increase R shoulder into shoulder abduction, they would be positioned:

Sitting with the (R) side closest to the table

Which of the three sensory systems is being testing when an individual stands on a dyna disc?

Somatosensory

A patient has a torn ACL after playing football. What type of injury is this?

Sprain

Which of the following exercise should improve balance and strength to the upper extremities, lower extremities, and trunk

Standing on an uneven surfaces, performing a squat with (B) shoulder press

The PTA is working on the patients static standing balance. Which of the following treatments should be the MOST appropriate to use

Standing with feet together eyes closed

A patient is demonstrating excessive femoral internal rotation at the midstance to terminal stance. Which of the following muscles can contribute to this gait deviation?

TFL

Match the following stages with the goals for that stage of healing: -a.) PRICE, Restore ROM (mobility) -b.) Restore full AROM, initiate muscle strengthening -c.) Return to function and skill

-a.) Acute stage -b.) Subacute stage -c.) Chronic stage

When completing special tests, which of the following are the most important sign(s) that the test is either (+) or (-)?

-peripheralization of symptoms -centralization of symptoms -comparable sign (sign provoking the initial pain)

Which of the following tests is testing both static and dynamic balance ONLY.

BERG

Which of the following exercises would reduce forward head posture?

Cervical retraction AROM, in sitting

Which of the following procedures is used to stimulate the growth of cartilage?

Chondrocyte transplant

The patient arrives at the clinic demonstrating an antalgic gait pattern. Which of the following descriptions describes how the patient is ambulating?

Decreased stance time on affected LE with increased swing time on the affected leg

Which of the following signs is abnormal at the surgical site following surgery?

Dehissing of the infection

The goal to mobilize the median nerve with a gliding technique, no tension. Which of the following techniques BEST describes a gliding technique of the median nerve?

Depress the shoulder, abduct the arm to 90 degrees of ABD, extend the elbow, extend the wrist and fingers while the patient is looking at the ipsilateral shoulder.

Which of the following balance tests is used to assess balance with head turns during gait?

Dynamic Gait Index

You are modifying a HEP for a pt. recovering from an episode of medial epicondylitis. To fully lengthen the muscle-tendon unit typically involved in medial epicondylitis, have the pt. perform a self-stretch by using the opposite hand to:

Extend and radially deviate the wrist and extend the fingers while the elbow is extended and the forearm is supinated

The PTA's primary role within the patient management model is to complete which of the following tasks?

Interventions

A therapist is observing an abnormality of gait during the stance phase, which of the following compensation should occur during the stance phase?

Foot slap

A PTA is treating a patient 2 weeks s/p shoulder scope with c/o 6/10 shoulder pain. The PT's POC recommends joint mobilization. What is the recommended grade for the joint mobilization?

Grade I and II

Appropriate interventions for your patient with hypomobility of a joint should be which of the following interventions?

Grade III joint distraction

You place your pt's wrist in a splint because he is experiencing an acute episode of lateral epicondylitis. Which of the following is the LEAST appropriate intervention while the inflamed soft tissue is healing?

Have the pt. wear a splint to immobilize the wrist continuously for at least 2 weeks or until there is no pain

Select the interventions implemented in the physical therapy department for the minimum protective phase (maturation healing).

Progressive strengthening and functional exercises.

Which of the following reports of pain is indicative of chronic stage (maturation) of healing?

Pain reported as a stretching sensation at the limit of ROM

During the early subacute stage of soft tissue healing after injury and repair of a tendon which of the following interventions is the LEAST beneficial exercise?

Progressive resistance exercises

Why is it important for the PTA to understand the types of fibers comprising muscle?

The exercise prescription during different phases of the healing process takes into account the fiber composition of the injured skeletal muscle

Which of the following should be a reason for initiating aquatic therapy?

To facilitate ROM before WB is available

Which of the following tasks is appropriate to delegate to the physical therapy aid?

Tossing a ball for perturbations

The patient is being seen in therapy for generalized strengthening. The patient is performing the nustep, which of the following is a RED FLAG?

Upper quadrant pain

Which of the following muscle contractions is MOST commonly used initially post-surgical repair of a muscle or tendon?

isometric

Which of the following interventions would be the BEST exercise to initiate an improvement in an antalgic gait pattern?

Weight shifts to the affected side

Which of the following should be the BEST reason for using controlled motion durning the acute phase of healing?

When ROM exercises are initiated, they are performed within a protected range to minimize the risk of excessive stress on the repair site and gapping of the repaired tendon ends

The concept of passive insufficiency guides you to avoid which of the following combinations of movement with a repaired finger flexor tendon?

Wrist extension, finger extension

Your PT is in the moderate protective phase of recovery (proliferative stage), and you are initiating muscle performance exercises with free weights. You should use which of the following dosages of exercise?

low weight, high reputations

Neural adaptions are all of the following EXCEPT

slow twitch fibers respond to high loads

Which of the following interventions is contradicted to initiate with a patient post-traumatic injury to muscle?

stretching to the agonist

A patient post injury demonstrates the following symptoms: pain with end range of movement, mild joint effusion, muscle weakness, restricted ADL's. What part of the health cycle is this patient in?

subacute (mod protective phase)