Scorebuilders OA Wrong Questions 7/21
1.Acute pericarditis
Pericarditis refers to an inflammation of the pericardium of the heart. This condition may be acute or
chronic, both of which can disrupt the heart's normal rhythm. Symptoms of acute pericarditis include
chest pain, shortness of breath, dry cough, anxiety, fatigue, and fever. Peripheral pulses would not be
affected in acute pericarditis, although in severe cases of chronic pericarditis, peripheral pulses could
be affected by edema and low blood pressure. - ✔✔While completing an examination, a physical
therapist identifies the presence of diminished pulses in the foot and ankle. Which medical condition
would be LEAST likely to produce this type of objective finding?
1.Acute pericarditis
2.Cor pulmonale
3.Diabetes mellitus
4.Peripheral vascular disease
1.An ultrasound unit with a high beam nonuniformity ratio
A high beam nonuniformity ratio produces a less uniform beam and therefore places the patient at
greater risk for undesirable side effects such as periosteal pain or hot spots.
Beam nonuniformity ratio (BNR) is the ratio between the spatial peak intensity and spatial average
intensity. The higher the quality of the crystal, the lower the BNR. The BNR is derived from the
intrinsic factors and quality of the piezoelectric crystal. - ✔✔A patient reports significant discomfort in
the lower leg during ultrasound treatment. The therapist believes the discomfort is caused by
periosteal pain from the ultrasound. Which scenario is MOST likely associated with the patient's
subjective report of discomfort?
1.An ultrasound unit with a high beam nonuniformity ratio
2.An ultrasound unit with a low beam nonuniformity ratio
3.A transducer with a large effective radiating area
4.A transducer with a small effective radiating area
1.Auscultate laterally at the 5th intercostal space directly on the skin
Auscultation laterally between the 4th and 6th intercostal spaces is recommended for assessment of
the right middle lobe. Lateral assessment at this level is typically preferred especially with female
patients as breast tissue may interfere with auscultation. Auscultation should be performed with the
diaphragm placed directly over the skin. - ✔✔A female patient with cystic fibrosis is admitted to an
intensive care unit after being diagnosed with right middle lobe pneumonia. Which lung auscultation
method is MOST appropriate for assessment of the affected lobe?
,1.Auscultate laterally at the 5th intercostal space directly on the skin
2.Auscultate laterally at the 5th intercostal space over a hospital gown
3.Auscultate anteriorly at the 3rd intercostal space directly on the skin
4.Auscultate anteriorly at the 3rd intercostal space over a hospital gown
1.Bilateral crackles
Patients in left ventricular failure often have cardiogenic pulmonary edema due to an increase in
hydrostatic pressure in the pulmonary capillaries. Fluid initially accumulates in the airways,
progresses to the alveolar interstitium, and ultimately to the alveolar space. Crackles or wet rales
along with decreased breath sounds are common auscultation findings.
The physical therapist should recognize that progressive shortness of breath, leg edema, increased
jugular venous pressure, and an S3 heart sound are signs consistent with congestive heart failure. -
✔✔A 65-year-old man attends physical therapy complaining of progressive shortness of breath and
lower leg swelling. During the examination the physical therapist identifies signs of increased jugular
venous pressure, an S3 gallop, and moderate lower extremity edema. On auscultation of the patient's
lungs, which of the following sounds would the therapist MOST expect to hear?
1.Bilateral crackles
2.Pleural rub
3.Orthopnea
4.Murmurs
1.Bladder
Cystocele is typically associated with a weakening of the bladder's support structures. Depending on
the degree of weakness and how far the bladder has descended, there may be protrusion of the
bladder through the anterior vaginal wall.
Cystocele refers to a forward and downward displacement of the bladder within the pelvic cavity.
Cystocele can result from delivery-related muscle weakness or injury to the bladder's supporting
structures. - ✔✔A physical therapist reviewing a patient's past medical history reads that the patient
was diagnosed with a grade 3 cystocele due to childbirth complications. This diagnosis specifically
relates to the displacement of what organ?
1.Bladder
2.Uterus
3.Rectum
4.Small bowel
1.Conduction
,Conduction is the transfer of heat from one object to another that requires direct contact between the
two objects. Conduction is the method of heat loss used between the patient's hands and the wall
when the patient performs a wall stretch. - ✔✔A patient is stretching the calf muscles using a wall
stretch after running three miles on a treadmill. In this scenario, how is heat dissipated between the
patient's hands and the wall?
1.Conduction
2.Radiation
3.Convection
4.Evaporation
1.Continue with the current plan of care
Two physical therapy visits within a week is not a large enough number of visits to conclude that the
established plan of care is not adequate. In addition, the question does not offer any additional
evidence (i.e., objective measures) to assist the therapist in determining the effectiveness of the
current interventions. - ✔✔A physical therapist treats a 16-year-old patient rehabilitating from patellar
tendonitis. After two physical therapy sessions within a week, the patient denies any improvement in
their condition. What is the MOST appropriate physical therapist action?
1.Continue with the current plan of care
2.Reassess the patient and develop a new plan of care
3.Consult with the referring physician
4.Discharge the patient from physical therapy
1.Discontinue the treatment session
While exercise can be beneficial to increase general endurance and overall conditioning in this
population, it is more important that the therapist not work the patient to the point of overexertion. If
the patient is reporting extreme fatigue, the treatment session should be discontinued.
Fatigue is one of the most common symptoms of multiple sclerosis. Several studies have reported
that 75-95% of patients with multiple sclerosis report experiencing fatigue, with 50-60% reporting it as
their worst symptom. - ✔✔A physical therapist employed by a home health agency treats a
42-year-old female diagnosed with multiple sclerosis. During the session the patient suddenly reports
feeling extremely tired and asks the therapist if she can avoid completing the remaining exercises.
The therapist promptly takes the patient's vital signs and concludes they are within normal limits.
What is the MOST appropriate therapist action?
1.Discontinue the treatment session
2.Modify the intensity of the remaining exercises
3.Complete a formal reassessment of the patient
, 4.Contact the referring physician to discuss the patient's condition
1.Electromyographic biofeedback and progressive ambulation
Biofeedback has no contraindications other than possible skin irritation from the coupling gel or
adhesives. Progressive ambulation would be an appropriate intervention for a patient trying to
improve their functional ambulation. - ✔✔A patient referred to physical therapy presents with obvious
disuse atrophy after having a lower extremity cast removed. The primary goals of physical therapy
include increasing muscle strength and returning to functional ambulation on level and unlevel
surfaces. The patient has cancer in several sites including the involved extremity. What are the MOST
appropriate interventions for the patient?
1.Electromyographic biofeedback and progressive ambulation
2.High voltage pulsed current and walking on a treadmill
3.Neuromuscular electrical stimulation and progressive resistive exercises
4.Warm whirlpool and multiple angle isometrics
1.Extensor carpi radialis brevis, extensor digitorum, extensor carpi ulnaris
The extensor carpi radialis brevis, extensor digitorum, and extensor carpi ulnaris muscles are part of
the common extensor tendon that attaches to the lateral epicondyle. - ✔✔A 45-year-old male who
works as a carpenter is referred to physical therapy after being diagnosed with lateral epicondylitis.
During the examination the therapist palpates the muscles attaching to the lateral epicondyle. Which
of the following groups of muscles BEST meet this criteria?
1.Extensor carpi radialis brevis, extensor digitorum, extensor carpi ulnaris
2.Brachioradialis, extensor carpi radialis longus, extensor carpi radialis brevis
3.Extensor carpi radialis longus, extensor carpi radialis brevis, extensor carpi ulnaris
4.Extensor carpi radialis brevis, supinator, extensor pollicis longus
1.Forearm pronation, wrist flexion
The nerve damage associated with Erb's palsy will typically cause a flaccid upper extremity deformity
including forearm pronation and wrist flexion. Damage to the C6 nerve root causes flaccidity in the
supinator and wrist extensors leaving the muscles of pronation and wrist flexion largely unopposed. -
✔✔A physical therapist examines an infant diagnosed with Erb's palsy. Which of the following BEST
describes the likely position of the affected distal upper extremity?
1.Forearm pronation, wrist flexion
2.Forearm pronation, wrist extension
3.Forearm supination, wrist flexion
4.Forearm supination, wrist extension
