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PEAT EXAM 3 QUESTIONS AND ANSWERS
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PEAT EXAM 3 QUESTIONS AND ANSWERS
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PEAT EXAM 3 QUESTIONS ANDANSWERS
A iipatient iireports iia ii2-day iihistory iiof iia iihot, iiswollen, iifirst iimetatarsophalangeal iijoint.
iiThis iicomplaint iiis iiMOST iicommon iiin:
1. iiosteoarthritis.
2. iipolymyositis.
3. iigout.
4. iirheumatoid iiarthritis. ii- iiCorrect iiAnswers ii-1. iiOsteoarthritis iiis iitypically
iicharacterized iiby iidull, iiachy iipain iiin iiweight-bearing iijoints ii(e.g., iihips, iiknees, iietc.)
ii(pp. ii1304-1306).
2. iiPolymyositis iipresents iias iisymmetric iiproximal iimuscle iiweakness iiwith iimalaise iiand
iiweight iiloss. iiThere iiis iino iijoint iiinvolvement. ii(p. ii1247)
3. iiGout's iitypical iipresentation iiis iisevere iijoint iipain, iioccurring iiat iinight, iitypically iiin
iithe iifirst iimetatarsophalangeal iijoint. iiSigns iiand iisymptoms iialso iiinclude iierythema,
iiwarmth, iiand iiextreme iitenderness iiand iihypersensitivity iiof iithe iiaffected iijoint. ii(p.
ii1345)
4. iiRheumatoid iiarthritis iipresents iiwith iisymmetrical iijoint iiinflammation iiand iipain iiwith
iisubluxations ii(pp. ii1319-1322).
A iipatient iiwho iisustained iian iiavulsion iiof iithe iiright iiC5 iiand iiC6spinal iinerve iiroots iiwill
iishow iifunctional iiloss iiof iiright:
1. iidistal iithumb iiflexion.
2. iiulnar iiwrist iideviation.
3. iielbow iiextension.
4. iishoulder iiabduction. ii- iiCorrect iiAnswers ii-1. iiThe iiC8-T1 iinerve iiroots iiform iithe
iimedian iinerve ii(anterior iiinterosseus), iisupplying iithe iiflexor iipollicis iilongus iimuscle. iiA
iipatient iiwho iihas iian iiavulsion iiof iithe iiC5 iiand iiC6 iispinal iinerve iiroots iiwill iibe iiable iito
iiperform iidistal iithumb ii(1st iidigit) iiflexion. ii(Dutton, iip. ii83; iiO'Sullivan, iip. ii154)
2. iiThe iiC7-C8 iinerve iiroots iiform iithe iiulnar iinerve iiand iiradial iinerve ii(posterior
iiinterosseus), iisupplying iithe iiflexor iiand iiextensor iicarpi iiulnaris. iiTherefore, iia iipatient
iiwho iihas iian iiavulsion iiof iithe iiC5 iiand iiC6 iispinal iinerve iiroots iiwill iibe iiable iito iiperform
iiwrist iiulnar iideviation. ii(Dutton, iipp. ii83, ii86; iiO'Sullivan, iip. ii154)
3. iiThe iiC5-C8 iiand iiT1 iinerve iiroots iiform iithe iiradial iinerve, iisupplying iithe iitriceps
iibrachii. iiAvulsion iiof iithe iiC5 iiand iiC6 iinerve iiroots iiwill iiresult iiin iiweakness iibut iinot
iifunctional iiloss iiof iielbow iiextension. ii(Dutton, iipp. ii81-82; iiO'Sullivan, iip. ii154)
,4. iiThe iiC5-C6 iinerve iiroots iiform iithe iiaxillary iinerve, iisupplying iithe iideltoid iiand iiteres
iiminor. iiAvulsion iiof iithese iinerve iiroots iiwill iiresult iiin iidecreased iiright iishoulder
iiabduction. ii(Dutton, iip. ii80; iiO'Sullivan, iip. ii154)
After iia iikidney iitransplant, iia iipatient iidevelops iia iiStage ii3 iipressure iiinjury iiover iithe
iisacrum iiand iiis iireferred iito iiphysical iitherapy iifor iiwound iicare. iiWhich iiof iithe iifollowing
iiis iithe iiMOSTappropriate iiagent iito iiuse iiinitially iion iithis iiwound?
1. iiPovidone-iodine iisolution
2. iiSterile iinormal iisaline
3. iiSilver iisulfadiazine ii(Silvadene) iicream
4. iiZinc iioxide iicream ii- iiCorrect iiAnswers ii-1. iiPovidone-iodine iiis iiusually iiused iias iia
iiskin iipreparation iito iiprevent iisurgical iisite iiinfection. iiIt iican iibe iiused iiin iiacute
iitraumatic iiwounds. iiA iiStage ii3 iipressure iiinjury iiis iian iiexample iiof iia iichronic iiwound.
ii(Sussman, iip. ii518)
2. iiSterile iinormal iisaline iiis iithe iiappropriate iiinitial iiagent iiused iito iiclean iia iiwound
ii(Sussman, iip. ii518).
3. iiUse iiof iisilver iisulfadiazine iimay iibe iiindicated iiif iiinfection iiis iipresent. iiHowever, iiit iiis
iinot iiindicated iiin iithe iiinitial iitreatment. ii(Sussman, iip. ii513)
4. iiZinc iioxide iiis iiused iiin iidental iifillings iiand iiin iilocal iisurface iitreatment iifor iivarious
iiskin iidisorders iibut iinot iifor iichronic iipressure iiinjuries ii(Mosby's, iip. ii1913).
When iiproviding iipatient iieducation iiin iicardiac iirehabilitation, iiwhich iiof iithe iifollowing
iisigns iiand iisymptoms iiof iiexertional iiintolerance iishould iithe iiphysical iitherapist
iiemphasize?
1. iiAnginal iipain, iiinsomnia, iisudden iiweight iigain, iileg iistiffness
2. iiPersistent iidyspnea, iidizziness, iianginal iipain, iisudden iiweight iigain
3. iiPersistent iidyspnea, iianginal iipain, iiinsomnia, iiweight iiloss
4. iiAnginal iipain, iiconfusion, iileg iinumbness, iiweight iiloss ii- iiCorrect iiAnswers ii-1. iiLeg
iistiffness iiis iinot iia iisign/symptom iiassociated iiwith iiexercise iiintolerance iiamong
iipatients iiundergoing iicardiac iirehabilitation.
2. iiThe iisigns iiand iisymptoms iilisted iiin iithis iioption iiare iiassociated iiwith iiexercise
iiintolerance iiamong iipatients iiundergoing iicardiac iirehabilitation.
3. iiWeight iiloss iiis iinot iia iisign iiassociated iiwith iiexercise iiintolerance iiamong iipatients
iiundergoing iicardiac iirehabilitation. iiHowever, iiangina iiand iidyspnea iiare iiimportant
iisigns iiof iiexercise iiintolerance.
4. iiLeg iinumbness, iiconfusion, iiand iiweight iiloss iiare iinot iiassociated iiwith iiexercise
iiintolerance. iiHowever, iiangina iiis iiimportant iito iinote iiin iithe iipatient iiwho iihas iicardiac
iidysfunction.
A iipatient iiwith iino iihistory iiof iitrauma iihas iinonradiating iilow iiback iipain. iiLumbar iiflexion
iidoes iinot iireverse iithe iilordosis iiand iiis iipain-free; iilumbar iiextension iiincreases iithe
iisymptom. iiPalpation iireveals iia iistep-off iiin iithe iilower iilumbar iiregion. iiThe iiMOST
iiappropriate iitreatment iifor iithis iipatient iiwould iibe:
1. iiabdominal iistrengthening.
2. iisustained iiprone iipositioning iion iielbows.
3. iiexaggerated iilumbar iilordosis iiin iisitting.
,4. iigrade iiIII iiposteroanterior iiglide iito iiL5. ii- iiCorrect iiAnswers ii-1. iiThis iipatient's iisigns
iiand iisymptoms iiare iiconsistent iiwith iispondylolisthesis. iiAbdominal iimuscle
iistrengthening iiand iistabilization iiare iikey iito iiconservative iimanagement.
2. iiExtension iiactivities iiare iinot iiindicated iifor iia iipatient iiwith iispondylolisthesis.
3. iiExtension iiactivities iiare iinot iiindicated iifor iia iipatient iiwith iispondylolisthesis.
4. iiExtension iiactivities iiare iinot iiindicated iifor iia iipatient iiwith iispondylolisthesis.
A iipatient iipositioned iiin iiprone iihas iidifficulty iiinitiating iihip iiextension iiwith iithe iiknee
iibent. iiWhich iiof iithe iifollowing iimuscles iiwill iiMOST iilikely iineed iistrengthening?
1. iiHamstrings
2. iiGluteus iimaximus
3. iiLumbar iierector iispinae
4. iiGluteus iimedius ii- iiCorrect iiAnswers ii-1. iiHamstrings iiare iiprimarily iiknee iiflexors.
iiThey iican iibe iisecondary iihip iiextensors iibut iiwould iibe iitested iiwith iithe iiknee
iiextended, iinot iiflexed. ii(p. ii242)
2. iiThe iigluteus iimaximus iiis iithe iiprimary iihip iiextensor iimuscle iitested iiin iithis iimanner
ii(p. ii216).
3. iiLumbar iierector iispinae iiextend iithe iitrunk iion iithe iilegs. iiThey iido iinot iiattach iion iithe
iifemur iiand iihave iino iiimpact iion iihip iiextension. ii(pp. ii43-44)
4. iiGluteus iimedius iiweakness iiwould iibe iiassessed iiby iitesting iihip iiabduction iiin
iisidelying iiposition ii(p. ii223).
A iipatient iipresents iiwith iimoderate iipain iiin iithe iielbow iiafter iia iifall. iiThe iiradiograph iiis
iinegative iifor iia iifracture. iiWhich iiof iithe iifollowing iimobilizations iiis iiMOST iiappropriate
iifor iidecreasing iithe iipain?
1. iiSmall-amplitude iioscillations iibefore iithe iionset iiof iitissue iiresistance
2. iiSmall-amplitude iioscillations iiinto iitissue iiresistance
3. iiLarge-amplitude iioscillations iiinto iitissue iiresistance
4. iiLarge-amplitude iioscillations iiat iithe iiend iiof iitissue iiresistance ii- iiCorrect iiAnswers ii-
1. iiSmall-amplitude iioscillations iibefore iithe iionset iiof iitissue iiresistance iiare iiappropriate
iifor iipain iimodulation.
2. iiSmall-amplitude iioscillations iiinto iitissue iiresistance iiare iimore iiappropriate iifor iijoint
iistiffness, iinot iipain.
3. iiLarge-amplitude iioscillations iiinto iitissue iiresistance iiare iimore iiappropriate iifor iijoint
iistiffness.
4. iiLarge-amplitude iioscillations iiat iithe iiend iiof iitissue iiresistance iiare iifor iiend iirange
iijoint iirestrictions iiand iiare iitoo iiaggressive iifor iipatients iiwho iihave iipain.
During iipatellar iireflex iitesting, iithe iipatient iidemonstrates iihyperreflexia. iiWhat iiis iithe
iiMOST iilikely iicause iiof iithis iifinding?
1. iiA iispinal iicord iitumor iiat iiL1
, 2. iiA iiherniated iinucleus iipulposus iiat iiL4
3. iiFemoral iinerve iiimpingement
4. iiA iicauda iiequina iilesion ii- iiCorrect iiAnswers ii-1. iiPressure iion iithe iispinal iicord iiat iiL1
iiwould iicause iisigns iiof iiupper iimotor iineuron iilesions iibelow iithis iilevel. iiA iisign iiof
iiupper iimotor iineuron iilesion iiis iihyperreflexia. ii(p. ii1494)
2. iiA iiweak iior iiabsent iipatellar iireflex iiis iiexpected iiwith iinerve iiroot iiL4 iicompression ii(p.
ii1494).
3. iiPeripheral iinerve iiinjuries, iisuch iias iia iifemoral iinerve iiimpingement, iiwould iiresult iiin
iia iidiminished iipatellar iireflex ii(pp. ii96-97).
4. iiPeripheral iinerve iiinjuries, iisuch iias iia iicauda iiequina iilesion, iiwould iiresult iiin iia
iidiminished iipatellar iireflex ii(p. ii134).
A iipatient iiis iireferred iito iiphysical iitherapy iifor iiright iishoulder iipain. iiWhich iiof iithe
iifollowing iifindings iisuggests iithat iiphysical iitherapy iiintervention iimay iinot iibe
iiappropriate?
1. iiPain iithat iisubsides iiwith iiright iisidelying
2. iiTenderness iito iipalpation iiat iithe iiorigin iiof iithe iibiceps iitendon
3. iiTrigger iipoints iiat iithe iiright iirib ii2-3 iiintercostal iispace
4. iiPain iiwith iiresisted iishoulder iilateral ii(external) iirotation ii- iiCorrect iiAnswers ii-1. iiRight
iisidelying iioften iiincreases iimusculoskeletal iipain iibut iimay iidecrease iipleural
iifriction/irritation iiand iithus iimay iidecrease iivisceral iipain ii(Goodman, iip. ii694).
2. iiMusculoskeletal iipain iiis iioften iitender iito iipalpation iior iipressure ii(Magee, iipp. ii8-9,
ii61).
3. iiTrigger iipoints iiare iithe iimost iicommon iimusculoskeletal iicause iiof iichest iipain
ii(Goodman, iip. ii694).
4. iiResisted iitesting iior iicontraction iiof iithe iiinvolved iimuscle iimay iiincrease iipain iiof iia
iimusculoskeletal iiorigin ii(Goodman, iip. ii694).
A iipatient iiwith iian iiincomplete iiC8 iispinal iicord iiinjury iireports iiof iiburning iiin iithe
iibuttocks iiwhen iisitting iiin iia iiwheelchair. iiWhich iiof iithe iifollowing iiproblems iiwith iithe
iipatient's iiwheelchair iiwould iibe iiMOST iilikely iito iicontribute iito iithe iiburning?
1. iiFootplates iiare iitoo iihigh.
2. iiFootplates iiare iitoo iilow.
3. iiSeat iiis iitoo iinarrow.
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