A patient with suspected pulmonary embolism is referred for additional diagnostic testing. Which of the following patients would be a the GREATEST risk for developing this medical condition?
1. a 35 year old female who is on bed rest, obese, and on oral contraceptives
2.a 45 year old male two w...
PTA 365 || Questions and 100% Verified Answers.
A patient with suspected pulmonary embolism is referred for additional diagnostic testing.
Which of the following patients would be a the GREATEST risk for developing this medical
condition?
1. a 35 year old female who is on bed rest, obese, and on oral contraceptives
2.a 45 year old male two weeks post tibial fracture requiring internal fixation
3. a 70 year old female three weeks post closed reduction of a Colles' fracture
4. a 50 year old male three weeks post malleolar fracture in a walking boot correct answers 1. a
35 year old female who is on bed rest, obese, and on oral contraceptives
A physician informs a patient complaining of joint pain that lab testing has revealed increased
levels of uric acid in the blood. What would be the MOST likely diagnosis?
Assuming a normal recovery following a T10 spinal cord injury, which of the following MOST
accurately describes the status of the patient's bathroom transfers at the conclusion of
rehabilitation?
1. independent with the presence of an attendant
2. independent with a sliding board
3. independent with bathroom adaptations
4. independent correct answers 3. independent with bathroom adaptations
T 10 injury = lower abdomen dysfunction, legs no function, paraplegic
sliding board creates unnecessary safety risk
With a norma recovery they should have UE and abdominal strength to use a grab bar, tub
bench, or commode/bath tub seat
A physical therapist assistant attempts to identify several strategies to improve the left neglect of
a patient rehabilitating from a stroke. Which of the following would be the LEAST useful to
accomplish the assistant's objective?
1. have the patient dress in front of a mirror
2. have the patient's husband sit on her right side
3. have the patient perform self-retrograde massage on her left hand
4. have the television in the patient's room placed slightly to the left of her field of vision while
she is lying in bed correct answers 2. have the patient's husband sit on her right side
Left neglect, neglects the left side! Not the right side, haha
,A physical therapist assistant attempts to obtain information on the ability of noncontractile
tissue to allow motion at a specific joint. Which selective tissue tension assessment would
provide the assistant with the MOST valuable information?
A physical therapist assistant instructs a pt. in an exercise designed to increase pelvic floor
awareness and strength. The exercise requires the patient to perform isometric contractions of the
pelvic floor muscles. Which of the following positions is the most appropriate INITIAL position
for this exercise?
A PTA administers a survey at a community health fair to identify individuals at risk for
osteoporosis. Which of the following items would be MOST closely associated with
osteoporosis?
1. early menopause
2. obesity
3. African American race
4. high bone mineral density correct answers 1. early menopause
the decrease in estrogen levels impacts the balance between osteoclasts and osteoblast activity =
an increase in bone loss
the answer is not obesity because of Wolff's law that the increase in body mass strengths and
increase bone productions and does NOT increase bone loss
A PTA treats a patient in a rehabilitation hospital setting and is concerned the patient may be
anorexic. Which of the following signs or symptoms would be LEASE indicative of this
condition?
Hypotension is more likely in this condition, it is a response to the decrease in the basal
metabolic rate that accompanies anorexia
,Anorexic Signs & Symptoms: bradycardia, hypotension, alternation periods of dehydration and
water retention, electrolyte imbalance, cardiac arrhythmias, amenorrhea (absence of menstrual
periods), muscle weakness, and decrease bone density
Hypokalemia: low potassium
A PTA reviews the current pain management protocol of a patient three days post tibial hip
arthroplasty. Which of the following medications would the patient MOST likely have been
prescribed for breakthrough pain as needed?
key word "breakthrough" pain--- needs a quick pain reliever that last a short period of time (if
longer or higher pain that need extended relief the dosage would be 10 mg or higher)
Acetaminophen: long lasting, not a break through med, can cause liver failure if used many times
in the day (only use 4-6 hours-long term pain reliever)
Meloxicam: NSAID, used to treat arthritis and decrease inflammation, not a break through pain
med because it can only be used once per day in doses of 7.5-15 mg
Tramadol: narcotic, sever pain, 100 mg every 4 hours-six hours and only can use 400 mg a day,
not a breakthrough med
A PTA examines the gait of a male patient with recently referred to a rehab facility. While
observing the patient the assistant notes that at heel strike the patient excessively leans backward.
Which impairment is MOST consistent with the described gait pattern?
1. gluteus medius weakness
2. gluteus maximus weakness
3. Quadriceps weakness
4. tightness of the gastrocnemius correct answers 2. gluteus maximus weakness
A PTA completes a developmental assessment on a five-month-old infant. If the assistant elects
to examine the infant's palmar grasp reflex, which of the following stimuli is the MOST
appropriate?
1. contact to the ball of the foot in upright standing
2. maintained pressure to the palm of the hand
3. noxious stimulus to the palm of the hand
4. sudden change in the position of the head correct answers 2. maintained pressure to the palm
of the hand
A PTA assesses an infant by performing a pull-to-sit maneuver. During the maneuver, the
assistant observes that the infant has learned to lead with the head as soon as the stimulus of
, being pulled to sitting occurs. Which muscle group would be the LEASE instrumental in
performing the described activity?
A PTA treats a patient following right total knee arthroplasty in their home. The patient's
bedroom is on the second floor and the staircase has a handrail. Which functional task would
likely be the FIRST to occur during the rehabilitation process?
1. ascending stairs with the use of the handrail using a reciprocal pattern
2. ascending stair without the use of the handrail using a reciprocal pattern
3. descending stairs with the use of the handrail using a reciprocal pattern
4. descending stairs without the use of the handrail using a reciprocal pattern correct answers 1.
ascending stairs with the use of the handrail using a reciprocal pattern
ascending the stairs requires less quadriceps control than descending stairs
A PTA initiates an aquatic exercise program for a patient with MS. The exercise consists of
walking in the pool and performing active exercises with the resistance of the water. The patient
has minimal impairments at present, lives alone, and is employed as an elementary school
teacher. What is the goal of this exercise program?
1. reduce the severity and frequency of exacerbations
2. improve the patient's fine motor coordination
3. maintain or improve the patient's level of fitness
4. improve the patient's balance when walking on uneven surface correct answers 3. maintain or
improve the patient's level of fitness
Therapeutic exercise will not affect the course of the pt's disease (severity and exacerbations),
but it can benefit their impairments (fatigue, weakness) associated with MS
A PTA identifies excessive medical displacement of the elbow during ligamentous testing on a
patient. Which ligament is typically involved with medical instability of the elbow?
Annular: attaches to the anterior and posterior margins of the radial notch of the ulna and
prevents downward displacement of the radial head
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