Physical Therapy Assistant Certification
Exam: Official 2025/2026 Study Guide with
Verified Questions and Answers
What is the primary difference between active and passive range of motion exercises?
Active range of motion exercises are performed by the patient themselves, while passive range of
motion exercises are performed by the therapist without patient involvement.
How does a physical therapy assistant assist in the management of a patient with a recent stroke?
A physical therapy assistant helps by assisting with gait training, strength exercises, and range of
motion activities to help the patient regain independence.
What is the significance of using cold therapy (cryotherapy) in physical therapy?
Cryotherapy helps reduce inflammation and pain by decreasing blood flow to an area and
numbing the affected tissues.
Explain the purpose of joint mobilization in physical therapy treatment.
Joint mobilization is used to increase the range of motion, reduce pain, and improve joint
function, especially in cases of joint stiffness.
What precautions should a physical therapy assistant consider when working with a patient who has
diabetes?
It is important to monitor blood sugar levels before and after therapy sessions, avoid
overexertion, and watch for signs of neuropathy in the patient's feet and extremities.
Describe how you would assist a patient with a knee replacement in regaining mobility.
Focus on strengthening the quadriceps and hamstrings, improving range of motion, and teaching
safe walking techniques to prevent complications like falls.
What are the key components of a home exercise program for a patient recovering from surgery?
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, A home exercise program should include exercises to improve strength, range of motion, and
flexibility, along with instructions on frequency, technique, and progression.
What are common contraindications for exercise in a patient with heart disease?
Contraindications include high-intensity exercises that could strain the heart, and exercises that
involve sudden movements or significant physical exertion.
How does a physical therapy assistant help manage post-operative swelling in a patient?
Use of modalities such as ice, elevation of the affected limb, compression, and gentle movement
can help reduce swelling and promote circulation.
What are the symptoms of a pressure ulcer, and how should a physical therapy assistant address it?
Symptoms include redness, pain, and open sores on the skin. The physical therapy assistant
should assist in repositioning, provide skin care instructions, and monitor for any worsening of the
condition.
Explain the role of a physical therapy assistant when a patient experiences dizziness during a therapy
session.
The assistant should stop the activity, assist the patient to a safe position, and inform the physical
therapist to assess the patient further.
What are the typical signs of a rotator cuff tear, and how should physical therapy assist in recovery?
Symptoms include shoulder pain, weakness, and limited range of motion. Physical therapy
focuses on strengthening exercises, stretches, and promoting proper movement mechanics.
How do you determine the appropriate intensity level for therapeutic exercise in a patient with chronic
pain?
Start with low-intensity exercises to assess the patient’s tolerance, gradually increasing intensity
as the patient’s strength and endurance improve, while always monitoring for signs of pain.
What are the considerations when providing therapy for a pediatric patient with cerebral palsy?
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, Therapy should focus on improving motor function, coordination, and strength through play-
based exercises, along with ensuring safety during activities.
How should you handle a situation where a patient is non-compliant with their home exercise program?
Engage the patient in a discussion about barriers to compliance, adjust the program to make it
more manageable, and reinforce the importance of consistency for optimal recovery.
What is the role of manual therapy in treating musculoskeletal injuries?
Manual therapy includes techniques like massage, joint mobilization, and soft tissue manipulation
to reduce pain, improve mobility, and promote healing.
What are the guidelines for maintaining patient confidentiality in a physical therapy setting?
Patient information should only be shared with authorized individuals, and all records should be
securely stored in accordance with HIPAA guidelines to ensure privacy.
How can a physical therapy assistant help with the rehabilitation of a patient who has an amputated
limb?
The assistant helps with prosthetic training, strengthening exercises, balance training, and
mobility exercises to restore function and independence.
What are the general steps for assessing a patient’s gait during therapy?
Observe the patient’s walking patterns, identify any abnormalities such as limping or asymmetry,
and assess balance and coordination during different phases of walking.
What are the benefits of strengthening exercises for patients recovering from a hip fracture?
Strengthening exercises help rebuild muscle mass, improve joint stability, and restore balance,
which can reduce the risk of future falls and improve overall mobility.
How does a physical therapy assistant assist in managing a patient with a spinal cord injury?
The assistant helps with muscle strengthening, movement training, and mobility exercises to
improve the patient’s quality of life and assist in achieving greater independence.
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