Question 1 During the initial visit, the patient acknowledges that...

Question 1

During the initial visit, the patient acknowledges that she has a history of breast cancer.  Which of the following questions, as the NEXT follow-up question, would you ask the patient in order to provide the most relevant information regarding her history of breast cancer?

a. How was the breast cancer diagnosed?

b. Have you seen the oncologist during the past month?

c. When were you diagnosed with breast cancer

d. Does anyone else in your family have a history of breast cancer?

Question 2

The patient acknowledges a history of surgery for a torn rotator cuff (10 years ago).  Which of the following questions, as the NEXT follow-up question, would you ask the patient in order to provide you with the most relevant information related to the cuff surgery?

a. How did you injure your rotator cuff?

b. Are you currently limited or restricted functionally in any way regarding in the use of that shoulder?

c. Did you receive physical therapy before the surgery?

d. How long did the surgery last?

Question 3

The patient acknowledges his/her mother has colon cancer.  Which of the following questions, as the NEXT follow-up question, would provide you with the most relevant information?

Group of answer choices

a. Do you have any friends who have colon cancer?

b. At what age was your mother diagnosed with colon cancer?

c. What current treatment is your mother receiving for the colon cancer?

d. What was your mother's first symptom associated with the colon cancer?

Question 4

The patient states she/he does not smoke cigarettes.  Which of the following questions, as the NEXT follow-up question, would you ask the patient in order to provide you with the most relevant information?

Group of answer choices

a. Have you ever smoked cigarettes or used tobacco in any other form?

b. How come you don't smoke?

c. Does anyone in your family smoke cigarettes?

d. Do you work in a smoke-free office building?

Question 5

Which of the following patient comments would best represent malaise?

Group of answer choices

a. I have had a fever the past 3 days.

b. I am concerned about what my health will be like when I get older.

c. I vomited twice yesterday, once in the morning and once in the afternoon.

d. The past 6 weeks I feel like I was on the verge of getting sick but I haven't.

Question 6

A patient lying supine complains that they can't catch their breath and need to sit up.  This situation best represents which of the following terms.

Group of answer choices

a. Stridor

b. Chemotaxis

c. Syncope

d. Orthopnea

Question 7

Which of the following describes a patient report of urinary frequency that warrants concern on the part of the physical therapist regarding the patient's health status?

Group of answer choices

a. I woke up once last night to urinate, which is rare for me.

b. My MD knows that I typically wake up twice a night to urinate.

c. I urinate 4-5 times a day.

d. During the past 4-6 weeks I have been waking up 2-3 times a night to urinate.

Question 8

A 160 lbs patient states they have recently lost weight.  Which of the following scenarios would raise concern on the part of the therapist regarding the patient's health status?

Group of answer choices

a. I am not sure why, but I have lost 10 lbs over the past three weeks yet I feel like I am eating more.

b. I am exercising more lately, and have lost 15 lbs over the past 6 weeks

c. I have lost 20 lbs over the past 12 weeks-this new diet and exercise program are working great!

d. I have lost 5 lbs over the past 4 weeks, and I am not sure why.

Question 9

The patient acknowledges that one of the medications they are taking is an ACE inhibitor.  Which of the following questions, as the NEXT follow-up question, would you ask the patient to provide the most relevant information?

Group of answer choices

a. Do you know what ACE stands for?

b. How many of these pills have you taken today?

c. Has there been a day during the past month that you have not taken the ACE inhibitor?

d. For what reason are you taking this medication?

Question 10

A patient reports they get short of breath.   This finding would require the therapist to halt the examination and immediately contact the patient's MD

Group of answer choices

a. True

b. False

Question 11

Which one of the following terms means "the coughing up of blood"?

Group of answer choices

a. Syncope

b. Hemoptysis

c. Stridor

d. Melena

Question 12

Which of the following question(s) will be most helpful in determining whether communication with the patient's MD is warranted or not?

Group of answer choices

 A. Is your MD aware of this?

B. How long have you had this?

C. Has this changed since you last saw your MD?

d. B and C

e. A and C

Question 13

You have decided to call your patient's MD due to concerns about the patient's health status.  You have introduced yourself to the physician over the phone (name and that you are a PT). What is the first piece of patient information you would communicate to the physician? Rank (1st-5th) the following patient data in the order you would communicate the information to the physician.

Group of answer choices

A.Shortness of breath

                                                                          [ Choose ] 3rd 5th 1st 2nd 4th 

B. Forward head posture

                                                                          [ Choose ] 3rd 5th 1st 2nd 4th 

C. Patient demographics (name, occupation, age etc.)

                                                                          [ Choose ] 3rd 5th 1st 2nd 4th 

D. Fatigue

                                                                          [ Choose ] 3rd 5th 1st 2nd 4th 

E.Family history of hypertension (father)

                                                                          [ Choose ] 3rd 5th 1st 2nd 4th 

Question 14

During a PT session a patient complains of a recent onset of mild chest tightness and LUE (medial upper arm and 4^th and 5^th digit) pain, associated with sweats.  He has a history of a heart attack-4 years ago.  Which one of the following statements would be most appropriate when speaking to the patient's primary care provider?  Check the best answer.

Group of answer choices

a. Do you wish to see this patient?

b. Where should this patient go to be examined seen?

c. When do you wish to see this patient?

D. Should I continue physical therapy with this patient?

Question 15

Your patient complains of difficulty with breathing with walking and stair climbing.  For further questioning of the patient, which one of following represents the BEST follow-up question in order to determine if the concern needs to be communicated with the physician or not?  Check the BEST answer.

Group of answer choices

a. Do you feel lightheaded along with the dyspnea?

b. s your physician aware of the shortness of breath?

c. Is your physician aware of this dyspnea?

d. How long does it take for the dyspnea to subside?

e. What did your physician tell you to do when you experience dyspnea?

Question 16

Which of the following structures may be the source of lumbar and/or sacral pain?

Group of answer choices

a. uterus

b. urinary bladder

c. sigmoid colon

d. all of the above

Question 17

Which of the following symptoms could be associated with pathology of the cardiovascular system?

Group of answer choices

a. dyspnea

b. fatigue

c. light headedness

d. all of the above

Question 18

Which of the following signs could be associated with pathology of the cardiovascular system?

Group of answer choices

a. smooth, hairless skin

b. edema

c. pulsatile mass

d. all of the above

Question 19

Pain associated with atypical angina could be noted in which of the following areas?

Group of answer choices

 a. teeth

b. right upper extremity

c. all of the above

d.jaw

Question 20

Patient describing their pain as decreasing when they assume a trunk forward flexed posture and worsening with left sidelying is most indicative of which of the following?

Group of answer choices

a. mitral valve prolapse

b. angina pattern in women

c. lung cancer

d. pericarditis

Question 21

Clinical presentation of peripheral vascular disease typically includes

Group of answer choices

a. pain at rest

b. all of the above

c. hair loss and trophic skin change

d. onset: 15-25 years of age

Question 22

Which of the following symptoms could be associated with pathology of the upper gastrointestinal system?

Group of answer choices

a. all of the above

c. pencil caliber stools

b. melena

d. flat ribbon like stools

Question 23

All patients with peptic ulcer disease experience abdominal pain.

Group of answer choices

a. True

b. False

Question 24

Which of the following clinical findings may be associated with colon cancer?

Group of answer choices

a. all of the above

b. Age > 50 yrs.

c. weight loss

d. reduction in stool caliber

Question 25

b. Pain associated with male urogenital system pathology may be noted in which of the following areas?

Group of answer choices

a. thoracolumbar junction

b. all of the above

c. lumbar spine

d.sacral

Question 26

Patient with L shoulder pain is diagnosed as having a malignant tumor. Which of the following findings would most helpful in determining if the malignancy represents a primary or secondary (metastasis) malignancy?

Group of answer choices

a. patient age

b.patient gender

c. complaint of night pain

d. unexplained weight loss

Question 27

Metastasis to the skeletal system will occur most frequently to:

Group of answer choices

a. the mandible

b. long bones of the distal portion of the extremities

c. the carpals and tarsals

d. thorax including the rib cage

Question 28

Which of the following clinical finding(s) would be most associated with a major depressive disorder?

Group of answer choices

a. poor concentration every once in awhile when I am driving

b. fatigue to the point of leaving work early daily the past 3 weeks

c. report of eating more than usual

d. insomnia for the past week

Question 291.3 pts

Which of the following clinical features are typical for benign skin lesions?

Group of answer choices

a. indistinct (fuzzy) borders

b. change in shape

c. a combination of dark and light brown colors

d. less than 6 mm in diameter

Question 30

Which of the following lymph node characteristics signify potential pathology?

Group of answer choices

a. hard consistency

b. the fact that it is palpable

c. the fact that it is not palpable

d. 1.0 cm in diameter

Question 31

Which of the following would best help differentiate endometriosis from a mechanical sacral iliac joint dysfunction condition?

Group of answer choices

C. pain during intercourse-with deep penetration only

B. pain during intercourse -with initial insertion only

A. pain during intercourse-regardless of position

D. A and B

E. A and C

Question 32

For questions 36-44; MATCH the appropriate term with each definition/description: Use the answers ONCE.  (There are more answers than you need)

Group of answer choices

a. A sign of chronic hypoxia

                                                                                                                                                                                                            [ Choose ] Syncope Dyspareunia Hemoptysis Platypnea Polyuria Hematochezia Melena Ciliary flush Tenesmus Trepopnea Clubbing of nails Dysphagia Nocturia Orthopnea Odynophagia 

b. Bright red bloody stools

                                                                                                                                                                                                            [ Choose ] Syncope Dyspareunia Hemoptysis Platypnea Polyuria Hematochezia Melena Ciliary flush Tenesmus Trepopnea Clubbing of nails Dysphagia Nocturia Orthopnea Odynophagia 

c. Intense urge to defecate, with little/no result

                                                                                                                                                                                                            [ Choose ] Syncope Dyspareunia Hemoptysis Platypnea Polyuria Hematochezia Melena Ciliary flush Tenesmus Trepopnea Clubbing of nails Dysphagia Nocturia Orthopnea Odynophagia 

d. Increased (more than usual) amounts of urine

                                                                                                                                                                                                            [ Choose ] Syncope Dyspareunia Hemoptysis Platypnea Polyuria Hematochezia Melena Ciliary flush Tenesmus Trepopnea Clubbing of nails Dysphagia Nocturia Orthopnea Odynophagia 

e. Difficulty with swallowing secondary to pain

                                                                                                                                                                                                            [ Choose ] Syncope Dyspareunia Hemoptysis Platypnea Polyuria Hematochezia Melena Ciliary flush Tenesmus Trepopnea Clubbing of nails Dysphagia Nocturia Orthopnea Odynophagia 

f. Harder to breath when sitting up than when recumbent

                                                                                                                                                                                                            [ Choose ] Syncope Dyspareunia Hemoptysis Platypnea Polyuria Hematochezia Melena Ciliary flush Tenesmus Trepopnea Clubbing of nails Dysphagia Nocturia Orthopnea Odynophagia 

g. Sudden loss of consciousness with quick recovery

                                                                                                                                                                                                            [ Choose ] Syncope Dyspareunia Hemoptysis Platypnea Polyuria Hematochezia Melena Ciliary flush Tenesmus Trepopnea Clubbing of nails Dysphagia Nocturia Orthopnea Odynophagia 

h. Pain during/after intercourse

                                                                                                                                                                                                            [ Choose ] Syncope Dyspareunia Hemoptysis Platypnea Polyuria Hematochezia Melena Ciliary flush Tenesmus Trepopnea Clubbing of nails Dysphagia Nocturia Orthopnea Odynophagia 

i. Intense ring of redness around the iris (eye)

                                                                                                                                                                                                            [ Choose ] Syncope Dyspareunia Hemoptysis Platypnea Polyuria Hematochezia Melena Ciliary flush Tenesmus Trepopnea Clubbing of nails Dysphagia Nocturia Orthopnea Odynophagia 

Question 33

Cervical spine and shoulder pain complaints. Match the correct disease/disorder with the list of clinical manifestations.  There is ONE correct answer for each manifestation. A disease/disorder may be used for more than one manifestation.

Group of answer choices

a. Weak shoulder abduction and external rotation

                                                                                                    [ Choose ] Suprascapular n. entrapment C-spine instability with cord compromise Axillary n. entrapment Pancoast Tumor Spinal accessory n. entrapment Long thoracic n. entrapment Myocardial Infraction 

b. Weak shoulder abduction and flexion

                                                                                                    [ Choose ] Suprascapular n. entrapment C-spine instability with cord compromise Axillary n. entrapment Pancoast Tumor Spinal accessory n. entrapment Long thoracic n. entrapment Myocardial Infraction 

c. Hand intrinsic muscle weakness and atrophy

                                                                                                    [ Choose ] Suprascapular n. entrapment C-spine instability with cord compromise Axillary n. entrapment Pancoast Tumor Spinal accessory n. entrapment Long thoracic n. entrapment Myocardial Infraction 

d. Associated with shoulder dislocation

                                                                                                    [ Choose ] Suprascapular n. entrapment C-spine instability with cord compromise Axillary n. entrapment Pancoast Tumor Spinal accessory n. entrapment Long thoracic n. entrapment Myocardial Infraction 

e. Associated with a blow to the lateral chest wall

                                                                                                    [ Choose ] Suprascapular n. entrapment C-spine instability with cord compromise Axillary n. entrapment Pancoast Tumor Spinal accessory n. entrapment Long thoracic n. entrapment Myocardial Infraction 

f. Dyspnea

                                                                                                    [ Choose ] Suprascapular n. entrapment C-spine instability with cord compromise Axillary n. entrapment Pancoast Tumor Spinal accessory n. entrapment Long thoracic n. entrapment Myocardial Infraction 

Question 34

Pelvis, hip and thigh pain complaints. Match the correct disease/disorder with the list of clinical manifestations.  There is ONE correct answer for each manifestation. A disease/disorder may be used for more than one manifestation.

Group of answer choices

a. Boys aged 5-8 yrs

                                                                                                    [ Choose ] Avascular necrosis Colon Cancer Trochanteric bursitis Femoral neck fractures Slipped capital femoral epiphysis Legg-Calve-Perthes Disease Kidney stones 

b. Obese adolescents

                                                                                                    [ Choose ] Avascular necrosis Colon Cancer Trochanteric bursitis Femoral neck fractures Slipped capital femoral epiphysis Legg-Calve-Perthes Disease Kidney stones 

c. Men and women aged 50 years or older

                                                                                                    [ Choose ] Avascular necrosis Colon Cancer Trochanteric bursitis Femoral neck fractures Slipped capital femoral epiphysis Legg-Calve-Perthes Disease Kidney stones 

d. History of a fall from standing

                                                                                                    [ Choose ] Avascular necrosis Colon Cancer Trochanteric bursitis Femoral neck fractures Slipped capital femoral epiphysis Legg-Calve-Perthes Disease Kidney stones 

e. History of RA and SLE

                                                                                                    [ Choose ] Avascular necrosis Colon Cancer Trochanteric bursitis Femoral neck fractures Slipped capital femoral epiphysis Legg-Calve-Perthes Disease Kidney stones 

f. History of recent growth spurt

                                                                                                    [ Choose ] Avascular necrosis Colon Cancer Trochanteric bursitis Femoral neck fractures Slipped capital femoral epiphysis Legg-Calve-Perthes Disease Kidney stones 

g. LE shortened and externally rotated

                                                                                                    [ Choose ] Avascular necrosis Colon Cancer Trochanteric bursitis Femoral neck fractures Slipped capital femoral epiphysis Legg-Calve-Perthes Disease Kidney stones 

Question 35

Elbow, wrist and hand pain complaints. Match the correct disease/disorder with the list of clinical manifestations.  There is ONE correct answer for each manifestation. A disease/disorder may be used for more than one manifestation.  

Group of answer choices

a. Pain in anatomical snuff box

                                                                                       [ Choose ] Scaphoid fractur Triquetrum Radial head fracture 1st metacarpal Scaphoid fracture Lunate fracture 

b. Fall on outstretched arm with wrist extended and radially deviated

                                                                                       [ Choose ] Scaphoid fractur Triquetrum Radial head fracture 1st metacarpal Scaphoid fracture Lunate fracture 

c. Fall on outstretched supinated arm

                                                                                       [ Choose ] Scaphoid fractur Triquetrum Radial head fracture 1st metacarpal Scaphoid fracture Lunate fracture 

d. Diffuse, general wrist edema and pain

                                                                                       [ Choose ] Scaphoid fractur Triquetrum Radial head fracture 1st metacarpal Scaphoid fracture Lunate fracture 

e. Relatively rare fracture, but often associated with osteonecrosis

                                                                                       [ Choose ] Scaphoid fractur Triquetrum Radial head fracture 1st metacarpal Scaphoid fracture Lunate fracture 

Question 36

Which of the following findings is most indicative of increased risk that back pain could be related to cancer?

Group of answer choices

a. Unexplained weight loss

b. Patient history of breast or prostate cancer

c. Age of 65 years

d. Family history of breast or prostate cancer

Question 37

Which of the following is most indicative of increased risk of sacro-iliac joint pain being associated with ankylosing spondylitis?

Group of answer choices

a. Post rest gel < 30 minutes

b. Female gender

c. Night pain-awakens second half of night

d. Age of 65 years

Question 38

Which of the following body regions/joints are commonly involved with rheumatoid arthritis?

Group of answer choices

a. DIPs of the hand

b. MCPs

c. Lumbar spine

d. Acromio-clavicular joint

Question 39

Which of the following is most indicative of increased risk for compartment syndrome?

Group of answer choices

a. Local blunt trauma

b. Age > 55 years

c. + Percussion/auscultation test

d. Hair loss and skin fissuring

Question 40

A patient has had deep groin/trochanteric pain of 4 days duration. Which of the following would provide the greatest degree of confidence that the pain is NOT related to a femoral stress fracture?

Group of answer choices

a. Mild pain only with palpation

b. X-ray findings

c. Patellar-pubic percussion test

d. Tuning fork test

 Question 41

Characteristics of a pathological lymph node may include?

Group of answer choices

a. Diameter of < 1cm

b. Painless to palpation

c. Good tissue mobility

d. Consistency - soft and squishy

Question 42

According to the Canadian c-spine rules plain films would be indicated for which of the following patients?

Group of answer choices

a. patient awoke with neck pain and dull ache extending into her L thumb

b. 6 weeks of neck pain related to prolonged computer work-finishing a grant

c. patient with neck pain complains of inability to turn his head to the R at all, following a fall out of a tree

d. patient with neck and R scapular aching rear-ended a car-while slowing to a halt

Question 43

Which of the following "events" could result in a fracture in a patient with a Hx of lung cancer; 2 years post-cancer diagnosis?

Group of answer choices

a. I was just walking along and started feeling a sharp catch in my hip.

b. All the above

c. slip and falling on ice

d. mis-step off a curb-jamming her hip, but not falling

Question 44

The modified Ottawa ankle/foot rules would result in plain films being ordered for which of the following patients?

Group of answer choices

a. patient woke up yesterday with sharp pain in the arch of his foot-neer had pain like this before

b. all of the above

c. palpatory tenderness along Achilles tendon-3 inches proximal to tendon attachment site

d. patient slipped on ice last night "hops" into the clinic- using 2 crutches to walk

Question 45

Palpation to detect an abdominal aortic aneurysm has excellent sensitivity, but poor specificity. This means which of the following?

Group of answer choices

a. Inability to feel a pulse on the patient suggests there is not an aneurysm > 3.5 cm

b. all of the above

c. feeling a pulse means there is high probability an aneurysm is present.

d. inability to feel a pulse on the patient suggests there is not an aneurysm > 5 cm

Question 46

Inability to hear a pulse while auscultating over the abdomen-while screening for an abdominal aortic aneurysm implies which of the following?

Group of answer choices

B. the abdominal aorta could be occluded

C. there is severe arterial occlusive disease on the lower extremities

A. low probability that an aneurysm exists

D. B and C

Question 47

Which of the following represents the most important risk factor related to infection-related back pain?

Group of answer choices

A. urinary tract infection 10 weeks ago

C. bacterial pneumonia 12 months ago

B. patient age of 63 years

D. A and C