Scorebuilders Q&A

Before beginning to train for a wheelchair racing event, a 40-year-old patient with complete C7 tetraplegia undergoes a graded exercise test using an upper body ergometer. In the absence of cardiac pathology, which value represents the patient’s MOST likely maximum heart rate? 1. 60 beats per minute 2. 80 beats per minute 3. 120 beats per minute 4. 190 beats per minute Watch the video version of t...

After approximately 25 minutes of a 30 minute therapy session focusing on mobility and activities of daily living, a patient diagnosed with multiple sclerosis reports feeling extremely fatigued. The therapist promptly takes the patient's vital signs and concludes they are unremarkable. What is the MOST appropriate therapist action? 1. Discontinue the treatment session 2. Modify the intensity...

A patient presents to an outpatient clinic with complaints of right knee pain. The referral states that the patient had stem cell injections four weeks ago. Which diagnosis would MOST likely benefit from this type of intervention? 1. Osteoarthritis 2. Patellofemoral pain syndrome 3. Anterior cruciate ligament sprain (grade 3) 4.  Prepatellar bursitis Watch the video version of this Q&A episode...

During a patient interview, a physical therapist discovers that a patient is two weeks post vertebroplasty. This procedure was MOST likely performed for which of the following medical conditions? 1. Disk herniation 2. Compression fracture 3. Spinal instability 4. Spondylolysis Watch the video version of this Q&A episode on YouTube – https://youtu.be/8wHLTmat6Cs 

A physical therapist administers the Modified Ashworth Scale to a patient with a suspected neurological injury. What is the MOST accurate description of the starting position when testing the elbow flexors? 1. Full extension of the elbow 2. 45 degrees of elbow flexion 3. 90 degrees of elbow flexion 4. 145 degrees of elbow flexion Watch the video version of this Q&A episode on YouTube – https:/...

A physical therapist conducts an inservice on Alzheimer’s disease. Which patient profile has the GREATEST relative risk of this disease? 1. A 46-year-old male 2. A 42-year-old female 3. An 81-year-old male 4. An 83-year-old female Watch the video version of this Q&A episode on YouTube – https://youtu.be/P2qSpOXD9AM 

A patient prepares to be discharged from a rehabilitation hospital following a T10 spinal cord injury. Which of the following pieces of equipment should the physical therapist expect to be MOST essential to assist the patient with functional mobility? 1. Lofstrand crutches 2. Lofstrand crutches and ankle-foot orthoses 3. Lofstrand crutches and knee-ankle-foot orthoses 4. Manual wheelchair Watch th...

A physical therapist examines a patient following a traumatic crush injury to the forearm. The patient displays a wrist drop deformity and is unable to strongly grasp objects with their hand. Which nerve was MOST likely affected? 1. Median nerve 2. Ulnar nerve 3. Radial nerve 4. Musculocutaneous nerve Watch the video version of this Q&A episode on YouTube - https://youtu.be/HvzBa6ZaRsQ

A patient diagnosed with peripheral vascular disease begins a supervised treadmill exercise regimen. After two minutes of ambulation, the patient reports the onset of claudication symptoms rated as 3/10 on a pain scale. What is the physical therapist’s MOST appropriate initial response? 1. Encourage the patient to continue until symptoms become more painful 2. Reduce the speed and grade of the tre...

A physical therapist determines the pulse pressure for a patient with congestive heart failure. Which of the following blood pressure measurements would represent the HIGHEST pulse pressure? 1. 130/60 mm Hg 2. 145/100 mm Hg 3. 120/75 mm Hg 4. 140/115 mm Hg Watch the video version of this Q&A episode on YouTube – https://youtu.be/XTcVc7S8_oQ

An entry in the medical record indicates that a patient is experiencing tricuspid valve regurgitation. Which location would have increased blood volume based on the valvular pathology? 1. Left atrium 2. Right atrium 3. Left ventricle 4. Right ventricle Watch the video version of this Q&A episode on YouTube - https://youtu.be/YBVcQH3U7pY 

A physical therapist inspects the progress of a partial-thickness wound on a patient’s anterior forearm. The therapist notes evidence of resurfacing of the wound with notable changes in the edges of the wound. This observation is MOST consistent with which of the following conditions? 1. Maceration 2. Granulation 3. Epithelialization 4. Infection Watch the video version of this Q&A episode on...

A physical therapist reads in the medical record that a patient sustained a grade 1 cystocele. Which organ is MOST associated with this condition? 1. Bladder 2. Uterus 3. Rectum 4. Small bowel Watch the video version of this Q&A episode on YouTube - https://youtu.be/7vqc0Fnt_5M

A physical therapist applies a dressing to an area of skin on a patient’s heel. The therapist decided to use the dressing as a prophylactic measure to reduce the risk of skin breakdown in an area that was determined to be particularly susceptible. Which of the following dressings would the therapist have MOST likely used? 1. Calcium alginate 2. Hydrocolloid 3. Hydrogel 4. Transparent film Watch th...

A patient in the physical therapy gym suddenly begins to cough, which is shortly followed by wheezing. The physical therapist, recognizing the possibility of an airway obstruction, should take which of the following actions? 1. Attempt to ventilate 2. Administer abdominal thrusts 3. Perform a quick finger sweep of the mouth 4. Continue to observe the patient, but do not interfere Watch the video v...

A patient explains to a physical therapist that she was instructed to bear up to ten pounds of weight on their involved extremity. Which description is MOST consistent with the patient’s weight bearing status? 1. Non-weight bearing 2. Toe touch weight bearing 3. Partial weight bearing 4. Weight bearing as tolerated Watch the video version of this Q&A episode on YouTube – https://youtu.be/JfIIZ...

A patient two days post arthroscopy of the knee attempts to complete a quadriceps setting exercise while lying supine on a mat table. The patient attempts to perform the exercise twice unsuccessfully and reports that they experienced severe pain. Which of the following actions is the MOST appropriate for the physical therapist to take? 1. Have the patient perform the exercise in sidelying 2. Have...

A physical therapist assesses the posture of a patient with shoulder pain and notes that the patient demonstrates a protracted position of both scapulae. The patient is 36-years-old with an unremarkable medical history with the exception of lumbar spondylolisthesis. The therapist wants to strengthen the rhomboid muscles using a bilateral scapular retraction exercise. Which patient position would b...

A seven-month-old infant is able to initiate rolling from supine to prone when playing on a level floor surface. Which scenario would MOST likely be associated with this developmental milestone? 1.Integration of the tonic labyrinthine reflex 2.Persistence of the asymmetrical tonic neck reflex 3.Integration of the rooting reflex 4.Persistence of the Galant reflex Watch the video version of this Q&a...

A patient reports being unable to drive due to difficulty reaching forward to grasp the steering wheel secondary to weakness, though they deny the presence of pain. Which of the following conditions would MOST likely be associated with this type of activity limitation? 1.Rotator cuff impingement 2.Peripheral nerve entrapment 3.Adhesive capsulitis 4.Cervical facet impingement Watch the video versio...

The medical record indicates that a patient being treated for a low back strain is taking Lasix for the management of heart failure. During ambulation activities, the patient complains of lightheadedness, fatigue, and weakness. The therapist measures the patient’s vital signs and identifies an irregular pulse. What is the MOST likely explanation? 1.Dehydration 2.Angina 3.Hypernatremia 4.Renal fail...

A physical therapist works with a four-month-old infant. During mat activities the infant suddenly becomes unconscious. Which of the following arteries is the MOST appropriate for the therapist to palpate to assess the infant’s pulse? 1. Radial 2. Brachial 3. Popliteal 4. Carotid Watch the video version of this Q&A episode on YouTube - https://youtu.be/AO7K4A0eTNw

A physical therapist reviews a patient’s medication list as part of an examination. The patient is ten days post left total hip arthroplasty. Which medication would MOST likely prohibit the patient from driving? 1. Celecoxib (Celebrex) 2. Meloxicam (Mobic) 3. Methylprednisolone (Medrol) 4. Tramadol (Ultram) Watch the video version of this Q&A episode on YouTube - https://youtu.be/N8NPOHKBswU

A patient reports significant ankle pain after sustaining an injury in which the foot twisted while in a weight-bearing position. The physical therapist performed a Kleiger (lateral rotation) stress test that reproduced the patient's pain. Which of the following injuries has this patient MOST likely sustained? 1. Anterior talofibular ligament sprain 2. Fibularis (peroneal) tendon subluxation...

A patient is seen in an outpatient cardiac rehabilitation facility for complaints of claudication during exercise. The therapist assesses the patient’s ankle-brachial index as a part of the examination. Which ankle-brachial index value would be MOST consistent with complaints of claudication symptoms that only occur during fairly intense exercise? 1.0.10 2.0.40 3.0.70 4.1.10 Watch the video versio...