Scorebuilders Q&A

A patient is asked to complete a pain questionnaire. The patient selects words such as diffuse, throbbing, and aching to describe the pain and indicates that it is difficult to localize the pain. What structure is MOST often associated with this type of pain description?  1. Nerve root  2. Muscle  3. Bone  4. Vascular  Watch the video version on our Youtube channel: https://youtu.be/xAp05B3kEWw

A patient presents with marked weakness during resisted testing of right shoulder extension and medial rotation. Which of the following nerve lesions would MOST likely produce the described impairments? 1.    Thoracodorsal nerve 2.    Suprascapular nerve 3.    Spinal accessory nerve 4.    Axillary nerve Watch the video version on our Youtube channel: https://youtu.be/9ADpLtq21rI

A physical therapist works with a patient with a transfemoral amputation on controlled fall training. The patient ambulates with a single axillary crutch. What controlled falling technique is the MOST appropriate to teach the patient in an anterior loss of balance? 1.    Pull the crutch close to the body to absorb the impact 2.    Discard the crutch and land on slightly flexed arms 3.    Turn the...

A physical therapist checks the water temperature of the hot pack machine after several patients report the heat being very strong. Which of the following temperatures would be acceptable?   1.      64 degrees Celsius (147 degrees Fahrenheit) 2.      71 degrees Celsius (160 degrees Fahrenheit) 3.      83 degrees Celsius (181 degrees Fahrenheit) 4.      94 degrees Celsius (201 degrees Fahrenheit) W...

A skilled nursing facility plans to expand a hallway to accommodate two wheelchairs passing simultaneously. In order to comply with the Americans with Disabilities Act standards, what is the required minimum width of the hallway?   1.      36 inches 2.      48 inches 3.      60 inches 4.      108 inches Watch the video version on our Youtube channel: https://youtu.be/KuihzgXgSE8

A physical therapist analyzes the gait of a child with spastic diplegia cerebral palsy in the school setting. Based on this diagnosis, which muscle group is MOST likely to be shortened? 1. Hip adductors 2. Knee extensors 3. Hip abductors 4. Ankle dorsiflexors Watch the video version of this Q&A episode on YouTube - https://youtu.be/MW_zSbc8ajw

A patient diagnosed with schizophrenia has been taking haloperidol (Haldol) following an acute psychotic episode. The physical therapist should be alert for which of the following side effects MOST commonly associated with this medication? 1. Facial grimacing and involuntary extremity movements 2. Significant weight gain and elevated serum lipids 3. Constipation and urinary retention 4. Respirator...

A physical therapist treats a patient admitted to an acute care hospital with congestive heart failure. Which medication would MOST likely be prescribed for this patient? 1. Lanoxin (digoxin) 2. Coumadin (warfarin) 3. Zocor (simvastatin) 4. Nitrostat (nitroglycerin) Watch the video version on our Youtube channel: https://youtu.be/y5rUok5x13E

A patient with a genetically inherited neuromuscular disorder reports weakness in their hands and feet with normal strength elsewhere. The patient experiences difficulty with grasping objects and demonstrates a steppage gait pattern. This clinical presentation is MOST consistent with which of the following medical conditions? 1. Guillain-Barre syndrome 2. Charcot-Marie-Tooth disease 3. Post-polio...

A physical therapist evaluates a pediatric patient using the Modified Ashworth Scale. Which condition would LEAST benefit from the use of this tool? 1. Hypotonia 2. Hyperreflexia 3. Spasticity 4. Rigidity Watch the video version on our Youtube channel: https://youtu.be/GFUWGUI9XyI

A physical therapist reviews the current pain management protocol of a patient three days post total hip arthroplasty. Which of the following medications would the patient MOST likely have been prescribed for breakthrough pain as needed? 1. Acetaminophen (1,000 milligrams) 2. Meloxicam (15 milligrams) 3. Oxycodone (5 milligrams) 4. Tramadol (100 milligrams) Watch the video version on our Youtube c...

A patient is evaluated in physical therapy three days following a lateral ankle reconstruction. Which of the following weight bearing limitations would be MOST typical for this patient? 1.    Non-weight bearing with bilateral axillary crutches 2.    Partial weight bearing with a single axillary crutch 3.    Weight bearing as tolerated with bilateral axillary crutches 4.    Weight bearing as tolera...

A 55-year-old patient presents with sudden onset of shortness of breath and pleuritic chest pain. As part of the clinical decision making process, a physical therapist considers the Wells Score to assess the probability of pulmonary embolism. Which of the following findings would increase the Wells Score, indicating a higher clinical suspicion for pulmonary embolism? 1. Wheezing during physical ac...

A patient with cubital tunnel syndrome is being fitted for a night brace. Which of the following braces would be the MOST appropriate to help minimize the patient’s symptoms? 1. Elbow brace, positioned in 40 degrees of flexion 2. Elbow brace, positioned in 100 degrees of flexion 3. Wrist brace, positioned in 20 degrees of extension 4. Wrist brace, positioned in neutral Watch the video version of t...

A patient presents with weakness extending the fingers and thumb and weakness with supination. The patient reports pain in the lateral elbow, but denies pain or sensory changes in the hand or forearm. Which of the following entrapment syndromes BEST explains these findings? 1. Radial tunnel syndrome 2. Anterior interosseous nerve syndrome 3. Posterior interosseous nerve syndrome 4. Carpal tunnel s...

A physical therapist uses the Ottawa Knee Rules to assess a patient with acute knee trauma. Which of the following findings would indicate a possible knee fracture and justify the need for radiographic imaging?  1. A 15 degree loss of passive knee extension 2. Isolated tenderness of the patella 3. Tenderness along the medial and lateral joint lines 4. Active knee flexion limited to 105 degrees Wat...

A physical therapist examines a patient who complains of forearm pain and weakness in the hand. During the examination, the therapist identifies weakness with wrist flexion, finger flexion, and thumb adduction. Froment’s sign is positive. Which of the following nerves is MOST likely affected? 1. Ulnar 2. Radial 3. Median 4. Musculocutaneous Watch the video version of this episode on YouTube - http...

A physical therapist evaluates a patient who sustained an ankle injury during a recreational soccer game. To determine whether imaging is necessary, the therapist applies the Ottawa Foot and Ankle Rules. According to this screening tool, which of the following factors would meet the criteria to refer the patient for an x-ray? 1. Pain near the medial malleolus and an inability to bear weight 2. Pai...

A physical therapist evaluates a patient who presents with leg swelling and discomfort. The patient has a history of recent surgery and prolonged immobility. Based on the Wells Criteria for deep vein thrombosis, which of the following would be the MOST relevant factor in assessing the patient's risk for deep vein thrombosis? Body mass index greater than 28 2. Previous history of deep vein thr...

A physical therapist works on various balance tasks with a patient who has known balance deficits. The patient has intact visual and vestibular systems, though has deficits with somatosensory inputs. Which of the following activities would be MOST useful in improving utilization of the somatosensory system to maintain balance? 1. Standing on a firm surface with eyes open 2. Standing on a firm surf...

A patient status post right transfemoral amputation is prescribed a standard wheelchair with recommendation for posterior rear wheel axle placement. What is the result of this positioning?  1. Decreased wheelchair rear stability 2. Decreased wheelchair rolling resistance 3. Decreased turning radius 4. Decreased ease of performing wheelies Watch the video version of this episode on YouTube - https:...

A physical therapist orders a wheelchair with anti-tip tubes for a patient in preparation for discharge from a rehabilitation hospital. A patient with which of the following conditions would benefit the MOST from this option? 1. Guillain-Barre syndrome 2. C5 tetraplegia  3. Stroke with hemiparesis 4. Amyotrophic lateral sclerosis Watch the video version of this episode on YouTube - https://youtu.b...

A physical therapist prepares to assist a patient with a sliding board transfer from a wheelchair to a bed. Which of the following directions would be MOST appropriate when directing the patient to perform the sliding board transfer? 1. Adjust the bed height so it is four inches lower than the wheelchair seat 2. Position the wheelchair so that it is at a slight angle to the bed  3. Remove both arm...

A patient with atrial flutter suddenly becomes extremely lightheaded while exercising and appears to lose consciousness. Which of the following physiologic responses BEST explains the change in the patient’s status?  1. Increased filling of the ventricles 2. Increased system congestion 3. Decreased atrial depolarization 4. Decreased blood traveling to the brain Watch the video version of this epis...

A patient is treated for low back pain with unilateral lower extremity radiculopathy. The MRI report indicates the patient’s condition is caused by a moderate L3 disk herniation. Which of the following special tests would be MOST likely to recreate the patient’s symptoms? 1. Straight leg raise test 2. Prone knee bending test 3. Slump test 4. Crossed straight leg raise test Watch the video version...