Scorebuilders Q&A

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...

A physical therapist designs an exercise program for a patient that minimizes the use of isometric work. Which medical condition would MOST necessitate the need for this type of program? 1.Anemia 2.Diabetes mellitus 3.Hemophilia 4.Hypertension Watch the video version of this Q&A episode on YouTube - https://youtu.be/SOY9e99wxas 

A patient post Colles’ fracture has moderate edema in their fingers and the dorsum of their hand and reports pain during active range of motion. Which of the following measurements is the MOST appropriate to accurately quantify the patient’s edema? 1.Volumetric 2.Circumferential 3.Girth 4.Anthropometric Watch the video version of this Q&A episode on YouTube - https://youtu.be/9M8eZyivMVs

A physical therapist inspects a patient’s wound during a dressing change. The physical therapist identifies moderate amounts of purulent exudate throughout the wound surface and dressing. What would this type of exudate MOST likely be colored? 1.Clear 2.Yellow 3.Pink 4.Red Watch the video version of this Q&A episode on YouTube - https://youtu.be/2gayR6KiLsk

A physical therapist makes wheelchair recommendations for a patient with a C4 complete spinal cord injury. Which wheelchair feature would be the MOST desirable for this patient? 1.Removable armrests 2.Tilt-in-space frame 3.Handrims with rim projections 4.Handheld joystick controls Watch the video version of this Q&A episode on YouTube - https://youtu.be/jxdTfW06WLM .

A physical therapist treats a patient with a tibial plateau fracture that is currently partial weight bearing. During the treatment session, the physical therapist asks the physical therapist assistant to instruct the patient to ascend and descend stairs using bilateral canes. Assuming the patient falls during the training session, which individual would be MOST liable for the incident? 1.Physical...

A physical therapist notes a decrease in passive range of motion in a patient’s affected shoulder as compared to their unaffected shoulder. Which of the following would provide the physical therapist with the MOST valuable information to determine the cause of this discrepancy? 1.Manual muscle testing 2.Joint mobility 3.Sensory testing 4.Active range of motion Watch the video version of this Q&amp...

A physical therapist assesses a patient with a traumatic brain injury using the Glasgow Coma Scale. If the therapist documents the eye opening score as a three, which of the following responses was observed during this portion of the assessment? 1.Spontaneous eye opening 2.Eyes open in response to speech 3.Eyes open in response to pain 4.Eyes do not open (nil response) Watch the video version of t...

During an exercise session, a physical therapist monitors exercise intensity with a patient post cardiac transplantation. Which method is the MOST appropriate for the therapist to use? 1.Metabolic equivalents 2.Perceived exertion scale 3.Pulmonary function tests 4.Target heart rate range Watch the video version of this Q&A episode on YouTube - https://youtu.be/ECuoPtT-yL0?si=JTN79DkZ2kQibtB1 ....

A physical therapist prepares to administer superficial moist heat to help improve a patient’s mobility prior to a treatment session. Which scenario would require the therapist to add extra towel layers to prevent a burn from occurring? 1.Hot pack over the cervical paraspinals with the patient in sitting 2.Hot pack over the rhomboids with the patient in hooklying 3.Hot pack over the patella with t...

A patient with hip joint pain is referred to physical therapy for direction in strengthening exercises performed in weight bearing positions. The physician’s referral notes that recent bone density testing revealed the patient has osteopenia. Which of the following comorbidities would MOST likely be part of the patient’s medical history? 1.Cushing’s syndrome 2.Guillain-Barre syndrome 3.Spinal sten...

A physical therapist employed in a skilled nursing facility treats an 82-year-old patient rehabilitating from a fractured tibia. The patient’s daughter mentions that she is concerned that her mother may be developing Alzheimer’s since upon arriving yesterday morning the mother has been extremely confused and at first did not even recognize her. The daughter indicates that the mother seems equally...