Clin Skills Final

Your patient is a 45-year-old female with a recent flare-up of Multiple Sclerosis (neurologic pathology) and she is finding it hard to transfer. While her legs are weak, she can bear some weight through them with assistance. Her arm control is good and she is motivated to maintain her functional ability. Based on the transfer algorithm, which is the best transfer for you to teach her?

Which of the following describes appropriate standard precautions for an individual who is not critically ill or immunocompromised:

Which of the following is likely to be a portal of exit in the cycle of infection transmission?

Which of the following is correct regarding the fitting of a patient with axillary crutches?

When positioning the feet for a stand pivot transfer to the right, the patient's right foot is positioned:

A 4-point gait pattern would be as much as possible (AMAP) and as normal as possible (ANAP) and safe for which of the following patient cases:

Jane's physician wants her to only put about ⅓ of her body weight on her right leg as she just underwent a right hip pinning following a fracture from falling. What term represents this amount of weight bearing?

Fred was involved in a motorcycle accident where he fractured his left calcaneus (heel) and suffered a mild brain injury. He needs to be TTWB on this foot but during your exam, you determine that he has poor balance. Which assistive gait device would offer the MOST support to begin ambulating for this patient?

Your patient needs to get up and out of bed so that he can participate in therapy. When he rolls onto his left side, he finds it hard to push himself into sitting. What is the best way for you to provide physical assistance to help him?

Infection transmitted through shared toys that have not been cleaned between uses is an example of

Which of the following is a step in typical donning and doffing of personal protective equipment?

Which of the following statements about obtaining an accurate heart rate is TRUE?

A person with a pulse that is thready and not easily felt would have a pulse score of:

Which of the following is MOST appropriate when repositioning a patient who slid down toward the foot of the bed?

Your patient is a 22-year-old male with a spinal cord injury resulting in paraplegia. He is unable to actively move his legs but does have strong arms with adequate trunk control. Based on the transfer algorithm, which is the best transfer for you to teach him?

Mr. M is a 60-year old patient who had a right total hip replacement surgery 1 day ago. He is currently complaining of intense pain in his right hip and is feeling a little nauseated and dizzy. Prior to surgery, he was active and played tennis 3 times a week. He works as a lawyer in downtown Minneapolis, and lives in a 2 level home with bedroom and bathroom upstairs. The physician has said that the patient is TTWB on the right. For Mr. M above, where should his wife stand to assist Mr. M in safely ascending the stairs?

In what phase of gait does the heel rocker occur?

Which of the following best describes the positioning of the arms during supine scooting in bed?

When does the second double limb support start?

You begin to exercise a patient with a resting heart rate (HR) of 87 bpm and a blood pressure (BP) of 121/74 mmHg on a treadmill at a rate of perceived exertion of 11 (corresponds to "fairly light" exertion). Which of the following responses to exercise would be considered normal?

Which gait factor is most important in allowing someone to keep walking independently?

Which of the following describes the MOST appropriate clinician hand placement during assisted rolling?

Which of the following statements about obtaining a standard, accurate blood pressure is TRUE?

According to the update by the American Heart Association (AHA), which of the following blood pressure readings would be considered hypertensive?

At what part of the gait cycle is the hip extended?

You are going to lift your adult patient using a dependent two-person lift. Which of the following is part of the process to execute this lift?

Your patient is a 66-year-old male with Diabetes who cannot feel his feet. He is able to fully bear weight through his legs and has good use of his hands. In addition, he is eager to learn how to transfer safely so that he can return home. Based on the transfer algorithm, which is the best transfer for you to teach him?

What terminology for assistance would you use for a patient who walked with a cane and needed only 25% of your assistance?

When is it advisable for the clinician to use hand washing rather than the application of a hand sanitizer?

A patient with a respiratory rate greater than _________ breaths/min at rest is not appropriate for therapy intervention.

Which of the following is true of standard precautions?

All of the following are examples of how isolation may impact individuals EXCEPT:

Which of the following is the capsular pattern of restriction for the elbow?

You are measuring your patient's knee range of motion. According to AMA:

You are working with Mr. R who had bilateral tibial fractures 8 weeks ago after a motor vehicle collision and was confined to a wheelchair for 6 weeks during recovery. You note that he is tight in his bilateral hip flexors, which will impair his gait. You are working towards full hip extension range of motion using stretching exercises. Which of the following would be considered full hip extension range of motion according to the AMA?

Mr. M is a 60-year old patient who had a right total hip replacement surgery 1 day ago. He is currently complaining of intense pain in his right hip. Prior to surgery, he was active and played tennis 3 times a week. He works as a lawyer in downtown Minneapolis, and lives in a 2 level home with bedroom and bathroom upstairs. The physician has said that the patient is TTWB on the right. For Mr. M above, which of the following assistive device progressions would be the BEST and SAFEST assistive gait device choice beginning on the first PT visit until his discharge home 4 days later?

You are working in a long-term acute care facility, and you receive orders from the physician to do passive range of motion exercises with Mrs. C, a patient who is recovering from shoulder surgery. You complete your evaluation and begin to do the prescribed motions with her shoulder. She immediately tightens up when you start the motion and reports a sharp pain over her middle deltoid. You should:

Your patient's goal is to be able to put his dishes away in the overhead cabinets. In order to meet this goal, they will likely need at least _____________ degrees of shoulder flexion?

Mr. Q presents to PT after spraining his left ankle. Significant swelling and pain limits his dorsiflexion to 5 degrees. Based on AMA standards, what can you expect his dorsiflexion to be on the unaffected side?

You are conducting a research study on normal values of UE ROM of the shoulder, elbow, wrist, and hand. Which joint motion would you expect to have the largest normal ROM according to the AMA?

Rising from a chair requires __________ degrees of knee flexion.

Mr. B is a baseball player at the local college. He has experienced greater laxity with his throwing arm into external rotation. What would you expect the non-throwing arm ROM to be for external rotation according to the AMA:

Which of the following assistive devices would provide ambulation support for a 70- year old patient who has experienced a stroke and has mild-moderate weakness (& no grip strength) in the left upper and lower extremities?

A gait dysfunction characterized by severe hyperextension of the knee in stance is referred to as ___________________.

Which of the following abnormal gait patterns use a lateral trunk lean on stance phase as a compensation?

Which of the following would be a contraindication to end-range range of motion testing?

While standing, your patient is struggling to get her right lower extremity into the driver's seat of her car due to right lower extremity weakness. You consider the task and determine that working on which of the following lower extremity PNF patterns would MOST closely represent the functional problem she is having?

A gait dysfunction that is unsteady and characterized by wide base of support and uncoordinated steps is referred to as _______________ gait

You notice upon screening your patient's hip range of motion that internal rotation on the right appears to be limited. According to AMA, what would you expect their internal rotation to be normally?

Which of the following describes a method to improve the inter-rater reliability of goniometric measurements?

Your patient has cerebral palsy with spasticity in the left upper and lower extremity. Your assessment shows the patient has a plantarflexion contracture, as goniometry reveals dorsiflexion lacking 20 degrees. When you ask the patient to use a heel strike on initial contact, placing the left foot fully on the ground causes ________ at loading response.

Which of the following pathologies of the involved limb would make it appear longer and require an abnormal gait pattern to clear the involved leg on swing phase?

Which of the following normally has a firm end feel?

You are performing passive range of motion on your patient's right lower extremity and notice an unwanted change in muscle tone during the motion in the right extremity. You should:

You are writing up a PROM program for your patient in ICU. Your goal is to maintain ROM of both upper and lower extremities while your patient is in an induced coma. What is a good guideline to give for this type of program?

When taking a goniometric measurement, the primary reason for placing a towel roll under the testing arm during shoulder internal or external rotation is to:

Your patient who was diagnosed with cervical whiplash secondary to a motor vehicle accident. You took c-spine AROM measurements with a goniometer. Which of the following would you consider an ABNORMAL result?

Overpressure at the end of a ROM is helpful to fully assess the joint capsule. However, overpressure is MOST likely contraindicated in which scenario?

You are working with an 85 year old patient who has a history of osteoarthritis and is having hip pain and balance impairments. After measuring her hip range of motion, you suspect she has capsular involvement. Which of the following would most suggest a capsular pattern of the hip?

When measuring dorsiflexion range of motion, the distal arm should be:

Your patient hurt his back when raking leaves last week. During your assessment, you palpate severe muscle spasms in the lumbar paraspinal muscles. You notice the patient hurts more with thoracolumbar flexion and it appears limited compared to normal. As you measure spine range of motion using a tape measure, which result demonstrates a finding consistent with your observation?

Your patient sustained a crush injury that affected the deep peroneal nerve on the right leg and resulted in paralysis of the right tibialis anterior. What type of abnormal gait pattern will allow this patient to advance the right leg during swing phase?

Ms. R is a 73 y/o woman with a dx of Parkinson's Disease.She used to walk 5 blocks independently without an assistive device. Currently, she is easily fatigued and her gait pattern shows difficulty with initiation and shuffling steps that begin slow and get quicker and shorter until she freezes. Based on the above patient description, what would be the best choice of an assistive device?

Which of the following is true with regards to MMT and 2 joint muscles

In a Break Test, the PT tries to:

T or F: A make test is more reliable than a break test

An Active Resistance test is:

When grading a muscle test, a grade 2 is typically:

T or F: Function is not directly correlated to grade of a MMT

Prime mover of Scapular Adduction and downward rotation

T or F: the prime mover for shoulder IR is Infraspinatus

What are all of the prime movers of hip ER

What core concept of the therapeutic alliance does the scenario describe: Our patient's goal is to attend a church with 8 steps. Steps are hard but you prioritize it.

What core concept of the therapeutic alliance does the scenario describe: A child insists "I do it." You allow the child to do a few attempts B/4 assisting.

A patient needs transfers but wants to walk. You combine ideas & walk between various chairs. What TA concept fits best?

Last visit your patient needed mod A. Today, the patient seems stronger & you use min A. What TA concept fits best?

Which of the following does NOT contribute to total pain

Which of the following in not a common negative bias

Which of the following is an example of diminishing vs empowering words

Which of the following is NOT a sign of critically judging

What is an example of ambiguous loss that is physical presence with psychological absence

Safety, comfort, and prevention are all objectives of

T or F: When focusing on spinal alignment in side lying there is no need for placement of towels or pillows

Which of the following is a sign for increased susceptibility of pressure ulcers

To reduce cardiopulmonary complications you can lie your patient in:

T or F: to reduce edema you should position distal extremities at or above the level of the heart

Which of the following is not a restriction of THA in positioning

You walk into the room with your patient in a short term position on their side and notice the shoulder is protracted. What is the patient most at risk for?

Which of the following is not a common site for contractures

Which of the following is not a strategy for reducing contractures

When does a tie down for fall prevention become a restraint

Which of the following is not a reason why draping is important to the TA