PCM Practice Exam 3
PCM Practice Exam 3
Test your knowledge and skills with this comprehensive PCM Practice Exam 3! Designed for students and professionals alike, this quiz covers essential concepts in patient care management.
Features:
- 31 challenging questions
- Multiple choice and text-based formats
- Covers topics from documentation to anatomy
Which of the following is not a purpose of documentation?
Reimbursement
To evaluate the quality of the care
To provide the pt information when requested
To provide a legal record of the services provided
This type of note is written with results of re-examination and changes to the prognosis or plan of care
Initial note
Daily note
Progress note
Discharge note
This component of the note links activity and participation limitations to impairments of body structure and function.
Evaluation
Diagnosis
Prognosis
Plan of care
You receive MD orders to perform PROM for your pt s/p TKA BID. What is this telling you to do?
Have them move both knees independently
PT ranges their knee twice daily
PT ranges both knees
Have the pt range their knee twice daily
You are seeing a pt in your outpatient clinic s/p femoral fx with ORIF. You read on their script that they are on FWB precautions š (line over top 's') assistive device. How do you educate them on this?
Tell the pt they can only bear partial weight and they need to use an assistive device
Tell the pt they can bear full weight and they need to use an assistive device
Tell the pt they can only bear partial weight and they do not need to use an assistive device
Tell the pt they can bear full weight and they do not need to use an assistive device
You are seeing a pt ĝ TKA in an inpatient facility, as they have other comorbidities. MD orders require OOB ADL training and amb. What do you do with the pt?
After their knee replacement, you have them perform supine exercises in their room to work on ADLs
After their knee replacement, you have them perform standing exercises that are functionally tailored to ADLs and gait
Before their knee replacement, you have them walk and do functional standing exercises in the therapy gym
Before their knee replacement, you have them perform perform supine exercises in their room to work on ADLs
You look at your caseload for the morning and see you are treating a pt ĝ ("line" over 'c') B transferal amputations. What might you fit them for?
HKAFO
AFO
WC
ORIF
You are treating a pt with a feeding and swallowing disorder in a skilled nursing facility. MD orders state npo. Following exercise, which of the following is the best response?
Give the pt water with thickening agent upon request
Give the pt a snack, as their blood glucose levels are low (they have type II diabetes)
Tell the pt you cannot give them anything and will contact the nurse
Tell the pt they can head to the cafeteria to get a drink and lunch
Which of the following need to be included when correcting an error in documentation? Select all that apply.
Initials
Date/time
Error
Double line
When taking verbal orders from an MD, you should write ...
The MD's name only
The MD and your name
Your name only
The pt's name, your name, and the MD's name
A systems review should include which of the following? Check all that apply.
O2 saturation
Integumentary review
Subjective history
Communication, affect, cognition
Write a dx for this pt with the following impairments: R hamstrings 3/5, R gastrocnemius 2+/5, talocrural ROM 2 deg R/12 deg L, glute max 3/5 R, limited endurance with 6MWT, independent/asymmetrical/slow STS, limited gait speed with 10MWT, unable to ascend/descend stairs without rail, difficulty with household chores and activities, can't golf and get together with friends often
Write a px for the same pt, with the following environmental and personal factors: negative outlook, low previous activity, poor commitment to improvement, progressive nature of MS, and a supportive family.
A goal needs to include all of the following except:
What the person will do
How the PT will help the person achieve the goal
The circumstances under which the behavior must be completed
Distinguishing features of successful performance
Which of the following is this goal missing? "The patient will walk with a quad cane"
Degree
Condition
Behavior
Audience
Write a goal for a pt to improve their Timed Up and Go score to 12 seconds - make sure you include WHY for function!
Which part of the SOAP note is this statement from: Pt demonstrated decreased weight bearing on R LE, which improved with verbal cueing. Lack of WB likely due to lack of proprioception of R LE.
Subjective
Objective
Assessment
Plan
What are the landmarks for tarsal inversion ROM? Check all that apply?
Anterior of ankle @ midpoint between malleoli
Anterior midline of lower leg aligned with tibial tuberosity
Dorsal midline of 1st metatarsal
Anterior midline of 2nd metatarsal
What is the normal ROM for big toe MTP extension?
0-70 deg
0-45 deg
0-50
0-65
Your pt performs 18 repetitions of a calf raise with the knee extended. What MMT grade do you assign?
3+/5
3/5
4/5
4+/5
Where should you palpate the fibularis longus for an MMT?
Posterior to medial malleolus
Lateral to tibial crest
Medial to tibial crest
Lateral surface of distal leg over fibula
Where should you resist for tib posterior MMT?
Top and outside aspect of foot pushing into inversion and DF
Top and medial aspect of foot into DF and eversion
Top and outside aspect of foot pushing into inversion and PF
Top and medial aspect of foot into PF and eversion
When your pt has their foot rotated medially which muscles are you testing? Check all that apply
Semimembranosus
Medial gastrocnemius
Semitendinosus
Biceps femoris
What is the stationary arm for knee flexion/extension?
Lateral epicondyle
Lateral midline of femur aligned with greater trochanter
Midline of the fibula aligned with fibular head and lateral malleolus
Tibial tuberosity
What is the correct position to test knee extension ROM?
Prone with towel under ankle
Supine with towel under knee
Supine with towel under ankle
Sidelying with pillow in between leg
What is the correct ROM for hip adduction?
0-40
0-45
0-20
0-10
What is the correct position to test the TFL?
Sidelying hip extension with ER
Sidelying hip flexion with IR
Sidelying hip neutral
Sidelying hip flexion
What is the correct resistance for glute med MMT?
Down and back into ADD and slight extension
Down and forward into adduction and flexion
Down and back into ABD and slight extension
Down and forward into ABD and slight flexion
What is the correct resistance and positioning of the PT for obturators, gamallae, piriformis, and quadrates femoris MMT?
PT stands in front of table and resists into IR
PT stands in front of table and resists into ER
PT stands outside of test LE and resists into IR
PT stands outside of test LE and resists into ER
When doing a Thomas Test on your pt, their LE does not reach the plinth. You have them extend their knee and do the test again, and their LE still does not reach the plinth. They cannot be moved with overpressure. What muscle is short?
Rectus femoris
Iliopsoas
Rectus femoris and iliopsoas
Biceps femoris and iliopsoas
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