PCM Lecture Exam 1
PCM Lecture Exam 1
Welcome to the PCM Lecture Exam 1 quiz, designed to test your knowledge of vital signs, core stability, lifting techniques, and more! This comprehensive quiz consists of 43 carefully curated questions aimed at assessing your understanding in a variety of healthcare-related topics.
Take the challenge and see how you score! Key features include:
- Multiple choice and checkbox questions
- Assessment of significant physiological concepts
- Insights on patient care and safety measures
Select all of the following that are considered vital signs.
Pulse
Reflexes
Body Temperature
Blood Pressure
Respiratory Rate
Vital signs are ESPECIALLY important for all of the following populations except:
Very young children
Toddlers
Elderly
Individuals who are deconditioned or debilitated
A pulse which is irregular can be defined as:
Even beats, good force
Even beats, poor force
Strong and weak beats noted
Weak force with each beat and irregular
You are working with a patient on their cardiovascular endurance and you take their pulse before exercise. Your findings show their pulse as 120bpm. Which of the following would you use to describe this pulse?
Tachycardia
Bradycardia
Hypotensive
Hypertensive
You are working with a 90 year old patient and notice that after the second round of the circuit you are doing with them, their oxygen saturation is 88% and it was 95% prior to beginning the circuit. Is the response normal or abnormal?
Normal
Abnormal
Depends on the patient
At the beginning of the PT session, you take your patient's blood pressure and it is 120/80. After their session, you take their blood pressure again and notice it is now 123/90.
The systolic pressure increased too much, which is abnormal.
The systolic and diastolic pressure increased too much and is abnormal.
The diastolic pressure increased too much and is abnormal.
The systolic and diastolic pressure increased a normal amount.
A patient should rest at least ___ minutes before taking their blood pressure.
5 minutes
10 minutes
1 minute
2 minutes
You take the heart rate, respiratory rate, and blood pressure of your 65 year old patient just prior to exercising for 20 minutes on the treadmill. Immediately after exercise, you take these values again. What do you expect?
HR increases, RR decreases, BP decreases
HR decreases, RR increases, BP decreases
HR decreases, RR decreases, BP decreases
HR increases, RR increases, BP increases
Select all of the PRIMARY muscles involved in core stability.
Rectus abdominis
Transverse abdominis
Quadratus lumborum
Multifidus
Which of the following provides a high amount of stability?
High COG, Wide BOS
Low COG, Wide BOS
Low COG, Narrow BOS
High COG, Narrow BOS
Falls occur when the line of gravity falls ______ the base of support.
Outside
Inside
Laterally to
Posteriorly to
This type of lifting technique is good for individuals with short stature and limited UE strength to lift items such as a laundry basket from the floor.
Power Lift
Golfer's Lift
Half Kneeling Lift
Stoop Lift
The difference between a power lift and a deep squat/traditional lift is:
The position of the trunk and the base of support
The position of the hips relative to the knee and the position of the feet in relation to the object
The weight of the object
The person's strength level
Which of the following movements is in the frontal plane?
Elbow flexion/extension
Cervical rotation
Ankle dorsiflexion/plantarflexion
Hip abduction/adduction
If you are internally or externally rotating your shoulder, what AXIS is your upper extremity moving around?
Anterior/posterior
Medial/lateral
Transverse
Vertical
This type of range of motion is defined as "the arc of motion produced by the individual's muscle contraction assisted by an external force"
ROM
AROM
AAROM
PROM
You are assessing the ROM of your patient's shoulder and prior to 180 degrees they report pain. You have not felt any capsular or muscular resistance. What would you name this end feel?
Firm
Abnormal
Hard
Empty
Your patient reports pain with resistance and the end feel is firm. Based on that, which of the following is correct?
The patient should not be stretched.
Gentle stretching is permitted.
Your patient reports pain with active elbow extension and passive elbow flexion. What type of structure is likely involved?
A muscle like the triceps
A muscle like the biceps
The elbow joint
The nerves around the elbow
When being exposed to a patient who places you at risk to contact body fluid, especially blood, what should you wear?
Sterile gloves
Non-sterile gloves
An N-95 respirator
Goggles
This type of TBP is defined as "infections agents are transferred by small particles that remain infectious when suspended in the air."
Contact
Droplet
Airborne
Fecal
You are treating a patient who you know has pertussis. What PPE do you need to use? Select all of the following that apply.
Mask
Gown
Gloves
Goggles
You are treating a patient with staphylococcus aureus. Select all of the following precautions that need to be taken.
Wash hands before entering room and with antiseptic soap when leaving
PPE: gloves, gown, mask
Private room
Dedicated equipment that is left in the room
You are working with a patient who has been diagnosed with COVID-19. Select all of the following precautions that need to be taken.
Wash hands before entering room and with antiseptic soap when leaving
PPE: N-95 respirator, gown
Private, airborne infection isolation room, door remains closed
Patient wears surgical mask when leaving room
You are treating a patient who cannot move independently. How often do they need to be repositioned?
Every 2 hours
Every 4 hours
5 times per day
Once in the morning and once at night
All of the following are areas of pressure in supine EXCEPT:
Shoulder
Elbow
Toes
Calf
All of the following are areas of pressure in prone EXCEPT
Chest
ASIS
Reproductive Organs
Chin
All of the following are proposes of draping EXCEPT
Protect the area to be assessed/treated
Modesty
Maintain comfortable body temp
Protect the skin &/or clothing from damage
Upper and lower quarter screens should be performed when? Check all of the following that apply.
A patient's diagnosis isn't clear
Referred pain is suspected
The patient has cervical or lumbar pain
The patient has neurological signs
When testing your patient's deep tendon reflexes, they have a very brisk response. Assuming this is their "baseline," what would you grade that?
1+
2+
3+
4+
Goniometry has been shown to have higher intra tester reliability than inter tester reliability. What does this mean?
Measurements between people are more accurate than measurements done by one person.
Measurements of different people are more accurate.
Goniometric measurements can be trusted and used
Measurements between people are less accurate than measurements done by the same person.
You are testing your patient's shoulder flexion strength. They are able to perform the motion in the full available range in a gravity minimized position with slight resistance. What grade would you assign that?
2-
2+
3-
2
You are testing your patient's knee extension strength. They are able to perform the movement in the full available range against gravity with moderate resistance. What grade would you assign?
4
4-
4+
5
You are testing your patient's hip abduction strength. They are able to move through less than 50% of the ROM in a gravity minimized position, but cannot perform the movement with any resistance. Upon palpation, you feel a slight muscle contraction. What grade would you assign?
0
1
2-
2
When documenting MMT, you should include all of the following EXCEPT
L or R
Name of the muscle
Grade/scale
The appearance of the muscle in a static position (atrophy, hypertrophy, etc.)
You are testing the strength of your patient's R tricep. You determine that they cannot extend their elbow against gravity. What position should you put them in to complete an MMT?
Supine
Prone
Seated with their arm abducted to 90 degrees and resting on the plinth
Sidling with the PT supporting the medial surface of their arm
When testing the infraspinatus and teres minor as a group, which direction are you providing resistance in?
Inferiorly and into shoulder extension
Superiorly and into shoulder flexion
External Rotation
Internal Rotation
You determine you need to test your patient's pec major muscle length, but you need to figure out which segment is limiting them. You choose to test the sternocostal portion first. At what angle are you positioning the arm?
In 120 degrees of abduction
In 90 degrees of abduction
In 50 degrees of abduction
In neutral
What is the MOST SIGNIFICANT difference between performing an MMT for the biceps and performing an MMT for the brachialis?
The amount of elbow flexion
The amount of shoulder flexion
The forearm is in supination for the brachialis
The forearm is in pronation for the brachialis
You are performing an upper quarter screen and when testing the lateral forearm and palmar tip of the thumb, your patient reports it feels different from right to left. What dermatomal distribution is affected?
C5
C6
C7
C8
When testing your patient's myotomes, you note that the motions for the C7 myotome are weakened compared from right to left. What motions are affected? Check all that apply.
Wrist flexion
Wrist extension
Elbow flexion
Elbow extension
What is the normal range of motion for shoulder internal rotation?
0 - 60 degrees
0 - 90 degrees
0 - 100 degrees
0 - 70 degrees
What is the normal range of motion for supination?
0 - 80 degrees
0 - 90 degrees
0 - 100 degrees
0 - 70 degrees
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