PCM Lecture Exam 1

A healthcare professional assessing a patient's vital signs in a clinical setting, surrounded by anatomical charts and medical equipment, bright and engaging colors

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

43 Questions11 MinutesCreated by CheckingHeart217

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.

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

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 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?

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?

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?

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?

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?

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

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PCM Lecture Exam 1

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