PCM Lecture Exam 2 Practice Questions

A vibrant and informative illustration depicting a physical therapist working with a patient in a clinical setting, featuring anatomical structures, rehabilitation tools, and visual representations of patient assessment techniques.

PCM Lecture Exam 2 Practice Quiz

Test your knowledge and understanding of the concepts related to patient/client management in physical therapy with this engaging quiz. Whether you're preparing for exams or simply want to reinforce your learning, this quiz offers a comprehensive range of questions that assess critical thinking and application of the ICF and Nagi models.

Key Features:

41 multiple-choice questions covering various topics
Designed for students and professionals in physical therapy
Immediate feedback on answers for effective learning

41 Questions10 MinutesCreated by AssessingKnowledge7

What is the purpose of a re-examination?

To see how the patient feels they are doing

To know if you are treating the correct injury

To determine a diagnosis and prognosis to write goals for the episode of care

To determine if progress is being made &/or if the intervention plan needs to be modified

You have a patient who comes to see you direct access in an outpatient orthopedic clinic. They have back pain and you need to do an examination to figure out where their pain is coming from/why they might be in pain. During your musculoskeletal systems review, which test would you NOT perform?

Lumbar flexion ROM

Gross ROM

Gross strength

Gross symmetry

Which of the following elements of patient/client management explains the relationship of body structures and functions, activity limitations, and participation restrictions as a summary of deficits?

Examination

Evaluation

History

Diagnosis

What is missing from this PT diagnosis? "Pt presents with R hip flexor weakness, R hip extensor weakness, and R knee extensor weakness. These result in poor standing balance, difficulty ascending and descending stairs, and difficulty standing from a seated position. " (think ICF model)

Participation restrictions

Activity limitations

Body structure/function impairments

Nothing

A plan of care should include which of the following? Check all that apply.

Duration of interventions

Goals

Specific interventions

Frequency of interventions

A patient comes to you with shoulder pain and dysfunction, causing them to be unable to do their job as a contractor. Which of the following is an example of an intervention you might do with them?

Shoulder ROM

Manual therapy

Shoulder Musculature MMT

Functional outcome measures

Which of the following is the correct order for the dimensions of the Nagi model?

Impairment -> active pathology -> functional limitations -> disability

Active pathology -> impairment -> functional limitations -> disability

Disability -> active pathology -> impairment -> functional limitation

Active pathology -> impairment -> disability -> functional limitation

You are working with a patient in a skilled nursing facility who has weak quads. Which of the following would be a participation limitation for them?

Inability to complete a sit to stand

Inability to ambulate down the hall to get to bingo

Inability to stand for longer than 5 minutes

Inability to ambulate >40 feet

You are working with an older adult with knee osteoarthritis in an outpatient facility. Which of these groupings would fall under personal factors?

L knee pain and swelling

Inability to play with her grandkids

65 year old female with no prior history of injury

MVP health insurance coverage

What is one of the main overarching differences between the Nagi and ICF models?

ICF: function Nagi: ability

ICF: disability, Nagi: ability

ICF: ability, Nagi: disability

ICF: function, Nagi: disability

You are treating a 45 year old amputee who had a LE amputation secondary to cancer. Which of the following are environmental factors AND facilitators for his rehabilitation?

Full medical coverage

Lives with wife in a two story house

Has internet access

No prior history of injury, no comorbid conditions

You position your patient in prone and have their shoulder abducted to 90 degrees. Their elbow is extended and their thumb is up. What muscle are you going to be testing?

Middle trap

Lower trap

Rhomboids

Serratus anterior

When performing an examination on your patient with shoulder pain, you determine they have weak rhomboids. What motions are affected?

Scapular adduction and upward rotation

Scapular adduction and downward rotation

Scapular abduction and upward rotation

Scapular abduction and downward rotation

You test your patient's serratus anterior and notice that there is scapular winging as you provide resistance. What MMT grade will you assign?

4+/5

3+/5

3/5

4/5

In order to target the rhomboids rather than the middle traps with an MMT, the shoulder needs to be in which relative position?

Flexion

Extension

Internal rotation

External rotation

The reason the difficulty increases with an MMT when you resist more distally, especially for the scapular muscles, is because ...

You cannot provide as much force

The patient can recruit more muscles

The lever arm increases

The lever arm decreases

You are treating a patient with lateral epicondylitis (pain at the lateral epicondyle area affecting wrist extensor musculature), and when they actively extend their wrist, you measure 50 degrees. They ask you how far from normal this is so they know how much they need to increase their range of motion. You tell them:

This is normal for wrist extension

Our goal is to get you 20 more degrees of wrist extension

Our goal is to get you 30 more degrees of wrist extension

You likely will not be able to achieve more than 50 degrees of wrist extension due to your injury

When measuring wrist flexion ROM, your moving arm should be in line with

The 5th metacarpal

The hypothenar eminence

The thenar eminence

The 3rd metacarpal

When measuring ulnar deviation, the shoulder should be:

Flexed and abducted, in order to palpate the olecranon for the stationary arm

Flexed and abducted, in order to palpate the lateral epicondyle for the stationary arm

Flexed and adducted, in order to palpate the olecranon for the stationary arm

Flexed and adducted, in order to palpate the lateral epicondyle as the stationary arm

When testing the supinator and biceps brachii, the PT should resist the patient into what motion:

Pronation

Supination

Pronation and elbow extension

Supination and elbow extension

Flexor carpi radialis can be palpated:

Below the base of the 5th metacarpal

Below the base of the second metacarpal

At the medial epicondyle

At the lateral epicondyle

When testing muscle length of the wrist extensor group, the final position should be:

With the wrist flexed, elbow extended, and fingers flexed

With the wrist flexed, elbow extended, and fingers extended

With the wrist flexed, elbow extended, and fingers relaxed

With the wrist extended, elbow extended, and fingers relaxed

When measuring thumb CMC flexion, the fulcrum of the goniometer is located at:

The dorsal CMC joint

The palmar CMC joint

The ventral radial head and styloid process

The ventral midline of the 1st metacarpal

Flexor digitorum profundus can be palpated on the:

Palmar surface of the distal phalanx

Palmar surface of the MCP

Palmar surface of the middle phalanx

Palmar surface of the proximal phalanx

When performing an MMT for flexor pollicis brevis, the PT directs the patient to:

Bend your thumb across the palm of your hand

Bend the end of your thumb

Bring your thumb straight up towards the sky

Bend your whole thumb

The abductor pollicis longus muscle can be palpated at:

The base of the thenar eminence

The base of the first metacarpal

The base of the second metacarpal

The center of the thenar eminence

The abductor pollicis longus can be palpated at:

The base of the first metacarpal

The center of the thenar eminence

The center of the hypothenar eminence

The CMC joint

When performing an MMT on the flexor digitorum profundus, stabilization is provided:

At the distal phalanx

At the middle phalanx

At the proximal phalanx

At the DIP joint

When performing a muscle length test of the flexor digitorum profundus and superficial, the proper position is:

Wrist in neutral with ulnar side down and fingers relaxed at end position

Wrist in neutral with ulnar side down and fingers in full flexion at end position

Arm resting on table with wrist off table and fingers relaxed at end position

Arm resting on table with wrist off table and fingers in full extension at end position

You are treating a patient in acute care, three days post-CVA (stroke) who reports widespread, aching, pain in their body that they cannot pinpoint to a particular region. What type of pain are they most likely experiencing?

Bone

Vascular

Nerve

Muscle

You are treating a patient in an outpatient orthopedic clinic who reports occasional sharp, burning pain that shoots down her right arm after sitting at her office desk for extended periods of time. What type of pain is this most likely?

Bone

Vascular

Nerve

Muscle

Which of the following are important to understand about your patients' pain?

What is the most reliable indicator of pain?

The patient's facial expressions

A numeric rating scale (NRS)

McGill Pain Questionnaire

Self report

This pain outcome measure provides inclusive, culturally diverse representations of patients.

FACES Pain Scale

Oucher Pain Scale

Visual Analog Scale

Numeric Rating Scale

You are a home care PT, seeing a 65 year old man for physical therapy once a week. Today, when talking with him at the beginning of the session, he tells you he is experiencing shortness of breath, chest pain, and left shoulder pain. You take his blood pressure and notice that it is significantly elevated compared to his normal value. What is your course of action?

These are respiratory red flags and can be controlled with diaphragmatic breathing

These are signs of cancer and the patient should follow up with his PCP

These are neurological red flags and the patient needs an immediate referral to the PCP

These are cardiovascular red flags and the patient needs to be taken to the hospital

When performing a systems review, you decide to do a cranial nerve screen based on what the patient told you in the subjective exam. The patient has difficulty swallowing, is slurring their words, and has significantly decreased strength of the upper traps (innervated by cranial nerve 11). What do these findings mean?

Your patient is very weak and sedentary, which has affected many parts of her body.

Your patient is just older, and this is normal.

Your patient is demonstrating neurological red flags which require a referral.

Your patient is probably drunk.

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PCM Lecture Exam 2 Practice Questions

PCM Lecture Exam 2 Practice Quiz

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