Jason is referred to physical therapy for gradually progressive bilateral hand pain and stiffness. The patient reports that the hands feel stiff for approximately 15 minutes after waking and becomes increasingly painful after prolonged gripping and household activities. Examination reveals firm enlargement of several interphalangeal joints and decreased motion of the first carpometacarpal joints bilaterally. There is no significant warmth or swelling of the metacarpophalangeal joints.

Which of the following additional findings would be MOST likely in this patient?

A) Ulnar drift of the digits at the metacarpophalangeal joints

B) Swan-neck deformity involving hyperextension of the PIP joints

C) Heberden nodes involving the distal interphalangeal joints

D) Boutonnière deformity involving flexion of the PIP joints

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Brian presents with chronic heart failure and is referred to physical therapy for aerobic conditioning. The patient has a history of hypertension and has a resting heart rate of 102 bpm. The medical record indicates that the patient takes a medication that decreases cardiac workload by reducing preload through increased renal excretion of sodium and water. Which of the following medications is MOST likely prescribed?

A) Lisinopril

B) Metoprolol

C) Furosemide

D) Nitroglycerin

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Priyanshi is a 68-year-old female referred to physical therapy for gradually increasing right forefoot pain and difficulty walking longer distances. During gait assessment, the physical therapist observes decreased push-off on the right during terminal stance and pre-swing. Examination reveals the following findings:

* Right first metatarsophalangeal joint extension PROM: 40°

* Right ankle dorsiflexion PROM: 10°

* Right ankle plantar flexor strength: 4/5

* Right quadriceps strength: 3+/5

* Right gluteus maximus strength: 3+/5

Which of the following interventions would be MOST appropriate to address the impairment primarily contributing to the observed gait deviation?

A) Progressive resisted strengthening of the right plantar flexors

B) Progressive resisted strengthening of the right gluteus maximus

C) Joint mobilization to improve extension of the right first metatarsophalangeal joint

D) Progressive resisted strengthening of the right quadriceps

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Ashley is preparing to perform a symptom-limited graded exercise test to determine functional exercise capacity and help develop an aerobic exercise prescription. Which of the following patients is the MOST appropriate candidate for this type of testing?

A) A patient with stable coronary artery disease who reports predictable substernal discomfort during prolonged uphill walking

B) A patient with acute pericarditis who reports chest discomfort at rest

C) A patient with suspected acute pulmonary embolism who developed sudden dyspnea earlier in the day

D) A patient with unstable angina who has experienced increasingly frequent chest pain during minimal activity

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Zoe is preparing to ambulate a patient hospitalized with hepatitis B. The patient is medically stable and has no open wounds, active bleeding, or uncontrolled drainage. Which of the following precautions is MOST appropriate during gait training?

A) Wear gloves and a gown throughout the treatment session because the infection can be transmitted through direct contact

B) Wear gloves only when contact with blood or other potentially infectious body fluids is anticipated

C) Wear a surgical mask when treating the patient within 3 feet (0.9 m)

D) Wear an N95 respirator and perform treatment in a negative-pressure room

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Getsemani examines a patient with a Stage 4 pressure injury over the sacrum. The therapist inserts a sterile cotton-tipped applicator beneath the intact wound edge. The applicator advances 2.4 cm toward the patient’s head while remaining immediately beneath the skin. Which of the following is the MOST appropriate documentation of this finding?

A) Tunneling of 2.4 cm at 12 o’clock

B) Undermining of 2.4 cm at 12 o’clock

C) Maceration extending 2.4 cm at 12 o’clock

D) Induration extending 2.4 cm at 12 o’clock

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Stassi is administering neuromuscular electrical stimulation (NMES) to improve quadriceps strength following knee surgery. The patient reports that the stimulation feels uncomfortable as the current is delivered. Stassi would like to maintain a strong therapeutic muscle contraction while making the treatment more comfortable for the patient. Which of the following stimulation parameters should be adjusted?

A) Amplitude

B) Pulse rate (frequency)

C) Pulse duration

D) Ramp down time

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Inez is receiving physical therapy in the acute cardiac unit following an acute coronary event. During treatment, the physical therapist observes a new telemetry change characterized by progressive PR interval lengthening followed by a dropped QRS complex. The patient denies any new symptoms. What is the MOST appropriate action by the physical therapist?

A) Continue treatment because this is an expected finding following an acute coronary event.

B) Continue treatment after increasing supplemental oxygen while monitoring telemetry.

C) Hold treatment and notify the physician regarding the new telemetry findings.

D) Terminate treatment and activate the emergency response team immediately.

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Anisa is being treated in an inpatient rehabilitation facility following a traumatic brain injury (TBI). The physical therapist has been training the patient to ambulate using a two-point gait pattern with a single-point cane. Anisa consistently performs the gait pattern correctly in a quiet hallway without verbal cueing. Which of the following is the BEST strategy to improve long-term retention and carryover of this skill?

A) Open environment with randomized practice

B) Closed environment with serial practice

C) Open environment with serial practice

D) Closed environment with blocked practice

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Tasnuva is referred to physical therapy for progressively worsening right knee pain. The patient reports symptoms that have gradually increased over the past year and are aggravated by prolonged walking. Observation reveals right coxa vara and significant genu valgum during standing. Which of the following structures is MOST likely contributing to the patient’s symptoms?

A) Anterior cruciate ligament

B) Gluteus medius tendon

C) Medial meniscus

D) Lateral meniscus

Text our team the word COACH for a free diagnostic: (727) 732-4573