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

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Stephanie is evaluating a patient 8 weeks after sustaining a displaced radial head fracture following a fall onto an outstretched hand. The patient reports persistent lateral elbow pain, difficulty actively extending the wrist and fingers, and weakness when gripping objects. Which of the following examination findings is LEAST likely?

A) 5/5 elbow extension manual muscle test

B) Limited forearm supination range of motion

C) Diminished finger extension passive range of motion

D) Decreased power grip strength

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Jeff is a 78-year-old patient recovering from a right CVA. The patient requires moderate assistance for transfers and bed mobility. During therapy, frequent vital sign monitoring is necessary due to ongoing cardiac instability. The patient is now able to tolerate approximately 75 minutes of therapy each day; however, they live alone in a two-story home. Which of the following is the MOST appropriate discharge setting?

A) Inpatient rehabilitation facility

B) Skilled nursing facility

C) Home with home health physical therapy

D) Long-term acute care hospital

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Chimezie is performing an initial examination of a patient with type 2 diabetes mellitus. The patient’s most recent hemoglobin A1C is 6.7%. During inspection of the right foot, the therapist observes a small ulcer on the plantar surface beneath the fifth metatarsal head. The patient reports progressively limiting walking activities because of discomfort in the involved foot. Which of the following examination procedures is MOST important for the therapist to perform?

A) Measure the patient’s maximum ambulation distance

B) Inspect the medial ankle for additional ulceration

C) Test protective sensation using a 10-g monofilament

D) Measure capillary blood glucose before continuing the examination

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