Teniah was admitted to the acute care hospital with community-acquired pneumonia. She reports shortness of breath and fatigue. Auscultation reveals decreased breath sounds in the right lower lobe, and SpO₂ drops from 95% to 88% with exertion. Resting vital signs: HR 92 bpm, BP 142/86 mmHg, RR 22 breaths per minute. Which finding requires the MOST immediate communication with the medical team?

A) Decreased breath sounds in the right lower lobe

B) Blood pressure of 142/86 mmHg

C) Resting respiratory rate of 22 breaths per minute

D) Oxygen desaturation to 88% with exertion

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Jamie presents with stage 3 Parkinson’s disease and marked presbycusis and reports frequent freezing episodes during ambulation. She demonstrates a reduced step length and minimal arm swing. Her goal is to improve safety and mobility. Which intervention is MOST appropriate to address the patient’s freezing episodes?

A) Dynamic balance training

B) Rhythmic auditory cueing

C) External visual cues

D) Strengthening postural muscles

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Travasia is 4 weeks post-supraspinatus repair. She reports mild soreness but no significant pain. Examination reveals limited passive shoulder elevation beyond 90° due to stiffness and marked restriction in active range of motion. Which intervention is MOST appropriate at this stage?

A) Resisted external rotation with a resistance band

B) Active-assisted range of motion for shoulder flexion

C) Pendulum exercises for shoulder mobility

D) Isometric strengthening of the supraspinatus

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Narek reports progressive gait difficulties, including frequent tripping and reduced foot clearance during swing phase. Which examination is MOST appropriate to evaluate the primary cause of his impairments?

A) Neurological assessment of the deep common peroneal nerve

B) Assessment of proprioception in the lower extremities

C) Passive motion of the ankle into plantarflexion

D) Skin assessment on the bottom of the heel

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Talar is a diabetic patient that presents with a chronic foot ulcer that has not healed despite standard care. The ulcer is clean, but the tissue around the wound is swollen and warm, and there is noticeable erythema. What is the MOST likely underlying cause of this condition?

A) Poor wound dressing technique

B) Venous insufficiency Infection

C) Necrotic tissue

D) Infection

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Jamie is a 68 year old male with a history of hypertension presents with dizziness, palpitations, and shortness of breath. An ECG reveals a regular rhythm at 110 bpm with narrow QRS complexes and absent P waves. What is the MOST likely diagnosis?

A) Atrial fibrillation

B) Paroxysmal supraventricular tachycardia (PSVT)

C) Ventricular tachycardia

D) Sinus tachycardia

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Hamza is 3 weeks post-stroke and presents with right-sided hemiparesis. He is able to sit unsupported but struggles to stand and has difficulty walking without assistance. His Brunnstrom stage is III for the right upper extremity and II for the right lower extremity. Which of the following interventions would be most appropriate for this patient to improve his functional mobility and independence?

A) Facilitate weight-bearing on the right lower extremity using assistive devices

B) Move the patient's right lower extremity through PNF patterns

C) Use body-weight-supported treadmill training (BWSTT)

D) Initiate fine motor activities for the right hand to improve hand dexterity

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Milani presents with anterior shoulder pain and reports difficulty with overhead activities. The patient describes intermittent clicking and discomfort with forward reaching. On examination, the therapist observes a positive Speed’s test, normal strength in external rotation, and no pain with passive shoulder elevation. Which of the following is the MOST likely diagnosis?

A. Bankart lesion

B. Subacromial bursitis

C. Biceps tendinopathy

D. Rotator cuff tendinopathy

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Jeremy is performing a neurological evaluation. The therapist notes repeated falls in quiet standing with a suspected forward anticipatory balance impairment. Which of the following tests is MOST likely to reveal this specific impairment?

A) Functional Reach Test

B) Romberg Test

C) Sensory Organization Test

D) Standing in tandem with eyes closed

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A 45-year-old female presents to physical therapy with complaints of persistent fatigue, and unexplained weight loss. Upon examination, the therapist notes tachycardia, low blood pressure episodes, and excessive sweating. Which of the following is the MOST likely diagnosis?

A) Graves Disease

B) Cor Pulmonale

C) Hypoglycemia

D) Adrenocortical hyperplasia

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