Scorebuilders Q&A

A physical therapist is reviewing the treatment plan for a patient newly diagnosed with stage II lymphedema of the right upper extremity. Which of the following BEST describes the primary treatment goal for this patient?

Option 1- Elevate the limb on pillows while sleeping and apply ice to reduce swelling
Option 2- Initiate intensive manual lymphatic drainage and compression bandaging
Option 3- Apply compression garments during exercise only, removing them when at rest
Option 4- Refer for surgery since the patient will not respond to conservative treatment

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A physical therapist is educating a patient with lower extremity lymphedema on proper skin and nail care as part of their home management program. Which of the following instructions is MOST appropriate to include in this patient's education?

Option 1- Soak the foot in hot water daily to soften the skin and improve circulation
Option 2- Cut toenails straight across and file any sharp edges to prevent skin trauma
Option 3- Use a pumice stone on areas of thickened skin to reduce buildup
Option 4- Apply a high pH lotion to the limb daily to keep the skin moisturized

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A physical therapist is treating a patient with upper extremity lymphedema following a mastectomy. When performing manual lymphatic drainage, which of the following BEST describes the correct sequence for initiating treatment?

Option 1 - Begin at the distal part of the limb before clearing the trunk
Option 2 - Begin at the trunk before clearing the distal part of the limb
Option 3 - Apply deep strokes along the entire length of the limb toward the lymph nodes
Option 4 - Begin at the midpoint of the limb and work in both directions simultaneously

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A patient has been diagnosed with osteoporosis in their spine and their femurs. They have been cleared by their physician for physical therapy and are eager to begin exercising. Which exercise should be AVOIDED in the patient's therapy program?

Option 1- Prone press-ups performed through a full range of spinal extension
Option 2- Jogging on a treadmill with a moderate incline
Option 3- Bodyweight squats with the trunk in an upright position
Option 4- Sit-ups performed through a full range of spinal flexion

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A patient with type 2 diabetes reports lightheadedness upon standing from the plinth during a therapy session. Their resting heart rate is also noted to be abnormally high. Which rationale BEST explains these findings? 

Option 1- The patient's symptoms are due to poor circulation from peripheral artery disease 
Option 2- The patient's symptoms are due to an inner ear dysfunction, a common complication of diabetes 
Option 3- These are signs of autonomic neuropathy, which can impair cardiovascular responses 
Option 4- These findings are a normal response to standing and are not clinically significant in diabetic patients

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A patient presents to physical therapy with a DEXA scan result showing a T-score of -2.8 at the lumbar spine. Which classification would be MOST appropriate for this patient based on the T-score?

Option 1- Normal bone density

Option 2- Osteopenia

Option 3- Osteoporosis

Option 4- Osteomalacia

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A patient with type 2 diabetes on insulin becomes pale, shaky, and confused during a gait training session. What is the MOST appropriate immediate action for the therapist to take?

Option 1- Stop the session, have the patient rest, and resume once symptoms resolve

Option 2- Stop the session and provide a fast-acting carbohydrate

Option 3- Stop the session immediately and call 911

Option 4- Stop the session, document the incident, and reschedule for another day

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During an evaluation, a physical therapist performs the elbow flexion test to reproduce a patient's upper extremity symptoms. Which of the following BEST explains the mechanism behind this test? 

Option 1- Compression of the ulnar nerve within the cubital tunnel 
Option 2- Compression of the median nerve as it passes through the pronator teres 
Option 3- Ischemic compression of the radial artery reducing blood flow to the forearm 
Option 4- Stretching of the posterior interosseous nerve beneath the supinator 

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A physical therapist performs the carpal compression test (Durkan's test) on a patient who complains of pain and paresthesia in their hand. The purpose of this test is to compress which of the following structures?

Option 1- Median nerve
Option 2- Radial artery
Option 3- Ulnar nerve
Option 4- Ulnar artery

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A physical therapist is performing Tinel's sign to assess for tarsal tunnel syndrome. Where should the therapist tap to provoke symptoms when performing this test?

Option 1- Over the anterior ankle joint line between the tibia and talus

Option 2- Posterior to the medial malleolus

Option 3- Over the dorsum of the foot near the base of the first metatarsal

Option 4- Posterior to the lateral malleolus

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