Scorebuilders Q&A

A patient is asked to complete a pain questionnaire. The patient selects words such as diffuse, throbbing, and aching to describe the pain and indicates that it is difficult to localize the pain. What structure is MOST often associated with this type of pain description? 

1. Nerve root 
2. Muscle 
3. Bone 
4. Vascular 

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A patient presents with marked weakness during resisted testing of right shoulder extension and medial rotation. Which of the following nerve lesions would MOST likely produce the described impairments?

1.    Thoracodorsal nerve
2.    Suprascapular nerve
3.    Spinal accessory nerve
4.    Axillary nerve

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A physical therapist works with a patient with a transfemoral amputation on controlled fall training. The patient ambulates with a single axillary crutch. What controlled falling technique is the MOST appropriate to teach the patient in an anterior loss of balance?

1.    Pull the crutch close to the body to absorb the impact
2.    Discard the crutch and land on slightly flexed arms
3.    Turn the body to absorb the fall on the back of the trunk and legs
4.    Land on the elbows and prosthesis to absorb the impact

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A physical therapist checks the water temperature of the hot pack machine after several patients report the heat being very strong. Which of the following temperatures would be acceptable?
 
1.      64 degrees Celsius (147 degrees Fahrenheit)
2.      71 degrees Celsius (160 degrees Fahrenheit)
3.      83 degrees Celsius (181 degrees Fahrenheit)
4.      94 degrees Celsius (201 degrees Fahrenheit)

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A skilled nursing facility plans to expand a hallway to accommodate two wheelchairs passing simultaneously. In order to comply with the Americans with Disabilities Act standards, what is the required minimum width of the hallway?
 
1.      36 inches
2.      48 inches
3.      60 inches
4.      108 inches

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A patient diagnosed with schizophrenia has been taking haloperidol (Haldol) following an acute psychotic episode. The physical therapist should be alert for which of the following side effects MOST commonly associated with this medication?

1. Facial grimacing and involuntary extremity movements
2. Significant weight gain and elevated serum lipids
3. Constipation and urinary retention
4. Respiratory depression and orthostatic hypotension

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A physical therapist analyzes the gait of a child with spastic diplegia cerebral palsy in the school setting. Based on this diagnosis, which muscle group is MOST likely to be shortened?

1. Hip adductors
2. Knee extensors
3. Hip abductors
4. Ankle dorsiflexors

Watch the video version of this Q&A episode on YouTube - https://youtu.be/MW_zSbc8ajw

A physical therapist treats a patient admitted to an acute care hospital with congestive heart failure. Which medication would MOST likely be prescribed for this patient?

1. Lanoxin (digoxin)
2. Coumadin (warfarin)
3. Zocor (simvastatin)
4. Nitrostat (nitroglycerin)

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A patient with a genetically inherited neuromuscular disorder reports weakness in their hands and feet with normal strength elsewhere. The patient experiences difficulty with grasping objects and demonstrates a steppage gait pattern. This clinical presentation is MOST consistent with which of the following medical conditions?

1. Guillain-Barre syndrome
2. Charcot-Marie-Tooth disease
3. Post-polio syndrome
4. Huntington’s disease

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A physical therapist evaluates a pediatric patient using the Modified Ashworth Scale. Which condition would LEAST benefit from the use of this tool?

1. Hypotonia
2. Hyperreflexia
3. Spasticity
4. Rigidity

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