Scorebuilders Q&A

A patient status post right transfemoral amputation is prescribed a standard wheelchair with recommendation for posterior rear wheel axle placement. What is the result of this positioning? 

1. Decreased wheelchair rear stability
2. Decreased wheelchair rolling resistance
3. Decreased turning radius
4. Decreased ease of performing wheelies

Watch the video version of this episode on YouTube - https://youtu.be/FfRviGBbeD4

A physical therapist orders a wheelchair with anti-tip tubes for a patient in preparation for discharge from a rehabilitation hospital. A patient with which of the following conditions would benefit the MOST from this option?

1. Guillain-Barre syndrome
2. C5 tetraplegia 
3. Stroke with hemiparesis
4. Amyotrophic lateral sclerosis

Watch the video version of this episode on YouTube - https://youtu.be/M4lVSR6bwC8

A physical therapist prepares to assist a patient with a sliding board transfer from a wheelchair to a bed. Which of the following directions would be MOST appropriate when directing the patient to perform the sliding board transfer?

1. Adjust the bed height so it is four inches lower than the wheelchair seat
2. Position the wheelchair so that it is at a slight angle to the bed 
3. Remove both armrests from the wheelchair before positioning the transfer board
4. Leave the elbows bent slightly as you move the body laterally on the transfer board

Watch the video version of this episode here - https://youtu.be/XTdca0QK6Ug

A patient with atrial flutter suddenly becomes extremely lightheaded while exercising and appears to lose consciousness. Which of the following physiologic responses BEST explains the change in the patient’s status? 

1. Increased filling of the ventricles
2. Increased system congestion
3. Decreased atrial depolarization
4. Decreased blood traveling to the brain

Watch the video version of this episode on YouTube - https://youtu.be/eXsure_4i_I

A patient is treated for low back pain with unilateral lower extremity radiculopathy. The MRI report indicates the patient’s condition is caused by a moderate L3 disk herniation. Which of the following special tests would be MOST likely to recreate the patient’s symptoms?

1. Straight leg raise test
2. Prone knee bending test
3. Slump test
4. Crossed straight leg raise test

Watch the video version of this episode on YouTube - https://youtu.be/8OJwWPY7CZY

A physical therapist working in a high school setting has an athlete come into the treatment room complaining of a headache, fever, and a painful neck. The therapist positions the athlete in supine and flexes the hip to 90 degrees. When the therapist attempts to extend the knee in this position, the patient complains of significant pain. Which finding is MOST consistent with this scenario? 

1. Positive Kernig’s sign
2. Negative Kernig’s sign
3. Positive Brudzinski’s sign
4. Negative Brudzinski’s sign

Watch the video version of this episode on YouTube - https://youtu.be/oVobgOqAKiA

What is the MOST appropriate form of education to facilitate a safe discharge? 

1. Perform hands-on training sessions with the patient and family members 
2. Videotape the patient performing transfers and activities of daily living 
3. Provide written instructions on all activities of daily living and functional tasks 
4. Meet with family members to discuss the patient’s present status and abilities 

Watch the video version of this episode on YouTube - https://youtu.be/cVCbOK1vLhk

A physical therapist works with a patient on proprioceptive and balance activities due to a history of recent falls. The patient informs the therapist that they have recently been diagnosed with optic neuritis. Which of the following medical conditions is MOST likely associated with the patient’s diagnosis?

1. Parkinson's disease
2. Guillain-Barre syndrome
3. Myasthenia gravis
4. Multiple sclerosis

Watch the video version of this episode on YouTube - https://youtu.be/rYX0wwlWXZg 

A physical therapist attempts to explain to a patient how electrical stimulation can help decrease the perception of pain. Which of the following descriptions would be used to explain the gate control theory of pain?

1. The threshold for stimulating peripheral nociceptors is decreased.
2. The threshold for stimulating peripheral nociceptors is increased.
3. Nociceptive signals are inhibited by stimulating non-nociceptive sensory nerves.
4. Nociceptive signals are inhibited when endorphins bind to opiate receptors.

Watch the video version of this episode on YouTube - https://youtu.be/Y9vu9uRMLQA

A patient being treated for low back pain with bilateral radiating thigh pain has been seen in physical therapy for six weeks. The patient notes a lack of improvement and feels their symptoms may be worsening. Which of the following new symptom complaints would be the MOST concerning?

1. Sensory disturbance along the posterior thighs
2. Pain radiating to the thoracic spine
3. Inability to fully empty the bladder
4. Weight gain of 5% of body weight

Watch the video version of this episode on YouTube - https://youtu.be/0RUB9kdqgJU