Scorebuilders Q&A

A patient is referred to physical therapy with a diagnosis of right thoracic outlet syndrome. The physical therapist identifies that the patient’s symptoms are being caused by entrapment at the subcoracoid space. Which of the following activities would MOST likely exacerbate the patient’s symptoms?

1. Reaching overhead to change a light bulb
2. Reaching over to wash the left armpit
3. Looking upward to shave the neck 
4. Looking downward while reading a book

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

A physical therapist utilizes the McMurray test to confirm a suspected medial meniscus tear. Which of the following measures of validity would be the MOST useful for ruling in the diagnosis?

1. Sensitivity of 80%
2. Sensitivity of 20%
3. Specificity of 80%
4.  Specificity of 20%

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A physical therapist in an outpatient cardiac rehabilitation program is instructing a patient in proper lifting technique. Which recommendation would be the MOST helpful to assist the patient to avoid the Valsalva maneuver?

1. Inhale during the lifting (concentric phase) and exhale during the lowering (eccentric phase)
2. Exhale during the lifting (concentric phase) and inhale during the lowering (eccentric phase)
3. Inhale during both the lifting (concentric phase) and lowering (eccentric phase)
4. Exhale during both the lifting (concentric phase) and lowering (eccentric phase)

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A patient is referred to physical therapy with a diagnosis of lumbar degenerative disk disease. The physical therapist theorizes that the sacroiliac joint may be the true source of the patient’s symptoms. Which test should be included in the examination when trying to confirm a diagnosis of sacroiliac joint dysfunction?

1.  Slump test
2.  Standing flexion test
3.  Leg length test
4.  Thigh thrust test

Watch the video version of this episode on YouTube - https://youtu.be/-FmTa6-78KA

A patient is treated for adhesive capsulitis in an outpatient physical therapy clinic. Which of the following patients would be MOST at risk for this diagnosis?

1.  50-year-old female with hypothyroidism
2.  60-year-old male with a T8 spinal cord injury
3.  70-year-old female with Ehlers-Danlos syndrome
4.  80-year-old male with acromioclavicular joint osteoarthritis

Watch the video version of this episode on YouTube - https://youtu.be/i_O_JJN8TMg

A physical therapist reviews a patient’s past medical history which includes a fracture of the os peroneum. Which scenario is most consistent with the clinical presentation of this pathology?

1. Lateral foot pain and weakness in eversion and plantar flexion
2. Anterior ankle pain and swelling with difficulty walking
3. Pain originating in the midfoot radiating to the toe region
4. Pain and tenderness in the ball of the foot and great toe

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

A physical therapist observes a patient utilize the suspensory strategy to control balance. Which descriptive component of balance would be MOST impacted by the described balance strategy?

1. Line of gravity
2. Center of mass
3. Base of support
4. Limits of stability

Watch the video version of this episode on YouTube - https://youtu.be/RKNg9ko9630

A physical therapist instructs a patient with osteoporosis in a generalized strengthening program. Based on the patient’s diagnosis, which of the following medications would MOST likely be included in the patient’s medication list? 

1. Esomeprazole (Nexium)
2. Methotrexate (Rheumatrex)
3. Metformin (Riomet)
4. Ibandronate (Boniva)

Watch the video version of this episode on YouTube - https://youtu.be/SJkA3wbpRww

A physical therapist performs circumferential measurements on a four-year-old child and notes edema in both lower extremities. Based on the clinical presentation, which diagnosis would be MOST likely?

1. Lymphadenitis
2. Deep vein thrombosis
3. Milroy’s disease
4. Wilson’s disease

Watch the video version of this episode on YouTube - https://youtu.be/0dMyr1UVlTo

A physical therapist works with a patient with hemiparesis who uses a hemiplegic chair for mobility. Which activity would become more challenging for the patient based on this specific type of wheelchair?

1. Reaching for objects outside the base of support
2. Standing up from the seat of the chair
3. Performing independent pressure relief
4. Elevating the legs for edema management

Watch the video version of this episode on YouTube – https://youtu.be/_d_BMGgEWkU