Practice Questions
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36.
B. The patient can be successfully treated by using universal precautions. The patient should be treated in a relatively isolated area because of his weakened immune system. The diagnosis of AIDS with Kaposi’s sarcoma is an indication that the patient’s immune system is weak. Gloves should be used if the patient’s sarcomas are open; otherwise, hand washing before and after patient contact is appropriate.
37.
A. A blood sugar value of 300 mg/dl is a contraindicated level for therapeutic exercise.
38.
A. I- No response. II- Generalized response III – Localized responses IV – Confused agitated. V – Confused inappropriate. VI – confused appropriate. VII – Automatic appropriate. VIII – Purposeful and appropriate.
39.
D. An ulnar nerve-compromised hand presents as a “claw” hand after a prolonged amount of time because of atrophy of the interossei. The extensor digitorum takes over and pulls the MCP in hyperextension.
40.
B. Bifid spinous processes are found only in the cervical spine.
41.
A. Local vasoconstriction is the first response. Nerve conduction velocity decreases after approximately 5 minutes of ice application.
42.
B. A lesion at choice A would cause bitemporal heteronymous hemianopsia. A lesion at choice C would cause left eye blindness, and a lesion at D would cause right eye blindness.
43.
A. A patient seriously injured in a hospital or a hospital-owned facility is a sentinel event. Other choices might be JCAHO violations but only A is a sentinel event.
44.
B. The obturator nerve innervates the adductor brevis, adductor longus, adductor magnus, obturator externus, and gracilis muscles. Choice A has no motor function. Choice C innervates the sartorius, pectineus, iliacus, and quadriceps femoris. The ilioinguinal nerve innervates the obliquus internus abdominis and transversus abdominis.
45.
B. The patient should have made adequate progress in this period with this protocol. Because of the lack of progress, the patient needs further evaluation by the physician.
46.
A. Choice A is approximately 6-7 METs. Choice B is approximately 4-6 METs. Choice C is approximately 2 METs. Choice D is approximately 3-5 METs.
47.
C. Medicare Part A is used for inpatient treatment and Part B for outpatient treatment. Medicare Part A or B can be used for home health treatment; part B being is when the patient does not have part A.
48.
C. Although sources vary widely, a child can sit unsupported usually between 4 and 8 months of age. Answers A and B are incorrect. Answer D would possibly cause the parent to worry prematurely.
49.
A. It is unethical to take gifts from anyone.
50.
D. Increased spasticity of the left gastrocnemius causes an increase in plantarflexion. Hypotonicity of the tibialis anterior causes a foot drop due to the inability to dorsiflex actively. Leg length discrepancy should be evaluated in the initial assessment. This is a possibility in any patient, regardless of the diagnosis. The least likely cause of this deficit is a hypertonic left quadriceps, which most likely would cause an increase in dorsiflexion on the involved side in an effort to decrease the functional leg length.
51.
D. The patient most likely has a rotator cuff tear. Choices A and B are incorrect because there is no need for heating modalities. Choice C is wrong because the patient has full passive range of motion; thus there is no need for stretching provided by the therapist at this point.
52.
A. A patient can obtain his or her medical records simply by signing a release form or requesting a copy. Charts and records should never be given or faxed to an attorney unless the patient has signed a release.
53.
D. A and B are the same type of study. The records of the factory are used to determine the frequency of disease. In a case-control study the people are selected based on whether or not they have a disease, then the frequency of the possible cause of the disease in the past is studied. original.file