Question 1

Which one of the following BEST describes the FIRST step that a physical therapist should take when integrating best evidence into clinical practice?&#10;A)Identify current best evidence on the most successful interventions for the patient's diagnosis.&#10;B)Mine the available data and critically appraise the evidence for its validity,level of evidence,and applicability.&#10;C)Integrate the best evidence into clinical decision making after discussing it with the patient.&#10;D)Identify a clinically relevant question that is important for the patient.

Accepted Answer

The first step in integrating best evidence into clinical practice is to identify a clinically relevant question that is important for the patient. This will guide the search for relevant evidence and help ensure that the evidence is applicable to the patient's specific situation. Once a question has been identified, the therapist can move on to mining and critically appraising the available evidence, integrating it into clinical decision making, and discussing it with the patient.

Question 2

If a clinical diagnostic test for patients with cervical radiculopathy is positive in 95% of patients who truly have the disease,but it is also positive in a large number of healthy individuals,what is this test most useful for?

A)Ruling out cervical radiculopathy
B)Ruling in cervical radiculopathy
C)Neither ruling in nor ruling out cervical radiculopathy
D)Both ruling in and ruling out cervical radiculopathy

A

Accepted Answer

The test has high sensitivity (95%), making it useful for ruling out the disease when the test is negative. However, its low specificity (positive in healthy individuals) limits its ability to rule in the disease.

Question 3

Which one of the following disability standardized instruments is MOST specific for a patient recovering from a stroke?&#10;A)Functional Independence Measure&#10;B)Fugl-Meyer Assessment of Physical Performance&#10;C)Short Form-36&#10;D)Berg Balance Scale

Accepted Answer

The Fugl-Meyer Assessment of Physical Performance is specifically designed to assess motor impairment and recovery in patients recovering from a stroke. It includes evaluations of motor function, sensation, balance, joint range of motion, and joint pain. The other options (Functional Independence Measure, Short Form-36, and Berg Balance Scale) are not specifically designed for assessment of stroke patients.

Question 4

What is the MOST appropriate classification of patient impairments that are the result of inactivity and expanding multisystem dysfunction following a stroke?&#10;A)Direct impairments&#10;B)Indirect impairments&#10;C)Composite impairments&#10;D)Comprehensive impairments

Accepted Answer

Inactivity and expanding multisystem dysfunction following a stroke would result in indirect impairments. These impairments are the result of secondary effects of the stroke, such as disuse atrophy, unloading of the cardiovascular system, and the effects of medications used to treat the stroke. Direct impairments, on the other hand, are the immediate consequences of the stroke itself, such as hemiparesis or aphasia. Composite impairments refer to a combination of both direct and indirect impairments, while comprehensive impairments refer to a wide range of impairments that affect multiple systems and functions.

Question 5

Which of the following questions is designed to assess capacity for functional activities and participation when interviewing a patient who suffered a stroke?&#10;A)How much of a problem do you have in walking long distances?&#10;B)Is the problem of walking made worse or better by use of an assistive device?&#10;C)How much difficulty do you have walking a quarter of a mile?&#10;D)How much of a problem do you have going up and down stairs?

Accepted Answer

The answer of Which of the following questions is designed...

Question 6

Which one of the following statements BEST describes the difference between measurement and diagnosis?&#10;A)Measurement describes phenomena in terms that can be analyzed numerically,whereas diagnosis is the process that labels patients and classifies their illnesses,leading to the determination of prognoses.&#10;B)Diagnosis describes phenomena in terms that can be analyzed numerically,whereas measurement is the process that labels patients and classifies their illnesses,leading to the determination of prognoses.&#10;C)Diagnosis and measurement are part of the same process,and the terms can be used interchangeably.&#10;D)Measurement requires the use of SOAP notes,whereas diagnosis is facilitated exclusively through the physical therapy guide.

Accepted Answer

Measurement involves quantifying and describing phenomena in numerical terms, whereas diagnosis involves identifying and classifying a patient's illness based on symptoms and clinical evaluations. Diagnosis leads to the determination of prognoses, which is not necessarily related to measurement. While measurement may provide valuable information that can aid in diagnosis, the two concepts are distinct. Option B is incorrect as diagnosis does not necessarily involve numerical analysis. Option C is incorrect as they are not interchangeable terms. Option D is incorrect as SOAP notes are a commonly used documentation method in healthcare, but not essential for measurement.

Deck 1: Clinical Decision Making