Deck 2: Interviewing as a Screening Tool

Question 1

In children younger than 18 months old, fractures of which bones are more likely to be associated with abuse rather than accidental trauma?

A) Femur
B) Humerus
C) Ribs
D) Metacarpals

Answer 1

C
In the pediatric population, fractures of the ribs, tibia/fibula, radius/ulna, and the clavicle are more likely to be associated with abuse than with accidental trauma especially in children younger than 18 months old. In the group older than 18 months, a rib fracture is highly suspicious of abuse.

Question 2

Which of the following is not a sign of withdrawal from excessive alcohol consumption?

A) Insomnia
B) Agitation
C) Loss of appetite
D) Dry skin

Answer 2

D
Symptoms of autonomic hyperactivity may include excessive perspiration, insomnia, general restlessness, agitation, and loss of appetite. Mental confusion, disorientation, and acute fear and anxiety can occur.

Question 3

Which of the following groups is most likely to exhibit osteoporosis?

A) White women
B) White men
C) African-American women
D) African-American men

Answer 3

A
White women have the highest per capita rate of osteoporosis.

Question 4

What is the single most important tool in screening for medical disease?

A) Radiographic testing
B) Special orthopedic testing
C) The client interview
D) Systems review

Question 5

Which of the following is a side effect of local injection of corticosteroids?

A) Liver damage
B) Kidney damage
C) Impaired cardiovascular function
D) Accelerated joint destruction

Question 6

What is the last life cycle of a woman?

A) Reproductive years
B) Perimenopause
C) Menopausal
D) Postmenopausal

Question 7

The therapist begins an evaluation in a patient who is indicating he or she is taking psychotropic medications. What physical symptoms should the therapist look for during the evaluation?

A) Postural orthostatic hypotension
B) Dry skin
C) Hypertension
D) Poor memory recall

Question 8

There are several signs that might give a clue to the therapist that a client is functionally illiterate. Which of the following is not one of these signs?

A) Misspelled words
B) Not completing intake forms
C) Identifying pills by looking at the pill rather than naming the medication from the label
D) Circling "yes" through all questions on a personal history form

Question 9

Which of the following is not a side effect of long-term use of steroids?

A) Excessive sweating
B) Increased pain thresholds
C) Tissue edema
D) Proximal muscle weakness

Question 10

Which of the following is a quick three-question screening tool for domestic abuse?

A) Woman Abuse Screening Tool (WAST)
B) Composite Abuse Scale (CAS)
C) Index of spouse abuse
D) Partner Violence Screen (PVS)

Question 11

What is the most common primary risk factor for disease, illness, and comorbidities?

A) Gender
B) Age
C) Smoking
D) Diabetes

Question 12

What communication technique should a physical therapist use when beginning a client interview?

A) Open-ended questions
B) Closed-ended questions
C) Funnel sequence or technique
D) Paraphrasing

Question 13

Which of the following is not a sign or symptom of eating disorders?

A) Weight loss
B) Inability to tolerate heat
C) Dry skin and hair
D) Bradycardia

Question 14

Alcohol falls under which of the following categories of abused substances?

A) Depressants
B) Stimulants
C) Opiates
D) Hallucinogens

Question 15

What vital sign does Dr. James Cyriax recommend all therapists take in any client with back pain of unknown origin?

A) Heart rate
B) Temperature
C) Blood pressure
D) Respiration rate