Question 1

Orthopnea is defined BEST by which of the following statements?

Accepted Answer

Orthopnea is defined as difficulty breathing in postures other than erect.

Question 2

When reviewing the medical record of a patient,the date of the event is deemed significant for which of the following reasons?

Accepted Answer

The date of the event is significant because it determines the acuteness of the situation.

Question 3

Wheezes are described by which of the following auscultated sounds?

Accepted Answer

Wheezes are continuous adventitious lung sounds with a constant pitch and varying duration.They are most frequently heard on exhalation and are associated with airway obstruction.

Question 4

Which of the following symptoms should be considered a cardiac symptom until cardiac dysfunction is ruled out?

Accepted Answer

Classically,any discomfort above the waist such as chest pain,tightness or pressure,shortness of breath,palpitations,indigestion,and burning should be considered a cardiac symptom unless cardiac dysfunction has been ruled out.

Question 5

Which of the following techniques during lung sound auscultation is considered an error in technique?

Accepted Answer

Auscultating over areas of the chest wall that are accessible by convenience is an error and the clinician should assist the patient into the proper positions or roll a comatose patient to the side-lying position with assistance.Listening to lung sounds over clothing or thick chest hair is considered an error.

Question 6

The effectiveness of a cough is assessed by using which of the following factors?

Accepted Answer

The strength of the patient's cough needs to be assessed,as well as the production of any secretions from the cough.Several characteristics of the cough are essential to evaluate,including the effectiveness of the cough (strength,depth,and length of cough).

Question 7

Which of the following medical tests BEST provides the clinician with information on the status of coronary anatomy?

Accepted Answer

Cardiac catheterization,which is an invasive diagnostic procedure,provides information about the anatomy of the coronary arteries and can provide a dynamic assessment of the cardiac muscle.

Question 8

When a physical therapist determines the impact of a condition on function at the level of the system and the patient subsequently classifying the patient within a specific practice pattern or cluster of the dysfunctions identified,this is BEST described by which of the following elements of patient management?

Accepted Answer

Diagnosis is determining the impact of a condition on the functional level of the system and the level of the individual.The diagnosis classifies a patient within a specific practice pattern and indicates the primary dysfunctions to guide the therapist toward interventions.

Question 9

The optimal position for auscultation of the lung sounds is which of the following?

Accepted Answer

For auscultation of the lung sounds,the optimal position is for the patient to be sitting to permit auscultation of the entire lung space,including both the anterior and posterior chest wall.

Question 10

The completion of a patient history,systems review,and appropriate tests and measures to gather data during a patient's first visit is BEST termed which of the elements of patient management?

Accepted Answer

Examination of the patient is a comprehensive screening of history and a systems review as well as specific tests and measures to collect data on the patient.

Question 11

Which of the following clinical signs is MOST indicative of early congestive heart failure,specifically right-sided or cor pulmonale?

Accepted Answer

Jugular venous distention is said to be present if the veins distend above the level of the clavicles.It is an indication of increased volume in the venous system and may be an early sign of right-sided heart failure (cor pulmonale).

Question 12

Which of the following factors contribute MOST to the poorer quality of a portable anteroposterior (AP)chest radiograph?

Accepted Answer

The patient's inability to perform a maximal inspiration and inability to get into an appropriate upright position contribute to a poorer AP chest radiograph.

Question 13

Which of the following reasons BEST describes the importance of understanding or having knowledge of specific surgical procedures and chest wall anatomy?

Accepted Answer

An understanding of specific surgical procedures as well as knowledge of the anatomy of the chest wall is integral to the chart review process.Knowledge of the approach or procedure may be helpful in defining the physical therapy diagnosis and extent of the problem and in identifying limitations or precautions to any therapeutic procedures being planned.

Question 14

Which of the following general appearances BEST indicates the presence of low oxygenation and perfusion in the periphery?

Accepted Answer

Skin tone may indicate the general level of oxygenation and perfusion of the periphery.An individual who has a general cyanotic look (bluish color most noticeably at the lips and fingernail beds)may have a low PaO₂ and may be in need of supplemental oxygen.

Question 15

Which of the following clinical symptoms is MOST indicative of angina chest discomfort?

Accepted Answer

Angina discomfort is associated with relief from nitroglycerin 30 seconds to 1 minute,comes on at the same heart rate and blood pressure,and is relieved with rest,is not reproduced with palpation,is associated with feelings of doom,shortness of breath,and cold sweats,and is often seen with ST-segment depression.

Question 16

A history gathered by a physical therapist should include the determination of major risk factors for heart disease.Which of the following statements identifies the importance of determining these risk factors?

Accepted Answer

An awareness of the patient's risk factors enables the therapist to develop realistic goals for the patient's long-term treatment,to identify other rehabilitation team members to whom the patient should be referred,to discuss a plan for prevention,and,most important,to decide on precautions to and monitoring of increased activity,depending on the risk for heart disease.

Question 17

Which of the following activities completed by a physical therapist is considered a test/measure beyond a systems review?

Accepted Answer

Collection of vital signs,checking for the presence of edema,and observing skin color and integrity are all parts of the systems review for cardiovascular/pulmonary and integumentary.Palpation of the chest wall is moving forward with the examination beyond systems review and performing a test/measure for chest wall evaluation.

Question 18

A breathing pattern characterized by increasing then decreasing depth with a period of apnea interspersed that is a somewhat regular rhythm typically in critically ill patients is BEST termed which of the following breathing patterns?

Accepted Answer

Cheyne-Stokes (periodic)breathing is characterized by increasing then decreasing depth with a period of apnea interspersed that is somewhat regular rhythm typically in critically ill patients.

Question 19

A patient is determined to have a low PaO₂,but >60 mm Hg on room air at the beginning of a physical therapy session.Which of the following actions should be implemented by the physical therapist regarding exercise during that same session?

Accepted Answer

Any patient with a resting PaO₂ of <60 mm Hg on room air or a low PaO₂ on oxygen percentage saturation of <90% should be considered for supplemental oxygen.If a patient has a low PaO₂ but one not below 60 mm Hg on room air or a low PaO₂ on oxygen,the patient may require supplemental oxygen with exercise to prevent hypoxemia during exercise.

Question 20

Which of the following actions done by the physical therapists enhances trust and rapport with that patient during the initial evaluation session?

Accepted Answer

Knowledge of the patient's medical history following a thorough review of the medical chart arms the clinician with adequate information to avoid repetition of history questions asked by other rehabilitation team members and builds trust and respect with the patient.The clinician demonstrates respect and concern by taking the time to understand the medical history details driving the referral.

Quiz 16: Examination and Assessment Procedures