Question 1

Tendon and muscle strains in individuals who are abusing anabolic androgenic steroids (AAS) will&#10;A) Heal sooner than normal&#10;B) Take longer than normal to heal&#10;C) Heal only with addition of glucocorticoids&#10;D) Respond to conservative physical therapy

Accepted Answer

Tendon and muscle strains are common with clients who abuse AAS and will take longer to heal. Injuries that take longer than the expected physiologic time to heal are an important red flag. Delayed healing occurs because the soft tissues are working under the added strain of extra body mass.

Question 2

Which of the following visceral structures has the most nerve endings?&#10;A) Heart&#10;B) Pericardium&#10;C) Lungs&#10;D) Stomach

Accepted Answer

There are few nerve endings in the visceral pleurae (lining of the various organs) such as the heart or lungs. The exception to this statement is in the area of the pericardium, which is adjacent to the diaphragm.

Question 3

Cardiac pain radiating down the arm is most likely to follow the distribution of what nerve?&#10;A) Cutaneous&#10;B) Median&#10;C) Ulnar&#10;D) Radial

Accepted Answer

Cardiac-related pain down the arm affects the left arm most often in a pattern of the ulnar nerve distribution.

Question 4

Cocaine abuse has a profound effect on which chamber of the heart?&#10;A) Left atrium&#10;B) Left ventricle&#10;C) Right atrium&#10;D) Right ventricle

Accepted Answer

Cocaine dilated cardiomyopathy, angina, and left ventricular dysfunction are all associated with cocaine use.

Question 5

Which of the following is not a characteristic of unstable angina?&#10;A) Trunk rotation/side bending reduces symptoms.&#10;B) Pain occurs without exertion.&#10;C) Pain lasts longer than 10 minutes.&#10;D) Pain is not relieved by nitroglycerin.

Accepted Answer

If a client's angina-like symptoms are alleviated with range of motion, then there is likely no cardiac involvement. The other choices are typical of unstable angina.

Question 6

Chest pain of musculoskeletal origin is usually felt when?&#10;A) With increased activity&#10;B) 5-10 minutes after the activity begins&#10;C) 10-15 minutes after the activity begins&#10;D) 15-20 minutes after the activity begins

Accepted Answer

Chest pain associated with increased activity is a red flag for possible cardiovascular involvement. In such cases the onset of pain is not immediate but rather occurs 5 to 10 minutes after the activity begins. Chest pain from a musculoskeletal origin will occur immediately with the use of the chest wall musculature. A patient with vascular compromise will feel pain 5 to 10 minutes after the activity begins.

Question 7

What type of chest pain is commonly encountered in physical therapy practice?&#10;A) Referred&#10;B) Visceral&#10;C) Deep somatic/parietal&#10;D) Cutaneous

Accepted Answer

Parietal chest pain is the most common systemic chest discomfort encountered in a physical therapy practice. Parietal pain refers to pain generating from the wall of any cavity such as the chest or pelvic cavity.

Question 8

Lesions of the upper esophagus are likely to radiate pain to what anatomic location?&#10;A) Anterior neck&#10;B) Xiphoid process&#10;C) Middle ribs&#10;D) Thoracic spine

Accepted Answer

Lesions of the upper esophagus may cause pain in the anterior neck, whereas lesions of the lower esophagus are more likely to be characterized by pain originating from the xiphoid process, radiating around the thorax to the middle of the back.

Question 9

Which of the following client presentations would lead the therapist to believe that the patient does not have cardiac complaints?&#10;A) A patient who has chest pain relieved by standing&#10;B) Pain that radiates to the left shoulder&#10;C) Pain that radiates to both shoulders&#10;D) Pain that increases with exertion

Accepted Answer

Certain chest pain patterns are more likely to point to a medical rather than musculoskeletal cause. For example, pain that is positional or relieved by palpation is not as suspicious as pain that radiates to one or both shoulders or arms or that is precipitated by exertion.

Question 10

Hypotension with which of the following disorders will produce a reduction of coronary blood flow and the production of angina-like symptoms?&#10;A) Cirrhosis&#10;B) Gallstones&#10;C) Pancreatitis&#10;D) Cholecystitis

Accepted Answer

Hypotension occurring with pancreatitis produces a reduction of coronary blood flow with the production of angina pectoris symptoms.

Question 11

Which of the following is an uncommon sign of advanced breast cancer?&#10;A) Pain&#10;B) Edema&#10;C) Tender breasts&#10;D) Axillary mass

Accepted Answer

The answer of Which of the following is an uncommon...

Question 12

Referred pain from a trigger point in what muscle can cause a sensation of heartburn in the anterior chest wall?&#10;A) Intercostals&#10;B) Rectus abdominis&#10;C) Internal oblique&#10;D) External oblique

Accepted Answer

The answer of Referred pain from a trigger point in...

Question 13

Most breast pain is the result of&#10;A) Cancerous tumors&#10;B) Benign tumors&#10;C) Fibroid mass&#10;D) Monthly hormonal fluctuations

Accepted Answer

The answer of Most breast pain is the result of&#10;A)...

Question 14

Which of the following is not a common symptom associated with metastasis to the pulmonary system?&#10;A) Pleural pain&#10;B) Dyspnea&#10;C) Hyperventilation&#10;D) Persistent cough

Accepted Answer

The answer of Which of the following is not a...

Question 15

The risk of breast cancer in a woman is linked to her lifelong exposure to what hormone?&#10;A) Parathyroid hormone&#10;B) Estrogen&#10;C) Testosterone&#10;D) Cortisol

Accepted Answer

The answer of The risk of breast cancer in a...

Deck 17: Screening the Chest, Breasts, and Ribs