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Medical-Surgical Physical Therapy Exam Solutions - 681 Verified Questions

Page 1


Chapter 16: Examination and Assessment Procedures

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Q1) The effectiveness of a cough is assessed by using which of the following factors?

A)The strength of the cough

B)The depth of the cough

C)The length of the cough

D)All of the above

Q2) A patient with chronic obstructive lung disease who appears to have a barrel chest will have which of the following signs on examination of the chest area?

A)Rib angles of <90 degrees

B)A diminished diaphragm excursion measured by percussion

C)The presence of stronger,louder sounds heard during auscultation

D)The presence of normal muscle activity of the respiratory accessory muscles

Q3) Which of the following general appearances BEST indicates the presence of low oxygenation and perfusion in the periphery?

A)The patient is leaning forward on the knees or some object to breathe.

B)The patient is using accessory muscles around neck and shoulders to breathe.

C)The patient has noticeable bluish color at the lips and fingernail beds.

D)The patient is resting in a semi-Fowler's position and is not able to tolerate lying flat.

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Page 18

Chapter 17: Interventions for Acute Cardiopulmonary Conditions

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Q1) Which of the following breathing exercises would BEST facilitate air flow into poorly ventilated areas?

A)Pursed-lip breathing

B)Paced breathing

C)Inspiratory hold technique

D)Diaphragmatic controlled breathing

Q2) A patient presents 2 weeks post an embolic stroke and aspiration pneumonia.She is lethargic and does not appear to follow commands consistently.Which of the following breathing techniques would BEST improve the patient's overall ventilation to lung areas on the hemiparetic side?

A)Upper chest inhibiting technique

B)Counter rotation

C)Scoop technique

D)Unilateral costal expansion

Q3) The technique of airway suctioning is effective in removing secretions from all of the lungs areas including the small airways.

A)True

B)False

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Chapter 18: Interventions and Prevention Measures for

Individuals With Cardiovascular Disease, or Risk of Disease

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Q1) Which of the following programs potentially has the MOST impact on physical work capacity of a patient with coronary artery disease?

A)Home-based cardiac rehabilitation

B)No program;patient follows hospital discharge instructions

C)Supervised Phase II cardiac rehabilitation program

D)Traditional outpatient physical therapy clinic

Q2) Overall,the goals of an inpatient cardiac rehabilitation program for a patient post-myocardial infarction include which of the following?

A)Assess patient safety during performance of activities anticipated in the home setting.

B)Increase patient knowledge of the disease and management of the disease.

C)Deliver optimal discharge instructions specific to a patient as a member of a cohesive team.

D)All of the above.

Q3) Patients with low functional capacity are generally not good candidates for cardiac rehabilitation due to failure to make reasonable progress.

A)True

B)False

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Chapter 19: Pulmonary Rehabilitation

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Q1) A patient with moderate lung disease would be anticipated to demonstrate which of the following ventilatory responses to exercise?

A)Patient will become short of breath with usual daily activities and walking pace of 3 to 4 METs.

B)Patient will have shortness of breath only with relatively heavy exercise.

C)Patient will be restricted by symptoms of shortness of breath during most daily activities.

D)Patient may require intermittent or continuous oxygen with activity.

Q2) Incorporating a cool-down period into the exercise session is necessary to produce which of the following physiological changes?

A)Increased ventilation

B)Increased blood flow to the muscles

C)Maintenance of elevated blood pressure

D)Reduce risk of bronchospasm

Q3) Pulmonary function test data are exclusively used when determining a patient candidacy for pulmonary rehabilitation.

A)True

B)False

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Chapter 20: Pediatric Cardiopulmonary Physical Therapy

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Q1) Which of the following is considered an acyanotic cardiac defect?

A)Tetralogy of Fallot

B)Pulmonary atresia

C)Atrial septal defects

D)Truncus arteriosus

Q2) Which of the following sleeping positions for an infant was advocated by the National Institute of Child Health and Human Development (NICHD)in response to the incidence of sudden infant death syndrome?

A)Infant should sleep on his or her side with a towel roll support.

B)Infant should sleep prone.

C)Infant should sleep supine.

D)All of the above.

Q3) A fetus will not survive if born during which of the following periods of lung maturation?

A)Pseudoglandular period

B)Canalicular period

C)Terminal saccular period

D)Alveolar period

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Chapter 21: The Lymphatic System

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Q1) Which of the following conditions related to poor functioning of the lymphatic system

MOST likely contributes to the risk for atherosclerosis?

A)Filtration of lipoproteins is increased.

B)Risk of oxidative damage is greater.

C)Risk of lipoprotein entrapment is decreased.

D)Diminished time arterial intima is exposed lipoproteins.

Q2) Which of the following interventions distinguishes phase I complete decongestive therapy from phase II?

A)Compression using bandages first then transitioning to a compression garment

B)Exercise in bandages

C)Meticulous skin care

D)Manual lymph drainage

Q3) Which of the following conditions is a contraindication for compression bandaging?

A)Cellulitis

B)Arterial disease of the leg;ankle-brachial index,0.8

C)Malignancy

D)Uncontrolled bronchial asthma

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Chapter 22: Outcome Measures:a Guide for the Evidence

Based Practice of Cardiopulmonary Physical Therapy

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Q1) The gold standard for measurement of functional exercise capacity is which of the following outcome measures?

A)6-minute walk test

B)Modified shuttle test

C)Oxygen consumption test

D)200-meter walk test

Q2) The amount of change a clinician needs to see in an outcome measurement to determine if true clinical change has been attained refers to which of the following terms?

A)Minimally clinically important difference

B)Minimal detectable change

C)Sensitivity

D)Reliability

Q3) Which of the following test characteristics results in the modified shuttle walk test having a greater cardiovascular response on a patient as compared to the 6-minute walk test?

A)Self-paced test.

B)Incremental and progressive exercise.

C)More encouragement is provided.

D)Ascending and descending steps are included.

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