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Phyisotherapy

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22 views

Phyisotherapy

Uploaded by

ehab.1999.assi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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1-Which of the following is most commonly associated with a systematic

exercise plan, planned performance of bodily movements, postures, and


physical activities?
A. Flexibility
B. Endurance
C. Therapeutic
D. Coordination

2-A 29-year-old woman referred to physical therapy for post-operative


rehabilitation. The physical therapist decided to use therapeutic exercises as
part of the intervention.
What is the ultimate goal of therapeutic exercises in
physical therapy?
A. Restore function
B. Improve balance
C. increase strength and ROM
D. Improve cardiopulmonary fitness

3-Which of the following is the PNF technique that involves isometric


contractions of the antagonist patterns?
A. Slow reversal hold
B. Rhythmic initiation
C. Repeated contraction
D. Rhythmic stabilization

4-Which of the following training exercises is defined as a training program


that uses selected exercises or activities performed in a sequence?
A. Circuit training
B. Isometric exercise
C. Open chain exercise
D. Closed chain exercise
Phyisotherapy
5-Which of the following is the most appropriate term to describe prevention
with early diagnosis and reduction in the severity of an existing disease?
A. Primary
B. Tertiary
C. Primitive
D. Secondary

6-A therapist is evaluating a patient diagnosed with right-knee flexion


deformity.
Which of the following physical findings is most likely detected during the
physical evaluation?
A. Knee flexion, ankle normal, short quadriceps muscle
B. Knee flexion, ankle dorsiflexion, short hamstring muscle
C. Knee flexion, ankle plantar flexion, short quadriceps muscle
D. Knee flexion, ankle plantar flexion, lengthened soleus muscle
7-A 53-year-old patient complains of difficulty in walking. Manual muscle
testing reveals weak (grade 3) abductors of the left hip joint.
Which of the following findings will be observed during the stance phase of the
affected leg when the patient is asked to walk? trendelenberg
A. Lifting of the pelvis on the left side
B. Lifting of the pelvis on the right side
C. Dropping of the pelvis on the left side
D. Dropping of the pelvis on the right side

8-A middle-aged diabetic woman patient diagnosed with adhesive capsulitis of


the shoulder.
Which functional limitation most likely occurs in this situation?
A. Bathing
B. Combing ‫ﺗﻤﺸﯿﻂ اﻟﺸﻌﺮ‬
C. Carrying heavy object
D. Reaching hand into back pocket

9-Which of the following is the most appropriateminimum duration, in weeks,


for high-intensity resistive exercises to achieve muscle hypertrophy?
A. 8
B. 12
C. 16
D. 20

10-Which of the following is the most likely cause of a decline in performance


from over-training?
A. Poor hydration
B. Low motivation
C. Inadequate protein
D. Excessive frequency

11-Which of the following types of gait training are most likely described as
both crutches moved forward together, both lower limbs then move towards
the crutches?
A. 2-point
B. 4-point
C. Swing to
D. Swing through

12-Which of the following is an objective of Proprio Neuromuscular Facilitation


techniques?
A. Peripheral nerve stimulation
B. Improving subject righting reflex
C. Training the patient's equilibrium reaction
D. Placing specific demands to secure desired Responses
13-A 72-year-old woman complains of axial skeletal pain. Her T score on
DEXA scan is -3.5.
Which of the following is the most appropriate Borg scale of perceived
exertion for trunk exercise in osteoporosis management?
The Borg Rating of Perceived Exertion (RPE) is a way
A. 12/20 of measuring physical activity intensity level. Perceived
B. 14/20 exertion is how hard you feel like your body is working.
C. 16/20
D. 18/20

14-A 30-year-old patient sustained a brachial plexus injury along with a


comminuted fracture of the radial head in a car accident. A total elbow
arthroplasty has been advised.
Which of the following is a contraindication to the procedure?
A. Irreparable ligaments
B. Elbow flexors paralysis
C. Insufficient bone stock
D. Heterotopic ossification

15-A 16-year-old boy sustained a glass injury to his forearm, resulting in an


injury to the flexor tendons.
The injured tendon was repaired. There is no associated nerve injury.
Which of the following is the most appropriate duration, in days, to initiate
early controlled active movements?
A. 2
B. 3
C. 4
D. 5

16-A 54-year-old patient with hypertrophic cardiomyopathy was treated in the


Cardio Clinic.
What is the notable sign of heart muscle?
A. Thin
B. Soft Hypertrophic cardiomyopathy (HCM) is a disease in which
C. Hard the heart muscle becomes thickened (hypertrophied)
D. Thick

17-Which of the following scientific terms describes the level of cardiovascular


functioning, which results in heightened energy reserves for optimum
performance and well-being?
A. Power
B. Fitness
C. Strength
D. Endurance
18-A 48-year-old patient is suffering from chest wheezing, dyspnoea,
secretions, and coughing for many years.
What does this clinical feature indicate?
A. Asthma
B. Pneumonia
C. Emphysema
D. Chronic bronchitis

19-A 24-year-old woman presented with frequent history of cough, dyspnea


and wheezing, which was worse after exposure to dust.
Which of the following is indicated by this clinical feature?
A. Pneumonia
B. Bronchiectasis
C. Bronchial asthma
D. Chronic obstructive pulmonary disease

20-Which of the following is the most appropriate description of expiratory


reserve volume?
A. Air that remains at the end of normal respiration
B. Total amount of air in a lung after normal inspiration
C.Total amount of air in a lung after maximum inspiration
D. Total amount of air exhaled after normal resting expiration

21-Which of the following is the most appropriate description of the expiratory


flow rate in chronic obstructive pulmonary disease?
A. Variable
B. Increase
C. Decrease
D. Unchanged

22-Which of the following is used as a measure to estimate aerobic capacity in


a normal person?
A. Maximum heart rate
B. Maximum cardiac output
C. Maximum exercise tolerance
D. Maximum rate of oxygen consumption

23-A young woman with Chronic Obstructive Pulmonary Disease is referred


for pulmonary rehabilitation. She complains of multiple episodes of shortness
of breathing and coughing.
Which of the following is the most appropriate for improving health status?
A. Cycling
B. Walking
C. Running
D. Swimming
24-Which of the following is the most appropriate criterion for discontinuation
of chest physiotherapy in an Intensive Care Unit patient?
A. Clear chest X-ray
B. Absent chest pain
C. Absent fever for 12 hours
D. Breathing rate of less than 20/min

25-Which of the following is the most appropriate trunk and head position, in
degrees, to start chest physiotherapy?
A. 0
B. 15
C. 30
D. 45

26-A 51-year-old patient was admitted to the hospital with congestive heart
failure and referred to the Cardiac Rehabilitation Unit during hospital
admission.
What is the suggested rehabilitation program phase?
A. 1st
B. 2nd
C. 3rd
D. 4th

27-A 45-year-old woman with bronchiectasis is referred for chest


physiotherapy. She has reduced breath sounds on the right lower chest with
crepitus.
Which of the following is the main reason to accurately identify the area
involved, before the start of the session?
A. Better results
B. Secretions removal
C. Teaching technique
D. Prevention of disease spreading to other Areas

28-A 21-year-old athlete came to the Physical Therapy Clinic with left knee
pain. After the examination left patellar tendinitis was found.
Which of the following is the most likely activity predisposing to patellar
tendinitis?
Jumper's knee, also known as patellar tendonitis, is a condition
A. Jumping characterized by inflammation of your patellar tendon.
B. Walking
C. Running Patellofemoral Pain Syndrome (Runner's Knee), chndromalacia
D. Stair climbing
29-A 25-year-old woman badminton player had a severe shooting pain at the
common extensor origin of wristextensors muscles at the dominant hand and
also weak handgrip strength when holding the rocket.
Which of the following is the most appropriate description of this condition?
A. Tennis Elbow A common symptom of tennis elbow is
B. Student Elbow pain when a person extends their wrist.
C. Golfer's Elbow A symptom of golfer’s elbow is pain when
D. Nursemaid Elbow a person flexes their wrist.

30-A 27-year-old football player sustained a knee injury and was referred to
the Physical Therapy Clinic. The initial evaluation showed that it appeared as
if the "terrible triad" type of injury was present.
Which of the following major structures is most likely damaged in this type of
injury? O'Donoghue's Triad, also known as Terrible Triad, refers to a knee injury
involving multiple ligaments and cartilage within the knee.
A. Lateral and medial menisci and patellar tendon
B. Medial meniscus, medial collateral ligament, and ACL
C. Medial collateral ligament, medial hamstring, and quadriceps muscle
D. Lateral collateral ligament, iliotibial band, and lateral hamstring tendon

31-A 19-year-old wrestler fell on his elbow and then complained of pins and
needles sensation in his small finger.
Which of the following is the most likely cause?
A. Contusion of the ulnar nerve Contusion: a region of injured tissue or skin in which
blood capillaries have been ruptured; a bruise.
B. Injury to the brachial plexus
C. Contusion of the median nerve
D. Strain of the brachioradialis muscle

32-A 21-year-old football player with a knee injury; the physical therapist
during knee assessment is thinking about anterior cruciate ligament injury.
Which of the following is the most appropriate test?
A. Lachman
B. McMurray
C. Varus stress
D. Trendelenburg

33-A 23-year-old young athlete complains of right shoulder dislocation.


Which of the following is the most common direction?
A. Anterior and superior
B. Anterior and inferior
C. Posterior and superior
D. Posterior and inferior

34-An athlete developed severe pain in his thighs 48 hours after a long run.
Which of the following is the most likely explanation?
A. Sprain
B. Synovitis
C. Muscle cramp
D. Delayed onset muscles soreness
35-An athlete comes to the Physiotherapy Department with a right knee injury
is undergoing a test to determine the nature of the injury. The patient is prone
with the knee flexed at a right angle. The patient's symptoms are worse when
the physiotherapist rotates the tibia medially and laterally while maintaining a
distraction force through the knee joint.
Which of the following do the symptoms indicate?
A. Capsular injury
B. Meniscal injury Apley's distraction test for detecting the
C. Muscular injury presence of ligamentous instability of the knee
D. Ligamentous injury

36-Which of the following is the most appropriate stage of injury to initiate a


passive range of motion exercises?
A. Acute
B. Chronic
C. Sub-acute
D. Functional

37-A 20-year-old athlete man sustained an injury to his quadriceps during a


jump.
Which of the following is the most appropriate preventative exercise program?
A. Aerobic Preventative:
B. Static stretching designed to keep something undesirable such as illness or harm from occurring.
C. Ballistic stretching
D. Dynamic stretching

38-Which of the following types of stretching is associated with repeated


movements and momentum to gain a desired range of motion?
A. Static
B. Ballistic Ballistic stretching uses the MOMENTUM of a moving body or a limb in an
attempt to force it beyond its normal range of motion. (Warm up).
C. Dynamic
D. Therapeutic

39-A 29-year-old football player sustained a twisting injury to the ankle. There
was severe pain and swelling at the injury site. He was unable to walk. His
MRI ankle confirmed a tear at the deltoid ligament.He had been managed with
Plaster of Paris and anti-inflammatory medicines. He had been advised
to have post-cast physiotherapy.
Which of the following is the most likely factor in applying controlled force in
recovery?
A. Pain management
B. Swelling reduction
C. Collagen re-modeling
D. Proprioception developm
40-A 79-year-old patient with Brown-Sequard syndrome.
BSS
Which of the following are the most likely causes? Brown-Séquard syndrome is a rare
A. Ipsilateral motor loss and complete spinal cord injury spinal disorder that results from an
B. Ipsilateral motor loss and incomplete spinal cord injury injury to one side of the spinal cord
in which the spinal cord is damaged
C. Contralateral motor loss and complete spinal cord injury but is not severed completely.
D. Contralateral motor loss and incomplete spinal cord injury

41-A 9-month old boy presents to the Physical Therapy Department with Erb's
palsy.
Which of the following is the most likely cause?
A. Sacral plexus injury
B. Cranial nerve injury
C. Lumbar plexus injury
D. Brachial plexus injury

42-A 55-year-old woman presents to the Physical Therapy Department with


clonus.
Which of the following is the most likely cause?
A. Cranial nerve injury Clonus is a rhythmic oscillating stretch reflex that is
B. Peripheral nerve injury related to upper motor neuron lesions.
C. Lower motor neuron lesion
D. Upper motor neuron lesion

43-A 57-year-old paraplegic patient comes to the Physical Therapy Clinic. The
therapist gives the patient instructions as a home recommendation.
Which of the following instructions should the patient be warned about?
A. Lift in the chair every 10 minutes
B.Protect the limbs against excessive cold or heat
C. Use a hot water bottle whenever unable to micturate
D. Use a mirror for detection of marks, abrasions, blisters

44-A 30-year-old patient complains of a dull pain in his lower back that
extends down the right leg. Pain is aggravated with movement and relieved
with rest. Examination reveals that the muscle power and the
knee jerk reflex were weaker in the right leg compared to the left leg.
Furthermore, sensory disturbances were noticed in the right leg.
Which of the following is the most likely source of the symptoms?
A. Sciatic Pain
B. L3-L4 Disc Protrusion
C. Cauda Equina Syndrome
D. Sacral Osteophyte
45-A 44-year-old man with trauma at the spinal cord, involving L3-L4
segmental level.
Which of the following muscles are affected?
A. Abdominal
B. Hip flexors
C. Knee extensors
D. Ankle dorsiflexors

46-When evaluating a patient with an upper motor neuron lesion, the therapist
read the term bradykinesia in the patient's file.
What does this term mean?
A. Difficulty swallowing
B. Slowness of movement
C. Decreased volume of speech
D. Sudden episode of immobility

47-Which of the following spinal levels is the lowest for a spinal injury to result
in autonomic dysreflexia?
A. C6
Autonomic dysreflexia is a serious medical problem that can happen
B. T6 if you've injured your spinal cord in your upper back. It makes your
C. L1 blood pressure dangerously high and, coupled with very low
D. S2-S4 heartbeats, can lead to a stroke, seizure, or cardiac arrest.

48-A physiotherapist received a referral for a patient. The referring physician


outlined all clinical findings in the referral, one of which is “abarognosis".
What does this term mean? Loss of the ability to sense weigh
A. Double vision
B. Difficulty swallowing barognosis:
the ability to estimate or perceive
C. Slowness of movement differences in the weight of an object.
D. Inability to recognize the weight of an object

49-During physical therapy evaluation of a 53-year-old patient with peripheral


nerve injury, the therapist asks the patient to walk across the floor. The
therapist notices the patient raising one leg to release the toes from the
ground. What kind of paralysis does this patient have?
A. Hip flexors
B. Knee flexor
C. Knee extensors
D. Ankle dorsiflexors

50-A 12-year-old patient is diagnosed as having facial palsy. During the


physical assessment, the therapist detects that the patient is unable to look
horizontally outside. Which of the following muscles does the patient have a
weakness?
A. Lateral rectus
B. Medial rectus
C.Inferior oblique
D. Superior oblique
51-A 69-year-old man with a cerebrovascular accident involving left anterior
cerebral artery causes the main motor deficit in which of the following?
A. Ipsilateral leg
B. Ipsilateral arm
C. Contralateral leg
D. Contralateral arm

52-A patient with Hemi-ataxia in the supine position, the involved left upper
extremity is positioned by the therapist in 90 degrees of shoulder flexion. The
therapist applies resistance into shoulder flexion, then extension. No
movement takes place. The therapist instructs the patient to "hold" when
resistance is applied in both directions. Which of the following is the most
appropriate proprioceptive neuromuscular facilitation technique?
A. Hold-relax
B. Contract-relax
C. Rhythmic initiation
D. Rhythmic stabilization

53-A 42-year-old woman recently diagnosed with multiple sclerosis presents


to a Physical Therapy Clinic. ‫ﺗﻔﺎﻗﻢ‬
Which of the following is the most likely cause of "pseudo exacerbation" of the
symptoms? A pseudoexacerbation is a temporary worsening
of symptoms without actual myelin inflammation
A. Hot bath or damage, brought on by other influences.
B. Strength training
C. Application of ice packs
D. Slightly increased intake of fluids

54-A 37-year-old woman comes to the Physical Therapy Clinic with spasticity
for more than 10 weeks. The physical therapist decides to do Proprioceptive
Neuromuscular Facilitation (PNF) to facilitate extension in a limb.
Which of the following is the most appropriate technique?
A. Traction
B. Manual contact
C. Maximal resistance
D. Joint approximation

55-A patient with a spinal cord injury at the level of C8 would like to be
independent in mobility. Based on the expected functional outcomes.
Which of the following is the most appropriate adapted equipment for the
patient?
A. Manual wheelchair
B. Motorized wheelchair
C. Walker and wheelchair
D. Manual wheelchair and sliding board
Homonymous hemianopia is a visual field defect involving either
the two right or the two left halves of the visual fields of both eyes.
56-A 61-year-old patient with a left CVA examined by a physical therapist is
found to have a profound deficit of homonymous hemianopia.
Which of the following is the most appropriate initial strategy to help the
patient in compensating for this deficit?
A. Teach the patient to turn the head to the right side
B. Provide constant reminders to look towards the right side
C. Encourage the patient to remain in the right side-lying position
D. Place items, eating utensils, and telephone on the right side

57-A 35-year-old patient with left side hemiplegia with moderate spasticity was
referred to the Outpatient Clinic of physiotherapy for rehabilitation; the
therapist treats the upper limb.
Which of the following is the suggested approach?
A. Bobath The Bobath approach, also known as neurodevelopmental
B. Effleurage treatment (NDT), is a widely used concept in the rehabilitation
C. Brunnstrom of stroke patients with hemiparesis in many countries.
D. Proprioceptive neuromuscular facilitation.

58-A therapist reviews an X-ray of a patient diagnosed as having


spondylolisthesis.
What definition of spondylolisthesis is helpful for diagnosis?
A. Forward slippage of a vertebra on the vertebra above it
B. Forward slippage of a vertebra on the vertebra below it
C. Posterior slippage of a vertebra on the vertebra above it
D. Posterior slippage of a vertebra on the vertebra below it

59-Arthrokinematics refers to the movement of jointsurfaces and can be


described as the convex-concave rule.
Which of the following is the most appropriate description of the open-chain
extension of the tibiofemoral joint convex-concave rule?
A. Femur is rolling and gliding in the same direction on the tibia
B. Tibia is rolling and gliding in the same direction on the femur
C. Tibia is rolling and gliding in different direction on the femur
D. Femur is rolling and gliding in different direction on the tibia

60-A 24-year-old basketball player fractured his left hand.


Which carpal bone is most likely fractured?
A. Lunate
B. Hamate
C. Pisiform
D. Scaphoid
61-Resisted isometric testing (RIT) is often used in the musculoskeletal
examination to indicate the involvement of the contractile tissues.
Which of the following RIT findings most likely results from a minor lesion of
the contractile tissues?
A. Weak and painful
B. Weak and painless
C. Strong and painful
D. Strong and painless

62-A 41-year-old patient with low back pain (LBP) stands at work for most of
the day. The therapist advised the patient to keep one foot up on a stool to
be more comfortable.
Which of the following is the most appropriate explanation?
A.Elevating the foot relieves stress from the feet
B.Elevating foot decreases the presser on the knees
C. Elevating the foot allows the pelvis to tilt upward and decreases the lumbar
lordosis
D. Elevating the foot relieves stress from the feet and decreases the presser
on the knees

63-A 70-year-old patient who had a total hip replacement was referred to the
Physical Therapy Clinic for post-operative rehabilitation and education.
Which of the following hip movements should be avoided?
A. Internal rotation, flexion, and adduction
B. External rotation, flexion, and abduction
C. Internal rotation, extension, and abduction
D. External rotation, extension, and adduction

64-A physiotherapist is testing scapulohumeral rhythm in an adult patient with


right shoulder pain. If this patient has normal scapulohumeral rhythm,
the test will show approximately 1° of scapular motion for which of the
following?
A. 2° of glenohumeral motion
B. 4° of glenohumeral motion
C. 6° of glenohumeral motion
D. 8° of glenohumeral motion
65-Femoral neck fractures are classified according to its location (see image).
Which of the following is the name given to the fracture site labelled as “1"?
A. Subcapital
B. Basicervical
C. Transcervical
D. Subtrochanteric

66-Which of the following is the term for the leg posture deformity while
standing (see image)?
A. Coxa varum
B. Genu varum
C. Genu valgum
D. Genu recurvatum
67-A 20-year-old patient injured in a car accident has been diagnosed as
having spinal cord injury. During the physical evaluation, the therapist finds
the ankle jerk is lost.
At which of the following levels of the spinal cord is it lost?
A. S3,4
B. L1,2
C. L3, 4
D. S1, 2

68-A 30-year-old basketball player underwent knee injury a few days ago and
referred to the Physical Therapy Clinic for assessment. The therapist
performs a test in a prone position with knee flexed to 90 degrees, and
longitudinal compression with tibia rotated medially and laterally.
Which of the following is this particular test?
A. Clarke
B. Apley's
C. Lachman's
D. Mc Murray's supine

69-A 16-year-old adolescent presented with foot slap on the right side after a
fracture of the proximal fibula.
Which of the following nerves is most likely injured?
A. Tibial
B. Femoral
C. Obturator
D. Common peroneal

70-Which of the following is categorized as illegal or malpractice?


A. Burn caused by prolonged use of hot pack
B. Prolong and detailed physical examination
C. Muscle soreness after high-intensity exercise
D. Strict attitudes and behavior with the patient

71-A patient with supraspinatus tendonitis is undergoing ultrasound therapy.


When the shoulder joint is in which position, the supraspinatus tendon is best
accessed?
A. Adduction and internal rotation
B. Adduction and external rotation
C. Abduction and external rotation
D. Slight abduction and internal rotation

72-Which plan of care is typically recommended during the chronic stage of


injury?
A. Reduce joint swelling
B. Progress functional activities
C. Control pain, edema and spasm
D. Promote healing of injured tissues
73-An 11-year-old patient with post-fracture stiffness of the elbow has been
referred to a therapist for mobilizing exercise.
Which of the following risks make the physician strongly recommends against
forced passive movements?
Myositis ossificans is when a bone forms inside
A. Ulnar nerve injury your muscle or other soft tissue.
B. Myositis ossificans
Usually, myositis ossificans develops after a
C. Brachial artery injury traumatic injury. Most often, it affects large
D. Refracturing the bone muscles, such as in your arms or legs.

74-A 60-year-old patient is complaining from a painful left shoulder with limited
range of motion that prevents him from changing his clothes independently.
Examination reveals that both active and passive range of motion were
restricted rotation and abduction particularly.
Which of the following is the most likely diagnosis?
A. Bankart Lesion
B. Deltoid Bursitis
C. Adhesive Capsulitis
D. Subacromial Impingement

75-A 43-year-old patient with pain radiating down the posterior aspect of the
left hip and thigh is referred to a physiotherapist. According to the referral, the
underlying cause is a posterior herniated disk in the lumbar spine. The
physical therapist decides to apply mechanical lumbar traction.
Which of the following is the best position for lumbar traction?
A. Prone with no pillow
B. Supine with both knees flexed
C. Prone with a pillow under the abdomen
D. Supine with a pillow under the lumbar spine

(‫)ﻻﺗﻧﺳوﻧﺎ ﻣن دﻋﺎﻛم‬

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