NCS UNIVERSITY SYSTEM

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DPT 9 Semester Mid-Term Examination (CLINICAL DECISION MAKING &
DIFFERENTIAL DIAGNOSIS)
Roll No.____________
Name_____________________
Total time Allowed: 90 min Total Marks: 60
Encircle the best answer, Cutting & Overwriting will be considered as wrong.

Dynamic proceswhich include shearing , processing and interpreting the words that are spoken and
unspoken to understand the complete message that is being delivered.

a.listening d.laughing

b.active listening e.none of the above

c.speaking

quik and easy way to screen for medical conditions is to check.

liver heart

b.kidney vital sign

Stopping the processes) That lead to the development of diseases) , Illness (es),and other pathologic
health Conditions is called……

PRIMAR YPREVENTION Tertiary Prevention

Secondary Prevention Health Promotion and Wellness

Method for detecting disease or body dysfunction before an individual would normally seek medical
care .

Surveillance MANAGEMENT

SCREENING

INTERVENTION

5.patient came to PT department his Pain is progressively increased and continuous when come in
recumbent position what will be your diagonsis.?

Systemic pain Mechanical

Pain of metastasis Neuromuskeloskeletal

Abdominalpainradiatingtomidback;symptomsassociated with food; symptoms worse after taking NSAIDs
it shows pathology of

Pancreatitis Peptic ulcer

Gastrointestinal disease All of the above

7.Leg pain increased by walking ,unaffected by standing, but sometimes relieved by sitting or prolonged
rest

Vascular claudication Aortic aneurysm

Neurogenic claudication Strain or sprain

8.Slipping rib syndrome is common in

1st rib 10th rib

2nd rib 12th rib

3rd rib

9.Regarding Tietze’s syndrome pain is aggravated by all except.

Inspiration Twisting motion of trunk

Expiration Pain on palpation or pressure

Pain on palpation

10.Upper lumbar vertebrae causes pain to

anterior aspect of thigh lateral aspect of thigh

posterior aspect of thigh medial aspect of thigh

11. spasm on the right side at the 9th and 10th costal cartilages can be a symptom of

gallbladder problems kidney

spleen pancrease

12. tenderness and spasm at the level of T9 through T 11 on the left side can be a symptoms of

gallbladder problems kidney

spleen pancrease

12.All of the following are cardiac nervous system disease except.

Arrythemia Tachycardia
Bradycardia Coronary artery disease

13. All of the following are the heart valve disease except

Rheumatic fever Mitral valve prolapse

Endocarditis Arrythemia

14.which of the following is the modifiable risk factor of heart disease.

Age Cigarette smoking

Male gender Race

Family history

15. The angina which is caused by coronary artery spasm is called

Chronic stable angina Nocturnal angina

angina decubitus Prinzmetal's angina

16.Limited hip extension, adduction, lateral rotation are

Capsular pattern Both a and b

Non capsular pattern None of the above

17.hip joint contracture is caused by

immobility due to spasticity bone trauma

paralysis all of the above

ossification

18.All of the following are Risk Factors for Sacral Fractures except

Osteoporosis Male gender

Paget's disease Female gender

19.the following are the causes of Anterior Pelvic Pain.

inflammatory arthritis psoas abscess.

separation of the symphysis pubis All of the above

femoral neuralgia

20.Regarding Posterior Pelvic Pain arise from all are true except.

femoral neuralgia Sacroiliac

Lumbosacral area Coccygeal

21.Dark and light color urine , clay color feces and Ascities are sign and symptoms
Liver disease Heart disease

Kidney pathology Stomach disease

22.Hepatitis is caused by

Virus alcohol abuse

Chemical all of the above

drug reaction

23.Metabolic syndrome is the risk factor for all except

stroke DM type 1

cardiovascular diseae

DM type 2

24.The disease in which there is lack of iron absorption is called.

Hemochromatosis Osteoporosis

Diabetes mellitus Osteomalacia

25.face pain scale is used in

Adult Children

Adolescence None of the above

25.Koilonychia is caused by

hyp

ochromic anemia psoriasis

iron deficiency all of the above

developmental abnormality

26.how are you feeling today is an example of

open ended question both a and b

close ended question none of the above

27.unremtting throbbing in spine is caused by

aortic aneurysm ligamentus sprain

disc bulge muscle strain

28.cervical pain is caused by all except

cervical bone tumor cervical cord tumor

pancoast tumor pancreatic cancer

29.which of the following is not the function of kidney.

Acid base balance Formation of RBC

Electrolyte balance Formation of platelats

Control of blood pressure with renin

30.the lower urinary tract infection include

glomerulonephritis(glomeruli) Renal papillary necrosis

Renal papillary necrosis Cystitis

31. ______________refers to how health care delivery has changed in the last 10 years to combat the
rising cost of health care.

a)

Quicker c) Both

b) Sicker d) None

32.Diabetic patients should exercise with great caution and monitoring of blood glucose here diabetes is
a ___________ flag.

a) Red c) Green

b) Yellow d) None

33. Chest physiotherapy is contraindicated in patients with malignancy, here malignant is

a)

Red c) Green

b) Yellow d) None

34. Moving from open handed questions to close ended questions technique is referred to as _______
technique.

a) Broad
b) Narrow

c) Funnel

d) None

35. Which activity aggravates your symptoms . It is a ____________ question.

a) Open ended question d) None of the above

b) Close ended question

c) Simple

36. The first step in screening process is _________________.

a) Tests c) Medical diagnosis

b) Client interview d) None

37._______________ is the most common primary risk factor for disease illness and coo-morbidities.

a) Age c) Both

b) Gender d) None

38. A patient comes to your clinic with the history of quadrapod fall

With a prolonged localized pain to the anterior chest region, pain

Increases with deep breath inspiration , What would be your prior diagnosis?

a)Scan. c) X ray

b)ECG d)Endoscopy

39.in the above clinical presentations what would be the possible cause?

a)Cardiac disease c)MSK disorder

b)GIT disease d)Respiratory disorder

40.A 21 years old patient comes to the sternum with, a sharp chest pain and varying

With posture and movement but does not cease instantly on rest.
What would be the possible reason?

a)Cardiac disease c)Pulmonary disease

b)MSK d)GIT disorder

41.4 A home visit 60 years old female obese patient with recently right knee surgery

After prolong rest she has swollen, warm right leg with cyanosis and pain with dorsiflexion.

What would be the possible cause?

a)DVT c)Right failure

b)recurrent infection

42.choose the correct sequence.

(A) Examination, evaluation, diagnosis, (c) Evaluation , examination, intervention,

prognosis, intervention, outcomes. diagnosis, prognosis, outcomes

(b) Examination, diagnosis, evaluation,

intervention, prognosis, outcomes.

43. A patient comes to your clinic with bilateral neurological symptoms that

Progressively increase. What would be your suggestion?

(a) Treat the patient. (B) Refer the patient

44.the symptoms requires the immediate attention to pursue further

Screening question and test

(A) red flags (c) green flags

(b) yellow flags (d) blue flags

45. A pregnant patient come to your clinic with pin and needles sensation

In her right Palm and fingers.

What would you prefer?

(a) Surgery (b) Refer the patient

(c) Remain untreated (d) give physiotherapy protocol

46. Referred pain is due to

a) Embryologic development c) Direct pressure and shared pathways

b) Multisegmental innervation d)both b and

e)all of the above

47.central diaphragm impingment can refere pain to the

a) shoulder c)contraleral costal margins

b) ipsilateral costal margins d) lumbar region

e)all of the above

48.vascular pain is

a)throbbing d)beating

b)pounding e)all of the above

c)pulsing

49.A pulse rate below 60 BPM indicate

a)tachycardia c) atrial fibrillation

b)bradycardia d)ventricular fibrillation

50. Amir come to your clinic during physical examination you palpate his radial artery to assess his pulse
its seems bounding, too strong to obliterate rate, what is its grade

a) 0 d) 3+

b) 1+ e) 4+

c) 2+
51.A patient come to physiotherapy department with reduced oxygen level the arterial blood it will lead
to:

a) central cyanosis c)both a and b

b) peripheral cyanosis d)none of the above

52.central cyanosis is caused by

a) lung disease c) abnormal hemoglobin

b) congestive heart disease d)all of the above

53.a painless loosening of the nail plate is called

a)Onycholysis d) Splinter Hemorrhages

b) Koilonychia e)none of the above

c) Clubbing

54.A change in 1 or more DTRs is a

a)red flag c)both a and b

b)yellow flag d)all of the above

55. A patient come to doctor with ABI(ankle brachial index) ratio 0.8-0.9 it shows that

a)no significant narrowing or obstruction of blood flow)

b)Mild peripheral arterial occlusive disease

c)Moderate peripheral arterial occlusive disease

d)Severe peripheral arterial occlusive disease; critical limb ischemia

e)Ischemic or gangrenous extremity

56. Rubor on dependency test is used for

a)kidney b)liver
c)spleen d)pheripheral arterial disease

57.Homan’s sign as positive in

a)DVT d)plantar muscle injury

b)Achilles tendinitis e)all of the above

c)gastrocnemius injury

58.normal Crackles (rales) sound on auscultation is heared during

a)inspiration. c)both a and b

b)expiration d)none of the above

59. Apex of heart is ausculatate at

a)4th intercostal space left midclavicular line

b)5th intercostal space left midclavicular line

c)6th intercostal space left midclavicular line

d)7th intercostal space left midclavicular line

60.Base of heart is ausculatate at

a)2nd left intercostal space c)3ndright intercostal space

b)2nd right intercostal space d)3ndleft intercostal space

61.Auscultation should occur before palpation or percussion in

a)heart c)abdomen

b)lungs d)all of the above

62.superficialoedema and bruising in the subcutaneous fatty tissue around the umbilicus is called

a) Cullen's sign c)both a and b

b)Turner's sign d)none of the above

63.Rovsing sign is used for

a)hepatitis

b)pancreatitis

c)appendicitis

d)vasculitis

64.liver is palpated

a) below the left costal margin

b) above the left costal margin

c) below the right costal margin

d)aboe the right costal margin

65).Orientation refers to the client’s ability to answer correctly questions about

a) Time, place, and person

b) Things, place, and person

c) Time and place only

d) None of the above

66)2.The pulse reveals important information about the client’s___________

a) Heart rate

b) Heart rhythm

c) Both a&b

d) None of them

67)Hyperthermia is defied as a temperature greater than

a) 37 centigrade

b) 36 centigrade

c) 38 centigrade

d) none of the above

68)Cuff size of B.P is important and requires the bladder width-to length be at least

a)1 : 2

b) 1 : 3

c) 1 : 4

d) 3: 5

69.A lack of pigmentation from melanocyte destructionis called

a) Vitiligo

b) Skin Rash

c) Hemorrhagic Rash

d) Dermatitis

70.Clubbing of the fingers is caused by

a)obstructive pulmonary disease

b)congenital heart defects,

c)corpulmonale

d) both b and c

e)all of the above