Christopher Wysong
Quiz por , criado more than 1 year ago

NPTE Practice Quiz sobre NPTE - Interventions & Therapeutic Modalities, criado por Christopher Wysong em 05-11-2019.

10
1
0
Christopher Wysong
Criado por Christopher Wysong quase 5 anos atrás
Fechar

NPTE - Interventions & Therapeutic Modalities

Questão 1 de 27

1

A physical therapist is developing an exercise program for a patient who has upper extremity lymphedema. Which of the following exercises should the patient perform LAST?

Selecione uma das seguintes:

  • Elbow flexion

  • Cervical rotation

  • Wrist circumduction

  • Shoulder circumduction

Explicação

Questão 2 de 27

1

A nurse caring for a patient who is 2 days post cerebrovascular accident asks the physical therapist for positioning recommendations when the patient lies on the hemiplegic side. The therapist's recommendations should include positioning the:

Selecione uma das seguintes:

  • wrist in a flexed position.

  • elbow in a flexed position.

  • scapula in a protracted position.

  • forearm in a pronated position.

Explicação

Questão 3 de 27

1

Which of the following are appropriate physical therapy interventions for the management of a joint with heterotopic ossification?

Selecione uma das seguintes:

  • Aggressive strengthening of the affected tissues

  • Gentle stretching of the affected tissues

  • Continuous ultrasound

  • Superficial application of heat

Explicação

Questão 4 de 27

1

A physical therapist is developing an exercise program for a patient who has upper extremity lymphedema. Which of the following exercises should the patient perform LAST?

Selecione uma das seguintes:

  • Elbow flexion

  • Cervical rotation

  • Wrist circumduction

  • Shoulder circumduction

Explicação

Questão 5 de 27

1

A patient with multiple sclerosis wants to transfer independently. The patient progressed from moderate to minimal assistance for transfers within 3 days; however, no progress has been made in the past 2 weeks. The physical therapist should:

Selecione uma das seguintes:

  • discharge the patient without further intervention.

  • provide the patient with a home program and re-evaluate in 1 month.

  • increase the patient's treatments to 5 times/week for 2 weeks.

  • decrease the patient's treatments to 1 time/week until the goal is achieved.

Explicação

Questão 6 de 27

1

A patient reports pain over the sacroiliac joint and buttock on the left side. The patient's pain is reproduced with an ipsilateral active straight leg raise, sacroiliac compression test, and palpation of the left sacrotuberous ligament. In standing, the right posterior superior iliac spine is higher than the left, and the left anterior superior iliac spine is higher than the right. Interventions should MOST likely include unilateral isometric contraction of the left hip:

Selecione uma das seguintes:

  • extensors.

  • flexors.

  • abductors.

  • adductors.

Explicação

Questão 7 de 27

1

During warm-up on a stationary bike, a patient reports feelings of fatigue. Following the activity, the physical therapist observes the patient sitting in a chair with elbows resting on the knees. The physical therapist should examine the patient for which of the following?

Selecione uma das seguintes:

  • Trunk muscle weakness

  • Poor sitting posture

  • Lower extremity weakness

  • Use of accessory muscles for breathing

Explicação

Questão 8 de 27

1

A 75-year-old individual engages in a daily aerobic exercise program. Which of the following gastrointestinal tract changes is MOST likely a result of the exercise?

Selecione uma das seguintes:

  • Increased lactase levels

  • Increased bowel transit time

  • Improved neuromuscular function of the colon

  • Improved upper esophageal sphincter strength

Explicação

Questão 9 de 27

1

Which of the following methods is the MOST effective way to encourage a patient who is learning a new movement pattern?

Selecione uma das seguintes:

  • Describe how incorrect attempts differ from the correct movement before proceeding with the next trial.

  • Describe each component of the desired movement before beginning practice.

  • Provide feedback at the same point in each of the patient's attempts.

  • Provide frequent feedback during the initial trials of the movement.

Explicação

Questão 10 de 27

1

A patient recently sustained a cerebrovascular accident, with resulting hemiplegia. A physical therapist is assisting the patient with rolling in bed. The therapist's FIRST consideration should be to:

Selecione uma das seguintes:

  • move the patient only to the uninvolved side.

  • discourage the patient's use of the uninvolved side.

  • keep the head in midline.

  • protect the involved shoulder.

Explicação

Questão 11 de 27

1

A physical therapist is preparing to teach proper technique for performing skin checks to a patient who has diminished sensation in the lower extremities. Before beginning instruction, the therapist should FIRST determine which of the following patient characteristics?

Selecione uma das seguintes:

  • Extent of family support

  • Number of previous leg ulcers

  • Literacy level

  • Readiness to learn

Explicação

Questão 12 de 27

1

Which of the following is an ABNORMAL response to vigorous aerobic exercise in a healthy adult with normal vital signs at rest?

Selecione uma das seguintes:

  • Respiratory rate increases to 40 breaths/minute.

  • Arterial oxygen saturation decreases from 95% to 85%.

  • Diastolic blood pressure does not change.

  • Systolic blood pressure increases to 180 mm Hg.

Explicação

Questão 13 de 27

1

During an examination, a physical therapist finds that a patient with chronic obstructive pulmonary disease has a weak wet cough. Which of the following techniques is MOST appropriate to help this patient clear secretions?

Selecione uma das seguintes:

  • Abdominal thrusts

  • Postural drainage

  • Huffing

  • Manual or mechanical percussion

Explicação

Questão 14 de 27

1

For a patient with a complete T10 spinal cord injury to achieve stability while standing with crutches, the patient should maintain which of the following positions?

Selecione uma das seguintes:

  • Hips posterior to the ankles

  • Shoulders posterior to the hips

  • Ankles plantar flexed

  • Knees hyperextended

Explicação

Questão 15 de 27

1

Which of the following interventions is MOST appropriate for treatment of a patient who has functional incontinence?

Selecione uma das seguintes:

  • Developing a voiding schedule

  • Removal of clutter within the bathroom

  • Abdominal activation exercises in supine position

  • Rhythmic contractions of the pelvic floor

Explicação

Questão 16 de 27

1

A patient with a history of advanced osteoporosis is restricted to non-weight-bearing status on the right lower extremity following a pathological fracture of the right hip. Which of the following physical therapy interventions would be MOST appropriate for the patient INITIALLY?

Selecione uma das seguintes:

  • Transfer training and wheelchair mobility

  • One-foot supported standing balance exercises

  • Progressive walking program

  • Progressive resistive bed exercise program

Explicação

Questão 17 de 27

1

A patient recovering from a traumatic brain injury is unable to correctly state his whereabouts and insists he is staying at a resort. Which of the following is the MOST appropriate action for the physical therapist to take?

Selecione uma das seguintes:

  • Discuss the confusion with the patient's friend.

  • Orient the patient to the correct location.

  • Agree with the patient.

  • Document dementia in the patient's chart.

Explicação

Questão 18 de 27

1

Which of the following is the MOST likely hormonal response in reaction to a stressful stimulus?

Selecione uma das seguintes:

  • Release of epinephrine by the adrenal gland

  • Suppression of cortisol by the adrenal gland

  • Release of adrenalin by the hypothalamus

  • Suppression of growth hormone by the pituitary

Explicação

Questão 19 de 27

1

A woman has been walking on a treadmill for 10 minutes at 3.5 miles (5.6 km) per hour and 0° elevation when she reports a new onset of midthoracic back pain, aching in the right biceps muscle, fatigue, weakness, and nausea. Which system is MOST likely implicated?

Selecione uma das seguintes:

  • Cardiovascular

  • Gastrointestinal

  • Musculoskeletal

  • Neuromuscular

Explicação

Questão 20 de 27

1

A physical therapist has been asked to speak to a group of senior citizens regarding the benefits of exercise. The therapist should instruct the group that exercise has the greatest effect on which of the following endocrine disorders?

Selecione uma das seguintes:

  • Type 1 diabetes mellitus

  • Type 2 diabetes mellitus

  • Cushing syndrome

  • Graves disease

Explicação

Questão 21 de 27

1

When instructing an individual with intellectual disability, which of the following teaching techniques is MOST appropriate?

Selecione uma das seguintes:

  • Emphasize verbal feedback.

  • Provide instruction using a single method.

  • Practice, review, and facilitate overlearning of concepts and techniques.

  • Practice a series of portions of a task rather than the complete functional task.

Explicação

Questão 22 de 27

1

A physical therapist is performing sit-to-stand transfer training with a patient in a hospital room. The patient is currently admitted for acute renal failure and has electrocardiogram monitoring in place. During the transfer training, the therapist notes new onset of one unsustained, unifocal premature ventricular contraction. Which of the following actions is MOST appropriate for the therapist to take at this time?

Selecione uma das seguintes:

  • Discontinue transfer training and call the nurse immediately.

  • Discontinue transfer training and switch to passive range-of-motion exercises.

  • Allow the patient to rest and continue with transfer training, while monitoring the electrocardiogram.

  • Allow the patient to rest and measure the patient's blood pressure.

Explicação

Questão 23 de 27

1

A physical therapist is considering an intervention for a patient with lymphedema and severe arterial insufficiency. Which of the following options BEST represents the rationale for a decision concerning use of intermittent compression therapy?

Selecione uma das seguintes:

  • Should be used, because it increases peripheral resistance.

  • Should be used, because it moves excess interstitial fluid.

  • Should not be used, because it increases peripheral resistance.

  • Should not be used, because it moves excess interstitial fluid.

Explicação

Questão 24 de 27

1

A patient who sustained an ulnar collateral ligament sprain of the thumb (1st digit) 1 week ago is referred for physical therapy. Which of the following actions is MOST appropriate when continuous ultrasound is being administered?

Selecione uma das seguintes:

  • Immerse the wrist and the hand in water.

  • Apply 10% hydrocortisone to the skin.

  • Apply mineral oil between the skin and the sound head.

  • Utilize a stationary technique in direct contact with the skin.

Explicação

Questão 25 de 27

1

Prior to a lumbar laminectomy, a patient developed steppage gait on the right. Two weeks after the surgery, the steppage gait continues. Which of the following interventions is MOST appropriate to address the patient's underlying impairment?

Selecione uma das seguintes:

  • Biofeedback for the ankle plantar flexors

  • Squat exercises in standing

  • Electrical muscle stimulation of the ankle dorsiflexors

  • Straight-leg raising exercises in hooklying position

Explicação

Questão 26 de 27

1

A 5-year-old patient is experiencing pain at the insertion of the quadriceps tendon and has been referred for physical therapy. Which of the following interventions is MOST appropriate for this patient?

Selecione uma das seguintes:

  • Phonophoresis

  • Mobilization of the tibiofemoral joint

  • Cryotherapy

  • Whirlpool

Explicação

Questão 27 de 27

1

Neurapraxia resulting from ice massage is MOST likely to occur when the therapy is administered:

Selecione uma das seguintes:

  • over the insertion of the lateral collateral ligament of the knee.

  • for the treatment of medial epicondylalgia.

  • over the piriformis muscle origin and insertion in the hip.

  • for treatment of posterior dislocation of the shoulder.

Explicação