Title: Midterm Exam - Modules 1 - 5
Course: PHT 1200C Basic Patient Care > Section: Module 6

Q: If the patient has been placed in a wheelchair that is too low, which of the following is likely to occur:
- The patient will have insufficient trunk support
- The patient will have difficulty with standing transfers
- The patient will have difficulty propelling the chair
- The patient will have difficulty eating at a table
A: The patient will have difficulty with standing transfers

Q: A semireclining wheelchair allows for adjustment in position from fully upright to________degrees extension:
- 0
- 20
- 30
- 50
A: 30

Q: Advanced Health Care Directives are more commonly referred to as:
- HIPAA
- Living wills
- Advanced plans
- Advanced wills
A: Living wills

Q: An error in documentation, which of the following should not be done:
- Draw a double line through the incorrect information
- Draw a single line through the incorrect information
- Date the correction
- Initial the correction
A: Draw a double line through the incorrect information

Q: Each person on a team plays a different role in patient care. Which of the following statements in incorrect:
- The PT is responsible for establishing the plan of care
- The PTA is responsible for providing treatment per the plan of care
- The PT tech/aide is responsible for providing treatment per the plan of care
- All of the above are correct
A: The PT tech/aide is responsible for providing treatment per the plan of care

Q: How is a hemiplegic wheelchair different from a standard wheelchair:
- Rear wheels are more posterior to widen base of support
- Rear wheels are more anterior to widen base of support
- Seat is lowered by 2 inches to increase ease of transfers
- Seat is raised by 2 inches to increase ease of transfers
A: Seat is lowered by 2 inches to increase ease of transfers

Q: If a patient is not properly positioned in sidelying, which of the following muscle groups could potentially develop contractures:
- Hip adductors and internal rotators
- Hip abductors and external rotators
- Neck flexors
- Neck extensors
A: Hip adductors and internal rotators

Q: Professional interpreters should be used instead of family members, friend, or volunteers when possible:
- true
- false
A: true

Q: If you were walking through the classroom and had to pick up a pencil from the floor, which lifting technique would be most appropriate to use:
- Deep squat
- Power lift
- One leg stance lift
- Straight leg lift
A: One leg stance lift

Q: It is appropriate to leave a patient standing alone with an assistive device while trying to locate a chair for them to sit down and rest:
- true
- false
A: false

Q: It is recommended that frequent positional changes should occur with patients with which of the following conditions:
- Paralysis
- Decreased sensation
- The elderly
- All of the above require frequent positional changes
A: All of the above require frequent positional changes

Q: Lifting principles focus on the position of what segment of the spine:
- Cervical spine
- Thoracic spine
- Lumbar spine
- None of the above
A: Lumbar spine

Q: PTA is working on a home program with a 75 year old patient with Alzheimer s disease that had a stroke. The patient is being discharged today to the home of the daughter. Which of the following best describes what should occur during the instruction of the home program:
- Show the daughter the home program, explain the program, and provide written instructions
- Have the daughter perform the program with the patient while the PTA supervises, provide written instructions
- The PTA should perform the home program with the patient with the daughter observing, provide written instructions
- Have the patient perform the program with the daughter, leave your phone number in case they have questions
A: Have the daughter perform the program with the patient while the PTA supervises, provide written instructions

Q: Physical touch can be a powerful communication tool as a harmful gesture for some patients and a sign of disrespect for others.
- true
- false
A: true

Q: The PTA is working with an elderly patient to improve endurance and safety with ambulation. The patient has a long history of falls, however, she has no history of fracture and is FWB on BLE. She is currently ambulating with a standard walker for balance and safety. The patient complains that she has a lot of difficulty picking up the walker and that it causes her to have pain in her back that she rates as 10/10 on a scale of 0 to 10. How should the PTA address these issues:
- Tell the patient that she must use the standard walker as she is not safe with any other assistive device. She can take Tylenol for her pain
- Instruct the patient in the use of a large base quad cane and tell her to limit her walking so she is at less risk of falling
- Add wheels to the front of the walker so the patient will not have to pick it up to advance the walker
- Put the patient in a wheelchair and teach her how to use it to be mobile at home
A: Add wheels to the front of the walker so the patient will not have to pick it up to advance the walker

Q: The PTA has been advised to instruct the patient in the use of crutches, NWB on both level ground and on stairs. Which of the following describes the type of instruction the patient will receive?
- 2 point gait using crutches
- 3 point gait using crutches
- 3 point modified gait using crutches
- 4 point gait using crutches
A: 3 point gait using crutches

Q: The PTA has been working with a patient that has been ambulating with bilateral axillary crutches following arthroscopic surgery. The physical therapist has instructed the PTA to teach the patient how to ambulate WBAT using only one crutch. Which of the following is the correct gait pattern that is to be instructed:
- 4 point gait
- 4 point modified gait
- 2 point gait
- 2 point modified gait
A: 2 point modified gait

Q: The PTA is assisting a patient from a chair back to the bed. The patient stands from the chair with minimal assistance and transfers safely to the bed. Which type of transfer is this:
- Standing dependent pivot
- Standing assisted pivot
- Sitting assisted transfer
- Standing standby pivot
A: Standing assisted pivot

Q: The PTA is assisting a patient with a spinal cord injury at the lower cervical level back to bed. The patient is wearing a neck brace, has good arm strength, but both lower extremities are flaccid. Which of the following transfers would be inappropriate to transfer the patient from the wheelchair to the bed:
- Stand pivot
- Sliding board
- Two person lift
- Hoyer lift
A: Stand pivot

Q: The PTA is instructing a patient and family members on proper ambulation on stairs with axillary crutches. As the patient ascends the steps, where should the PTA advise the family member to stand:
- Behind the patient with both feet on the lower step
- Behind the patient with one foot on the step with the patient and the other foot on the step below
- In front of the patient with both feet on the step above the patient
- In front of the patient with one foot on the step with the patient and the other foot on the step above the patient
A: Behind the patient with one foot on the step with the patient and the other foot on the step below

Q: The PTA is performing transfers with a patient. The patient is offering approximately 50% to the activity while the PTA performs at least 50%. Which of the following reflects how this would be documented:
- Dependent
- Moderate assist
- Minimal assist
- Maximal assist
A: Moderate assist

Q: The PTA is transferring a dependent patient from the bed to a chair with the use of the Hoyer lift. Where should the sling of the lift be positioned when the patient is in supine:
- Mid-calf to buttocks
- Mid-thigh to mid/upper back
- Buttocks to neck
- Mid-calf to neck
A: Mid-thigh to mid/upper back

Q: The PTA is working with a patient who is deaf. To communicate effectively the PTA should:
- use tactile & visual cues
- write words on a piece of paper
- speak loudly
- A & B
- all of the above
A: A & B

Q: The first time the PTA meets a patient, he or she should do all of the following except:
- introduce himself/herself by name and title
- refer to the patient by his/her first name
- position himself/herself to greet the patient at eye level
- inform the patient about the treatment plan for the visit
A: refer to the patient by his/her first name

Q: The most effective way to control and propel a wheelchair over an uneven or soft surface is to elevate the caster wheels so that only the rear wheels are in contact with the surface:
- true
- false
A: true

Q: The patient is placed on the treatment table in a prone position. The patient complains of increased low back pain while in this position. Since this is the optimal position to complete the needed interventions, how might the PTA alleviate this patient s discomfort:
- Place a pillow under the chest
- Place a pillow under the knees and feet
- Place a pillow under the abdomen
- None of the above will alleviate the pain
A: Place a pillow under the abdomen

Q: The patient performs 100% of the activity with no safety concerns or need for assistance. How would this be documented?
- Stand by assist
- Contact guard assist
- Independent
- Supervision
A: Independent

Q: When assessing proper fit of axillary crutches, all of the following should be assessed except:
- Overall height by checking the distance between the axilla and the crutch
- The height of the handpiece at the wrist
- The angle of elbow flexion
- All of the above should be assessed for proper fit
A: All of the above should be assessed for proper fit

Q: What is the purpose of the drive wheels on wheelchair:
- To permit the chair to slow down easily
- To provide trunk stability
- To permit changes in direction and for turning
- To propel the chair forward and backward
A: To propel the chair forward and backward

Q: When treating a patient with hemiplegia, prolonged positioning of the affected arm should be avoided in what positions:
- Shoulder adduction and internal rotation
- Shoulder abduction and external rotation
- Shoulder adduction and external rotation
- Shoulder abduction and internal rotation
A: Shoulder adduction and internal rotation

Q: When attempting to perform a lifting task, all of the following should be done except:
- Keep the lumbar curve in the back
- Squat to lift an object below the level of the hips
- Decrease the base of support
- Move close to the object before lifting
A: Decrease the base of support

Q: Which of the following accurately describes when informed consent should be obtained and who it should be obtained from:
- From the patient before treatment begins
- From the patient during treatment
- From the patient at the end of the treatment
- From the caregiver before the treatment begins
A: From the patient before treatment begins

Q: Which of the following assistive devices provides the least amount of support but the greatest amount of mobility:
- Crutches
- Quad cane
- Straight cane
- Walker
A: Straight cane

Q: Which of the following assistive devices provides the most amount of support but the least amount of mobility:
- Crutches
- Quad cane
- Straight cane
- Walker
A: Walker

Q: Which of the following is not a total hip precaution:
- Avoid hip flexion beyond 60-90 degrees
- Avoid internal rotation beyond 0 degrees
- Avoid abduction beyond 0 degrees
- Avoid adduction across midline
A: Avoid abduction beyond 0 degrees

Q: Which of the following best describes the proper body mechanics used during lifting:
- Wide base of support, long lever arms, and high center of gravity
- Wide base of support, short lever arm, low center of gravity
- Narrow base of support, short lever arm, low center of gravity
- Narrow base of support, long lever arm, high center of gravity
A: Wide base of support, short lever arm, low center of gravity

Q: Which of the following bony prominences would not be of concern when positioning a patient in the supine position:
- The patella
- The sacrum
- The scapula
- The heel
A: The patella

Q: Which of the following is not considered an expected physiological change associated with aging:
- loss of bone density
- altered hearing and vision acuity
- increased tactile sense
- decreased skin integrity
A: increased tactile sense

Q: Which of the following landmarks is used to properly fit a walker or crutches to a patient:
- The wrist crease
- The greater trochanter
- Both of these landmarks can be used
- Neither landmark is correct
A: Both of these landmarks can be used

Q: Which of the following reflects the correct sequence during ambulation with an assistive device on level ground:
- AD, good foot, bad foot
- AD, bad foot, good foot
- Bad foot, AD, good foot
- Good foot, AD, bad foot
A: AD, bad foot, good foot

Q: Which of the following statements regarding documentation is NOT correct:
- documentation is a form of communication between health care providers and insurance companies
- documentation is necessary to support billing practices
- physical therapy aides, physical therapy assistants, and physical therapists are all responsible for documenting in the patient record
- all of the above statements are correct
A: physical therapy aides, physical therapy assistants, and physical therapists are all responsible for documenting in the patient record

Q: Which of the following reflects the correct sequence when ambulating down the stairs with a cane?
- Cane, bad foot, good foot
- Cane, good foot, bad foot
- Bad foot, good foot, cane
- Good foot, cane, bad foot
A: Cane, bad foot, good foot

Q: Which of the following reflects the correct sequence when ambulating up the stairs with crutches?
- Crutches, good foot, bad foot
- Crutches, bad foot, good foot
- Good foot, crutches, bad foot
- Bad foot, crutches, good foot
A: Good foot, crutches, bad foot

Q: Which of the following would not be included in the assessment section of a progress note:
- Tests and measures
- The PTA s description of the patient s overall response to treatment
- The patient s progress toward short and long term goals
- The effects of interventions on the patient s problems
A: Tests and measures

Q: Which of the following types of arm rests would you recommend for a patient with bilateral LE amputation to facilitate independent transfers:
- Fixed arm rests
- Adjustable arm rests
- Removable arm rests
- Cut out arm rests
A: Removable arm rests

Q: Which type of documentation is commonly used by hospitals or other facilities that offer multiple disciplines that maintains a record arranged with tab for each discipline all in one document:
- Problem Oriented Medical Record
- SOAP
- Source Oriented Medical Record
- None of the above
A: Source Oriented Medical Record

Q: Which of the following would not be included in the objective section of the progress note:
- The patient reports he has numbness in his back and his left leg
- The patient performs 3 repetitions of stretching exercises for the hamstrings
- patient ambulates with crutches WBAT on the right lower extremity for 50 feet with minimal assist of 1
- patients strength (MMT) for the right hamstrings = 4/5
A: The patient reports he has numbness in his back and his left leg

Q: Which type of medical error is defined as an injury that is caused by medical management process:
- active error
- latent error
- sentinel event
- potential event
A: sentinel event

Q: Which type of leg rests are needed for wheelchairs that have the capacity to recline:
- Elevating leg rests
- Fixed leg rests
- Removable leg rests
- Swing away leg rests
A: Elevating leg rests

Q: Which of the following would not be included in the subjective section of a daily or weekly progress note:
- The patient’s complaints of pain
- The patient’s report of response to the previous treatment
- The treatment provided to the patient
- The patient’s description of improvements
A: The patient’s complaints of pain