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June 26th, 2016, 11:12 AM
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Join Date: Mar 2012
Re: PTA Exam Questions

No problem I will get the Physical Therapist Assistant exam paper so that you can get idea from the paper.

Here is the paper
1. If a magnetic resonance image (MRI) correctly identifies 95% of patients as positive for anterior cruciate ligament tears, then the MRI is:

Sensitive
Specific
Significant
Stable

2. A 20 year old male soccer player presents with a Grade II right lateral ankle sprain upon evaluation. What are the characteristics of a Grade II ankle sprain?

Partial tear of the lateral ligament complex with mild joint instability, moderate intra-capsular swelling and tenderness, and some loss of ROM and joint function
Complete rupture of the anterior talofibular ligament, calcaneofibular ligament, and capsule with mechanical joint instability; severe intra/extra-capsular swelling, ecchymosis, tenderness and inability to weight-bear.
Stretch of the lateral ligament complex with no macroscopic tear or joint instability, little swelling or tenderness
Partial tear of the syndesmosis, creating generalized swelling and tenderness throughout the ankle joint complex; inability to bear weight, severe ecchymosis, and mortise widening.

3. An 11 year old male presents to the physical therapy clinic with signs of hypertonicity related to cerebral palsy. The boy has significant shortening of the left sternocleidomastoid muscle, creating a severe torticollis to the right. This has led to a pressure ulcer forming on his right ear from contact with the wheelchair headrest. The MOST appropriate course of action is to:

4. A patient with a stroke affecting the right middle cerebral artery has difficulty walking, especially over uneven surfaces. Which of the following describes the MOST appropriate initial treatment to improve the patient’s ability to walk over uneven surfaces?

Place a single point cane in the patient’s left hand and train him to use a step-to gait pattern.
Place a single point cane in the patient’s right hand and train him to use a step-to gait pattern.
Fit the patient with a 4-wheeled walker and instruct him to use a 4-point gait pattern.
Fit the patient with axillary crutches and instruct him to use a 4-point gait pattern.

5. A physical therapist evaluating a 66 year old female who has a history of severe head trauma following a motor vehicle accident. The patient has difficulty with rapid alternating movements while performing neurologic testing. The BEST term to describe this specific impairment is:

Ataxia
Dysmetria
Dysarthria
Dysdiadocokinesia

6. A 79 year old female presents to outpatient rehabilitation services 6 weeks following a CVA with right hemiplegia. She complains of right shoulder pain working on functional upper extremity movements and has severe shoulder pain when practicing bed mobility activities such as rolling and scooting. On examination, it is observed that the humeral head is inferiorly displaced. Which of the following would be the MOST appropriate for her condition?

Transcutaneous Electrical Nerve Stimulation (TENS)
Functional Electrical Stimulation (FES)
Short Wave Diathermy (SWD)
Interferential Current (IFC) Stimulation

7. A 30 year old male presents to outpatient rehabilitation with numbness and tingling on the 4th and 5th fingers of the left hand consistent with nerve entrapment symptoms. Upon further examination, it is noted that the patient has normal sensation on the dorsum of the hand on the ulnar side. Where is the MOST likely source of nerve entrapment?

Guyon’s Canal
Carpal Tunnel
Cubital Tunnel
1st Rib

8. A 45 year old male presents to the burn unit with partial thickness burns over the entire right arm, left arm, front of head, and front of chest. Approximately what percentage of his body is burned?

31.5%
36%
40.5%
45%

9. A patient presents to the inpatient rehabilitation unit who has suffered a vertebro-basilar CVA and has difficulty adducting and depressing his eyes. Which cranial nerve is the MOST likely cause of this impairment?

CN I
CN II
CN III
CN IV

10. A 59 year old male patient is being evaluated for left shoulder pain. The patient reports that his shoulder pain is closely associated with activity, including stress at work. The patient reports that at worst, the pain radiates into his neck, and he feels shortness of breath which subsides with rest. What would the MOST appropriate intervention be?

11. A 35 year old patient with a complete T5 spinal cord injury is working on supine to sit transfers on the mat table when he suddenly appears flushed and complains of his heart pounding. Upon examination, his blood pressure is 180/100 and he has a pounding headache. The most appropriate INITIAL course of action is:

Lay the patient supine and notify the patient’s physician.
Sit the patient up and notify the patient’s physician.
Allow the patient to rest longer between sets of activity.
Initiate core strengthening exercises to maintain intraabdominal pressure.

12. A 21 year old female patient presents with neck pain and stiffness that has gradually worsened over the last two weeks. Upon examination, the patient is noted to have left-sided pain with left side bending with left rotation and reports pain at the left C5-6 junction. Hypomobility is also noted with right side-gliding of C6. Which of the following techniques will be most appropriate to decrease pain?
Closing technique for the mid-thoracic spine.
Closing manipulation in extension for C5-C6
Gapping manipulation in flexion for C5-C6.
Flexion/opening manipulation for mid-thoracic spine

13. A 22 year old female presents to the clinic with a chief complaint of knee pain following a twisting injury while playing soccer 5 days ago. The patient’s knee is swollen significantly and is unable to jump or run. What special test would be the MOST appropriate to diagnose the injury?
Lachman’s test
Posterior drawer test
Active Lachman’s test
External Rotation Recurvatum Test

14. A geriatric patient with “walking” pneumonia and a history of recent falls is receiving physical therapy for general strengthening. What part of this person’s treatment be affected MOST by his lung condition?

Decreased stamina/tolerance of activity
Inability to participate in endurance type activities
Diminished tidal volumes
Lower oxygen saturation with moderate activity

15. A patient complains of weakness in the right hip while she is ambulating. Upon examination, you notice that the patient has a significant drop of the left hip while in midstance on the right leg. The MOST appropriate treatment for this impairment would be:
Standing hip abduction of the left leg.
Standing hip abduction of the right leg.
Standing flexion of the left leg.
Standing flexion of the right leg.


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