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D- rocker Sole
136- prothotic thermoplastic material made from
a- Low temperature thermoplastic material
b- Medium temperature thermoplastic material
c- High temperature thermoplastic material
d- Thermositting plastic
The correct Answer :
A-Low temperature thermoplastic material
...
The therapist has given the patient
custom-fit orthotics
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The therapist decides to
use joint mobilization techniques to decrease the patient’s pain
...

Before performing this manipulation, the examiner performs deep-tissue
massage along the entire flexor hallucis brevis muscle
...
Upon releasing the pressure, the
examiner dorsiflexes the joint a few degrees, gently pushing the first
metatarsophalangeal joint into a more dorsiflexed position (B)
...
At this point, the
examiner performs a series of gentle mobilizations in which the distal
aspect of the first metatarsal head is driven inferiorly (C), while the
proximal phalanx is tractioned
138-Below knee amputation what you see
a- there is knee flexion
b- there is no knee flexion
c-there is edematous stump
D- there is deformed stump

The correct Answer is :
C- there is edematous stump
139-Syme's amputation also called
a- supramalleolar amputation
b- below knee amputation
c- above knee amputation
The correct Answer is :
A-supra-malleolar amputation
...
A
...
H
B-SOFT S
...
C
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A
...
H
141- This is

a) S
...
CH
b) Below knee cast
c) Above knee prosthesis with pelvic band
The correct Answer is :
C-Above knee prosthesis with pelvic band
142- Rigid plaster cast to
a) maintain shape of stump
b) A
...
Orthosis
The correct Answer is :
A-maintain shape of stump
143- phantom limb is

A- Painful stump
B- Feel of limb doesn’t exist
The correct Answer is :
B- feel of limb doesn`t exist called phantom sensation
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145-patient with left above knee amputation complains of phantom limb
pain
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C- pain is described variously as cramping , squeezing , burning , sharp
and shooting called into claudication pain
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148-prothetist:
A- Device that replace the amputated limb of the body
B - Material from which the device are fabricated
C - Person who fabricate and design the prosthesis
D- Company which fabricates the device
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149-Pt has 32 years with spinal deformity & dyspnea due to :
a-Muscle weakness
b- Spinal orthosis
c- Decrease lung volume
The correct Answer is :
C-decrease lung volume is means dyspnea
...
bending
medial and lateral sweep
lordosis

The correct Answer is:
A-Vaulting

151-if the axis of artificial knee below the knee of non affected side
a-Hip hiking
b-Circumduction gait

c-Short step
The correct Answer is:
A-hip hiking is like vaulting as we described above

151-A physical therapist is beginning an evaluation of a patient with a
diagnosis of “knee strain”
...
Which of the following are
possible causes of the restriction in range of motion?
a-Ligamentous adhesions
b-Internal derangement
c-Extra-articular lesions
d-All of the above
The correct Answer is:
D- all of the above
152-A child presents to physical therapy with a diagnosis of right
Sever’s disease
...

the arms swing on the contralateral side of the leg movement
...

the lumber vertebra moves with the pelvis rotation on the same side of
the unsupported leg
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The patient was independent in ambulation without an assistive device
before surgery and has no cognitive deficits
...
Which of the following is the most appropriate assistive
device and gait pattern?
A-Crutches, three-point gait pattern
B-Standard walker, three-point gait pattern
C-Standard walker, four-point gait pattern
D-Crutches, swing-to gait pattern
The correct Answer is:
A- crutches ,three point gait pattern , The three-point gait pattern
involves the use of two crutches or a walker
...
three-point gait pattern requires good upper body strength,
good balance, and good cardiovascular endurance
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Next, the involved lower extremity is advanced
...

If the un-involved lower extremity is advanced to where it is
parallel to the involved lower extremity, then this would be a
"swing to" pattern
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157- A physical therapist is evaluating a patient with muscular
dystrophy
...
She rolls the right hip forward when advancing the right
lower extremity and the left hip forward when advancing the left lower
extremity
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158-A physical therapist is treating a 24-year-old woman with lumbar
muscle spasm
...
Which of the following would
be most comfortable?
A-Supine with no pillows under the head or extremities
B-Prone with a pillow under the head only
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159-The therapist is treating a 52-year-old woman after right total hip
replacement
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She carries a heavy briefcase to and from work every day
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What advice can the therapist give the patient to minimize gait
deviation?
a-Carry the briefcase in the right hand
b-Carry the briefcase in the left hand
c-The patient should not carry a briefcase at all
...

The correct Answer is :
A- carry the briefcase in the right hand to increase the trunk lean toward
right side because the right side of the pelvis was raising as it`s muscle
weakness after surgery THS so after we know that the Hip girdle
muscles are responsible for keeping the pelvis level when walking
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160-While gait training a patient following a cerebral vascular accident,
you observe the knee on the affected side going into recurvatum during
stance phase
...

B- weakness or severe spasticity of the quadriceps

C- Weakness of the gastrocnemius-soleus or spasticity of the pretibial
muscles
D- Weakness of both the gastrocnemius-soleus and pretibial muscles
The correct Answer is:
B- Weakness or severe spasticity of the quadriceps
161-flexion occur in any phase from this
a- mid stance
b- toe off
c- mid swing
d- heel strike
The correct Answer is:
C- mid swing
162-Which is not correct about hip during gait
a- max hip flexion occur in terminal swing
b- Slight hip extension before ic
c- Hip extension occur during double limb support
The correct Answer is:
A- max hip flexion occure in terminal swing
...
O
...
o
...


165-what is not a part of stance phase
1-deceleration
2-midstance
3-intial contact
4-preswing
The correct Answer is:
1- deceleration is a swing phase
166-pt ask to go upstairs with crutch
a) Sound limb go up 1
b) Affected limb go up 1
The correct Answer is:
a- sound limb go up first as we described above
The screw home mechanism that is present
in the last few degrees of terminal knee
167-Pt
...

The correct Answer is:
B- swing to as we described above
168-When comparing the gait cycle of young adults to the gait cycle of
older adults, what would a therapist expect to find?
a- The younger population has a shorter step length
b- The younger population has a shorter stride length
c-The younger population has a shorter period of double support
d- The younger population has a decrease in speed of ambulation
The correct Answer is:
C- The younger population has a shorter period of double support “mid
stance “ than the older adult
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The new prosthesis causes the heel on the involved foot to
move laterally at toe-off
...


b-Too much external rotation of the prosthetic knee
...

d-None of the above would cause this deviation
The correct Answer is:
A- Too much internal rotation of the prosthetic knee lead to heel lateral
deviation
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The patient is beginning ambulation with a
preparatory prosthesis
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Which
of the following are possible causes of this gait deviation?
a- The heel is too stiff
b- The foot is set too far anterior in relation to the knee
c- The foot is set in too much plantar flexion
d- All of the above
The correct Answer is:
A- The heel is too stiff lead to excessive flexion and this is the rest of
reasons which may lead to the same deviation
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171-During evaluation of a patient, the therapist observes significant
posterior trunk lean at initial contact (heel strike)
...

172-Quadriceps function in swing phase
a- accelerated knee flexion

b- prevent excessive knee flexion
The correct Answer is:
B- prevent excessive knee flexion
PNF
1- D1 flexion diagonal
prepare pt for gait
2- D2 flexion
parkinsonism
3- D2 flexion
rotator cuff, impingement, supra-spinatous tendinitis
4- D2extention
pitcher
5- Rhythmic initiation
parkinsonism
6- Rhythmic stabilization
increase stability ( Ataxia )
** Rhythmic initiation
progression from agonist pattern (assistive active free -resistive ) Uses: -in ability to initiate movement -limited ROM
** Rhythmic stabilization isometric contraction of agonist following by
isometric contraction of antagonist Uses :-increase strength and
endurance
173-A pitcher is exercising in a clinic with a sports cord mounted behind
and above his head
...
Which (PNF) diagonal is the pitcher using to
strengthen the muscles involved in pitching a baseball?
A
...
D1 flexion
C
...
D2 flexion
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174-To treat effectively most patients with Parkinson’s disease, the
therapist should emphasize which proprioceptive neuromuscular
facilitation (PNF) pattern for the upper extremities?
a-D2 extension
b-D2 flexion
c-D1 extension
d-D1 flexion
The correct Answer is:
B- D2 flexion

175-A therapist receives an order to evaluate a 72-year-old woman who
has suffered a recent stroke
...
Which of the proprioceptive neuromuscular facilitation(PNF)
diagonals best encourages normal gait?
a- D1flex
b- D2 flex
c- PNF is contraindicated
d- Pelvic PNF patterns only
The correct Answer is:
B- D1 flexion diagonal for preparing for Gait
176-Resistance in P
...
f for:
A
...
To increase motor contraction and motor learning
C
...

178-All of the following in the gait cycle except
A- Swing phase
B- Mid swing
C- Initial contact
D- Heal flat
The correct Answer is:
D- Heal flat
179-As a result of a gait analysis, a therapist has determined that the
patient ambulates with excessive foot pronation
...

180-use of can in contralateral hand will :
a- not affected gait pattern
b- reduce energy expenders in normal person
c-decrease the floor reaction force on the opposite foot
d- not affected floor reaction force on the opposite foot
The correct Answer is:
C- will decrease the floor reaction force on the opposite foot
...
L
D2 flex L
...
, normal
gait in adult , 60 % stance phase to increase balance & stability and 40
% swing phase to avoid falling and imbalance
182-Pt has calf muscle tear type of massage used
A
...
vibration
C
...
deep friction
The correct Answer is:
C- Effleurage massage
183-A physician has ordered a physical therapist to treat a patient with
chronic low back pain
...
What is the
first technique that should be used by the physical therapist?
A-Isometric gluteal strengthening
B-Posture program
C-Soft tissue massage

The correct Answer is:
C- soft tissue massage for trigger point
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The physical therapist assistant
should
...

B- refuse to let the patient see the record
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D- get the permission of the physical therapist supervisor before giving
the patient the chart
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187- All of the following are objective measurements used in evaluation
except:
a- time used for performance activity
b- visual analogue scale
c- goniometric ROM

d- disability devices
The correct Answer is:
D- disability devices not objective measurements
188-A therapist is instructing a physical therapy student in writing a
SOAP note
...

Where should this phrase be placed in a SOAP note?
a-Subjective
b-Objective
c-Assessment
d-Plan
The correct Answer is:
A – Subjective
189- Which muscle bilateral weakness patient use bilateral crutches
a- Gluteus medius
b- Gluteus maximus
c- Quadriceps
a- Hamstrings
The correct Answer is:
B-Gluteus Maximus
190-To help decrease shear when transferring a patient with a spinal
cord injury from bed to chair, it would be best to use
A - a draw sheet
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c - An air mattress
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The patient has zero degree of active shoulder Abduction in the standing
position
...
What is the correct manual muscle testing grade for
the patient’s shoulder abduction?

a-3-/5 (fair -)
b-2+/5 (poor+)
c-2-/5 (poor-)
d-1/5 (trace)
The correct Answer is:
C- 2-/5 (poor ) , poor grade The ability to move through a partial arc of
motion in the horizontal plane is graded as poor - The grade of poor
means that the muscle is capable of completing the range of motion in
the horizontal plane
...
It also means that the muscle is
capable of moving through a partial arc of motion in the antigravity
position
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What is the highest possible level of
this lesion?
B
...
C4
D
...
The therapist notices
that the patient is having difficulty closing his mouth against minimal
resistance
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194--A patient is in prone position with his head rotated to the left side
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The left shoulder is then shrugged toward the chin
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The patient is then
instructed to “try to reach your feet using just your left arm
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The test is assessing the
strength of what muscle?
A
...
Posterior deltoid
C
...
Triceps brachialis
The correct Answer is :
C- Latissimus dorsi action is extension of the arm

195-A patient is positioned in the supine position
...

The therapist applies resistance into shoulder flexion, then extension
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The therapist instructs the patient to “hold”
when resistance is applied in both directions
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• This is followed by a voluntaly relaxation by the patient and
then passive movement of the extremity by the clinician into
the newly gained range of the agonist pattern
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Contract-relax (C-R): a relaxation technique usually performed at the
point of limited range of motion in the agonisl:
pattern:
• An isotonic movement in rotation is performed followed by an
isometric hold of the range-limiting muscles in the antagonist
pattern against slowly increasing resistance, voluntary relaxation, and
active movement into the new range of the agonist pattern
...
Which of the following exercises is in compliance with this
order?
A-Biceps curls with the patient actively and independently flexing the
left elbow using a 5-pound dumbbell as resistance
B-Rhythmic stabilization for the left elbow
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d- None of the above
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The patient has a positive
Thomas test

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