PTAP FINAL – Flashcards

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Which of the following tasks can a PTA asks a social worker to assist with?
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To instruct the patient at discharge from the hospital **To arrange for home health services at patient discharge from the hospital** To assess the patient's home environment To provide an exercise plan for the patient to be done at home
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This medical term describes a band of scar tissue that binds anatomical surfaces that normally are separate from each other.
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adhesion
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Regarding the Scope of Practice for the PTA, which of the following statements is acceptable?
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**A PTA increases the weight a patient uses on an existing upper extremity progressive resistive exercise.** A PTA completes a discharge summary A PTA completes a re-examination on a patient A PTA instructs a physical therapy aide to guard a patient ascending stairs
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These health care individuals help people improve their ability to perform ADL's, work, and leisure skills. Educational preparation emphasizes the social, emotional, and physiological effects of illness and injury.
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OT
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According to the APTA, at what level of physical therapist supervision of the PTA is it appropriate to communicate by telephone?
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general supervision
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This health care team model involves several different disciplines who are all involved with providing patient care. The disciplines function independently, however, they routinely report to each other and may coordinate patient care.
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Interdisciplinary team
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When the head of an examination table is tilted to produce a 45- to 60-degree angle and used for treatment of a patient who is having difficulty breathing, this body position is known as
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Fowler position
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What is the correct order of processes for the collaboration path between the PT and the PTA regarding patient management during an initial session?
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Initial Examination, POC, PT Diagnosis, Interventions
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Which of the following is a task that a very experienced PTA working as the physical therapy director cannot perform?
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Set and apply policies and procedures Motivate PT's, PTA's and other personnel **Examine and evaluate patients** Interview new personnel Correct
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What were the two major events in US history that caused the creation of the physical therapy profession?
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Poliomyelitis and war injuries
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These health care individuals evaluate cognitive-communication, language and swallowing skills of children and adults.
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SLP
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Physiatrists are described as ?
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Physicians who specialize in physical medicine and rehabilitation
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A sunburn that results in blistering but no scarring is considered what type of burn?
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Second-degree burn
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What is the highest policy making body and the internal legislative branch that amends or repeals bylaws of the APTA?
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HOD
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What is CAPTE?
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The organization that ensures that PT and PTA education programs provide appropriate education for entry level into the profession
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This abdominopelvic quadrant contains the stomach and the spleen
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LUQ
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In the field of medicine, the standard reference position of the body is known as
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Anatomical Position
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Root word that means skin?
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dermat/o
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The body plane that separates the body into superior and inferior portions is known as
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Transverse plane
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What is the name of the document that enables a healthcare worker to focus on a persons well-being & function, and describes a patient's impairments, activity and participation limitations.
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International Classification of Functioning, Disability, and Health
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Core value of a PTA that is described as the devotion to the interest of a patient/client?
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Altruism
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What is the advantage of an interdisciplinary team?
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Coordination of goals among all healthcare providers
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What is the first step to identifying cultural competence?
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Identify personal bias
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In using the Guide to Physical Therapist Practice the purpose that is most relevant to a PTA is
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To describe examination and evaluation processes including test and measures To describe the utilization of outcome measures Correct **To describe interventions and the process of choosing appropriate interventions** To describe the settings where physical therapy is practiced
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When a member of a POPTS instructs a patient that they must attend their clinic for physical therapy services, this directive is considered an infringement on which biomedical ethical principle?
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Autonomy
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The active acceptance of the roles, obligations, and actions of the PTA, including behaviors that positively influence patient/client outcomes, the profession, and the health needs of society iidentifies which core value?
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Responsibility
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Mrs. Smith continues to struggle with RA in the small joints of both hands due to inflammation; this statement is describing which disablement model term?
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impairment
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How is a student affected by the FSBPT?
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The organization creates the licensure exam
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When receiving informed consent, which of the following elements is not necessary for the healthcare practitioner to discuss with the patient?
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description of the procedure Correct **timing of the procedure** optional interventions to the procedure risks and benefits for the procedure
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Mrs. Smith is having difficulty holding a broom and sweeping her floor due to severe RA in (B) hands/fingers. Mrs. Smith's inability to perform this household task describes which disablement model term?
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disability
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Which ethical principle requires that the healthcare worker not do anything to cause the patient harm?
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Non-maleficence
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When termination of physical therapy services occurs prior to achievement of anticipated goals this must be documented as a
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discontinuation of services
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When Mrs. Smith arrives at your clinic she apologizes for her appearance stating that she is unable to brush her hair due to the severe deformity in both of her hands secondary to RA. Which disablement model term describes this patient's situation?
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functional limitation
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You are working with your patient who has hemiparesis and you are using this type of listening skill to gather specific information that will help you assess your patients description of pain
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analytical listening
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You are a student PTA working at an outpatient clinic on your last internship and you are required to document joint range of motion measurements. What section of the SOAP note will you put this information?
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Objective
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What is the vision statement of the American Physical Therapy Association?
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Transforming society by optimizing movement to improve the human experience.
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You're a new graduate PTA and are working in an acute care setting. Your patient stated that she saw a diagnosis from her primary doctor in her medical chart which was different than the diagnosis from the physical therapist. She asks you what the difference is and you explain that
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the physical therapy diagnosis includes the patients impairments but not the disease
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You are a student PTA at your very first clinical internship and your first patient has hemiplegia and is w/c bound. You want to create the best nonverbal impression when meeting your patient for the first time so you
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sit directly in front of and facing the patient
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A student PTA is performing their clinical internship at a clinic that specializes in bariatric care. You recall your training on cultural competence and realize that the FIRST thing you should do to help your patient who is 5' tall, 475lbs and has a (L) ankle eversion sprain is to:
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Understand your personal bias' if you have any
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When your clinical instructor requests that you do an inservice that explains the use of evidenced-based practice (EBP), you discover that EBP is
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Practice that uses research to support clinical decision making
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A student PTA applied a moist hot pack (MHP) to a patient's lower back, which resulted in a second degree burn (blistering). It was discovered that the student PTA did not provide enough toweling to prevent the burn, did not provide the patient with a call bell and did not check the treatment area every 5 minutes as trained to do so. This student PTA can be held liable for
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failing to perform a duty of care
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As a student PTA you have been working in an outpatient orthopedic site and have been recording a patients (R) knee active range of motion (AROM). When you document the comparison of these measurements you will write this information in what section of the SOAP note?
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Assessment
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Mrs. Smith came in for her physical therapy session and the PT instructed the PTA to provide a new deep heating modality. Prior to performing this treatment the PTA must obtain informed consent which means:
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explaining the intervention, benefits and risks to the patient
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A PT and PTA team are treating a patient whose POC includes "closed chain therapeutic exercises to strengthen muscles in bilateral lower extremities." Upon reading the documentation for the previous treatment, the PT notes that the PTA progressed the exercise program to include alternating single knee flexion in standing. The PTA:
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Does not have authority to progress lower extermity exercises in this situation.
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You are a student PTA working at your second to last clinical internship at an adult Neuro-developmental rehab center. You are required to provide documentation that includes your patients well-being, functional level, listed impairments, activity level and participation limitations. What will be your best resource for completing this task?
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International Classification of Functioning, Disability, and Health
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You are on your second clinical internship and your clinical instructor asks you to put together a HEP for your patient who just had a (L) TKR. You remember learning in PTA school that a HEP should include:
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uncomplicated drawings/pictures exercise frequency, duration and # of reps the least amount of exercises needed Correct **all of the above**
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Your patient is a 54y/o male who is seeing a GI specialist for gastroparesis. Using layman's terms how would you define this diagnosis?
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weakness of the stomach
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What element of research measures accurately what it intends to measure?
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Validity
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The medical term is esophagogastroduodenoscopy. The combining forms and their meanings are:
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esophag/o = esophagus gastr/o = stomach duoden/o = duodenum
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After talking to nursing staff, the inpatient rehabilitation PTA treated the patient in the room for instruction in safety and adaptive equipment for toileting, along with dressing and grooming activities. The patient was motivated and worked hard throughout the treatment session. Which is the BEST choice for the subjective portion of the daily SOAP note?
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Patient is unable to move the right upper extremity as well today as yesterday, although it doesn't really hurt but feels "tight."
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In an attempt to establish a HEP, the PTA gives a patient written exercises. After 1 week, the patient returns and has not performed any of the exercises. After further questioning, the PTA determines that the patient is illiterate. What is the most appropriate course of action?
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Give the patient a picture of the exercises.
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Blood supply to part of the brain is briefly interrupted but does not cause permanent brain damage; this is known as a
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TIA
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Mr. Smith is 67years old and has Medicare Parts A, B, C & D. He is attending physical therapy due to severe (R) knee pain which has been attributed to gout. You are his PTA and he tells you that his doctor prescribed a new medication that is supposed to relieve the gouty flare-up. He wants to know which part of his Medicare will cover the medication. Your response will be
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Medicare Part D typically covers prescription drugs to everyone with Medicare.
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What part of Medicare covers outpatient physical therapy services?
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Part B
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All of the following are examples of surgical suffixes except
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**-cele** -ectomy -plasty -centesis
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EBP requires that clinicians NOT be guided by which of the following?
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Relevant clinical research data. Establishing a body of knowledge that will determine efficacy of treatments. Correct **Success of interventions in the past based on the clinician's personal experience.** Improving patient care.
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S, O, A, or P? Patient unable to complete balance testing on this date due to bradycardia.
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assessment
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S, O, A, or P? Continue PT 3x/wk x 4wks for gait training using (R) LE prosthesis.
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plan
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The simplest study design is one that will allow physical therapists to ultimately develop practice guidelines. This study design is known as
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case report or case study
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Which of the following should a PTA do to communicate effectively during patient education?
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Provide all the information that the patient needs in one session. Verify the patient understands by asking "do you understand?" Correct **Explain new words.** Assume the patient understands unless they ask a question
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The medical term is cryosurgery. The combining form and it's definition are
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cry/o = cold
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The type of anemia that occurs due to the failure of bone marrow to produce stem cells.
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aplastic anemia
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Which of the following is TRUE of health care providers in a managed care organization?
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**Agrees on a fixed payment schedule** Must charge according to the Medicare Fee Schedule Can charge whatever they would like Must bill the patient directly
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You are working with a patient who fell on an outstretched arm, which caused this type of fx to her distal radius
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Colles fracture
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Activities in which the PTA student will prepare short educational programs designed to impart specific aspects of knowledge to their peers at their clinical sites are called
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Clinical In-service
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Your patient is in anatomical position and he moves his arm from the side of his body to shoulder height; this describes what directional term?
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Abduction
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Your patient had a stroke which resulted in expressive aphasia. The medical term aphasia means
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without speech
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Which statement would be the MOST appropriate for the PTA to document in the plan section of the SOAP note
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Client was assessed for use of compensatory techniques while cooking in the clinic kitchen. Correct **Client was given educational materials to practice correcting posture and trunk balance during daily routine.** Client indicates that the long-term goal is to return to work on a full-time basis. Client is able to respond to verbal instructions and questions with correct responses three out of three times.
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You are working as a new graduate PTA in an acute care setting. Your supervising PT has completed an assessment on Mr. Jones and has asked you to complete follow up treatments. When you look through the evaluation you focus on the POC because you want to see
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Frequency and duration of treatments
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Mrs. Smith has been diagnosed as HOH, which according to her chart is specifically due to atrophy in the bone that receives direct vibration from the tympanic membrane. What is the name of this bone?
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Malleus
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Mr. Jones had a complete physical therapy assessment and his impairments were labeled within which section of the evaluation?
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PT diagnosis
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Your patient had a (R) TKR and part of his orthopedic protocol includes muscle tension exercises such as a quad set, which allow for strengthening muscles around the joint without visible joint movement. This type of exercise is known as
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Isometric
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When measuring lymphedema in Mr. Jone's (L) LE, the PTA will perform a figure 8 pattern using a tape measure and will document the results as
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anthropometric measurements
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James recently had a (L) AKA due to PVD resulting from 20+yrs of smoking cigarettes and is in therapy to begin gait training in the parallel bars. In order to walk, James will benefit MOST from having a
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a prosthesis.
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Your patient is an acutely blind 26y/o who lives alone in a high rise apartment. One of the BEST home modifications to make would include
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non slip surfaces
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In order to maintain mobility of joint connective tissue, increase synovial fluid production, assist with circulation and prevent joint contractures, the PTA will perform what type of exercises on Mrs. Smith who is on complete bedrest?
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PROM
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When a patient is dx with CHF, the heart is unable to pump the required amount of blood which may result in this specific cardiovascular symptom
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(B) LE edema
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Your new niece was born with a congenital deformity of her foot in which the great toe is angled laterally. This would be documented as a
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talipes equinovarus
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At the end of Mrs. Smith's therapy session the evaluating PT was happy to inform her that she has attained all of her initial physical therapy goals and she does not need to come back to therapy. This will be documented in her chart as
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discharge from services
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What source should be referenced to find out if a physical therapist assistant is legally permitted to supervise a physical therapy aide in a specific state?
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Appropriate practice act
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When a PTA is treating a patient and cares about such things as the patient's physical characteristics, age and gender, the PTA is said to be addressing what aspect of patient care?
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cultural diversity
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You are a student in a developing Physical Therapist Assistant Program. You are required to have a minimum amount of skills when you graduate which will allow you to be considered "Entry Level", which organization established these required skills?
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APTA
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You are working in a hospital and are a member of an interdisciplinary team. You become aware that your patient will be going home and realize that they will need home care services, who is the most appropriate member of the team to speak to about this patient need?
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Social Worker
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The layer of skin that is rich with blood vessels and is where nerve endings can be found
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Dermis
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Regarding the Scope of Practice for the PTA, which of the following statements is acceptable?
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A PTA completes a re-examination on a patient Correct **A PTA increases the weight a patient uses on an existing upper extremity progressive resistive exercise.** A PTA completes a discharge summary A PTA instructs a physical therapy aide to guard a patient ascending stairs
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When you are working as a PTA in a school based setting you explain to your supervising PTA that he must be physically present and immediately available on-site in the school at all times during the students therapy sessions. You are describing what level of supervision?
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Direct personal supervision
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A PTA applied a moist hot pack (MHP) to a patient's lower back and asked a physical therapy aide to check on the patient's MHP every 5 minutes. The same physical therapy aide was told by another PTA to wash the whirlpool, and the aide forgot to check on the patient's MHP. The patient rang the bell for help because the MHP was too hot. Eventually, after 15 minutes another PTA heard the bell and checked on the patient. As a result, the patient received a minor burn to his lower back. In this situation, who will be liable for negligence?
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The PTA who applied the MHP and the supervisory PT
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You have been working as a licensed PTA for approximately 5 years and recently took a job doing home care. When you arrive at your patients house, she is excited to show you that she no longer has to work on stair climbing because she has a new chair lift that takes her up to the second floor of her home where her bedroom is located. The patients inability to negotiate stairs resulting in the need for this device describes which of the disablement model terms?
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functional limtation
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Mrs. Smith came in for her physical therapy session and the PT instructed the PTA to provide a new deep heating modality. Prior to performing this treatment the PTA must do all of the following except:
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Describe the treatment clearly to the patient Ask for the patient's verbal consent to perform the treatment Make sure the patient understands the treatment description Correct **Obtain clearance from the physician before performing the treatment**
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A patient is uncooperative and frequently expresses displeasure about what is being done during his physical therapy treatment sessions. Under these circumstances, what should the physical therapist assistant do FIRST?
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**Ask the patient to be more specific about why there is so much dissatisfaction with treatment, which would demonstrate a core value of duty.** Accept the patient's criticism as a phase of anger related to the disability, which would demonstrate a core value of continuing competence. Tell the patient that the negative attitude could retard rehabilitation, which would demonstrate a core value of caring and compassion. Ask the supervisor to discharge this patient from the assistant's patient load as there is no therapeutic relationship, which would demonstrate a core value of PT/PTA collaboration.
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A patient who is terminally ill with CA begins to cry during the physical therapy session. What is the assistant's MOST appropriate response?
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**Take time to allow the patient to express any feelings which demonstrates the core value of caring and compassion.** Ask the patient questions while continuing to administer therapy which demonstrates the core value of duty. Encourage denial to enable the patient to better cope with the challenges that lie ahead which demonstrates the core value of duty. Ignore the tears and focus on therapy in a compassionate manner which demonstrates the core value of caring and compassion.
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When discussing the care of a patient in the home environment, a PTA should explain to the family that pressure ulcers primarily develop in what location for a patient who is wheelchair bound?
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Ischial tuberosity
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Combining form which has a root word that means scale?
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Squam/o
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Which core value of a PTA is described as the devotion to the interest of a patient/client?
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Altruism
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A patient in your clinic experienced trauma to her quadriceps muscle due to applying an excessive forcible stretch. You will document this as what type of injury?
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Muscle strain
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Your brother went to the orthopedic specialist and had fluid removed from his glenohumeral joint via surgical puncture. In the medical chart this would be documented as
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arthrocentesis
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What is the genetic disorder in which the skin is dry and scaly, resembling fish skin because of a defect in keratinization?
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ichthyosis
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The body plane that separates the body into (L) & (R) portions is known as
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sagittal plane
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Your 45y/o patient had emergency surgery due to a ruptured appendix. When you're reading his chart you notice this abbreviation used to denote which quadrant the appendix is located.
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RLQ
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A PTA works in a clinic in which the majority of patients are newly arrived from Asia. You recall your training on cultural competence and realize that the FIRST thing the PTA and other practitioners should do for these patients, in order to become culturally competent is to:
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Ensure that the POC is tailored to meet the needs of the patient. Correct **Try to understand each patient's values, traditions, attitudes and beliefs toward health care.** Teach the patients what is to be expected and acceptable regarding health care delivery in the United States. Find a translator who is not a family member to objectively determine the patient's state of health.
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A PT and PTA team are treating a patient whose POC includes "therapeutic exercises to strengthen muscles in bilateral lower extremities." Upon reading the documentation for the previous treatment, the PT notes that the PTA progressed the exercise program to include alternating single knee extension in supine. Is the PTA working within scope of practice?
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yes
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A patient with hepatitis B receives a bleeding skin tear on the right calf during a treatment session. To prevent transmission of the disease while cleaning up, what should the physical therapist assistant do?
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wear disposable gloves
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In using the Guide to Physical Therapist Practice the purpose that is MOST relevant to a PTA is
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To describe examination and evaluation processes including test and measures To describe the settings where physical therapy is practiced Correct **To describe interventions and the process of choosing appropriate interventions** To describe the utilization of outcome measures
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A 54y/o male was seeing an orthopedic specialist with a diagnosis of spondylitis. Using layman's terms how would you define this diagnosis?
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inflammation of the vertebra
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A patient with a right transtibial amputation secondary to complications of diabetes has just completed ambulating 100 feet with a walker. The patient reports dizziness, shaking, fatigue and weakness. Upon questioning, the patient also reports not having eaten breakfast because of lack of appetite. What is the PTA's MOST appropriate action?
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Have the patient rest, and then continue with therapy. Correct **Give the patient orange juice.** Have the patient take insulin. Give the patient a glass of water.
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What two med term suffixes refer to an abnormal condition?
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-iasis, -osis
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Your 70y/o patient is bedridden and has not had proper positioning and repositioning performed, which has resulted in skin breakdown over her thoracic spinous processes. Based on this description, how would you expect to see this ulcer documented in the patients chart?
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Pressure ulcer
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A physical therapy orthopedic clinic has an office on the second floor of a building that has no elevator. An employee who has bilateral limb amputations and is considered to have a disability leaves his wheelchair downstairs and uses crutches to climb the stairs to the second floor of the clinic. The clinic is employing one PT, three PTAs, and two clerks. Why doesn't this employer have to install an elevator in the building?
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The employee having the disability performs his essential functions without an elevator. Correct **It would be a violation of the Title I of ADA.** The employer did not discriminate against the disabled employee. It would be considered "undue hardship."
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Of the following, which does not describe what a potential employer is typically looking for during an interview with a newly graduated PTA candidate?
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what you know Correct **whether you have entry-level skills** what you will be able to do to improve their business who you know
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Lubricating fluid that provides nutrition in the tibiofemoral joint
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synovial fluid
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What federal law mandates that individualized educational services in the least restrictive environment be provided, free of charge, for qualifying children with disabilities? This includes children from birth to 21 years of age.
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Individuals with Disabilities Education Act (IDEA)
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