Deck 3: Patient Response to Therapeutic Interventions

Question 1

The ability to perform functional activities or perform a certain range of motion can also provide information regarding a patient's current level of pain. Which of the following tasks or questions would be appropriate to ask a patient if the goal was the collection of objective data regarding pain perception?

A)What is the number that best represents your pain right now?
B)Place a mark on this line to indicate your pain right now.
C)Raise your arms above your head, but let me know if it is difficult.
D)Point to where you are having discomfort today.

Answer 1

C

Question 2

Assessment of the integument includes characteristics such as color, continuity, and temperature. Which of the following statements is most accurate?

A)Skin color is not based upon the amount of hemoglobin present.
B)Elevated skin temperature is indicative of an infection.
C)Acute burns to the skin elevate skin temperature.
D)Inflammation is not visible in skin colors with increased amounts of melanin.

Answer 2

C

Question 3

Spotty patches of erythema following the application of thermal agents are referred to as mottling of the skin. What is the significance of mottling?

A)Mottling is a normal response to the application of heat.
B)Mottling is an abnormal response to the application of cold.
C)Mottling is a potential warning sign that the underlying tissue may not be able to effectively respond to thermal agents.
D)Mottling is a normal response to the application of cold.

Answer 3

C

Question 4

The maturity of scar tissue must be taken into consideration when choosing a modality. Which of the following statements is false?

A)Immature scar tissue is well vascularized.
B)The appearance of immature scars will not change when exposed to heat.
C)Mature scars are not as well vascularized as the surrounding tissue.
D)Sensation may be impaired around scar tissue.

Question 5

What is the most important reason to re-assess whether or not a treatment intervention is appropriate for a patient?

A)The progress is slower than anticipated.
B)A patient reports that his or her attorney recommended that he or she continue with therapy for another month.
C)A patient reports that his or her insurance will not cover the suggested intervention.
D)The patient has signs of adverse effects or does not improve within 30 days.

Question 6

Volumetric water displacement for the assessment of edema is a helpful tool when the edema is confined to distal extremities. Which of the following factors would be inconsequential in the documentation of volumetric water displacement?

A)Time of day for subsequent measurements being the same as the initial time of measurement
B)Unit of measurement
C)Using the same temperature of water for each measurement
D)Using the same volumeter for each measurement

Question 7

The process of obtaining a history, performing relevant systems reviews, and selecting and administering specific tests and measures is the definition of which of the following terms (according to the Guide to Physical Therapist Practice, 2nd edition)?

A)Intervention
B)Examination
C)Evaluation
D)Diagnosis

Question 8

Which of the following terms means "the purposeful and skilled interaction of the physical therapist with the patient/client . . . using various physical therapy methods and techniques to produce changes in the condition that are consistent with the diagnosis and prognosis" (according to the Guide to Physical Therapist Practice, 2nd edition)?

A)Intervention
B)Examination
C)Evaluation
D)Diagnosis

Question 9

Which of the following terms means "a dynamic process in which the physical therapist makes clinical judgments based on data gathered during the examination" (according to the Guide to Physical Therapist Practice, 2nd edition)?

A)Intervention
B)Examination
C)Evaluation
D)Diagnosis

Question 10

Circumferential or girth measurements for the assessment of edema may be inadvertently inconsistent. Which of the following would cause this to occur?

A)Taking measurements at varied times during the day
B)Measuring at the same time of day each time
C)Measuring with the same tape each time
D)Using bony landmarks as reference points for measurement

Question 11

Which of the following terms is used to denote the disease or syndrome? It is derived from the evaluation of the examination results (according to the Guide to Physical Therapist Practice, 2nd edition).

A)Intervention
B)Examination
C)Evaluation
D)Diagnosis

Question 12

What is the difference between girth assessment for edema and volumetric assessment of edema?

A)Girth is measured with a tape measure and volume is measured with water displacement.
B)Girth is measured at the same time of day each time and volumetry can be performed at any time during the day.
C)Girth measurements are more difficult to take than volumetric measurements of edema.
D)Girth measurements indicate the exact location of the edema and the quantity; volumetric assessment just indicates that there is edema present but not specifically where.

Question 13

Muscle strength as measured through muscle testing is most reliable when performed with objective dynamometers. A common type of dynamometer permits the testing of muscle in terms of pounds-feet of torque produced at a given speed. Why would this be considered an advantage when working with an injured population?

A)It only measures one joint at a time, hence one major muscle group.
B)It only measures antagonists at their weakest point.
C)The joint is isolated and well supported so that there is less of a chance of injury to the proximal joints of the patient.
D)It only provides resistance if a patient is moving against it; if he or she feels discomfort, he or she can stop without resistance or potential injury.

Question 14

Edema is one of the cardinal signs of inflammation; it represents an increase in the amount of interstitial fluid either diffused or localized to the injury site. Which of the following measurements would be inappropriate for the assessment of edema?

A)Volumetric water displacement
B)Joint mobility
C)Circumferential measurements
D)Pain assessment

Question 15

What is the difference between a visual analog scale and a numeric pain rating scale?

A)A visual analog scale is less subjective than a numeric pain rating scale, making it more difficult for a patient to remember prior ratings.
B)A visual analog scale is more subjective than a numeric pain rating scale, making it more difficult for a patient to remember prior ratings.
C)A numeric pain rating scale is more commonly used than a visual analog scale.
D)A numeric pain rating scale is easier to read than a visual analog scale.

Question 16

The McGill-Melzack pain questionnaire differs from other pain assessment tools in which important aspect?

A)It has been used experimentally and has known values for effectiveness.
B)It is multidimensional and crosses cultures, diagnoses, and levels of cognitive understanding.
C)It is no different from other pain assessment tools.
D)It was copyrighted, and data collected with it are tabulated with a national databank funded by the copyright fees.

Question 17

Anatomical pain drawings assist in the localization of the origin of a painful region if a patient has been complaining of pain that travels from one location to another. What is the most overlooked and complicating disadvantage of an anatomical pain drawing?

A)A clinician must assist a patient in the completion of the drawing for it to be effective.
B)The drawings are time-consuming for patients to complete.
C)There are no disadvantages to this type of tool.
D)The cognitive level of the patient may prohibit accurate completion of the drawing.

Question 18

Uniformity of skin coloration provides information regarding all but which of the following:

A)The amount of melanin present
B)Local circulation
C)Potential sensitivity to thermal agents
D)Skin integrity

Question 19

Blanching is one of the responses of the skin that is helpful in determining whether or not the circulation is impaired to an area. What is the significance of blanching in the treatment area?

A)It tests the amount of melanin present.
B)It determines the amount of hemoglobin present in the injured tissue.
C)It indicates the response of applied pressure to the skin, indicating circulation.
D)It indicates the absence or presence of capillary buds in the injured tissue.

Question 20

Muscle tone refers to the resistance of the muscle to passive stretch or elongation, or how "tight" it feels. Which of the following terms is the most appropriate when referring to this phenomenon after an injury?

A)Muscle guarding
B)Muscle spasticity
C)Muscle spasm
D)None of these terms is correct.