Deck 19: Mobilization and Exercise: Testing and Training

Question 1

Prescription of body positioning is based on an analysis of the factors that:

A) contribute to impaired oxygen transport for each patient.
B) contribute to improved oxygen transport for each patient.
C) contribute to improved cardiovascular function for each patient.
D) contribute to decreased cardiovascular function for each patient.

Answer 1

A

Question 2

The side-lying position accentuates anteroposterior expansion at the expense of transverse excursion of the:

A) independent chest wall.
B) dependent chest wall.
C) thorax.
D) independent hemidiaphragm.

Answer 2

B

Question 3

The head-down position augments oxygen transport in some patients by:

A) improving pulmonary mechanics.
B) inhibiting pulmonary mechanics.
C) improving cardiac mechanics.
D) inhibiting cardiac mechanics.

Answer 3

A

Question 4

The distribution of ventilation is determined primarily by:

A) functional residual capacity.
B) blood pressure.
C) heart rate.
D) the effect of gravity.

Question 5

Side-lying increases end-diastolic ventricular pressure on the dependent side secondary to compression of the viscera beneath the diaphragm and to:

A) atelectasis formation.
B) central pneumothorax lesion.
C) increased lung compliance on that side.
D) reduced lung compliance on that side.

Question 6

Because of the marked changes that can be expected with body positioning and body positioning changes,the physical therapist has a narrow window of opportunity to assess and:

A) treat the patient before, during, and after position changes.
B) treat the patient after position changes.
C) treat the patient before and during position changes.
D) treat the patient before position changes.

Question 7

Body positions that simulate the normal physiological effects of gravity and position change on oxygen transport are:

A) the clinical priority.
B) the patient's objective.
C) the principles for prescribing therapeutic body positioning.
D) the specific indications for body positioning.

Question 8

Functional residual capacity (FRC),is the volume of air remaining in the lungs at the:

A) beginning of end-tidal expiration.
B) end of end-tidal expiration.
C) middle of end-tidal expiration.
D) presence of maximal arterial oxygenation.

Question 9

The prone position,which is underused clinically,can have such a significant powerful effect on:

A) oxygen transport.
B) high blood pressure.
C) diabetes.
D) alveolar volume.

Question 10

The prone position increases:

A) arterial oxygen tension and dynamic lung compliance.
B) arterial oxygen tension, tidal volume, and dynamic lung compliance.
C) tidal volume and dynamic lung compliance.
D) arterial oxygen tension and vital capacity.

Question 11

Prescriptive body positioning is based on:

A) routine positioning.
B) the therapists and other team members' time.
C) clear indications and well-defined parameters.
D) unclear indications and underdefined parameters.

Question 12

A common practice is to progressively turn patients in:

A) small increments.
B) one-half turns.
C) one-third turns.
D) one-quarter turns.

Question 13

In the mid-1800s,the use of immobilization to heal bones and injuries was extended to the:

A) management of other conditions.
B) treatment of hypotension.
C) treatment of hypertension.
D) kidney stones.

Question 14

Frequent body position changes are used by physical therapists to stimulate:

A) circulation and increase blood flow to the extremities.
B) the patient and increase arousal to a more alert and wakeful state.
C) the patient's awareness of their therapy session.
D) the patient's hand-eye coordination.

Question 15

The practice of routinely turning patients every 2 hours continues to be an:

A) unrealistic goal for the caregiver.
B) underused standard of care.
C) unaccepted standard of care.
D) accepted standard of care.

Question 16

Body position should first be exploited when coupled with movement followed by the:

A) the patient being placed in a supine position.
B) patient being placed in a recumbent position. c erect sitting positions with the legs dependent.
D) patient being placed in a propped-up position.

Question 17

Positioning patients between treatments can contribute as much to the overall treatment response as the treatment itself because:

A) the patient spends more time in the before-treatment positions than in the within-treatment positions.
B) the patient spends the same amount of time in the between-treatment positions as in the within-treatment positions.
C) the patient spends more time in the within-treatment positions than in the between-treatment positions
D) the patient spends more time in the between-treatment positions than in the within-treatment positions.

Question 18

An increase in intrathoracic blood volume in the supine position also contributes to a(n):

A) higher risk of blood clots.
B) airway closure.
C) reduction in functional residual capacity (FRC) and lung compliance and to increase airway resistance.
D) hypotension.

Question 19

There is mounting physiological and scientific justification for use of the prone position to enhance arterial oxygenation and reduce the work of:

A) patients with congenital cardiovascular conditions.
B) breathing in patients with musculoskeletal dysfunction.
C) breathing in patients with cardiopulmonary dysfunction.
D) breathing in patients with neurogenic dysfunction.

Question 20

Extreme body position changes simulate,but do not replace,the:

A) physiological stir-up and perturbations that occur with normal mobility and being left side-lying.
B) physiological stir-up and perturbations that occur with normal mobility and being recumbent.
C) physiological stir-up and perturbations that occur with normal mobility and being prone.
D) physiological stir-up and perturbations that occur with normal mobility and being upright.