Quiz: PHT 113 Pathology Midterm Review

1

Which of the following statements would be an example of a physical therapy diagnosis?
- Impaired peripheral nerve integrity and muscle performance associated with peripheral nerve injury
- Spinal cord injury
- Cerebrovascular accident as a result of an embolus
- Carpal tunnel syndrome related to occupational performance
2

Which of the following is a maligant neoplasm of bone tissue?
- Osteosarcoma
- Osteoma
- Fibrosarcoma
- Fibroma
3

A PTA is working with a patient with a cognitive diability. The patient exhibits difficulty with new, complex instructions and exhibits very little carryover from one task to another. What is this?
- Memory deficits
- Impaired executive function
- Learning disability
- Impaired problem solving
4

A child has respiratory and digestive tract problems resulting from a defect in the transport of sodium and chloride across the cell membrane. What disease does the child have?
- Marfan's syndrome
- Down Syndrome
- Cystic Fibrosis
- Muscular Dystrophy
5

Which of the following would NOT be considered a risk factor for cancer?
- Obesity
- Age over 50 years
- Lower socioeconomic status
- Age under 40 years
6

Pain as described by the patient is:
- Objective
- Subjective and individualized
- Never referred to other regions of the body
- Experience the same by everyone
7

Which of the following diseases is transmitted by airborne droplets?
- HIV
- TB
- Hepatitis B
- Hepatitis C
8

Which of the following is a characteristic of a malignant tumor?
- Remains localized
- Slow growth
- Metastasis to distant site
- Well differentiated
9

A PTA has been instructed to provide interventions to a pt. with burns over the anterior trunk, pelvis, and both upper legs. How would the PTA position the pt. to minimize the risk of contractures?
- With the hip in a neutral and slightly abducted position
- With the hip in a flexed and adducted position
- With the hip in a flexed position
- With the hip in an adducted position
10

A pt. with burns to the right upper extremity is being treated in physical therapy, The pt. is 2 days post initial injury. Which of the following would be an acceptable physical therapy goal for this
- patient?
- Restore independence ambulation by discharge
- Keep the right extremity in a position of comfort
- Patient will be independent in self care with 2 days
- Achieve functional range of motion of the right upper extremity by 8 weeks
11

Which of the following types of leukemia is diagnosed most frequently in children?
- Acute Lymphoblastic leukemia
- Acute myelogenous leukemia
- Chronic myelogenous leukemia
- Chronic lympoblastic leukemia
12

Which of the following wounds is more likely to heal by first intention?
- Abcess
- Venous Ulcer
- Surgical Incision
- Decubitus Ulcer
13

A PTA is working with pt. who is undergoing chemotherapy. The PTA is reviewing the patient's lab values prior to starting an aerobic exercise program. Which of the following values would be a cause
- Hemoglobin less than 10g/ dL
- White blood cell count 6000/ mL
- Hemoglobin of 12g/ dL
- Platelet count over 100,000/ ml
- of concern?
14

Which of the following best describes "hypertrophy"?
- Increased size of cell
- Decreased size of cells
- Increased number of cells
- Change of cell type
15

Which type of collagen is most prominent in mature scars?
- Type II
- Type IV
- Type III
- Type I
16

A child attending PT for developmental training has a diagnosis of congenital heart defect. The child is NOT cyanotic defect?
- Failure of the Truncus Arteriosus to seperate
- Transposition of the great vessels
- Atrial Septal Defect
- Tetralogy of Fallot
17

Which person would be the least susceptible to acquiring an infectious disease?
- 25 year old make with fractured ankle
- Hospitalized patient with severe burns
- 85 year old male with history of smoking
- 25 year old male with AIDS
18

Which of the following is the most critical period for the teratogenic influence on embryonic development?
- From conception to week 9
- From week to 9-16
- From conception to week 3
- From week 16-20
19

Which of the following is the sequence of events in acute inflammation?
- Angiogenesis; vasodilation; exudate formation
- Vasodilation; edema; leukocyte migration
- Exudate formation; neutrophil migration; edema
- Leukocyte migration; exudate formation; vasodilation
20

A 6 month old presents with Left shoulder adduction and internal rotation, pronation of the lower arm and flexed fingers. What is the name given to this birth related injury?
- Klumpke's Palsy
- Whole arm Palsy
- Erb's Palsy
- Bell's Palsy
21

What are the cardinal signs and symptoms of an acute inflammatory episode?
- Edema; cyanosis; pain
- Exudate; erythema; nausea
- Exudate; pain; heat; hives
- Edema; erythema; heat; pain
22

The PT has developed a POC for a pt. who was admitted to the hospital yesterday with an infection of unknown cause. Tx requires gait training and ROM exercise. 1st time tx precations are?
- Take the patient to the gym and have the patient wear a mask to prevent spread of infection
- Isolation precautions until the patrogen is identified and pharmacological treatment started
- Wash your hands before and after contact with patient
- No precautions as the fever is reduced
23

Which pathogen, commonly found residing on the skin, may lead to osteomyelitis following orthopedic surgery of trauma?
- Pseudomonas Aeruginosa
- Streptococcus group A
- Staphylococcus Aureus
- Clostridium Aureus
24

Which of the following is NOT considered a "preferred practice pattern" in the Guide to Physical Therapy Practice?
- Musculoskeletal
- Neuromuscular
- Cognitive
- Integumentary
25

A PTA receives the POC from the PT to treat a 60 year old patient who has Varicella Zoster Virus(VZV). The PTA is unsure if she has immunity to VZV. What would be the best course of action of the PTA?
- Wear gloves mask and gown during tx session
- Tell the PT that she (the PTA) may not be immunize to VZV and request another therapist to treat the patient
- Wash hands before and after contact with patient and clean all the equipment
- The PTA should get immunized
26

What diagnostic test would a doctor order to view the inside of the lungs?
- Sigmoidoscopy
- Colonscopy
- Bronchoscopy
- Cytoscopy
27

A child with Myelomeningocele has a defect at S1 level of the spinal cord. What would be an appropriate long term goal for this patient?
- Household ambulation
- Independent wheelchair mobility
- Dependent wheelchair mobility
- Community ambulation
28

A pt. presents to the clinic with an extensive, shallow ulcer over the medial malleolus. When you remove the dressings you notice that the dressing is wet from exudate draining from the wound. These
- Arterial Ulcers
- characteristics are typical of what type of ulcer?
- Venous Ulcers
- Neuropathic Ulcers
- Pressure Ulcers
29

A PTA is instructing nursing personnel in correct positioning techniques for a pt. at risk for development of Decubitus ulcers. How should the PTA position the pt. to minimize this risk?
- Head of bed elevated to 50 degrees and pt. supine with knees over a roll
- Head of bed flat with pt. lying supine and legs elevated to 30 degrees
- Head of bed elevated to 40 degrees with pt. in right side lying
- Head of bed elevated to 25 degrees, with pt. at 35 degrees side lying to the right
30

A PTA assesses a pt. with a recent Total Knee Arthoplasty(TKA) prior to starting tx and records pt. S&S. Which of the following would be listed as a symptom?
- Redness around the incision site
- Pain of the right knee
- Swelling of the right knee
- Elevated Temperature
31

A PTA is reviewing the laboratory results for a pt. who has an acute bacterial infection. Which group of blood cells would be reported as increased in numbers with this type of infection?
- Monocytes
- Eosinophils
- Lympocytes
- Neutrophils
32

A APTA is treating an outpatient with a hx of breast cancer. The pt. is attending PT for general strengthening and conditioning exercises following her recent hospitalization. The pt. starts to
- Modify the tx by decreasing the amount of resistance
- Report the increased pain to the patient's nurse
- Stop teh tx and apply an ice pack for the pain
- complain of increased pain in the right thigh when performing knee extension against resistance,. What should the PTA do in this instance?
- Report the increased pain to a supervising PT
33

Which of the following is the main activity of neutrophils during the inflammatory process?
- Release of Cytokines
- Release of histamine
- Capture of antigen to present to the immune system
- Phagocytosis
34

A preneoplastic change in cells is called:
- Atrophy
- Apoptosis
- Hyperplasia
- Dysplasia
35

Under which circumstance would it not be acceptable to provide moderate intensity therapeutic exercise for a person with cancer?
- The day after chemotherapy
- Where the hemoglobin level is 13g/dL
- One hour before radiation therapy
- Two hours after lunch
36

A pt. with diabetes presents with a wound that is located on the plantar surface of the foot under the metatarsal heads. What is the term given to this type of ulcer?
- Pressure Ulcer
- Neuropathic Ulcer
- Arterial Ulcer
- Venous Ulcer
37

Which of the following is not an indicator of a malignant melanoma?
- Symmetrical shape
- Irregular borders
- Dark black discoloration
- Larger than 6mm diameter
38

Which pathogen is left untreated, might lead to rheumatic fever and rheumatic heart disease?
- Clostridium Difficile
- Pseudomonas Aeruginosa
- Streptococcus group A
- Staphylococcus Aureus
39

The skin facilitates the production of which vitamin?
- Vitamin K
- Vitamin A
- Vitamin D
- Vitamin B
40

A child with Developmental Dysplasia of the hip is attending Physical Therapy w/ the parents for ROM exercises, family education,&monitoring of compliance in wearing the Pavlik Harness. What position
- 100 degrees of hip flexion; 10 degrees of hip abduction
- 100 degrees of hip flexion; 90 degrees of hip abduction
- will the hips be kept when the child is wearing this device?
- 10 degrees of hip flexion; 10 degrees of hip adduction
- 10 degrees of hip flexion; 90 degrees of hip abduction
41

Which of the following provides the best description of serous exudate?
- D. Contains fibrinogen which coagulates to form fibrin
- C. Consists of straw colored fluid relatively low in protein
- A. A creamy yellow viscous exudate
- B. Occurs following the rupture of many small capillaries
42

A home health patient acquired an infection during a recent hospitalization. The term given to describe this type of infection is?
- Contagious
- Endemic
- Nosocomial
- Idiopathic
43

A patient is diagnosed as having Idiopathic Parkinson's disease. The term "idiopathic" implies:
- That the disease has been acquired as a result of treatment given to the patient
- That the cause of the disease is unknown
- That the patient is without signs and symptoms of the disease
- That the disease has been acquired as a result of diagnostic testing
44

A pt. presents to the clinic with two small ulcers on the foot. One is located over the lateral malleolus and the other is present on the dorsum of the foot proximal to the second toe. What type of
- ulcers typically would be found in these locations?
- Venous Ulcers
- Arterial Ulcers
- Neuropathic Ulcer
- Pressure Ulcer
45

The PT has just completed the evaluation of a pt. with Duchenne Muscular Dystrophy. The PT has documented that the pt. exhibits "Gower's sign". What problem did the PT observe during the examination
- Difficulty climbing stairs
- Toe walking
- of this pt. that signifies Gower's sign?
- Waddling gait
- Difficulty standing up from the floor
46

Which of the following is a malignant neoplasm of plasma cells?
- Multiple myeloma
- Leukemia
- Sarcoma
- Lymphoma
47

Physical Therapy interventions for children with Osteogenesis Imperfecta include all of the following EXCEPT:
- Range of Motion exercise in a straight plane of movement
- Moderate to heavy resistance training to all major muscle groups
- Family Education
- Aquatic Therapy
48

The child that you are treating has a genetic disorder that has resulted in 3 copies of chromosome 21 (Trisomy 21). The disorder is more commonly known as:
- Muscular Dystrophy
- Down Syndrome
- Marfan's syndrome
- Cystic Firbrosis
49

Which of the following screening tests can be performed by a PT or PTA?
- Videoswallow
- Time up And Go
- Pap Smear
- Mammogram
50

Using the "Rules of Nine" to calculate the surface area of burned tissue, what percentage would you calculate for an adult with burns to the entire head and neck?
- 9%
- 5%
- 18%
- 1%
51

Identify the correct sequence for the phases of tissue healing.
- Remodeling and maturation; Proliferation and migration
- Proliferation; Inflammation; Maturation
- Inflammation; Remodeling and maturation; Proliferation and migration
- Inflammation; Proliferation and migration; Remodeling and maturation
52

A APTA been following the PT's POC of ultrasound, core stabilization and body mechanics instruction for a patient with upper lumbar back pain. 2 weeks into the tx the pt. reports that the pain does
- Discontinue the core stabilization exercises and add gentle trunk ROM
- Ask the pt. to keep a pain diary for the next week to record any changes of pain
- not seem to get any easier. In fact nothing seems to relieve the pain. What is the most appropriate course of action of the PTA?
- Discharge the pt. documenting reasons for discharge in the chart
- Stop all therapy and report problem to the supervising PT
53

Which of the following would be considered an "impairment"?
- Inability to walk around the grocery store
- Difficulty climbing stairs
- Decreased range of motion
- Inability to dress independently
54

Which of the following statements is true about respiratory distress syndrome of the newborn?
- It is caused by a bacterial infection
- It is caused by an acute viral infection
- It is caused by birth trauma
- It is caused by a deficiency of pulmonary surfactant

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PHT 113 Pathology Midterm Review

Which of the following statements would be an example of a physical therapy diagnosis?

Which of the following is a maligant neoplasm of bone tissue?

A PTA is working with a patient with a cognitive diability. The patient exhibits difficulty with new, complex instructions and exhibits very little carryover from one task to another. What is this?

A child has respiratory and digestive tract problems resulting from a defect in the transport of sodium and chloride across the cell membrane. What disease does the child have?

Which of the following would NOT be considered a risk factor for cancer?

Pain as described by the patient is:

Which of the following diseases is transmitted by airborne droplets?

Which of the following is a characteristic of a malignant tumor?

A PTA has been instructed to provide interventions to a pt. with burns over the anterior trunk, pelvis, and both upper legs. How would the PTA position the pt. to minimize the risk of contractures?

A pt. with burns to the right upper extremity is being treated in physical therapy, The pt. is 2 days post initial injury. Which of the following would be an acceptable physical therapy goal for this

Which of the following types of leukemia is diagnosed most frequently in children?

Which of the following wounds is more likely to heal by first intention?

A PTA is working with pt. who is undergoing chemotherapy. The PTA is reviewing the patient's lab values prior to starting an aerobic exercise program. Which of the following values would be a cause

Which of the following best describes "hypertrophy"?

Which type of collagen is most prominent in mature scars?

A child attending PT for developmental training has a diagnosis of congenital heart defect. The child is NOT cyanotic defect?

Which person would be the least susceptible to acquiring an infectious disease?

Which of the following is the most critical period for the teratogenic influence on embryonic development?

Which of the following is the sequence of events in acute inflammation?

A 6 month old presents with Left shoulder adduction and internal rotation, pronation of the lower arm and flexed fingers. What is the name given to this birth related injury?

What are the cardinal signs and symptoms of an acute inflammatory episode?

The PT has developed a POC for a pt. who was admitted to the hospital yesterday with an infection of unknown cause. Tx requires gait training and ROM exercise. 1st time tx precations are?

Which pathogen, commonly found residing on the skin, may lead to osteomyelitis following orthopedic surgery of trauma?

Which of the following is NOT considered a "preferred practice pattern" in the Guide to Physical Therapy Practice?

A PTA receives the POC from the PT to treat a 60 year old patient who has Varicella Zoster Virus(VZV). The PTA is unsure if she has immunity to VZV. What would be the best course of action of the PTA?

What diagnostic test would a doctor order to view the inside of the lungs?

A child with Myelomeningocele has a defect at S1 level of the spinal cord. What would be an appropriate long term goal for this patient?

A pt. presents to the clinic with an extensive, shallow ulcer over the medial malleolus. When you remove the dressings you notice that the dressing is wet from exudate draining from the wound. These

A PTA is instructing nursing personnel in correct positioning techniques for a pt. at risk for development of Decubitus ulcers. How should the PTA position the pt. to minimize this risk?

A PTA assesses a pt. with a recent Total Knee Arthoplasty(TKA) prior to starting tx and records pt. S&S. Which of the following would be listed as a symptom?

A PTA is reviewing the laboratory results for a pt. who has an acute bacterial infection. Which group of blood cells would be reported as increased in numbers with this type of infection?

A APTA is treating an outpatient with a hx of breast cancer. The pt. is attending PT for general strengthening and conditioning exercises following her recent hospitalization. The pt. starts to

Which of the following is the main activity of neutrophils during the inflammatory process?

A preneoplastic change in cells is called:

Under which circumstance would it not be acceptable to provide moderate intensity therapeutic exercise for a person with cancer?

A pt. with diabetes presents with a wound that is located on the plantar surface of the foot under the metatarsal heads. What is the term given to this type of ulcer?

Which of the following is not an indicator of a malignant melanoma?

Which pathogen is left untreated, might lead to rheumatic fever and rheumatic heart disease?

The skin facilitates the production of which vitamin?

A child with Developmental Dysplasia of the hip is attending Physical Therapy w/ the parents for ROM exercises, family education,&monitoring of compliance in wearing the Pavlik Harness. What position

Which of the following provides the best description of serous exudate?

A home health patient acquired an infection during a recent hospitalization. The term given to describe this type of infection is?

A patient is diagnosed as having Idiopathic Parkinson's disease. The term "idiopathic" implies:

A pt. presents to the clinic with two small ulcers on the foot. One is located over the lateral malleolus and the other is present on the dorsum of the foot proximal to the second toe. What type of

The PT has just completed the evaluation of a pt. with Duchenne Muscular Dystrophy. The PT has documented that the pt. exhibits "Gower's sign". What problem did the PT observe during the examination

Which of the following is a malignant neoplasm of plasma cells?

Physical Therapy interventions for children with Osteogenesis Imperfecta include all of the following EXCEPT:

The child that you are treating has a genetic disorder that has resulted in 3 copies of chromosome 21 (Trisomy 21). The disorder is more commonly known as:

Which of the following screening tests can be performed by a PT or PTA?

Using the "Rules of Nine" to calculate the surface area of burned tissue, what percentage would you calculate for an adult with burns to the entire head and neck?

Identify the correct sequence for the phases of tissue healing.

A APTA been following the PT's POC of ultrasound, core stabilization and body mechanics instruction for a patient with upper lumbar back pain. 2 weeks into the tx the pt. reports that the pain does

Which of the following would be considered an "impairment"?

Which of the following statements is true about respiratory distress syndrome of the newborn?

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