PTA 420 Midterm Review

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Medical rehab quiz

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Rebecca Murphy

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PTA 420 Midterm Review


Froggy Jumps PTA 420 Midterm ReviewOnline version Medical rehab quiz by Rebecca Murphy 1 What is the potassium (K+) level range where physical therapy is generally considered contraindicated? a < 2.5 or > 6.6 mEq/L b 3.5–5.0 mEq/L c < 3.2 or > 5.1 mEq/L 2 Which activity is specifically restricted for patients with hemophilia due to the high risk of joint trauma and bleeding? a Pain-free gentle active range of motion (AROM) b Aquatic therapy for cardiovascular conditioning c Powerlifting or competitive weightlifting 3 Which of the following is a "precipitating stressor" that clinicians should assist patients with Sickle Cell Disease in avoiding? a Mild heating agents b Relaxation techniques c Dehydration 4 What is the "Key Rule" for progressing an interval training program to build endurance for Activities of Daily Living? a Increase the duration to 30 minutes before increasing the frequency. b Limit rest periods to less than 10 seconds between sets. c Increase the intensity of the workout every session. 5 Using the Borg RPE Scale (6–20), how should a PTA estimate a patient's expected heart rate during exercise? a Divide the RPE number by two and add the resting pulse. b Multiply the RPE number by 10. c Add 100 to the RPE number. 6 For an acutely ill individual, at what oxygen saturation (SpO2) level should the PTA terminate activity? a 95% or less b 92% or less c 90% or less 7 What is the expected normal physiological response of systolic blood pressure (BP) during physical exertion? a It should decrease slightly to allow for better peripheral blood flow. b It should rise approximately 7–10 mm Hg per MET. c It should remain completely unaffected by the workload. 8 Which of the following describes any planned and structured physical activity designed specifically to improve or maintain physical fitness? a Fitness b Exercise c Physical Activity 9 Which of the following is a rapid physiological decline associated with deconditioning from prolonged bed rest? a Decreased VO2 max and reduced stroke volume b Increased total blood volume and heart volume c Improved orthostatic tolerance and increased muscle mass 10 When using the Karvonen formula to determine a target heart rate, how is the Maximum Heart Rate (Max HR) initially calculated? a Maximum oxygen consumption divided by age b 220 minus the individual's age c Resting heart rate plus 100 11 Which abnormal cardiovascular response is a specific indication to stop a stress test or exercise session immediately? a A systolic blood pressure reading of 160 mm Hg during vigorous activity b A 10-bpm increase in heart rate per MET level increase c A progressive fall in systolic pressure of 10–15 mm Hg 12 Significant physiological adaptations to training stimuli can typically be measured after how many weeks of a consistent program? a 10 to 12 weeks b 2 to 4 weeks c 5 to 7 weeks 13 Which principle states that training adaptations are directly determined by the specific type of demand or stress placed on the body? a Overload Principle b Specificity Principle c Reversibility Principle 14 When a baseline graded exercise test (GXT) is unavailable, what is the initial heart rate target for a patient during exercise following a medical event, such as a Myocardial Infarction? a Resting Heart Rate (RHR) + 30 bpm b Resting Heart Rate (RHR) + 10 bpm c Resting Heart Rate (RHR) + 20 bpm 15 During inpatient Cardiac Rehabilitation (Phase 1), what is the target activity intensity for a patient by the time of hospital discharge? a 1–2 METs b 3–4 METs c 5–6 METs 16 What is the standard weight-lifting restriction for a patient following a medial sternotomy during the first 6 weeks of recovery? a No lifting more than 10 lb b No lifting more than 5 lb c No lifting more than 20 lb 17 If a patient with CHF experiences orthostatic hypotension, how should they be positioned to prevent cardiac overload? a Supine with leg elevation b Trendelenburg position c Head elevated 18 Which symptom classifies a patient as a "Yellow Light," requiring them to contact their physician? a Wheezing b Feeling faint or confused c Increased in number of pillows needed when reclined 19 When a PTA assesses the skin of a patient with claudication, which clinical finding would most likely suggest a vascular obstruction rather than an infection? a Cool and pale skin b Warm and hot skin c Red and edematous skin 20 Which of the following ribs have no anterior attachment and exhibit less restricted motion posteriorly? a Ribs 8–10 b Ribs 1–7 c Ribs 11–12 21 During deep inspiration, the lower six ribs rotate outwardly in a motion that increases the medial-lateral volume of the thorax. This is called: a Pump-handle motion b Paradoxical motion c Bucket-handle motion 22 What percentage of the inspiratory force required for quiet breathing is typically produced by the diaphragm? a 40–50% b 60–70% c 70–80% 23 A patient with obstructive lung disease typically presents with which chemical profile due to "air trapping"? a Hypocapnia and Respiratory Alkalosis b Hypercapnia and Respiratory Acidosis c Hypercapnia and Respiratory Alkalosis 24 Why is MMT generally avoided when evaluating patients with severe pulmonary disease? a MMT results do not correlate with functional tests like the 6-Minute Walk Test b It is too time-consuming for patients with low endurance. c Maximal effort risks the Valsalva maneuver, which can collapse small airways.

PTA 420 Midterm Review

Froggy Jumps

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PTA 420 Midterm ReviewOnline version

by Rebecca Murphy

What is the potassium (K+) level range where physical therapy is generally considered contraindicated?

Which activity is specifically restricted for patients with hemophilia due to the high risk of joint trauma and bleeding?

Which of the following is a "precipitating stressor" that clinicians should assist patients with Sickle Cell Disease in avoiding?

What is the "Key Rule" for progressing an interval training program to build endurance for Activities of Daily Living?

Using the Borg RPE Scale (6–20), how should a PTA estimate a patient's expected heart rate during exercise?

For an acutely ill individual, at what oxygen saturation (SpO2) level should the PTA terminate activity?

What is the expected normal physiological response of systolic blood pressure (BP) during physical exertion?

Which of the following describes any planned and structured physical activity designed specifically to improve or maintain physical fitness?

Which of the following is a rapid physiological decline associated with deconditioning from prolonged bed rest?

When using the Karvonen formula to determine a target heart rate, how is the Maximum Heart Rate (Max HR) initially calculated?

Which abnormal cardiovascular response is a specific indication to stop a stress test or exercise session immediately?

Significant physiological adaptations to training stimuli can typically be measured after how many weeks of a consistent program?

Which principle states that training adaptations are directly determined by the specific type of demand or stress placed on the body?

When a baseline graded exercise test (GXT) is unavailable, what is the initial heart rate target for a patient during exercise following a medical event, such as a Myocardial Infarction?

During inpatient Cardiac Rehabilitation (Phase 1), what is the target activity intensity for a patient by the time of hospital discharge?

What is the standard weight-lifting restriction for a patient following a medial sternotomy during the first 6 weeks of recovery?

If a patient with CHF experiences orthostatic hypotension, how should they be positioned to prevent cardiac overload?

Which symptom classifies a patient as a "Yellow Light," requiring them to contact their physician?

When a PTA assesses the skin of a patient with claudication, which clinical finding would most likely suggest a vascular obstruction rather than an infection?

Which of the following ribs have no anterior attachment and exhibit less restricted motion posteriorly?

During deep inspiration, the lower six ribs rotate outwardly in a motion that increases the medial-lateral volume of the thorax. This is called:

What percentage of the inspiratory force required for quiet breathing is typically produced by the diaphragm?

A patient with obstructive lung disease typically presents with which chemical profile due to "air trapping"?

Why is MMT generally avoided when evaluating patients with severe pulmonary disease?