Question 1

In children younger than 18 months old, fractures of which bones are more likely to be associated with abuse rather than accidental trauma?
A) Femur
B) Humerus
C) Ribs
D) Metacarpals

Accepted Answer

In the pediatric population, fractures of the ribs, tibia/fibula, radius/ulna, and the clavicle are more likely to be associated with abuse than with accidental trauma especially in children younger than 18 months old. In the group older than 18 months, a rib fracture is highly suspicious of abuse.

Question 2

Which of the following is not a sign of withdrawal from excessive alcohol consumption?
A) Insomnia
B) Agitation
C) Loss of appetite
D) Dry skin

Accepted Answer

Symptoms of autonomic hyperactivity may include excessive perspiration, insomnia, general restlessness, agitation, and loss of appetite. Mental confusion, disorientation, and acute fear and anxiety can occur.

Question 3

Which of the following groups is most likely to exhibit osteoporosis?
A) White women
B) White men
C) African-American women
D) African-American men

Accepted Answer

White women have the highest per capita rate of osteoporosis.

Question 4

What is the single most important tool in screening for medical disease?
A) Radiographic testing
B) Special orthopedic testing
C) The client interview
D) Systems review

Accepted Answer

The client interview, including the personal and family history, is the single most important tool in screening for medical disease.

Question 5

Which of the following is a side effect of local injection of corticosteroids?
A) Liver damage
B) Kidney damage
C) Impaired cardiovascular function
D) Accelerated joint destruction

Accepted Answer

Side effects of local injection of corticosteroids may include soft tissue atrophy, changes in skin pigmentation, accelerated joint destruction, and tendon rupture, but it poses no problem with liver, kidney, or cardiovascular function.

Question 6

What is the last life cycle of a woman?
A) Reproductive years
B) Perimenopause
C) Menopausal
D) Postmenopausal

Accepted Answer

The life cycle of a woman begins with premenses and continues through the reproductive years, perimenopause, menopausal, and postmenopausal.

Question 7

The therapist begins an evaluation in a patient who is indicating he or she is taking psychotropic medications. What physical symptoms should the therapist look for during the evaluation?
A) Postural orthostatic hypotension
B) Dry skin
C) Hypertension
D) Poor memory recall

Accepted Answer

Any patient who is taking a psychotropic medication must be monitored carefully for dizziness, drowsiness, and postural orthostatic hypotension.

Question 8

There are several signs that might give a clue to the therapist that a client is functionally illiterate. Which of the following is not one of these signs?
A) Misspelled words
B) Not completing intake forms
C) Identifying pills by looking at the pill rather than naming the medication from the label
D) Circling "yes" through all questions on a personal history form

Accepted Answer

When given a choice between "yes" and "no" answers to questions, functionally illiterate adults often circle "no" to everything. The therapist should briefly interview each client to verify the accuracy of answers given on any questionnaire or throughout the form.

Question 9

Which of the following is not a side effect of long-term use of steroids?
A) Excessive sweating
B) Increased pain thresholds
C) Tissue edema
D) Proximal muscle weakness

Accepted Answer

Long-term use of steroids resulting in side effects such as proximal muscle weakness, tissue edema, and increased pain threshold offers objective findings during the examination of the client.

Question 10

Which of the following is a quick three-question screening tool for domestic abuse?
A) Woman Abuse Screening Tool (WAST)
B) Composite Abuse Scale (CAS)
C) Index of spouse abuse
D) Partner Violence Screen (PVS)

Accepted Answer

The PVS, a quick three-question screening tool, may be the easiest to use because it is positive for partner violence if even one question is answered yes. When compared with other screening tools the PVS has 64.5% to 72.4% sensitivity in detecting partner abuse and 80.3% to 84.4% specificity.

Question 11

What is the most common primary risk factor for disease, illness, and comorbidities?
A) Gender
B) Age
C) Smoking
D) Diabetes

Accepted Answer

Age is the most common primary risk factor for disease, illness, and comorbidities. It is the number one risk factor for cancer.

Question 12

What communication technique should a physical therapist use when beginning a client interview?
A) Open-ended questions
B) Closed-ended questions
C) Funnel sequence or technique
D) Paraphrasing

Accepted Answer

Beginning an interview with an open-ended question is advised even though this gives the client the opportunity to control and direct the interview. This type of interviewing style demonstrates to the client that what he or she has to say is important.

Question 13

Which of the following is not a sign or symptom of eating disorders?
A) Weight loss
B) Inability to tolerate heat
C) Dry skin and hair
D) Bradycardia

Accepted Answer

The inability to tolerate cold is a sign of a possible eating disorder. All of the other choices are also signs or symptoms of eating disorders.

Question 14

Alcohol falls under which of the following categories of abused substances?
A) Depressants
B) Stimulants
C) Opiates
D) Hallucinogens

Accepted Answer

Alcohol and barbiturates are considered depressants.

Question 15

What vital sign does Dr. James Cyriax recommend all therapists take in any client with back pain of unknown origin?
A) Heart rate
B) Temperature
C) Blood pressure
D) Respiration rate

Accepted Answer

Temperature in a patient with back pain of unknown origin could lead the therapist to screen more thoroughly for conditions such as urinary tract infection.

Quiz 2: Interviewing as a Screening Tool

In children younger than 18 months old, fractures of which bones are more likely to be associated with abuse rather than accidental trauma?

Which of the following is not a sign of withdrawal from excessive alcohol consumption?

Which of the following groups is most likely to exhibit osteoporosis?

What is the single most important tool in screening for medical disease?

Which of the following is a side effect of local injection of corticosteroids?

What is the last life cycle of a woman?

The therapist begins an evaluation in a patient who is indicating he or she is taking psychotropic medications. What physical symptoms should the therapist look for during the evaluation?

There are several signs that might give a clue to the therapist that a client is functionally illiterate. Which of the following is not one of these signs?

Which of the following is not a side effect of long-term use of steroids?

Which of the following is a quick three-question screening tool for domestic abuse?

What is the most common primary risk factor for disease, illness, and comorbidities?

What communication technique should a physical therapist use when beginning a client interview?

Which of the following is not a sign or symptom of eating disorders?

Alcohol falls under which of the following categories of abused substances?

What vital sign does Dr. James Cyriax recommend all therapists take in any client with back pain of unknown origin?