Author: Anonymous

A physical therapist is working with a 90 y.o. patient who was admitted to the hospital with a urinary tract infection and syncope (fainting) at home. Resting vitals are HR: normal sinus rhythm 90 bpm, SpO2 95%, BP 110/60 mmHg. After assisting the patient in ambulating 20′ with a rolling walker they report their rating of perceived exertion (RPE) as 9/10 on a modified scale. Exercise vitals are HR: sinus tachycardia 170 bpm, SpO2 92%, BP 118/58. What is the most appropriate clinical decision/assessment?

A patient with lung cancer has started to receive chemotherapy for treatment. The patient has started to experience significant fatigue and bruising.  The physical therapist notes that their platelet values are 5k/uL (normal value 140-400  k/uL)  Which of the following assessments is correct based on the information available?

A physical therapist (PT) is seeing a patient for a follow-up visit in an outpatient clinic. Prior to engagement in exercise, the PT checks vitals and notes that the patient’s blood pressure is elevated compared to prior readings. Which of the following may be contributing to the higher blood pressure reading?

Which of the following examination measures would be helpful in identifying potential fluid retention?

A physical therapist is reviewing the chart of a patient they plan to evaluate who is admitted to the general pulmonary service of the hospital. The patient was admitted with progressive and severe shortness of breath with exertion. The patient completed a pulmonary function test (PFT) as part of their medical workup, shown below. Based on this patient’s PFT, which of the following conclusions is most accurate?  

A physical therapist performs the above examination technique and gets a result of 3cm. Which of following is the accurate interpretation of the result? 

A physical therapist is reviewing the medication list of a patient they are preparing to treat in the ICU with a history of multi-organ failure. The physical therapist notes the following medications listed. What is an appropriate clinical conclusion based on the medications listed?    Norepinephrine (Levophed) infusion Vasopressin infusion Phenylephrine infusion Saline infusion    

Which of the following pulmonary function test values is used to determine the severity of RESTRICTIVE lung disease? 

A physical therapist is assisting an 85 y.o. patient with a prior history of atrial fibrillation in ambulating down the hall with a rollator (four-wheeled walker).  The physical therapist notes that the patient remains in atrial fibrillation, but their HR is up to 140 bpm from 60 bpm at rest. The patient’s blood pressure has decreased from 130/80 mmHg at rest to 90/60 mmHg during exertion. The patient reports fatigue and that they feel like their heart is racing. Which of the following is the most appropriate clinical response?

Select the appropriate series of mechanical events that leads to normal, physiological inspiration: