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Use the following case scenario to answer questions 32 and 33. A physical therapist is working with a 63-year-old patient hospitalized with a COPD exacerbation causing a moderate amount of mucous production. Prior to discharge home, the PT decides an Acapella Device would be appropriate for the patient. During the initial setup of the device, the patient’s inspiration-to-expiration ratio was 1:2. Which of the following device adjustments should the physical therapist make? 

Which of the following assessments is most commonly used for respiratory muscle testing?

Which of the following would be an indication for a patient to receive an annual physical therapy visit? 

Provide two specific examples of how you will apply the information you learned in this course in your upcoming clinical.

A physical therapist (PT) is evaluating a 32-year-old who was in a medically induced coma for 10 days following a motor vehicle accident that resulted in numerous injuries, including rib fractures, mild traumatic brain injury, lung contusions, and splenic laceration. The patient has now been weaned from mechanical ventilation and is appropriate for mobilization. The patient’s baseline vitals are as follows: HR: 90 bpm, BP 118/72, RR: 17, O2 sats: 95% on room air.  What should the PT use to guide their mobilization prescription?

A physical therapist (PT) is treating a 54-year-old patient with a diagnosis of bilateral knee osteoarthritis. After several weeks of physical therapy, the patient expresses concern that there hasn’t been any significant improvement in their pain level and states, “What’s the point in exercising if it hurts and I’m just going to need to have them replaced?” The PT suspects that the patient’s outcomes are compromised due to an elevated BMI and suboptimal adherence to their home exercise program.  The PT would like to engage in a productive conversation about the importance of exercise and weight management. They choose to use motivational interviewing techniques. The patient tells the PT that they feel like everyone is telling them something they already know- i.e., that they need to lose weight- but no one is helping them identify a realistic strategy to exercise while they are having so much pain in their knees. They go on to say that they want to lose weight and have tried many different diet plans in the past with limited success, stating, “None of you in healthcare understand me or can help me.” Which motivational interviewing principle would be the MOST important for the PT to implement at this point in the conversation?

What is the recommended frequency of flexibility exercise for individuals with multiple sclerosis? 

Which of the following statements is true regarding cardiovascular disease and depression? 

A physical therapist (PT) is working with a 45-year-old with the diagnosis of relapsing-remitting multiple sclerosis in an outpatient clinic. The PT plan of care includes therapeutic exercise, and the PT is planning to incorporate resistance exercise as part of an upcoming session. Write out your exercise prescription for resistance exercise using the FITT (Frequency, Intensity, Time, Type) principle for this individual. 

The use of collateral ventilation and pressure build-up in the alveoli distal to the obstruction to promote the movement of secretions toward the larger airways describes which concept?