اجابة السؤال الاول هو رقم 3 : glenohumeral mobilization and strengthening of scapular stabilizers to regain normal scapulohumeral movement وذلك لسببين: لازم اعمل موبليزيشن للكتف من مكان الكسر وذلك لان من الطبيعى ان يحصل بعض الفقد فى مدى الحركة rang of motion وثانيا انا لازم اقوى الناحية العكسية وذلك لعمل توازن لانى لو عملت تقوية rotator cuff ازيد رفعة ال scapula يبقى لازم اعمل تقوية لل scapular stabalizer اجابة السؤال الثانى هي : hip and leg presses لان من الطبيعى تأثر عضلات الحوض والقدمين اجابة السؤال الثالث هى : change the time of the exercise class to early morning or evening. انا اية اللى يجبرنى امرنة الساعة 2 الظهر ودرجة الحرارة عالية طيب ما انا اعملة تأهيل هادى واخد حريتى معاه فى توقيت كويس بالليل او الصبح
اجابة السؤال الرابع هى :
medial and lateral distal ends of the residual limb
,وفى النهاية انا بشكرك انك بتساعدنا اننا نفكر لان الواحد فعلا بيتلخم فى مزاول المهنة واسئلتك دى بتحاول تنشط معلوماتنا قدر الامكان وبشكرك
Rationale: Kegel exercises strengthen the pelvic floor muscles and are appropriate in males following prostate procedures. The choices to be performed properly would require some abdominal or trunk contraction which could exacerbate incontinence problems.
Reasoning: Inductive This question requires one to use clinical judgment to determine the best course of action according to the diagnosis, presented. In this situation, Kegel exercises are ideal because a TURP can affect pelvic floor strength. Questions that ask about an ideal course of action related to a diagnosis often require inductive reasoning skills. If answered incorrctly review information on TURP.
Question #3
Correct Answer 2. increase the warm-up period to equal the total aerobic interval in time.
Rationale: Clinical decisions should focus on reducing the environmental costs of exercising (change the time of day of the exercise class to reduce the heat stress) or reducing the overall metabolic costs of the activity (decrease the pace of exercise, add more rest periods). Altering the warm-up period does not lower the overall cost of the aerobic exercise period.
Reasoning: Evaluation This question requires one to determine the inherent danger present in exercise with a patient with a known cardiac history during hot weather and to what extent this danger could result in harm to the patient The person who chooses the correct answer realizes that this answer is superior to the others, as it protects from potential or actual harm. If answered incorrectly, review information on exercise of the cardiac patient and environmental conditions.(will be posted later in the review section)
Question #4
Correct Answer: 1. anterior tibia and tibial crest.
Rationale:In a PTB socket, reliefs are provided for pressure sensitive areas: the anterior tibia and tibial crest, fibular head, and peroneal nerve. All the other choices are considered pressure tolerant areas.
Reasoning: Analysis
The test taker must consider past knowledge and experiences with LE amputation and use of a PTB socket in order to arrive at the correct conclusion. If the test taker does not recall the pressure relief properties of a PTB socket, one must draw upon his/her understanding of anatomy and likelihood to experience pressure sores in more sensitive skin areas after this type of amputation and ambulation with any prosthetic device.
A patient who is terminally ill with cancer is in tears,unable to cope with the changes in her life and current hospitalization. The therapist has a referral for gait training so the patient can be discharged to home under hospice care. The BEST approach is to:
1) ask the patient questions in order to obtain a detailed history.
2) ignore the tears and focus on therapy but in a compassionate manner.
3) encourage denial so she can cope better with life's challenges.
4) take time now to allow the patient to express her fears and frustrations.
Question #6
The examination reveals muscle spasm of the piriformis, which is compressing the sciatic nerve and producing pain in the posterior hip region. The pain has been worsening over the past three months. What is the most appropriate ultrasound setting for this case?
1) 1 MHz pulsed at 1.0 W/cm2.
2) 3 MHz continuous at 1.0 W/cm2.
3) 3 MHz pulsed at 1.0 W/cm2.
4) 1 MHz continuous at 1.0 W/cm2.
Question #7
A patient is recovering from a complete spinal cord injury, at the level of L2. The expected outcome in this case would MOST likely include:
1) a spastic or reflex bladder.
2) some recovery of function since damage is to peripheral nerve roots.
3) loss of motor function and pain.
4) greater loss of arm function than leg function with early loss of pain and temperature sensation.
encourage denial so she can cope better with life's challenges اجابة السؤال السادس: MHz pulsed at 1.0 W/cm2 اجابة السؤال السابع : some recovery of function since damage is to peripheral nerve roots
Correct Answer4. take time now to allow the patient to express her fears and frustrations.
Rationale: It is important to be supportive of a patient who is experiencing losses and resentment Allow the patient to fully verbalize her feelings and frustrations.
Reasoning: Evaluation In this situation, the test taker must have a firm understanding of the ethical obligations to the patient, given the patient's situation, but also weigh the fact that the referral is for gait training in preparation for discharge home. In order to arrrive at the correct answer, one must find a way to address the patient's needs, while still considering the long term goal of the patient. Questions such as these are challenging, because they require one to consider the emotional value of the patient's situation with duty of the therapist.
Question #6
Correct Answer4. 1 MHz continuous at 1.0 W/cm2.
Rationale: 1 MHz of continuous ultrasound provides deep heating to a depth of 3-5 cm. At this frequency, attenuation (absorption) is less in superficial tissues. This allows more energy to be absorbed, thus more heat production in deeper tissue layers. Continuous US is applied to achieve thermal effects (i.e., chronic pain) and pulsed US is used when nonthermal effects are desired (i.e., acute soft tissue injuries).
Reasoning: Analysis Here, the test taker must consider the symptomatology, plus the specific treatment parameters given for US treatment and determine what is most likely to result in improvement of symptomatology. The test taker must have sound knowledge of US properties, including thermal vs. non-thermal applications. If this question was answered incorrectly, review guidelines on US treatment, including thermal properties of 1MHz vs. 3 MHz and pulsed vs. continuous.
Question #7
Correct Answer2. some recovery of function since damage is to peripheral nerve roots. :43_002:
Rationale: A spinal cord lesion below L1 is a cauda equina lesion (injury to peripheral roots and nerves). Since some regeneration is possible, some recovery in function can be expected. A spastic or reflex bladder is associated with upper motor neuron injury. Other choices describe the deficits associated with anterior cord syndrome or central cord syndrome.
Reasoning: Analysis. This question requires recall of neuroanatomy including where the spinal cord ends in the column to become the cauda equina. Also the test taker must understand the difference between upper motor neuron injuries vs. lower motor neuron to determine that damage to the cauda equina level results in lower motor neuron symptomatology.
A patient with left hemiplegia receives a new AFO. The therapist is overwhelmed with too many patients and asks the physical therapy student to take over. This is the student's first affiliation (second day) and has never performed an orthotic checkout for a patient with an AFO. The supervising therapist will be in the same vicinity treating other patients. This task should be:
1) delegated to the student who could call out to the supervisor if problems arose.
2) delegated to another physical therapist.
3) delegated to the physical therapist assistant who is working nearby.
4) not be completed now and the patient sent back to his room.
Question #9
A patient has been diagnosed with acute synovitis of the temporomandibular joint. Early intervention might best focus on:
1) application of an intraoral appliance and phonophoresis.
2) joint mobilization and postural awareness.
3) instruction to eat a soft food diet and phonophoresis.
4) temporalis stretching and joint mobilization.
Question #10
During a cervical spine examination the therapist observes restricted left rotation of the C7-T1 spinal level. After stabilizing the thoracic spine, the therapist's hand placement for mobilization to improve left rotation should be at the:
1) posterior right C7 articular pillar.
2) posterior left C7 articular pillar.
اجابة السؤال الثامن : delegated to the physical therapist assistant who is working nearby اجابة السؤال التاسع: instruction to eat a soft food diet and phonophoresis اجابة السؤال العاشر: posterior left C7 articular pillar
متاسف على التاخير
ملاحظة : الاسئلة والاجوبة من كتاب NPTE
Question #8
Correct Answer2. delegated to another physical therapist
Rationale: physical therapy students should not perform advanced tasks for the first time without any instruction or direct supervision. This might be unsafe for the patient. The task of orthotic checkout is most appropriately performed by another physical thrapist, not the student or PTA.
Reasoning: Evaluation This question requires one to draw upon their professional principles to deduce what is ethically appropriate for the physical therapist. The test taker must consider ethical guidelines, proper supervision of students, and patient safety.
Question #9
Correct Answer3. instruction to eat a soft food diet and phonophoresis.
Rationale: Phonophoresis and education regarding consumption of only soft food could help resolve the acute inflammatory process in the temporomandibular joint. Application of an intraoral appliance occurs only when the acute inflammation is not resolved or bruxism continues. Joint mobilization should not be attempted with an acute inflammation.
Reasoning: Inference This case requires one to infer the best course of action for a patient with temporomandibular joint disorder. The potential choices for this patient requires the test taker to determine what would result in the best possible outcome for the patient and to consider how each approach and modality will likely provide such a positive resul.
Question #10
Correct Answer1. posterior right C7 articular pillar.
Rationale: The most effective hand placement for mobilization into greater left rotation is at the posterior aspect of the right C7 articular pillar because it rotates the C7 vertebra to the left.
Reasoning: Analysis The test taker not only must have a solid understanding of anatomy, but of joint mobilization techniques in order to reason out the best way to facilitate left rotation of not only the C7 vertebra, but manual therapy for the cervical vertebrae in general. If this question was answered incorrectly, review joint mobilization guidelines for the cervical spine.
An appropriate fine motor behavior that should be established by 9 months of age would be the ability to:
1. pick up a raisin with a fine pincer grasp.
2. build a tower of 4 blocks.
3. hold a cup by the handle while drinking.
4. transfer objects from one hand to another.
Question #12
A patient with a 10 year history of Parkinson's disease has been taking L-dopa for the last 5 years. The patient presents with deteriorating function and is no longer able to transfer or walk independently. During a physical therapy session, the therapist observes facial grimacing with twitching of the lips and tongue protrusion. The patient appears restless, with constant dancing, athetoid-like movements of his legs. The therapist's BEST course of action is to:
1. complete the treatment session, focusing specifically on examining the effects of rigidity. 2. document observations and refer the patient back to the physician for evaluation of possible levodopa toxicity.
3. talk to the spouse to see if the patient is taking any drugs with hallucinogenic effects such as selegiline.
4. examine for additional signs of chronic levodopa therapy such as dizziness and headache.
Question #13
A patient who is to undergo surgery for a chronic shoulder dislocation asks the therapist to explain the rehabilitation following a scheduled surgical reconstructive procedure. The therapist's BEST response is to:
1. explain in detail about the surgical procedure.
2. tell the patient to ask the surgeon for information about the procedure and appropriate rehabilitation.
3. explain how patients typically respond to the surgery and outline the progression of exercises.
4. refer the patient to a physical therapy clinical specialist who is an expert of shoulder reconstructive rehabilitation.
ياريت رجاء خاص ارجو من اخى صاحب الاسئلة ان يساعدنى فى ايجاد الاسئلة والاجوبة الخاصة بامتحان مزاولة المهنة فى الامارات لانى لو لم اجتاز هذا الامتحان ساترك العمل ومن الاخر هينخرب بيتى فارجو من الاخ الكريم دائما فى مساعدتى وجزاك الله كل خير
تحاول قدر الامكان معرفة الكتب المطلوبة والاسئلة المتاحة واجوبتها بالنسبة لهذا الامتحان انا حاليا جبت كتاب البورد الامريكى وكتاب physical rehablitation and book of joint structure and function وعايز اعرف كتب اية كمان المطلوبة وهل فية نماذج لامتحانات سابقة واجوبتها وجزاك الله كل خير
الامتحان سيكون بدولة الامارات العربية المتحدة حقيقى انا ما اعرفكش بس لاحظت انك متميز فارجو منك النصيحة والمساعدة وبارك الله فيك واسف جدا انى هتعبك معايا
