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AS 51.080 PTA (PHYSICAL THERAPIST ASSISTANT )
EXAM TESTBANK (2025-2026) ACTUAL 800
QUESTIONS AND ANSWERS GRADED A+ LATEST
KEISER UNIVERSITY
A PT is assessing a 65-year-old patient and asks the patient how he is doing. The patient's response is, "I am a frontiwarrior ". Which of the following is the MOST appropriate diagnosis of this finding?
A. Wernicke's aphasia
B. Broca's aphasia
C. Non-fluent aphasia
D. Lesion to CN VII
A
A therapist is assessing the cranial nerve integrity. On shining light in
the patient's right eye none of the pupils constrict, however on
shining the light in patient's left eye both pupils constrict. Which of
the following is MOST appropriate about this finding?
A. Left optic nerve is affected
B. Right oculomotor nerve is affected
C. Right optic nerve is affected
D. Left oculomotor nerve is affected
C
A patient reports experiencing sudden onset of mild hearing loss on the right side. Rinne test was consistent with air conduction greater than bone conduction on both sides. Weber's test findings show sound was louder in the left ear. Which of the
following is the MOST likely?
A. Right side sensorineural hearing loss
B. Left side conduction hearing loss
C. Right side conduction hearing loss
D. Left side sensorineural hearing loss
A
Which of the following cranial nerves is MOST likely to be affected in a patient
suspected to have a lesion in the pons?
A. Oculomotor
B. Optic
Which of the following cranial nerves is MOST likely to be affected in a patient
suspected to have a lesion in the medulla oblongota?
A. Oculomotor
B. Optic
C. Trigeminal
D. Glossopharyngeal
D
Which of the following cranial nerves is MOST likely to be affected in a patient
suspected to have a lesion in the midbrain?
A. Oculomotor
B. Optic
C. Trigeminal
D. Glossopharyngeal
A
Which of the following cranial nerves is MOST likely to be affected in a patient
suspected to have a lesion cerebrum?
A. Oculomotor
B. Optic
C. Trigeminal
D. Trochlear
B
A physical therapist assistant works with a patient who is 6 weeks post total hip arthroplasty (posterolateral approach). The patient's medical history includes Graves' disease. Which intervention should the assistant avoid when treating the patient?
A. Resisted hip lateral rotation in a supine position
B. Hip abduction with an ankle weight in a standing position
C. Ascending and descending stairs
D. Ambulation in a warm therapy pool
D. Ambulation in a warm therapy pool
A physical therapist assistant suspects that a patient being treated for skin splints may actually have chronic exertional compartment syndrome. Where should the assistant palpate to assess if perfusion to the foot has been affected?
A. Anterior to the lateral malleolus
B. Posterior to the lateral malleolus
C. Anterior to the medial malleolus
D. Posterior to the medial malleolus
D. Posterior to the medial malleolus
A. Use of ice and compression to rapidly reduce the inflammation and swelling
B. High-voltage pulsed current to promote tissue healing
C. Single-leg support proprioception exercises with dynamic strengthening
D. Isometric stabilization exercises and isokinetic ankle strengthening exercises
C. Single-leg support proprioception exercises with dynamic strengthening
A patient with bilateral gastrocnemius-soleus contractures tends to walk:
- with an unstable knee.
- with the feet in a plantar flexed position.
- on the lateral sides of the feet.
- with the feet in dorsiflexion.
with the feet in a plantar flexed position.
A physical therapist assistant is treating a patient post ulnar fracture who has limited forearm supination. A common substitution to watch for when measuring forearm supination is:
- shoulder internal rotation.
- shoulder external rotation.
- wrist radial deviation.
- elbow flexion.
shoulder external rotation.
How should a physical therapist assistant perform upper extremity passive range of motion exercises with a patient who has a recent complete spinal cord injury at C5- C6?
- Perform motions slowly and rhythmically.
- Perform as many repetitions of the motions as tolerated.
- Perform all motions smoothly but rapidly, to increase the patient's awareness of the extremity being exercised.
- Support the extremity being exercised only minimally, to allow the patient to use any available strength to assist in the exercise
Perform motions slowly and rhythmically.
Rationale:
Performing slow, rhythmic motion is the best method for the patient. Slow, smooth range of motion is needed to avoid triggering the stretch reflex, as spasticity may develop below the level of the spinal cord lesion.
A physical therapist assistant is instructed to avoid positions or activities that will reinforce a child's asymmetric tonic neck reflex to the right. The assistant should AVOID turning the child's head to the right because this will result in:
- flexion of the right arm and extension of the left arm.
variable would be the MOST appropriate for the assistant to measure when determining that patient's endurance level with this objective test?
A. Perceived exertion
B. Heart rate response
C. Elapsed time
D. Distance walked
D. Distance walked
A physical therapist assistant employed in a school setting observes a 10-year-old boy attempt to move from the floor to a standing position. During the activity, the boy has to push on his legs with his hands in order to attain an upright position. This type of finding is MOST commonly associated with which of the following diagnoses?
A. Cystic fibrosis
B. Down syndrome
C. Duchenne muscular dystrophy
D. Spinal muscular atrophy
C. Duchenne muscular dystrophy
A physical therapist assistant used the proprioceptive neuromuscular facilitation (PNF) technique known as repeated contractions to strengthen the quadriceps of a patient that fails to exhibit the desired muscular response throughout a portion of
the range of motion. Which of the following descriptions BEST explains how this technique should be applied?
A. With the extremity placed into a shortened range within the pattern
B. At the point where the desired muscular response begins to diminish
C. At the end of the available range of motion
D. With a maximal contraction of the antagonistic muscle group
B. At the point where the desired muscular response begins to diminish
A patient who has vascular intermittent claudication is seen for cardiac rehabilitation. Which ankle-brachial index (ABI) value would be the MOST consistent with intermittent claudication symptoms that only occur during fairly intense exercise?
A. 0.
B. 0.
C. 0.
D. 1.
C. 0.
A physical therapist assistant treats a patient diagnosed with plantar fasciitis. During the treatment session, the assistant attempts to strengthen the muscles that support the medial longitudinal arch. Which of the following muscles would be MOST important to emphasize in the strengthening program?
A. Gastrocnemius, soleus, and plantaris
A physical therapist assistant prepares a patient who has global aphasia post CVA for discharge from a rehabilitation hospital. The patient will be returning home with her husband and daughter. Which of the following methods of education is the MOST appropriate for the assistant to use to facilitate a safe discharge?
A. Perform hands-on training sessions with the patient and family members
B. Videotape the patient performing transfers and activities of daily living
C. Provide written instructions on all activities of daily living and functional tasks
D. Meet with family members to discuss the patient's present status and abilities
A. Perform hands-on training sessions with the patient and family members
A patient is scheduled to undergo a transtibial amputation of the left lower extremity. In addition, the patient is one month post right total knee arthroplasty. Given the patient's past and current surgical history, the physical therapist assistant should expect which of the following activities to be the MOST difficult for the patient following their amputation?
A. Rolling from supine to sidelying
B. Moving from supine to sitting
C. Moving from sitting to standing
D. Ambulating in the parallel bars
C. Moving from sitting to standing
A physical therapist assistant prepares to use an intermittent compression device to treat a patient who has lower extremity edema. The assistant would like to carefully monitor the patient during the session due to a history of mixed arterial and venous disease. Which of the following assessment procedures would be the LEAST beneficial to ensure that the patient is safely tolerating compression treatment?
A. Observation of lower extremity skin color
B. Figure eight measurement at the ankle
C. Capillary refill time of the great toe
D. Palpation of the dorsalis pedis artery
B. Figure eight measurement at the ankle
A physical therapist assistant attempts to assess the extent of ataxia in a patient's upper extremities. Which of the following tests is BEST for assessing ataxia?
A. Manual muscle test
B. Sensory test for light touch
C. Functional assessment of bed mobility
D. Finger to nose test
D. Finger to nose test
a. 10 seconds
b. 15 seconds
c. 30 seconds
d. 60 seconds
d. 60 seconds
A PTA completes an isokinetic test on an 18-year-old male rehabilitating from a medial menisectomy. The therapist notes that the patient generates 140 ft/lbs of force using the uninvolved quadriceps at 60°/sec. Assuming a normal ratio of hamstrings to quadriceps strength, which of the following would be an acceptable hamstrings value at 60° per second?
a. 64 ft/lbs
b. 84 ft/lbs
c. 114 ft/lbs
d. 116 ft/lbs
b. 84 ft/lbs
A physical therapist assistant presents an in-service to the rehabilitation staff that compares traditional gait terminology with Rancho Los Amigos terminology. Which pair of descriptive terms describes the same general point in the gait cycle?
A. Midstance to heel off and initial swing
B. Heel strike and initial contact
C. Foot flat to midstance and loading response
D. Toe off and midswing
B. Heel strike and initial contact
A physical therapist assistant monitors the vital signs of a patient running on a treadmill at a series of steadily increasing speeds. A change in which variable would be MOST responsible for an observed increase in pulse pressure during the exercise sessions?
A. Heart rate
B. Systolic blood pressure
C. Diastolic blood pressure
D. Cardiac output
B. Systolic blood pressure
A physical therapist assistant inspects a patient's wheelchair and identifies that the drive wheel axle is aligned further posterior than it typically would be in a standard wheelchair. This type of alignment would MOST likely result in which of the following outcomes?
A. Decreased rolling resistance
B. Increased ability to balance on the rear wheels
C. Decreased turning radius
D. Increased energy required for propulsion
A patient with cardiovascular pathology is placed on a diuretic. Which type of laboratory test should be the MOST essential for the physical therapist assistant to monitor based on the patient's prescribed medication?
A. Cardiac biomarkers
B. Prothrombin time
C. Serum electrolytes
D. Serum cholesterol
C. Serum electrolytes
A patient reports recurrent ankle pain. The physical therapist directs a physical therapist assistant to perform ultrasound over the peroneus longus and brevis tendons. Which of the following locations is the MOST appropriate for the application of ultrasound?
A. Inferior to the sustentaculum tali
B. Over the sinus tarsi region
C. Posterior to the lateral malleolus
D. Anterior to the lateral malleolus
C. Posterior to the lateral malleolus
A physical therapist assistant prepares to measure medial rotation of a patient's shoulder with a goniometer. Which of the following structures should the assistant use to align the fulcrum?
A. On the lateral midline of the humerus using the lateral epicondyle as a reference
B. Perpendicular to the floor
C. Along the midaxillary line of the thorax
D. Over the olecranon process
D. Over the olecranon process
A physical therapist assistant monitors a patient with a single lead electrocardiogram. After reviewing the obtained data, the rhythm is classified as sinus bradycardia. Which of the following descriptions is the MOST indicative of this condition?
A. R-R interval is irregular with a rate between 100 and 200 beats per minute
B. R-R interval is irregular with a rate between 40 and 100 beats per minute
C. R-R interval is regular with a rate greater than 100 beats per minute
D. R-R interval is regular with a rate less than 60 beats per minute
D. R-R interval is regular with a rate less than 60 beats per minute
A physical therapist assistant reviews the medical record of a patient with an arthritic condition. Which piece of information would be the MOST useful to assist in the definitive diagnosis of rheumatoid arthritis?
A. Pain profile
B. Joint symptoms
C. Blood tests
D. Age of onset
