DPT DPT Women's Health & Pelvic Floor Rehabilitation 2

Question 1

Overactive bladder (OAB) with urge incontinence is best managed with which behavioral PT intervention?

Accepted Answer

Bladder retraining with progressive voiding intervals and urge suppression techniques

Answer

Bladder retraining gradually increases voiding intervals while teaching urge suppression strategies, effectively reducing urgency and frequency in OAB.

Question 2

Which postpartum condition is characterized by pelvic girdle pain at the pubic symphysis with a palpable gap and pain on single-leg stance?

Accepted Answer

Pubic symphysis diastasis

Answer

Pubic symphysis diastasis involves separation of the symphysis pubis, causing midline pubic pain and instability worsened by single-leg activities.

Question 3

A PT is treating a patient with vulvodynia and vaginismus. The most appropriate initial intervention is:

Accepted Answer

Graded vaginal desensitization with dilators combined with pelvic floor down-training

Answer

Vaginismus involves involuntary pelvic floor hypertonicity; treatment begins with desensitization, relaxation, and graded dilation rather than strengthening.

Question 4

Sacroiliac joint (SIJ) dysfunction is common in pregnancy. Which provocative test cluster has the highest sensitivity for SIJ pain?

Accepted Answer

Posterior pelvic pain provocation test (P4/PPPP) combined with active straight leg raise (ASLR)

Answer

The combination of P4 and ASLR tests demonstrates the highest sensitivity and specificity for pregnancy-related posterior pelvic/SIJ pain.

Question 5

Which evidence-based intervention is most effective for stress urinary incontinence according to major clinical guidelines (APTA, ACOG)?

Accepted Answer

Supervised pelvic floor muscle training (PFMT) for at least 3 months

Answer

Supervised PFMT for a minimum of 3 months is the first-line recommendation by APTA and ACOG for stress urinary incontinence with strong evidence.

(DPT) Board Certified Doctor of Physical Therapy Practice Test

(DPT) Board Certified Doctor of Physical Therapy Practice Test

DPT DPT Women's Health & Pelvic Floor Rehabilitation 2