DPT Geriatric Rehabilitation 2

Question 1

An 82-year-old woman with osteoporosis sustains a vertebral compression fracture at T12. Which activity should be AVOIDED during early rehabilitation?

Accepted Answer

Spinal flexion exercises

Answer

Aquatic therapy in a warm pool

Answer

Isometric trunk stabilization

Answer

Standing balance training

Question 2

Which outcome measure is MOST appropriate for assessing functional mobility and fall risk in a community-dwelling older adult?

Accepted Answer

Timed Up and Go (TUG) Test

Answer

Berg Balance Scale

Answer

Functional Reach Test

Answer

Dynamic Gait Index

Question 3

A 78-year-old male post-hip replacement demonstrates Trendelenburg gait. Which muscle group is the PRIMARY target for strengthening?

Accepted Answer

Hip abductors

Answer

Hip flexors

Answer

Hip external rotators

Answer

Quadriceps

Question 4

Which pharmacological class of medications is MOST associated with orthostatic hypotension and fall risk in older adults?

Accepted Answer

Antihypertensives

Answer

NSAIDs

Answer

Proton pump inhibitors

Answer

Statins

Question 5

A PT is treating a 90-year-old with moderate dementia in a skilled nursing facility. Which communication strategy is MOST effective?

Accepted Answer

Use short simple sentences with visual cues and demonstration

Answer

Provide complex multi-step verbal instructions

Answer

Rely solely on written home exercise programs

Answer

Speak to the caregiver exclusively to avoid confusing the patient

Question 6

Which gait parameter is MOST predictive of future fall risk in older adults according to the literature?

Accepted Answer

Gait speed

Answer

Stride length

Answer

Cadence

Answer

Step width

Question 7

An older adult presents with decreased proprioception, widened base of support, and bilateral ankle weakness. Which balance system is MOST impaired?

Accepted Answer

Somatosensory system

Answer

Visual system

Answer

Vestibular system

Answer

Central nervous system integration