DPT Geriatric Rehabilitation 4

Question 1

Which cognitive screening tool is MOST commonly used by physical therapists to identify cognitive impairment that may affect rehabilitation participation?

Accepted Answer

Mini-Cog

Answer

Beck Depression Inventory

Answer

Hamilton Anxiety Scale

Answer

PHQ-9

Question 2

A 79-year-old male with Parkinson's disease exhibits festinating gait. Which cueing strategy is MOST effective for improving gait in this patient?

Accepted Answer

Auditory rhythmic cueing using a metronome

Answer

Tactile cueing using resistance bands

Answer

Cognitive dual-task exercises

Answer

Visual cliff training

Question 3

An 88-year-old nursing home resident has stage 3 pressure injury on the sacrum. Which positioning strategy BEST reduces further tissue breakdown?

Accepted Answer

Reposition every 2 hours and use a pressure-redistribution mattress

Answer

Elevate head of bed to 90 degrees for all meals and activities

Answer

Apply heat packs to promote circulation

Answer

Encourage prolonged sitting in a standard wheelchair

Question 4

Which factor is the STRONGEST independent predictor of functional decline following hospitalization in older adults?

Accepted Answer

Pre-hospital functional status

Answer

Length of stay greater than 3 days

Answer

Age above 80

Answer

Number of medications at admission

Question 5

A 73-year-old woman with diabetic peripheral neuropathy demonstrates impaired protective sensation in both feet. Which intervention is HIGHEST priority?

Accepted Answer

Foot inspection education, appropriate footwear, and supervised balance training

Answer

High-intensity proprioceptive training on unstable surfaces

Answer

Vibration therapy applied directly to plantar surfaces daily

Answer

Strengthening of hip extensors only

Question 6

Which exercise prescription principle is MOST important when prescribing resistance training for an 85-year-old with mild hypertension?

Accepted Answer

Use moderate loads (40–60% 1RM) with controlled breathing to avoid Valsalva maneuver

Answer

Use maximum load with minimal repetitions to maximize strength gains quickly

Answer

Avoid all resistance training due to cardiovascular risk

Answer

Prescribe resistance training without any warm-up to conserve energy

Question 7

A PT is designing a home exercise program for a 77-year-old with moderate osteoarthritis of both knees. Which exercise is MOST appropriate to include?

Accepted Answer

Stationary cycling with low resistance

Answer

Deep squat to 120 degrees of knee flexion

Answer

High-impact jumping exercises

Answer

Prolonged kneeling exercises