DPT Geriatric Rehabilitation 5

Question 1

A 91-year-old in the ICU after pneumonia has been on bed rest for 10 days. Which early mobilization protocol outcome is MOST supported by evidence?

Accepted Answer

Decreased ICU-acquired weakness and shorter length of stay

Answer

Early progressive mobility in the ICU significantly reduces ICU-acquired weakness, delirium duration, and hospital length of stay per multiple RCTs.

Question 2

Which nutritional deficiency is MOST commonly associated with increased fall risk and myopathy in older adults living in northern latitudes?

Accepted Answer

Vitamin D deficiency

Answer

Vitamin D deficiency impairs muscle fiber recruitment and neuromuscular function, contributing to proximal muscle weakness and increased fall risk, especially in populations with limited sun exposure.

Question 3

An older adult scores 42/56 on the Berg Balance Scale. How should the PT interpret this result?

Accepted Answer

Moderate fall risk; some balance impairment present

Answer

A Berg Balance Scale score of 41–48 indicates moderate fall risk, suggesting balance impairment that warrants continued physical therapy intervention and fall prevention strategies.

Question 4

Which cardiac precaution is MOST important during exercise prescription for an older adult who recently completed cardiac rehabilitation after CABG?

Accepted Answer

Monitor heart rate and blood pressure; use RPE 11–14 on Borg scale

Answer

Post-CABG patients can safely perform moderate exercise guided by heart rate monitoring and Borg RPE 11–14 (somewhat hard), which reflects adequate cardiac workload without excessive stress.

Question 5

A geriatric patient demonstrates difficulty with medication management, bill payment, and using the telephone. Which level of function is impaired?

Accepted Answer

Instrumental Activities of Daily Living (IADLs)

Answer

Medication management, financial tasks, and telephone use are Instrumental Activities of Daily Living (IADLs), which require higher-order cognitive function than basic self-care tasks.

(DPT) Board Certified Doctor of Physical Therapy Practice Test

(DPT) Board Certified Doctor of Physical Therapy Practice Test

DPT Geriatric Rehabilitation 5