DPT Patient Evaluation & Diagnosis 3

Question 1

When using the Cyriax approach, a capsular pattern at the glenohumeral joint presents as greatest restriction in:

Accepted Answer

External rotation > abduction > internal rotation

Answer

The glenohumeral capsular pattern per Cyriax is external rotation most limited, followed by abduction, then internal rotation.

Question 2

A PT notices that a patient's involved lower extremity lacks 10° of full knee extension during the stance phase of gait. Which compensation would MOST likely be observed?

Accepted Answer

Contralateral vaulting

Answer

Contralateral vaulting (rising on tiptoe on the uninvolved side) compensates for the effective limb-length increase caused by a fixed knee flexion contracture.

Question 3

Which dermatome level is tested by assessing sensation on the dorsum of the foot between the first and second toes?

Accepted Answer

L5

Answer

The L5 dermatome covers the dorsum of the foot and the area between the first and second toes.

Question 4

A 55-year-old female presents with bilateral hand pain and swelling that is worse in the morning for more than 60 minutes. The MOST likely diagnosis is:

Accepted Answer

Rheumatoid arthritis

Answer

Prolonged morning stiffness exceeding 30–60 minutes, bilateral involvement, and synovial swelling are hallmark features of rheumatoid arthritis.

Question 5

The Functional Reach Test measures a patient's maximum forward reach distance while standing. A score below what value in older adults indicates high fall risk?

Accepted Answer

25.4 cm (10 inches)

Answer

A functional reach of less than 25.4 cm (10 inches) in older adults is associated with a significantly increased fall risk.

(DPT) Board Certified Doctor of Physical Therapy Practice Test

(DPT) Board Certified Doctor of Physical Therapy Practice Test

DPT Patient Evaluation & Diagnosis 3