PCE PCE Cardiopulmonary and Special Populations

Question 1

When assessing a patient with COPD, which outcome measure best quantifies functional exercise capacity in a clinical setting?

Accepted Answer

Six-Minute Walk Test (6MWT)

Answer

Forced vital capacity (FVC) alone

Answer

Passive range of motion of the shoulder

Answer

Berg Balance Scale

Question 2

A physiotherapist is treating a pregnant patient in her third trimester. Which exercise position should be avoided due to the risk of supine hypotensive syndrome?

Accepted Answer

Supine lying for more than brief periods

Answer

Side-lying left lateral decubitus

Answer

Sitting upright on a stability ball

Answer

Standing with wide base of support

Question 3

According to ACSM guidelines, which absolute contraindication would require a physiotherapist to stop an exercise session immediately?

Accepted Answer

Acute myocardial infarction within the past 2 days

Answer

Mild muscle soreness from the previous session

Answer

Resting systolic blood pressure of 160 mmHg in a hypertensive patient

Answer

Mild dyspnea at the start of warm-up

Question 4

Postural drainage in a patient with bronchiectasis is most effective when performed:

Accepted Answer

In positions that use gravity to drain specific lung segments

Answer

Immediately after a large meal to aid digestion

Answer

Only in the supine position regardless of affected lobe

Answer

During peak fever to increase secretion mobilization

Question 5

A physiotherapist is working with a pediatric patient with cerebral palsy (spastic diplegia). Which intervention most directly addresses spasticity management and functional mobility?

Accepted Answer

Prolonged static stretching combined with functional task practice

Answer

High-intensity isometric strengthening of spastic muscles

Answer

Electrical stimulation applied to antagonist muscles only

Answer

Splinting all joints in full extension continuously

Question 6

Which breathing technique is most appropriate to teach a COPD patient to reduce dynamic hyperinflation during activity?

Accepted Answer

Pursed-lip breathing

Answer

Rapid shallow chest breathing

Answer

Valsalva maneuver

Answer

Hyperventilation technique