PCE PCE Cardiopulmonary and Special Populations 1

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

The Six-Minute Walk Test is a validated, reliable measure of submaximal functional exercise capacity widely used in COPD and cardiopulmonary rehabilitation.

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

After the first trimester, prolonged supine positioning compresses the inferior vena cava, reducing venous return and potentially causing supine hypotensive syndrome.

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

An acute myocardial infarction is an absolute contraindication to exercise, and any patient with a recent MI should not participate in active exercise rehabilitation without medical clearance.

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

Postural drainage uses gravity-assisted positioning specific to the affected lung segment to facilitate mucus drainage toward the central airways for expectoration.

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

Prolonged static stretching reduces spastic muscle tone while functional task training improves motor control and overall mobility in children with spastic cerebral palsy.

(PCE) Physiotherapy Competency Exam Practice Test

(PCE) Physiotherapy Competency Exam Practice Test

PCE PCE Cardiopulmonary and Special Populations 1