Assessment and Evaluation Flashcards
7 cards from real PCE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Assessment and Evaluation flashcards as text
A physiotherapist uses the ICF model to document a patient's assessment. A patient's inability to return to work as a nurse because of knee pain is best classified under which ICF component?
Answer: Participation restriction
Inability to fulfill a social role such as employment is classified as a participation restriction in the ICF framework.
When assessing muscle tone using the Modified Ashworth Scale (MAS), a rating of 2 indicates which finding?
Answer: Marked increase in tone through most of the ROM, but limb easily moved
MAS grade 2 indicates a marked increase in tone through most of the range of motion, but the limb can still be moved relatively easily.
A physiotherapist is performing a posture assessment and notes that a patient has a forward head posture with increased thoracic kyphosis. Which adaptive muscle changes would be most expected?
Answer: Shortened pectorals and lengthened deep cervical flexors
Forward head posture typically results in shortened suboccipitals, pectorals, and SCM, with lengthened/weakened deep cervical flexors and mid-scapular muscles.
A patient demonstrates a positive Phalen's test after 30 seconds of sustained wrist flexion. This finding is most consistent with which diagnosis?
Answer: Carpal tunnel syndrome
Phalen's test increases pressure in the carpal tunnel by sustained wrist flexion; reproduction of median nerve symptoms is a positive sign for CTS.
During an outcome measure review, a physiotherapist notes that the 6-Minute Walk Test result improved by 35 meters after treatment. Is this change clinically meaningful for a patient with COPD?
Answer: Yes, because the MCID for COPD is approximately 25–35 meters
The minimum clinically important difference (MCID) for the 6MWT in COPD is approximately 25–35 meters, making a 35-meter gain clinically meaningful.
A physiotherapist is assessing a patient post-stroke for upper-limb spasticity. Which scale grades spasticity based on velocity-dependent resistance AND functional impact together?
Answer: Modified Tardieu Scale
The Modified Tardieu Scale measures spasticity at two velocities (slow V1 and fast V3), capturing velocity-dependence that the Ashworth Scale does not.
A physiotherapist suspects piriformis syndrome in a patient with buttock pain radiating down the posterior thigh. Which special test would most specifically stress the piriformis muscle?
Answer: FAIR test (Flexion, Adduction, Internal Rotation)
The FAIR test places the piriformis on maximum stretch by combining hip flexion, adduction, and internal rotation, provoking sciatic irritation if the piriformis is involved.