REE PCE Clinical Practice and Patient Management 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 REE PCE Clinical Practice and Patient Management flashcards as text
A patient presents with acute ankle inversion sprain. According to best evidence, which intervention should be prioritized in the first 72 hours?
Answer: Protected weight bearing with early functional rehabilitation
Current evidence supports early protected weight bearing and functional rehabilitation over prolonged immobilization for acute lateral ankle sprains.
Which sign differentiates a supraspinatus tear from subacromial impingement syndrome during a shoulder assessment?
Answer: Positive Empty Can test with weakness but no pain
A positive Empty Can test with significant weakness but minimal pain is more indicative of a rotator cuff tear than impingement, which typically presents with pain.
A therapist uses the Oswestry Disability Index with a patient with chronic low back pain. A score of 41–60% indicates:
Answer: Severe disability affecting most life activities
A score of 41–60% on the Oswestry Disability Index represents severe disability, indicating that pain affects most aspects of daily life.
When setting goals for a pediatric patient using the SMART framework, which element is MOST often missing in novice clinician goal-writing?
Answer: Time-bound
Time-bound elements specifying when the goal will be achieved are most frequently omitted, reducing the goal's clinical utility for tracking progress.
A patient with a C5-C6 complete spinal cord injury is likely to retain which functional ability?
Answer: Independent manual wheelchair propulsion on flat surfaces
Individuals with C5-C6 complete SCI typically retain shoulder and elbow function, allowing independent wheelchair propulsion on flat surfaces with appropriate equipment.
Which neurological test is MOST sensitive for detecting upper motor neuron lesions in the lower extremity?
Answer: Babinski sign
The Babinski sign (extensor plantar response) is the most sensitive and widely accepted indicator of upper motor neuron pathology in the lower extremities.
A physiotherapist is documenting a patient's gait deviation as 'Trendelenburg gait.' Which muscle weakness is the primary cause?
Answer: Ipsilateral hip abductors
Trendelenburg gait results from weakness of the ipsilateral hip abductors (gluteus medius), causing the contralateral pelvis to drop during single-leg stance.