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 physiotherapist identifies that a patient's home environment has loose rugs and poor lighting. Addressing these is an example of intervention at which ICF level?
Answer: Environmental factors
Loose rugs and poor lighting are environmental factors within the ICF model; modifying them reduces fall risk and supports participation.
Which clinical test has the highest sensitivity for detecting an anterior cruciate ligament (ACL) rupture?
Answer: Lachman test
The Lachman test has the highest sensitivity (approximately 85%) for ACL rupture compared to other clinical tests, making it the preferred screening test.
A patient with post-stroke hemiplegia is ready for gait training. Which approach MOST aligns with current neuroplasticity principles?
Answer: Task-specific, high-repetition gait training with progressive challenge
Task-specific, high-repetition practice drives neuroplasticity and motor re-learning, which is the foundation of modern stroke rehabilitation.
A patient refuses a recommended intervention after receiving adequate information about risks and benefits. The physiotherapist MUST:
Answer: Document the refusal and respect the patient's autonomy
Respecting informed refusal is a fundamental ethical and legal obligation; the therapist must document the refusal and continue to support the patient within their expressed wishes.
Which breathing technique is MOST appropriate to teach a patient with COPD to relieve acute dyspnea?
Answer: Pursed-lip breathing in a forward-leaning position
Pursed-lip breathing slows the respiratory rate and maintains airway pressure, while forward-leaning optimizes diaphragm mechanics to relieve acute dyspnea in COPD.
Which criterion MOST reliably determines readiness to progress from partial weight bearing to full weight bearing after a lower extremity fracture?
Answer: Radiographic evidence of bridging callus confirmed by the physician
Radiographic evidence of bridging callus confirmed by the treating physician is the gold standard for determining bony healing adequate for full weight bearing.
A physiotherapist measures a patient's passive hip flexion as 100° compared to 120° on the contralateral side. Using the NPRS and ROM findings, the MOST appropriate classification is:
Answer: Hypomobility that may warrant joint mobilization or stretching
A 20° bilateral ROM deficit in hip flexion indicates hypomobility that should be further assessed and may respond to manual therapy or stretching interventions.