PCE Assessment and Evaluation 4

Question 1

A physiotherapist is assessing a patient using the Timed Up and Go (TUG) test. The patient completes the test in 16 seconds. What does this result indicate for a community-dwelling older adult?

Accepted Answer

Increased fall risk and mobility impairment

Answer

TUG scores >12 seconds in community-dwelling older adults indicate increased fall risk and mobility impairment.

Question 2

During assessment of a patient with chronic low back pain, which psychosocial screening tool is most appropriate to identify fear-avoidance beliefs?

Accepted Answer

Fear-Avoidance Beliefs Questionnaire (FABQ)

Answer

The FABQ specifically measures fear-avoidance beliefs related to physical activity and work in patients with low back pain.

Question 3

A physiotherapist tests the integrity of the anterior cruciate ligament using the Lachman test. What constitutes a positive finding?

Accepted Answer

Excessive anterior tibial translation with a soft or absent end-feel

Answer

A positive Lachman test is characterized by excessive anterior translation of the tibia on the femur with a soft or absent end-feel at 20–30° knee flexion.

Question 4

Which reflex arc level corresponds to the patellar (knee jerk) reflex?

Accepted Answer

L3–L4

Answer

The patellar reflex is mediated at the L3–L4 spinal segments via the femoral nerve.

Question 5

A physiotherapist performs a passive intervertebral motion (PIVM) test at L4–L5 and notes hypomobility. This finding most appropriately guides which clinical decision?

Accepted Answer

Manual therapy or mobilization targeting that spinal segment

Answer

Hypomobility on PIVM testing is a primary indicator for spinal mobilization or manipulation at the restricted segment.

(PCE) Physiotherapy Competency Exam Practice Test

(PCE) Physiotherapy Competency Exam Practice Test

PCE Assessment and Evaluation 4