PCE Assessment and Evaluation 5

Question 1

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?

Accepted Answer

Participation restriction

Answer

Activity limitation

Answer

Body structure impairment

Answer

Environmental factor

Question 2

When assessing muscle tone using the Modified Ashworth Scale (MAS), a rating of 2 indicates which finding?

Accepted Answer

Marked increase in tone through most of the ROM, but limb easily moved

Answer

Slight increase in tone with a catch and release at end of ROM

Answer

Rigid limb in flexion or extension

Answer

No increase in muscle tone

Question 3

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?

Accepted Answer

Shortened pectorals and lengthened deep cervical flexors

Answer

Shortened deep cervical flexors and lengthened upper trapezius

Answer

Shortened thoracic extensors and lengthened suboccipitals

Answer

Shortened rhomboids and lengthened pectoralis minor

Question 4

A patient demonstrates a positive Phalen's test after 30 seconds of sustained wrist flexion. This finding is most consistent with which diagnosis?

Accepted Answer

Carpal tunnel syndrome

Answer

Cubital tunnel syndrome

Answer

De Quervain's tenosynovitis

Answer

Radial tunnel syndrome

Question 5

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?

Accepted Answer

Yes, because the MCID for COPD is approximately 25–35 meters

Answer

No, because the MCID for COPD requires at least 50 meters of improvement

Answer

Yes, because any improvement in walk distance is always clinically significant

Answer

No, because the 6MWT is not a valid tool for COPD assessment

Question 6

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?

Accepted Answer

Modified Tardieu Scale

Answer

Modified Ashworth Scale

Answer

Fugl-Meyer Assessment

Answer

Brunnstrom Stages

Question 7

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?

Accepted Answer

FAIR test (Flexion, Adduction, Internal Rotation)

Answer

FABER (Patrick's) test

Answer

Straight leg raise

Answer

Slump test