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

Inability to fulfill a social role such as employment is classified as a participation restriction in the ICF framework.

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

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.

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

Forward head posture typically results in shortened suboccipitals, pectorals, and SCM, with lengthened/weakened deep cervical flexors and mid-scapular muscles.

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

Phalen's test increases pressure in the carpal tunnel by sustained wrist flexion; reproduction of median nerve symptoms is a positive sign for CTS.

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

The minimum clinically important difference (MCID) for the 6MWT in COPD is approximately 25–35 meters, making a 35-meter gain clinically meaningful.

(PCE) Physiotherapy Competency Exam Practice Test

(PCE) Physiotherapy Competency Exam Practice Test

PCE Assessment and Evaluation 5