PCE Practical Skills and Problem-Solving 5

Question 1

A therapist is designing a home exercise program for a patient with Parkinson's disease. Which principle is most supported by evidence for improving motor function?

Accepted Answer

High-amplitude, high-effort movement training (LSVT BIG)

Answer

LSVT BIG, an amplitude-focused exercise program, has strong evidence for improving motor function and daily activities in Parkinson's disease.

Question 2

During a shoulder assessment, a positive Neer's sign and positive Hawkins-Kennedy test both reproduce anterior shoulder pain. These findings are most consistent with:

Accepted Answer

Subacromial impingement syndrome

Answer

Both Neer's and Hawkins-Kennedy tests provoke the supraspinatus tendon under the acromion, making subacromial impingement the most likely diagnosis.

Question 3

A patient with a T6 complete SCI develops sudden severe hypertension (BP 210/130), pounding headache, and profuse sweating. The therapist's immediate action is:

Accepted Answer

Sit the patient upright, identify and remove the noxious stimulus, and monitor BP

Answer

Autonomic dysreflexia is a life-threatening emergency managed by sitting the patient upright to lower BP and urgently identifying/removing the triggering stimulus.

Question 4

The timed 'Up and Go' (TUG) test measures the time for a patient to:

Accepted Answer

Rise from a chair, walk 3 meters, turn, return, and sit down

Answer

The TUG test involves rising from a standard chair, walking 3 meters, turning around, walking back, and sitting down—assessing functional mobility and fall risk.

Question 5

When progressing therapeutic exercise for a patient with osteoporosis, the therapist should emphasize:

Accepted Answer

Weight-bearing and resistance exercises while avoiding trunk flexion loading

Answer

Weight-bearing and resistance exercises stimulate bone remodeling, while trunk flexion exercises increase vertebral fracture risk in osteoporosis.

(PCE) Physiotherapy Competency Exam Practice Test

(PCE) Physiotherapy Competency Exam Practice Test

PCE Practical Skills and Problem-Solving 5