PCE REE PCE Clinical Practice and Patient Management 2

Question 1

A patient post-total knee arthroplasty reports pain of 8/10 during ambulation on day 2. Which intervention is the MOST appropriate first step?

Accepted Answer

Coordinate with the medical team regarding pain management before continuing mobility

Answer

Discontinue ambulation and return to bed rest

Answer

Continue ambulation as post-surgical pain is expected

Answer

Apply ice and defer therapy until pain resolves

Question 2

Which outcome measure is MOST appropriate to assess functional mobility in a patient with Parkinson's disease in a clinical setting?

Accepted Answer

Timed Up and Go (TUG) test

Answer

Berg Balance Scale

Answer

Six-Minute Walk Test

Answer

Dynamic Gait Index

Question 3

A physiotherapist suspects a patient has cervical arterial dysfunction before performing cervical manipulation. What is the MOST appropriate next step?

Accepted Answer

Perform the cervical arterial dysfunction screening protocol

Answer

Proceed with manipulation at reduced force

Answer

Refer immediately to a vascular surgeon

Answer

Apply cervical traction instead

Question 4

During the PCE, which component of the ICF model refers to a patient's difficulty walking on uneven terrain due to lower limb weakness?

Accepted Answer

Activity limitation

Answer

Health condition

Answer

Body function and structure

Answer

Participation restriction

Question 5

A patient with COPD presents with oxygen saturation dropping to 87% during a 6-Minute Walk Test. The MOST appropriate action is to:

Accepted Answer

Stop the test and administer supplemental oxygen if available

Answer

Continue the test and document the drop

Answer

Slow the walking pace and monitor for 1 minute

Answer

Complete the test as desaturation is expected in COPD

Question 6

Which manual therapy technique is MOST appropriate for a patient with a hypomobile glenohumeral joint in a posterior capsule pattern?

Accepted Answer

Anterior glide of the humeral head

Answer

Inferior glide of the humeral head

Answer

Posterior glide of the humeral head

Answer

Superior glide of the humeral head

Question 7

A physiotherapist is treating a patient with a suspected L4-L5 disc herniation. Which clinical finding MOST strongly supports nerve root involvement at L4?

Accepted Answer

Weak knee extension and diminished patellar reflex

Answer

Weak ankle plantar flexion and absent Achilles reflex

Answer

Weak great toe extension and normal reflexes

Answer

Weak ankle dorsiflexion and absent Achilles reflex