PCE REE PCE Clinical Practice and Patient Management 3

Question 1

A patient presents with acute ankle inversion sprain. According to best evidence, which intervention should be prioritized in the first 72 hours?

Accepted Answer

Protected weight bearing with early functional rehabilitation

Answer

Immobilization in a cast for 4 weeks

Answer

Complete non-weight bearing for 2 weeks

Answer

Ultrasound therapy daily for 10 sessions

Question 2

Which sign differentiates a supraspinatus tear from subacromial impingement syndrome during a shoulder assessment?

Accepted Answer

Positive Empty Can test with weakness but no pain

Answer

Positive Hawkins-Kennedy test

Answer

Weakness and pain arc between 60°–120° of abduction

Answer

Painful arc with full strength restored at 180°

Question 3

A therapist uses the Oswestry Disability Index with a patient with chronic low back pain. A score of 41–60% indicates:

Accepted Answer

Severe disability affecting most life activities

Answer

Minimal disability requiring self-management advice

Answer

Moderate disability where pain remains the main problem

Answer

Crippling back pain requiring comprehensive intervention

Question 4

When setting goals for a pediatric patient using the SMART framework, which element is MOST often missing in novice clinician goal-writing?

Accepted Answer

Time-bound

Answer

Specific

Answer

Measurable

Answer

Attainable

Question 5

A patient with a C5-C6 complete spinal cord injury is likely to retain which functional ability?

Accepted Answer

Independent manual wheelchair propulsion on flat surfaces

Answer

Independent ambulation with ankle-foot orthoses

Answer

Independent transfers without assistive devices

Answer

Independent dressing of upper and lower body

Question 6

Which neurological test is MOST sensitive for detecting upper motor neuron lesions in the lower extremity?

Accepted Answer

Babinski sign

Answer

Clonus test

Answer

Romberg test

Answer

Hoffman's sign

Question 7

A physiotherapist is documenting a patient's gait deviation as 'Trendelenburg gait.' Which muscle weakness is the primary cause?

Accepted Answer

Ipsilateral hip abductors

Answer

Ipsilateral hip flexors

Answer

Contralateral hip abductors

Answer

Contralateral hip extensors