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

Current evidence supports early protected weight bearing and functional rehabilitation over prolonged immobilization for acute lateral ankle sprains.

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

A positive Empty Can test with significant weakness but minimal pain is more indicative of a rotator cuff tear than impingement, which typically presents with pain.

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

A score of 41–60% on the Oswestry Disability Index represents severe disability, indicating that pain affects most aspects of daily life.

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

Time-bound elements specifying when the goal will be achieved are most frequently omitted, reducing the goal's clinical utility for tracking progress.

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

Individuals with C5-C6 complete SCI typically retain shoulder and elbow function, allowing independent wheelchair propulsion on flat surfaces with appropriate equipment.

(PCE) Physiotherapy Competency Exam Practice Test

(PCE) Physiotherapy Competency Exam Practice Test

PCE REE PCE Clinical Practice and Patient Management 3