PCE REE PCE Clinical Practice and Patient Management 4

Question 1

A patient with type 2 diabetes has peripheral neuropathy. Which intervention requires EXTRA precaution during physiotherapy treatment?

Accepted Answer

Thermotherapy applied to the feet

Answer

Aerobic exercise on a stationary bike

Answer

Resistance training for upper limbs

Answer

Balance training on a stable surface

Question 2

During a developmental assessment, a 15-month-old child who cannot yet walk independently is MOST likely exhibiting:

Accepted Answer

A delay warranting further physiotherapy assessment

Answer

A normal developmental variation requiring monitoring

Answer

Definitive cerebral palsy requiring immediate referral

Answer

Normal development as walking begins at 18 months for all children

Question 3

Which approach BEST demonstrates evidence-based practice in physiotherapy clinical decision-making?

Accepted Answer

Integrating current best research evidence with clinical expertise and patient values

Answer

Applying techniques learned in entry-level training regardless of new research

Answer

Following treatment protocols from clinical guidelines exclusively

Answer

Deferring all clinical decisions to physician orders

Question 4

A patient presents with suspected thoracic outlet syndrome. Which provocative test is MOST specific for arterial compression?

Accepted Answer

Adson's test

Answer

EAST test (elevated arm stress test)

Answer

Wright's hyperabduction test

Answer

Roos test

Question 5

When applying the PICO framework to a clinical question, what does the 'C' component represent?

Accepted Answer

Comparison intervention or control group

Answer

Clinical setting where treatment occurs

Answer

Confidence interval of the study results

Answer

Comorbidities present in the patient population

Question 6

A patient with CRPS Type I (complex regional pain syndrome) in the hand would MOST likely present with which cluster of signs?

Accepted Answer

Allodynia, edema, skin color/temperature changes, and disproportionate pain

Answer

Muscle atrophy, absent reflexes, and fasciculations

Answer

Point tenderness over a specific tendon with positive resisted tests

Answer

Intermittent paresthesia relieved by shoulder positioning

Question 7

Which principle BEST guides the progression of therapeutic exercise intensity in a patient recovering from a myocardial infarction?

Accepted Answer

Use RPE of 11–13 on the Borg scale and monitor heart rate response

Answer

Increase intensity by 10 METs weekly until return to work

Answer

Maintain heart rate below 50% of maximum heart rate throughout recovery

Answer

Advance only when resting heart rate returns to pre-infarction values