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Author Archives: Anonymous

A physical therapist is reviewing the chart of a patient the…

A physical therapist is reviewing the chart of a patient they plan to evaluate who is admitted to the general pulmonary service of the hospital. The patient was admitted with progressive and severe shortness of breath with exertion. The patient completed a pulmonary function test (PFT) as part of their medical workup, shown below. Based on this patient’s PFT, which of the following conclusions is most accurate?  

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A patient being treated by a physical therapist in a clinic…

A patient being treated by a physical therapist in a clinic reports taking metoprolol (Lopressor) twice daily. What changes would the physical therapist expect to observe in this patient during activity? 

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A physical therapist receives a consult to evaluate a 70 y.o…

A physical therapist receives a consult to evaluate a 70 y.o. patient who is admitted to the hospital with respiratory failure.  The physical therapist notes the arterial blood gas shown below. Vitals at present are HR 110 bpm, SpO2 94%, BP 90/50 mmHg, RR 32. The patient is presently on Bi-Level Positive Airway Pressure (BiPAP). What is the most likely reason this patient is on BiPAP at present?   

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 A physical therapist is evaluating a patient day 1 post-op…

 A physical therapist is evaluating a patient day 1 post-op total hip replacement. They have a prior medical history including diabetes, hypertension, smoking, and dyslipidemia. Following assisting the patient to the edge of bed the patient reports feeling nauseous and generally unwell. The physical therapist looks at the patient’s hospital monitor, shown below. Select the most appropriate assessment and response. ** Please note this is a live reading from an actual monitor, the gap in the 2nd heart beat is just the machine updating the ECG tracing **

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A physical therapist is assisting an 85 y.o. patient with a…

A physical therapist is assisting an 85 y.o. patient with a prior history of atrial fibrillation in ambulating down the hall with a rollator (four-wheeled walker).  The physical therapist notes that the patient remains in atrial fibrillation, but their HR is up to 140 bpm from 60 bpm at rest. The patient’s blood pressure has decreased from 130/80 mmHg at rest to 90/60 mmHg during exertion. The patient reports fatigue and that they feel like their heart is racing. Which of the following is the most appropriate clinical response?

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Which lung segment is the physical therapist auscultating in…

Which lung segment is the physical therapist auscultating in the picture below?  

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Which of the following should you consider when working with…

Which of the following should you consider when working with a patient with asthma who is prescribed an albuterol (Ventolin) inhaler?  

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A patient has chronically taken warfarin (coumadin) since th…

A patient has chronically taken warfarin (coumadin) since the placement of a mechanical aortic valve. The patient was subsequently admitted to the hospital with fatigue, tachycardia, and bruising. You have received an automatic consult to evaluate the patient for mobility. You note that their International Normalized Ratio (INR) value is 8. What is the most appropriate clinical decision?

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Which of the following pulmonary function test values is use…

Which of the following pulmonary function test values is used to determine the severity of RESTRICTIVE lung disease? 

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A patient with which of the following conditions is most lik…

A patient with which of the following conditions is most likely to require airway clearance interventions (needs assistance to mobilize secretions) from a physical therapist?

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