A 41-year-old female patient seeks direct access PT for c/o right anterior hip pain of 3 weeks duration.  Patient states no specific trauma/incident, but that they began participating in cross-fit approx. 2 months ago. They recently started going a few times a week. The patient thinks that symptoms may have increased after a high volume body weight routine a few weeks ago.     Pain: 2/10 at rest, 6/10 at worst. Aggravating factors: prolonged sitting, and upon awakening.  Alleviating Factors- walking, moving. Imaging: None Past Medical History : s/p Right knee partial meniscectomy 3 years ago, 2 caesarian sections 7 and 10 years ago.  Meds: NSAID’s past 1-week PRN with pain, mainly taking in AM.  Social/Work: Cross-fit, part time landscape architect.    Outcome Measure:  LEFS 47/80 points Running 1 point, squatting  1 point.   Stairs 2 points  PSFS Crossfit 2/10, sitting 5/10     Examination Findings: Posture: Anterior tilt of pelvis with increased lumbar lordosis:   A / PROM:   Left Right Hip abduction   39/45 38/45 with mild pain Hip External Rotation 45/60 34/40 with anterior hip pain   MMT:   Left Right Hip flexion 4+/5 4-/5 with pain Hip ER 4/5 4-/5 with pain Hip IR 5/5 5/5 with pain   Palpation- Tenderness noted in the R lesser trochanteric region/iliopsoas tendon   Gait:  Mild antalgic on right with reduce hip flexion in swing phase.   Please answer the below questions and state rationale for each answer.  Please be as concise as possible, your first choices will be the ones graded.  Please notate out any options you do not want evaluated.   

A 40-year-old female seeks PT for with a four-year history of recurrent low back pain.  Her primary functional complaints are an inability to tolerate sitting or standing for any extended period. She has been previously treated by a chiropractor three months ago who focused on heat, massage, and manipulation. These interventions provided temporary relief and did not improve her functional status. . Pain:   Location:  low back R > L side, intermittent R > L  gluteal pain, worsens with sustained postures           NPRS: 2/10 on average and 5/10 at worst Aggravating Factors: prolonged postures Imaging: Radiographs show degenerative changes to L4-L5 disc space Past Medical History:  Autoimmune disorder in childhood with steroid use x 6 years. Meds: Meloxicam 7.5 mg PRN  Social/Work:  Caregiver-2 year old child    Patient performs remote assistance and meetings (desk) work for 8 hours/day.  . Outcome Measure: Oswestry Disability Index- 22%- sitting, standing, lifting are the greatest difficulty  Examination Findings: Posture: Increased anterior pelvic tilt ROM: Lumbar flexion 75%, aberrant movement upon return. No change with repeated motions Lumbar Extension 50% without movement deviation Lumbar rotation 100% without movement deviation. Myotomes:  strong DTR- +2 bilaterally LE Sensation: Intact to light touch. Special Testing:  SLR- negative for neural tension bilaterally Slump – negative for neural tension Palpation: B PSIS tender, L4 increased tenderness greater than PSIS   Please answer the below questions and state rationale for each answer.  Please be as concise as possible, your first choices will be the ones graded. 

If planning an alternate for ETOPS purposes, you can use the lowest published minimums on the chart as long as that approach is available.

What document is NOT a good resource for oceanic contingencies?

You are crossing the ocean in an easterly direction and have not yet reached your ETP.  Suddenly the lead flight attendant informs you a passenger is having a medical emergency.  The captain makes the decision to divert immediately.  Which is NOT a proper step to take?

When flying for a US air carrier internationally, what regulatory obligations you must adhere to?

What must polar region alternate airfields also provide?

What is an important navigation consideration for polar routes?

In which oceanic region can helicopter operations (Part 135) receive relief from dual navigation receiver requirements (assuming other conditions are met)?

The use of “Free Text” requests and responses are common place in CPDLC; you can use them just like sending a text from your phone.