1.
When a runner’s foot lands, which experiences more force?
Correct Answer
A. The heel
Explanation
(Source) Sports Physical Therapy Section pre-conference session “Running Injury Prevention and Management: Pre-, Mid, and Post-race Considerations.” In addition, Bryan Heiderscheit, PT, Ph.D., associate professor for the Department of Orthopedics and Rehabilitation, University of Wisconsin-Madison, noted that the 5 most common running injuries are patellofemoral pain syndrome, iliotibial band friction syndrome, plantar fasciitis, tibial stress fracture, and knee meniscal injuries.
2.
Which of the following statements is not true among survivors of cancer?
Correct Answer
C. Those who report pain are more likely to pass balance tests.
Explanation
(Source) The Oncology Section preconference session “A Comprehensive Management of Balance Impairments and Falls for Adult Cancer Survivors.” In addition, Jennifer Blackwood, PT, MPT, GCS, stressed the importance of conducting a Comprehensive Geriatric Assessment (CGA), which includes screens for depression, cognitive changes, fatigue, comorbidities, functional status, and other domains to assess the person as a whole.
3.
Is walking speed a strong predictor of mortality?
Correct Answer
A. Yes
Explanation
(Source) The Geriatrics Section session “Walking Speed: A Vital Sign and Even More.” In addition, Michelle Lusardi, PT, DPT, Ph.D., said that walking speed should be the sixth vital sign (pain being number 5) and described walking speed as “almost a perfect measure.”
4.
If an adult over the age of 65 experiences arm or shoulder pain, should he or she be screened?
Correct Answer
A. Yes, even when there is a known cause
Explanation
(Source) The Hand Rehabilitation Section session “Screening for Medical Problems in the Upper Extremity.” In addition, Catherine C. Goodman, PT, MBA, CBP, advised, “If you only have time for a 3-5 minute screening, take vital signs. Use the term ‘symptoms’ rather than ‘pain’ during the interview. Watch for red flag histories. And review medications, because 90% of things that go wrong have to do with medications.”
5.
Which common cardiac medication is most likely to have these potential side effects: decreased liver function, myalgia, muscle cramps, gastrointestinal problems, and rash?
Correct Answer
A. Anti-lipemic
Explanation
(Source) The Cardiovascular and Pulmonary Section session “Cardiac Comorbidities in Outpatient Settings: Implications for Assessment and Treatment.” In addition, Lynn Miller, PT, Ph.D., FACSM, said that cardiac conditions are the second-most-common limit to activity and the leading cause of premature permanent disability. “Coronary heart disease, hypertension, heart failure, and vascular disease are conditions you will see in your outpatient setting.”
6.
A researcher from the University of Kansas offered 5 “rules” for obtaining and maintaining a research grant. Which of these was not one of the rules?
Correct Answer
D. If you’ve done the proper planning and research, you can expect success the first time.
Explanation
(Source) The Education Section program “Intellectual Property and Partnerships: The Value of Your Ideas.” In addition, Lisa Stehno-Bittel, PT, Ph.D., explained that, prior to developing a successful method to collect pancreatic islets for a diabetes project, the Kansas researchers had 5 failures. “Each resulted in a publishable paper but didn’t work commercially. So, there are 2 ways (research vs commercial) to think about success and failure.”
7.
Traditional views on development and learning include all the following constructs except:
Correct Answer
C. Nonlinear dynamic systems theory
Explanation
(Source) The Health Policy and Administration Section session “Leading Chaos: Harnessing the Power of Disorganization to You and Your Patients’ Advantage.” In addition, Stacey Zeigler, PT, DPT, said, “A therapist does not motivate. Rather, a PT discovers the patient’s motives and helps that patient act in line with those motives. We are leaders of change for our patients every single day. If a patient appears noncompliant, it means that you’re not understanding the complexity of the client.”
8.
Which of the following statements is not true of clinical prediction rules?
Correct Answer
C. All derived prescriptive CPRs are a reflection of treatment effect.
Explanation
(Source) A Private Practice Section session on the use and usefulness of clinical prediction rules. In addition, Chad Cook, PT, PhD, MBA, OCS, FAAOMPT, panel moderator, noted that CPR derivation/validation requires a form of research design, as do comparative studies such as randomized controlled trials (RTCs). And just as RTCs are not “bad,” but there are bad RTCs, there can be bad CPRs. But that doesn’t mean CPRs in general are not useful.