PTA Flashcards

The following are rehabilitation treatments used today and in antiquity, except:

• Cong Fu positioning exercises
• Therapeutic massage
• Therapeutic exercises
• Hydrotherapy

Per Henrik Ling initiated all of the following except:

• Gymnastic Movement
• Swedish Massage
• Diathermy
• Swedish Exercise

Identify the areas within a PTAs scope of practice by indicating YES or NO for each:

-A.B.

• Perform Assessment of patient's gait, strength, ROM.
• Assess evaluation results
• Perform select physical therapy interventions
• Create a prevention program for a patient at their request
• Requst the PT have a consultation with a medical doctor
• Perform research on therapeutic interventions

Multiple Answer: The following are members of the health care team:

• Patient/client
• Patient/client's family
• PT/PTA
• Patient/client's caregiver

The APTA's Vision Statement is "Transforming society by optimizing movement to improve the human experience."

True

False

The following statement(s) is/are correct except:

• A very experienced PTA can interpret the data from the PT initial examination and evaluation.
• A very experienced PTA cannot interpret the data from the initial examination and evaluation, because only PTs can interpret the data from the initial PT examination and evaluation.
• A senior SLP cannot interpret the data from the initial examination and evaluation, because only PTs can interpret the data from the PT initial examination and evaluation.
• An OTR/L cannot interpret the data from the initial PT examination and evaluation, because only PTs can interpret the data from the PT initial examination and evaluation.

Identify the roles of a Physical Therapist and a Physical Therapist Assistant by matching

PT (physical therapist),

PTA (physical therapist assistant) or B (both):

• Perform initial evaluations
• Complete Plan of Care .
• Perform therapeutic interventions based on plan of care . Assess patient progress .
• Document data and interventions
• Perform re-examination
• Complete discharge summary

A meeting between the PT and the PTA to discuss a patients progress or lack of progress, is most commonly called:

• Supervisory meeting
• Staff/departmental meeting
• Strategic planning meeting
• None of the above

A PTA can ask a SW to help with all of the following except:

• To assess the patient's home environment and instruct the patient at discharge from the hospital
• To arrange for home health services at the patient discharged from the hospital
• To arrange for Meals-on-Wheals for a home-bound patient
• All of the above

PTAs were created by the APTA as a result of all of the following except:

• Development of the National Foundation for Infantile Paralysis
• Development of the Medicare program
• Development of the Medicaid program

Multiple Answer: Select ALL of the following which identifies the role of a Physical Therapist Assistant:

• Perform select physical therapy interventions
• Follow the plan of care outlined by an Occupational Therapist
• Complete a discharge summary
• Assist with the data collection for an evaluation

In physical therapy utilization review, PTAs can review the work of the PTs.

True

False

The first to use electrical stimulation of torpedo-fish for headaches:

• Hippocrates
• Leo Buerger
• Dr. Robert Lovett
• A. Gustav Zander

The PTA Caucus allows PTAs to provide higher input to the House of Delegates (HOD).

True

False

A PTA can supervise a physical therapy aide to perform all of the following except:

• Transport the patient from his hospital room to the physical therapy department
• Clean the whirlpool
• Apply ultrasound treatment to the patient's lower back
• All of the above

A patient who cannot cook or clean her home is considered to have a disability.

True

False

• In a SNF, the SPTA may be a member of:

A.an intradisciplinary team that is made up of PTs, PTAs, OTs, SLPs, PTA Aides

B.an interdisciplinary team that is made up of PTs, PTAs, PTA Aides

C.an interdisciplinary team that is made up of PTs, PTAs, PTA Aides, OTs, COTAs and SLPs

D.All of the above

• Risk management is:
• is part of the facility's quality assurance that is implemented to achieve a high quality of care
• is part of the activities implemented in a clinical facility to defend against the threats posed by legal liability
• A and B
• None of the above

All of the following physical therapy interventions can be provided by the PTA in a school system except:

• Positioning in the wheelchair
• Developing the IEP
• Gait training with a walker
• None of the above

In a Hospital, the PTA and an RN working and communicating towards a pt.'s wellbeing are members of:

• an intradisciplinary team
• an interdisciplinary team
• a care plan team
• a multidisciplinary team

The APTA headquarters are in:

• Washington, DC
• Alexandria, VA
• Houston, TX
• None of the above

When working with the SPTA, the ultimate responsibility for physical therapy services is of:

• PTA
• PT
• PT and PTA equally
• PA

Planning to purchase an exercise machine for approximately $1500 can be included in the:

• Operating expense budget
• Capital expense budget
• Accounts receivable budget
• None of the above

Donations to PT-PAC can help with future physical therapy favorable legislative actions on Capitol Hill?

True

False

All of the following physical therapy interventions can be provided by the PTA in home health care except:

A.Implementation of a HEP

B. Bed mobility and transfers

C.Gait training

D.Re-evaluation of the patient every 4 weeks

E.Stretching program

If a patient's medical status changes, the PTA must immediately request a meeting with:

• the supervising PT
• the supervising OT
• the supervising SLP
• the Rehab Director
• A and D only

The first War Emergency Training Course of World War II for physical therapists was initiated at:

• New York Harbor hospital
• Lakewood hospital
• Fort McPherson hospital
• Walter Reed hospital

Multiple Answer: A very experienced PTA as the Physical Therapy Director can perform all of the following:

• Set and apply policies and procedures
• Motivate PTs, PTAs, and other personnel
• Examine and evaluate patients
• Interview new personnel

As per the APTA, a PTA can perform all of the following duties except:

• Modify selected interventions to progress the patient
• Write a discharge plan
• Perform selected interventions
• Document patient progress

In traditional outpatient therapy facilities (OT, SLP,PT), physical therapy services are provided within which of the following team models?

• intradiscipinary model
• multidisciplinary model
• interdiscipinary model
• transdiscipinary model

The following is a potential role of Physical Therapist Assistants in the healthcare industry:

• Staff therapist
• Supervising therapist of therapy aides
• Clinical instructor for student PTAs
• Physical therapy clinic manager
• All of the above

The following are a setting in which a PTA may work except: Home Health

• Sub-acute Rehabilitation Hospital
• Public School
• All of the above are settings in which a PTA may work
• None of the above are settings in which a PTA may work

All of the following are impairments except:

A.Patient is unable to brush their hair.

B. Muscle weakness

C. Muscle spasm

D. Edema

Who is credited as being one of the first “physical therapist” in the United States?

• Melinda Rossi
• Jennifer Maclin
• Mary McMillan
• Ruth Pandolph

A PTA can supervise a physical therapy aide performing which of the following:

• Clean the whirlpool
• Transport the patient from his hospital room to the physical therapy department
• Follow behind a therapist walking with a patient with the wheelchair as a precaution
• All of the above

Examples of procedures in the Policy & Procedures Manual include all of the following except:

• The statement saying that the whirlpool must be cleaned after each patient
• The detailed descriptions of how to clean the whirlpool
• Fire procedure descriptions
• Descriptions of how to dispose of hazardous waste

The highest policy-making body of the APTA is:

A.Special Interest Group

B.Political Action Committee

C.House of Delegates

D.All of the above

A type of budget that includes utilities, employees' salaries and benefits, supplies, housekeeping, and maintenance is considered:

• Operating expense budget
• Capital expense budget
• Accounts receivable budget
• Accounts payable budget

• 3000BC: China?

• 1000BC: China-Cong Fu: exercise to relief PAIN

• Per Henrik Ling (poet/educator/fencing master):

›1864: Gustav Zander–exercise machines

›1890: Nikola Tesla–diathermy

›Proprioceptive facilitation:

• ›Knott and Dorothy Voss

›Lovett (Harvard): importance of polio early muscle training

›

Mary McMillan-

Mckenzie

Williams

Physical therapy was call?

1.Merguerite Sanderson-

creation: 1967

• What Two city PTA programs was first created in 1969?

Which World War generated more demand for Physical Aid?

What year was (CAPTE) created?

• PT Specialty sections was created in?

• Federation of State Boards of Physical Therapy (FSBPT) was created in?:

(ABPTS)

Vision Statement for the Physical Therapy Profession

• Direct Access: 1988

House of Delegates?

APTA’s Benefits for Student Members

Group discussion (6)

APTA’s Goals

• Practitioners:

APTA’s Goals

• Providers:

APTA’s Goals

• Committed:

APTA’s Board of Directors and Headquarters

PTA:

Supervision of PTA

PT:

General supervision ie In Home PT?

Direct personal supervision?

PTA Duties (as per the APTA)

who can make modification to patient intervention?

Upon PTA’s request patient’s re-examination

When POC change needed

Prior planned discharge

In response: change patient’s medical status

Once/month or higher frequency–patient’s needs

performs initial examination/evaluation, establishes POC and treatment plan

initial examination/evaluation; PTA takes notes and gathers data as requested by PT

Evaluation is when

who performs patient’s interventions?

The PT is the only person that can?

When a patient is done with treatment who can discharge them?

1.Intra-disciplinary :

2.Inter-disciplinary :

3.Multi-disciplinary :

PT and PTA

OTR/L and COTA

SLP

RN,

LPN,

CNA

SW

ATC

Discontinue

Discontinuing interventions due to…

• ADL- Activities of Daily Living

IADL- Instrumental Activities of Daily Living

• Departmental meetings:

Staff/departmental team:

• Departmental meetings

Supervisory:

• Departmental meetings

Strategic planning:

• Budgets

Operating expense:

• Budgets

Capital expense:

• Budgets

Accounts receivable:

• Budgets

Accounts payable:

• Costs

Direct:

• Costs

Indirect:

• Costs

Variable:

• Costs

Fixed

Q&A

QA

Risk Management:

—Traditional definition of —Health

—

Disablement

Difference between Nagi and ICF framework

The Nagi Framework

Pathology

The Nagi Framework Pathology is Often referred to as the disease itself?

True or False

The Nagi Framework Pathology happens where?

Impairment

Impairment is also a —deviations in normal anatomy and/or physiology of daily life, example

—

Functional Limitation

Nagi model: Functional Limitation:

Activities of daily living (ADL)

—Basic activities

Nagi model: Functional Limitation

Instrumental activities of daily living (IADL)

Disabilities

Disability

Roles or tasks that have been socially defined as normal for a given population is?

Factors that influence an individual’s perception of his/her degree of disability?

International Classification of Function (ICF)

—Integrates the biomedical, psychological and social aspects of disease.

International Classification of Function (ICF)

Describes various aspects of health as they relate to:

International Classification of Function (ICF)

Described in terms of function and disability

—These two systems are meant to complement each other

Disablement models provide framework for understanding relationships between

Comparison of ICF and Nagi model’s

Comparison of Nagi and ICF cont .

Documentation

Documentation for Reimbursement

Documentation as Ethical Duty

—APTA’s Standards of Ethical Conduct for the Physical Therapist Assistant

Initial examination

Subjective (what you here)

Objective (test you do with the patient)

Results of tests and/or measurements

the Initial examination is used as a

Record Patient Care:

Direct

Record Patient Care:

Indirect

Skilled Care

In order for an intervention to be skilled

Maintenance Therapy:

—Services that are not skilled.

In which of the following elements of the patient/client management model does the PTA have documentation responsibilities? (Indicate all that apply)

Evaluation

Diagnosis

Prognosis

Intervention

Re-evaluation

Question 3

For a patient/client to have direct access to physical therapy care which of the following must occur?

The insurance company must be willing to pay for it.

The intervention must not be provided by a PTA.

The PT must have graduated with a doctoral degree (have a DPT).

The state practice act must allow for it.

Question 4

The most common orthopedic condition of elderly adults in the U.S. is

Lateral epicondylitis

Spondylolisthesis

DeQuervaine’s syndrome

Hip fracture

Question 5

Aquatic therapy is a form of hydrotherapy.

True

False

Question 6

In what section of an treatment note would you make the following entry? “Pt. c/o weakness in (R) elbow.”

S

O

A

P

Question 7

Scoliosis curvatures of more than 40 degrees need the Milwaukee orthosis and functional electrical stimulation (FES) to the muscles on the convex side of the curve.

True

False

Computer-based documentation packages utilize:

Check boxes and drop-down menus

Free-text boxes

Templates and fill-in forms

All of the above

Question 9

In which section of the SOAP note would you document patient-related instructions that were given?

Pr

S

O

A

P

Question 10

The Numerical Rating System (NRS) consists of a 10 cm unmarked horizontal line and is used for pain description.

True

False

Question 11

In what section of an interim note would you make the following entry? “PROM: (R) hip flexion 0° to 115°.”

S

O

A

P

Question 12

Select the items below that represent pathophysiology

• Down syndrome
• Quadripceps weakness
• Inability to take a shower
• Wheelchair bound
• End-stage renal failure

AAROM exercises can be done using all of the following except:

• Continuous Passive Motion (CPM) device
• Patient holding on to a wand with both hands and using the unaffected arm to assist with raising the injured arm.
• Manual assistance from PT/PTA
• Overhead pulleys using the patient's own arms.

Question 14

• Multiple Answer: When taking a telephone referral, the PTA needs to document:
• The date, time, and name of the caller
• The name of the health care provider who referred the patient
• The name of the patient and all other details in regard to the referral
• The name of the PT responsible for the referred patient and the name of the PTA who took the referral

Question 15

Select the items below that represent impairments

• Pain in the left shoulder
• Inability to take a cup out of a cabinet
• Inability to participate in a marathon
• End-stage renal failure

Question 16

All of the following are isotonic exercises except:

• PNF exercises
• TheraBand exercises
• Quadriceps sets
• Progressive Resistive Exercises (PREs)
• All of the above

Question 17

During isometric exercises, the patient must be closely supervised for the potential of Valsalva maneuver.

True

False

Question 18

A patient's history may include all of the following except:

• Personal information and medical diagnosis
• Mechanism of injury and symptoms of the present illness
• Manual Muscle Testing (MMT) and gait observation
• All of the above

Question 19

The Plan of Care (POC) in the initial examination and evaluation may include:

• Short term goals (STGs) and Long term goals (LTGs)
• treatment intervensions
• patient's rehab potential (prognosis)
• All of the above

Question 20

The SOAP format data can be utilized for all of the following except:

• PT's initial evaluation
• PTA's initial evaluation
• PTA's daily/weekly progress notes
• All of the above

Question 21

Which of the following pieces of information would be best obtained from the patient’s medical history?

• Number of stairs to enter the home
• The patient’s cognitive status
• The patient’s pain rating
• The type of surgery the patient underwent

Question 22

The Objecitve data in the "O" section of the daily or weekly SOAP note contains all of the following information except:

• Girth measurements
• PROM measurments
• Patient's progress toward STGs and LTGs
• Strength MMT measurments

Question 23

Which of the following types of information frequently is documented in column or table form?

• Gait deviations
• Goniometric AROM measurements
• Pain rating related to exercises
• Short-term goals

Question 24

Select the items below that represent disability

• Low back pain
• Abdominal weakness
• Inability to participate in work-related activities
• Inability to play with grandchildren
• Stroke

estion 25

In what section of an initial evaluative note would you find the following entry? “Progressive remitting type MS with balance and coordination deficits.”

Pr

S

O

A

P

Question 26

In what section of an interim note would you make the following entry? “Pt. c/o weakness in (L) knee.”

S

O

A

P

Question 27

Which of the following pieces of information would be best obtained from the patient’s medical history?

• Number of stairs to enter the home
• The patient’s cognitive status
• The patient’s pain rating
• The type of surgery the patient underwent

Question 28

Which of the following components of the examination provides the physical therapist with information about the patient’s past health, mechanism of injury, and prior injuries.

• Prognosis
• History
• Systems review
• Tests and measures

Question 29

Select the items below that represent functional limitations

• Diabetes
• Deltoid weakness
• Inability to brush hair
• Difficulty walking
• Stroke

Question 30

PROM exercises can increase a patient's muscular strength.

True

False

Question 31

Function can be integrated into which of the following documentation formats?

• Narrative
• Problem-oriented medical records
• SOAP notes
• Any of the above

• Cardio

• PULMONARY

SOME PT AND PTA ROLE(S)

• MYOCARDIAL INFARCTION (MI)

SECRETION REMOVAL TECHNIQUE

CAD-CORONARY ARTERY DISEASE

Chronic obstructive pulmonary disease (COPD)

Documentation

• Timely
• Thorough, relevant, accurate
• Clear and concise
• Consistent
• Use objective language
• Legibly
• Black or blue permanent ink
• Use medical terminology

Addendum" immediate

Objective Data should fall into 2 categories:

• Subheadings

Structure/Organization of O: con’t

Describing function

Therapeutic Exercise

Wound Management

Muscle Strength

Orthotics

Gait/Balance

Common Mistakes