Thread: MCQ physiotherapy

(Sample Questions)

1.Ultrasound can be used to treat
A) Osteomyelitis
B) Soft tissue injuries
C) Open fractures
D) All of the above

Correct Answer:- (B)

2.Continuous passive motion apparatus is used to
A) Increase range of motion
B) Maintain range of motion
C) Strengthen knee muscles
D) All of the above

Correct Answer:- (A)

3.Interferential therapy is not used for
A) Muscle stimulation
B) Pain relief
C) Muscle re-education
D) Wound healing

Correct Answer:- (D)

4.Biceps Brachi acts as a
A) Flexor of knee
B) Extensor of elbow
C) Flexor of elbow
D) Extensor of knee

Correct Answer:- (C)

5.Colle's fracture occurs at ?
A) Distal 1/3rdof radius
B) Proximal 1/3rdof radius
C) Olecranon process of ulna
D) Distal 1/3rdof ulna

Correct Answer:- (A)

6.Measurement of axillary crutches ?
A) 5cm below posterior axillary and 15 cm laterally with patient in supine lying
B) 7cm below anterior axilla and 10 cm laterally with patient in standing position
C) 4cm below anterior axilla and 10cm medially with patient supine lying D) 5cm below post axilla and 12cm laterally with patient standing

Correct Answer:- (A)

7.Shoulder dislocation is caused by vigorous
A) Flexion with internal rotation
B) Flexion with external rotation
C) Abduction with External rotation
D) Abduction with internal rotation

Correct Answer:- (C)

8.Poliomyelitis is caused by viral infection in
A) Posterior horn cell
B) Anterior horn cell
C) Muscle
D) Peripheral Nerves

Correct Answer:- (B)

9.Degenerative bone disease is called as ?
A) Osteoarthritis
B) Rheumatoid Arthritis
C) Gouty arthritis
D) Synovitis

Correct Answer:- (B)

Hey,
it was a vwery nice quote u have made as a foot note..
cheers
Sadiya

Multiple choice questions

MODEL ANSWERS – COPD

Pharmaceutical care of people with chronic obstructive pulmonary disease
1. COPD is a disease:
a characterised by reversible airways obstruction False
b which rarely occurs in patients under the age of 35 True
c in which symptoms rarely vary between days True
d which is linked to a chronic productive cough True

2. Severe COPD is defined as:
a an FEV1 of less than 50% of predicted by NICE / BTS False
b an FEV1 of less than 50% of predicted by ATS / ERS True
c an FEV1 of less than 50% of predicted by GOLD False
d an FEV1 of less than 30% of predicted by NICE / BTS True

3. When the diagnosis of COPD is considered the patient should also be questioned about:
a occupational history True
b dyspnoea according to the MRC dyspnoea scale True
c pets False
d ankle swelling True

4. Possible differential diagnosis considered when diagnosing COPD are:
a lung cancer True
b pneumothorax False
c heart failure True
d cystic fibrosis False

5. Patients with severe COPD:
a may have type II respiratory failure True
b should be managed with a combination of inhaled corticosteroid
and long acting beta agonist True
c will rarely be managed in hospital False
d are maintained on long term oxygen therapy for more than
20 hours a day False

6. A patient who has smoked:
a 15 cigarettes a day for 42 years has a smoking history of
greater than 30 pack years True
b 10 cigarettes a day for 30 years has a smoking history of 10 pack years False
c 20 cigarettes a day for 10 years has a smoking history of 10 pack years True
d 40 cigarettes a day for 30 years has a smoking history of greater
than 30 pack years True

7. Smoking cessation:
a in patients with COPD will return the patients FEV1 to normal for their age False
b in patients with COPD will return the rate of decline in FEV1 to normal True
c in patients with COPD will have no effect on lung function False
d is the most beneficial intervention for all patients with COPD True


8. The National institute for Health and Clinical Excellence (NICE)/British Thoracic Society (BTS) guideline for the management of COPD indicate that all patients:
a with an exacerbation of COPD should be prescribed high dose
inhaled corticosteroids False
b admitted to hospital with an exacerbation of COPD should be
prescribed oral corticosteroids True
c should have therapy discontinued if it is shown to ineffective after
two weeks False
d should be referred pulmonary rehabilitation if they think that they
are functionally disabled by the disease True

9. The NICE / BTS guidelines for the management of COPD recommend:
a the use of as required short acting inhaled beta agonists True
b the use of anticholinergics True
c the use of ipratropium and tiotropium together False
d the use of combination inhalers in moderate to severe disease True

10. Patients with COPD should only be prescribed:
a inhaled corticosteroids if they have demonstrable reversibility False
b corticosteroids in an exacerbation if they have had a steroid trial False
c ipratropium if a short acting beta agonist has shown no benefit False
d a long acting beta agonist if they are also receiving an inhaled corticosteroid False

11. Patients with COPD demonstrate no increase in quality of life:
a when prescribed inhaled corticosteroids unless they demonstrate
reversibility False
b when prescribed tiotropiiumm rather than ipratropium False
c unless their FEV1 is also increased False
d when prescribed a combination of inhaled corticosteroids and
long-acting beta agonists False

12. Patients with COPD who are prescribed long term oxygen therapy (LTOT) at home should:
a be encouraged to stop smoking True
b use cylinders as the preferred method of delivery False
c should have a concentrator ordered by their GP False
d should use a compressor and air to drive any nebulised medicines True

13. Patients with COPD:
a should have their nebulised drugs delivered by a nebuliser driven by oxygen False
b should have their nebulised drugs delivered by a nebuliser driven by air True
c which is severe should be prescribed a combination of an inhaled
corticosteroid and long acting beta agonist True
d which is moderate to severe should be prescribed tiotropium True

14. Other therapies which have shown usefulness in the management of COPD include:
a mucolytics True
b diuretics False
c theophylline True
d prophylactic antibacterial therapy False

15. One of the assessment criteria which favour home management of
exacerbations of COPD is that the patient:
a does not currently receive home oxygen therapy True
b lives alone False
c has an oxygen saturation above 80% False
d mild breathlessness True


16. Abrupt withdrawal of prednisolone following management of an exacerbation of COPD:
a may precipitate a further exacerbation of COPD False
b is acceptable if the patient has been on a high dose for less than 21 days True
c can be undertaken if the patient is not on a maintenance dose of
oral corticosteroids True
d cannot be undertaken if the patient is on high dose inhaled corticosteroids False

17. An infective exacerbation is characterised by:
a an increased volume of sputum and a cough False
b an increased volume of sputum and increased purulence of sputum True
c an increased volume of sputum and increased breathlessness True
d an increased volume of sputum and increased FEV1 False

18. The most common causative organisms of infective exacerbations of COPD are:
a Staphylococcus aureus False
b Streptococcus pneumonia True
c Haemophilus influenzae True
d Streptococcus faecalis False

19. An appropriate antibacterial for the management of an exacerbation of COPD is:
a. amoxicillin 500mg three times a day for a non-penicillin allergic patient True
b. amoxicillin 3g twice a day for non-penicillin allergic patients False
c. clarithromycin 500mg twice a day for a penicillin allergic patient True
d. penicillin V 500mg four times a day for a non-penicillin allergic patient False

20. The multidisciplinary team involved in the care of patients with COPD should include:
a. Pharmacists True
b. Dieticians True
c. Physiotherapists True
d. Occupational therapists True