A) 4
B) 5
C) 6
D) 7
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A) Physician
B) PT
C) PTA
D) MSW
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A) PT and PTA
B) PT
C) Patient
D) PT and patient
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A) The patient stated his pain level was a 5/10 following the treatment session.
B) The patient reported that he can use his walker to get to his car now.
C) The patient was able to perform AAROM to (R) shoulder, flex.0º to 180º, 10 reps, 3 sets.
D) The patient plans on seeing his doctor next week for a follow-up visit.
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C
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A) Goals or outcomes review
B) Rating of pain
C) Referral to OT services
D) Girth or circumference measurements
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A) Vital signs, measurements, plan of treatment
B) Blood pressure, ROM, recommendation for change in plan of care
C) Oxygen saturation level, wound size, position of the patient
D) Referral to another discipline, strength measurements, stride length
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Correct Answer
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A) ROM and strength assessment
B) Pain level during activity
C) Completion of short-term goals
D) Ability to take a shower
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A) Patient's level of pain
B) Patient's function
C) Treatment protocol
D) Treatment plan
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A) It focuses on the patient's impairments.
B) It does not record the patient's progress.
C) It does not delineate the plan of care.
D) It does not address goals and outcomes.
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A
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A) It ensures that the patient will continue to attend therapy sessions.
B) It forces the patient to arrive on time for all of the treatment sessions.
C) It reflects the patient's compliance with the treatment program.
D) It makes the patient feel guilty when a treatment session is missed.
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Correct Answer
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A) The patient performed 10 reps, 3 sets of (B) elbow flexion.
B) The patient ambulated (I) , 20 ft using FWW, SBA 1x.
C) The patient performed (I) , AROM in shoulder ext., prone, 10x, 1 set.
D) The patient transferred (I) , from EOB to w/c using stand-pivot transfer x2.
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Correct Answer
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A) It helps determine how much pain the patient is experiencing.
B) It will help determine what services the patient needs.
C) This information is not necessary in this section of the SOAP note.
D) It will help the therapist determine whether the level of function improves.
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Correct Answer
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A) Patient demonstrated an antalgic gait pattern while walking into the TX session.
B) Patient demonstrated frequent wt.shifts while sitting 15 min prior to TX.
C) Patient demonstrated the HEP using McKenzie exercises patterns.
D) Patient walks with a shuffling gait pattern with (R) hip, knee, and ankle in flexion.
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Correct Answer
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A) The therapist needs to paint a picture of the treatment session in order to reproduce what occurred.
B) The therapist must be able to determine what the patient's outcomes will be for the plan of care.
C) The therapist must be able to provide the past medical history to determine the plan of action.
D) The therapist must describe a plan of care that includes the patient's ability to function in the gym.
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Correct Answer
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A) A description of the intervention provided
B) A summary of the subjective section
C) A record of the number of treatment sessions provided
D) The results of tests and measurements
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Correct Answer
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A) The patient performed an (I) transfer from BS to w/c with SBA x2 with appropriate VC regarding proper body mechanics.
B) The patient reported that he was able to get out of bed today without any help.
C) The patient needs to return to the physician for another update and script for continued services.
D) The patient performed quad sets 10x, 3 sets today compared with 10x, 1 set last session.
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A) Information that describes what will happen next
B) Information that provides a summary of subjective and objective information
C) Information that is easily reproducible and demonstrable
D) Information about the patient's past medical history
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Correct Answer
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A) It provides a means of showing treatment effectiveness.
B) It helps the patient decide whether therapy is helping.
C) It provides the family with a measurement of how they think the patient is progressing.
D) It helps the physician determine how many more treatment sessions are necessary.
Correct Answer
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Correct Answer
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A) The treating therapist can remember what he or she did during the last session.
B) Another therapist can reproduce the treatment session if the first therapist is absent.
C) The therapist can answer all of the patient's questions about each treatment session.
D) The patient can tell his or her family what the treatment session included.
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Correct Answer
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A) Data that summarize the patient's history and assessment
B) Data that include what is going to happen
C) Data that contain the patient's medical history
D) Data that can be reproduced or confirmed
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D
Correct Answer
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