CAPR PCE Exam – Sample Questions

1.

Vignette for items 1 - 5

A physiotherapist is meeting with a 17-year-old female client. The client has been recently diagnosed with mild scoliosis, which is an abnormal curvature of the spine. The curvature is more than 10 degrees but less than 20 degrees in her case. She has been experiencing mild back pain, difficulty maintaining proper posture, and occasional fatigue. The client is an active individual who plays basketball in her high school team. The therapist has a thorough understanding of scoliosis and its management and is preparing to assess and treat the client accordingly.

During the initial assessment, the physiotherapist should primarily focus on:

2. The physiotherapist notices an imbalance in the client's muscle strength around the spine. What would be the most appropriate intervention to address this issue?

3. To address the client's mild back pain, the physiotherapist suggests:

4. If the therapist wants to monitor the progression of the client's scoliosis. Which of the following should he recommend?

5. In addition to the physiotherapy treatment plan, the therapist should discuss which of the following with the client?

6.

Vignette for items 6 - 8

A physiotherapist is meeting with a 65-year-old male client. The client has recently been diagnosed with arteriosclerosis, which is a condition characterized by the thickening and hardening of the arterial walls. He has been experiencing symptoms such as intermittent claudication (leg pain while walking), fatigue, cold extremities, and occasional chest pain. The client is a retired teacher who enjoys gardening and has a family history of cardiovascular diseases. The therapist is well-versed in the management of arteriosclerosis and is preparing to assess and treat the client accordingly.

During the initial assessment, the physiotherapist should focus primarily on:

7. Given the client's diagnosis of arteriosclerosis and his symptoms, the physiotherapist should take which of the following precautions during his treatment sessions?

8. The physiotherapist recommends a moderate-intensity, continuous aerobic exercise for the client.  In addition to the exercise program, the physiotherapist should discuss which of the following with the client?

9.

Vignette for items 9 - 12

A physiotherapist is meeting with an 8-year-old male client who has been diagnosed with Duchenne muscular dystrophy (DMD). DMD is a genetic disorder characterized by progressive muscle degeneration and weakness. The client's symptoms include difficulty walking, frequent falls, muscle stiffness, fatigue, and a waddling gait. The therapist has experience in managing DMD and is preparing to assess the cleint and develop a treatment plan to help maintain his muscle function and mobility as much as possible.

To assess the client's neurological function, which test should the physiotherapist perform?

10. Which of the following gait abnormalities is most commonly observed in children with DMD?

11. Which of the following would you expect to be elevated in Duchenne muscular dystrophy?

12. Which of the following is a characteristic physical sign to be expected for this client?

13.

Vignette for items 13 - 14

A physiotherapist meets with a 25-year-old female client who is seeking physiotherapy for a shoulder injury. She also has eczema, a chronic inflammatory skin condition characterized by red, dry, itchy, and scaly skin. Her eczema is mainly concentrated on her arms and neck, but occasionally flares up in other areas. The client mentions that her eczema sometimes interferes with her daily activities and sleep. The therapist is preparing to assess the client's shoulder injury while also taking her eczema into consideration during the treatment process.

When treating the client's shoulder injury, the therapist should:

14. If the client's eczema flares up during the treatment period, what should the therapist do?

15.

Vignette for items 15 - 18

A 60-year-old male who had a transtibial amputation of his left leg due to complications from diabetes. He has been referred to physiotherapy for rehabilitation following the amputation. The physiotherapist conducts an initial assessment to evaluate the client's range of motion, muscle strength, balance, and gait pattern.

Which of the following is the most likely reason for weakness in the hip and knee muscles and decreased range of motion in a client with transtibial amputation?

16. The physiotherapist develops a treatment plan for the client, which includes a combination of exercises, manual therapy, and education. Which of the following manual therapy techniques is most appropriate for this client during rehabilitation?

17. The client exhibits an extended knee throughout early stance phase on the prosthetic side.  What is the most appropriate action to resolve the client's difficulty?

18. The physiotherapist also assists him in selecting and fitting a prosthetic leg. Which type of prosthetic leg would be appropriate for the client?

19. A 25-year-old male athlete visits a physiotherapist to assess pain in his right ankle.   The therapist stabilize the tibia and fibula and hold the client's foot in 20 degrees of plantar flexion while the client is supine.  The therapist then draws the talus forward in the ankle mortise.  If the client feels pain or hyper mobility of the ankle, the test is indicative of:

20. While reviewing a chart of a new evaluation for physiotherapist in acute care, the therapist finds that the client currently has the following lab values: pH: 7.41, PaCO₂: 33, HCO₃: 20. Which of the following is correct regarding this client?