RETENTION EXAM allow the therapist to move the patient with the August 2014 greatest case? a. Dependent standing pivot NAME:__________________ SCORE:________ b. Hydraulic lift c. Sliding board BATCH:_______ d. Assisted standing pivot 1. While ambulating a patient in the parallel bars, the 8. A therapist cut her finger with a kitchen knife and patient suddenly falls and suffers a severe on the same morning was scheduled to do open laceration in the area of the lateral distal right wound care on a patient who has HIV. In this case thigh. To help control bleeding you should apply she should: pressure over the wound and: a. not treat the patient a. behind the knee at the popliteal fossa b. bandage her cut with an occlusive b. at the femoral triangle dressing and don gloves normally c. at the antecubital fossa c. treat using normal standard precaution d. at midthigh, directly over the profunda d. double glove femoris artery 9. The parents of an eight year-old girl with Down 2. You are organizing a group exercise session in syndrome have ask for your advice about the therapeutic pool. Use of the pool would be recreational activities for their daughter. You contraindicated for a group member who has? could recommend all of the following except for? a. an indwelling catheter a. soccer b. paraparesis and is on a regular bowel b. ballet dancing program c. softball c. unstable blood pressure d. horseback ridding d. an open skin lesion, even if its covered 10. The factor that would disallow the use of by waterproof dressing ultrasound in an 11 year-old boy with patellar 3. A physical therapist designs a therapeutic tendinitis is: exercise program for a patient with sway-back. a. Sexual immaturity The most appropriate exercise is b. open epiphysis a. hip flexor strengthening c. potential for metagenesis b. lower abdominal strengthening d. ineffectiveness of ultrasound as a c. anterior pelvic tilts modality for those younger than 12 years d. low back strengthening of age 4. A patient referred to a PT with chronic low back 11. During gait analysis, you note that a patient is pain and has failed to make any progress toward lurching backward during stance phase as a meeting established goals in over three weeks of result of gluteus maximus weakness. This treatment. The PT has employed a variety of compensatory motion prevents; treatment techniques, but has yet to observe any a. circumduction with external rotation of sign of subjectivity or objective improvement in the involved extremity the patient’s condition. The most appropriate b. lateral trunk lean over the involve stance action would be to: extremity a. Transfer the patient to another therapist’s c. knee instability with possible buckling schedule d. excessive hip flexion and anterior pelvic b. Reexamine the patient and establish new tilt goals 12. A 62 year-old recreational athlete has spinal c. Continue to modify the patient’s stenosis affecting the lumbar region. To minimize treatment plan symptomatology, the therapist should recommend d. alert the referring physician to the that this individual not: patient’s status a. play tennis 5. A physical therapist attends an inservice that b. ride bicycle reviews regulations from the Occupational Safety c. performs curl ups and Health Administration. Which of the following d. use a rowing machine regulations is not accurate? 13. A 13 year-old female diagnosed with cerebral a. Provide proper container for the disposal palsy is referred to physical therapy. The patient waste and sharp items exhibits slow, involuntary, continuous, writhing b. educate employees on the methods of movements of the upper and lower extremities. transmission and the prevention of This type of motor disturbances representative of: hepatitis B and HIV a. spasticity c. require all employees to receive the b. ataxia hepatitis B vaccine c. athetosis d. provide education and follow-up care to d. hypotonia 14. A physician refers a patient rehabilitating from a employees who are exposed to fractured femur to physical therapy for gait communicable diseases 6. A physical therapist conducts a goniometric training. Which of the following would not be assessment of a patient’s upper extremities. responsibility of the physical therapist? a. assessing balance Which of the following is most indicative of b. determining weight bearing status normal passive glenohumeral abduction? c. selecting an assistive device a. 80 degrees d. assessing endurance b. 120 degrees 15. A 13 year-old girl has a structure (L) thoracic c. 155 degrees idiopathic scoliosis. The clinical picture you d. 180 degrees would expect to find include: a. a high right shoulder, a prominent right 7. A PT attempts to transfer a moderately obese scapula and a left hip that protrudes patient from a wheelchair to a bed. The therapist b. a high left shoulder, a prominent left is concerned about the size of the patient, but scapula and a right hip that protrudes c. a high right shoulder, a prominent left unable to secure another staff member to assist scapula and a right hip that protrudes d. a high left shoulder, a prominent right following would not be found in the assessment scapula and a left hip that protrudes section of an S.O.A.P. note? 16. To prevent contracture in newly admitted 8 year- a. short and long-term goals old with anterior neck burns, it would be best to b. discussion of patient’s progress in position the neck in: therapy a. hyperflexion c. equipments needs and equipment b. slight flexion ordered c. neutral d. rehabilitation potential d. extension 25. While administering a phonophoresis treatment to 17. A PT assesses the functional strength of a a patient with subdeltoid bursitis, the patient patient’s hip extensors while observing the informs you that she is HIV+. This information patient move from standing to sitting. What type was not part of patient’s record. It would be best of contraction occurs in the hip extensors during to: this activity? a. discontinue the treatment since a. concentric phonophoresis maybe harmful in this b. eccentric case c. isometric b. discuss this patient at the next staff d. isotonic meeting 18. A physical therapist working in a school system c. continue treating patient as usual develops long-term goals as part of an Individual d. refer this patient back to the orthopedic Educational Plan for Downs Syndrome. The most who is apparently unaware of her HIV appropriate timeframe for this goal is.? status a. one month 26. A 16-year old male limps into your outpatient b. four months sports physical therapy department claiming to c. six months d. one year have twisted his ankle during a basketball game. 19. A physical therapist completes an upper extremity In this case, it would be best to. manual muscle test on a patient diagnosed with a. evaluate, but not treat, the patient without rotator cuff tendonitis. Assuming the patient has permission b. evaluate and treat the ankle in practice the ability to move the upper extremities against without referral is permitted gravity, which of the following muscle would not c. tell the athlete you need written be tested with the patient in a supine position? permission from his parents to evaluate a. pronator teres b. pectoralis major and treat the problem providing the c. lateral rotators of the shoulder practice without referral is permitted d. middle trapezius d. get permission via telephone from the 20. A physical therapist designs an exercise program patient’s primary care physician to for a woman who is pregnant. Which of the evaluate and treat the problem following exercises would be inappropriate? 27. A patient with Parkinson Dse is in a skilled a. pelvic floor isometric nursing facility and has been seen regularly by a b. squatting physical therapist. The patient has been taking c. standing push-ups levodopa three times a day for several years to d. bilateral straight leg raising help contro rigidity and bradykiinesia. Lately, the 21. A physical therapist examines a grossly obese therapist has noticed the patient exhibiting patient referred to physical therapy with a hip dyskinesia during the usual treatment sessions. flexor strain. Which modality would have the In this case the therapist should: greatest ability to elevate the temperature of fatty a. move the treatment time closer to the tissue to potentially dangerous level? time the patient takes the initial levodopa a. diathermy dose for that day b. hot packs b. move the treatment time to the afternoon c. paraffin d. pulsed ultrasound following the administration of the 22. A PT administers ultrasound over a patient’s second levodopa dose for that day anterior thigh. After one minute of treatment, the c. consult with the nursing service about patient reports feeling of slight burning sensation the deterioration of the pt. condition d. talk with the pt’s physician about the under the sound head. The therapist’s most need for a possible change in levodopa appropriate action is to.? a. explain to the patient that what she feels dosage 28. When performing underwater ultrasound, the is not out of ordinary when using most important safety factor is that the: ultrasound a. part being treated is not immersed in a b. temporarily discontinue treatment and metal tank examine the amount of coupling agent b. transducer head is not moving utilized c. ultrasound apparatus is connected to a c. discontinue treatment and contact the ground fault interruption circuit referring physician d. piezoelectric crystal is not cracked d. continue the treatment utilizing the 29. A 65 year-old male with diabetes recently current parameters underwent a transtibial amputation. When 23. A patient who is status post CVA and instructing others in wrapping the residual limb to demonstrates Wernicke’s aphasia is learning how minimize edema and provide proper shape, it is to perform sit to stand transfer. To enhance the important to stress that: patient’s ability to learn the transfer, the physical a. greatest pressure should be provided therapist should avoid? proximally a. using a mirror for visual feedback b. greatest pressure should be provided b. providing detailed instructions distally c. using repetitions c. Pressure should be evenly distributed d. demonstrating d. An overlapping, circular, wrinkle-free 24. A physical therapist uses a S.O.A.P. note format pattern should be used for all of his daily documentation. Which of the 30. A patient with Osgood-Schlatter disease will help her achieve her goal, joint mobilization experience the most difficulty and pain while? should focus on? a. playing basketball or volleyball a. inferior glide b. sitting for prolonged periods of time b. posterior glide c. walking down stairs c. anterior glide d. lifting heavy weights d. grade II oscillations 31. Avascular necrosis would least likely be a major 40. A 54 year-old male, with a long history of cigarette complicating factor in the rehabilitation of a smoking, has been admitted to the hospital and patient with presents with signs of infection, tachycardia, a. legg-calve perthes’ dse abnormal breath sounds in both lower lobes and b. a tibila fracture dullness to percussion. The physical therapist’s c. degenerative joint dse of the cervical major concern and focus with this patient is? spine a. getting the patient to quit smoking d. a carpal scaphoid fracture b. breathing reeducation to increase 32. Following an exercise session in a Phase 3 efficiency of ventilation cardiac rehabilitation program, in which patient c. airway clearance and secretion removal may experience angina pectoris, the therapist d. graded inspiratory muscle training employs a gradual and prolonged cool down 41. Following a motor vehicle accident, a patient with period primarily to prevent chest trauma developed atelectasis. To help in the a. exertional dyspnea immediate management of atelectasis, it would be b. tachycardia appropriate to implement: c. venous pooling a. pain reduction techniques d. hypertension b. segmental breathing 33. If TENS is used to help control pain following c. incentive spirometry caesarean section, it would be best to place the d. paced breathing electrodes: 42. If chest tube gets dislodged during physical a. over the lumbar paravertebral muscle therapy treatment and the therapist fails to cover b. over the sacrum the defect, the patient could develop: c. at the acupuncture point just distal to the a. pulmonary embolism focus of the pain b. pulmonary edema d. over the lateral aspect of the incision c. pneumothorax 34. You are evaluating a 48 year-old tennis player with d. aspiration pneumonia a lower extremity problem. You would use the 43. Following reattachment of the flexor tendons of Thompson test to asses for: the fingers, one physical therapist should teach a. anterolateral rotational instability of the the patient to perform? knee a. passive extension and active flexion of IP b. iliopsoaas tightness joints c. rectus femoris tightness b. active extension and flexion of the IP d. achilles tendon rapture joints 35. You wish to mobilize a patient’s shoulder using an c. active extension and passive flexion of inferior glide technique. It would be best to use the IP joints this technique be propositioning the patient’s arm d. gentle passive extension and flexion of in: the IP joints a. 95 deg of abduction with ER 44. A friend of yours is an avid tennis player. She b. 125 deg of abduction with IR telephones and asks you to help her reduce the c. 55 deg of abduction with neutral rotation possibility of developing tennis elbow. As a d. 95 deg of shoulder flexion and neutral physical therapist, the best way to respond to rotation your friend is: 36. Your patient with flaccid hemiplegia exhibits pain a. describe exercises and proper tennis in the shoulder region secondary to glenohumeral techniques during the phone subluxation. Using electrical stimulation as conversation b. in your spare time, watch her play tennis orthotic substitution, it would be best to place the and, after analysis, offer specific electrodes over the a. supraspinatus and upper trapezius suggestions as to how to minimize the b. supraspinatus and posterior deltoid risk of developing tennis elbow c. anterior and posterior deltoid c. invite her to your clinic for an evaluation d. anterior, middle and posterior deltoid and instruction in appropriate exercises 37. To help decrease shear when transferring a and stretches if indicated patient with spinal cord injury from bed to chair, it d. send her an illustrated pamphlet dealing would be best to use? with tennis elbow prevention and a. a draw sheet treatment including other suggested b. skin lubricant on involved skin surfaces readings c. an air mattress 45. A patient with DJD of the (R) hip complains of d. a sheepskin pad pain in the anterior hip and groin that is 38. Student in clinical settings are held to the aggravated by weightbearing. There is decreased standard of practice that is equivalent to? ROM and capsular mobility. (R) gluteus medius is a. a licensed physical therapist b. that of a foreign-educated physical evident during ambulation and there is decreased therapist tolerance of functional activities including c. physical therapist assistants transfers and lower extremity dressing. In this d. physical therapy aides case, a capsular pattern of joint motion should be 39. You have been treating a 61 year-old woman over evident by restriction of hip? a period of four months for adhesive capsulitis, a. flexion, abduction and IR which has resulted in a “frozen shoulder”. Her b. flexion, adduction and IR recovery has been good; however, she still c. extension, adduction and ER d. flexion, abduction, ER complains that she cannot reach the upper 46. You see a patient who had a CVA two weeks ago. shelves in her kitchen cupboards and closets. To The patient has motor and sensory impairments primarily in the opposite lower extremity. There is b. clamp the line some confusion and preservation. Based on these c. apply direct pressure to the site findings the vascular problem can be d. elevate the limb 56. A patient with long-standing diabetes mellitus is characterized as? a. transient ischemic attack showing early sign of polyneuropathy. The most b. internal carotid syndrome useful information as to whether demyelinization c. anterior cerebral artery syndrome has taken place will be provided by: d. middle cerebral artery syndrome a. nerve conduction velocity 47. Confirmation a diagnosis of spondylolisthesis can b. electromyography be made by viewing an oblique radiograph of the c. reaction of degeneration testing spine. The tell-tale finding is? d. motor point stimulation a. posterior displacement of L5 over S1 57. One of the most common early signs of (R) b. bamboo appearance of the spine ventricular failure is? c. compression of the vertebral bodies of L5 a. paroxysmal nocturnal dyspnea and S1 b. exertional dyspnea d. bilateral pars interarticularis defects c. pulmonary edema 48. When the ankle is forcibly inverted and plantar d. dependent edema 58. Following grafting of the lower extremities for flexed, the ligament that is most frequently burns, a patient is now ready to initiate disrupted is the? a. deltoid ligament ambulation. However, when standing in the b. anterior talofibular ligament upright position, the patient cannot tolerate the c. posterior talofibular ligament pain. To assist the patient in preparing for d. calcaneofibular ligament standing, it would be best if the therapist utilized: 49. When using TENS to help modulate pain, one a. paralle bars electrode is placed on the posteromedial thigh b. tilt table and another on the posterolateral calf. The c. a rolling walker dermatome involved in this case would be: d. pool therapy a. L2 59. A patient with crush injury of the foot developed b. L4 reflex symphathetic dystrophy. Now, two months c. S2 in the RSD, the clinical presentation you would d. S1 expect is? 50. While crossing the finish line of a 100 meter race a. edema and osteoporosis with decreasing an athlete lunged and fell on her dorsiflexed wrist. sweating and nail growth She immediately complained of pain and b. a cool, dry extremity with the beginning tenderness over the radial aspect of the wrist in of ankylosis the area of anatomic snuffbox. You suspect a c. causalgia with vasomotor reflex spasm possible fracture of the? resulting in warm dry skin with increase a. Lunate nail growth b. capitate d. pain on motion with trophic skin changes c. schapoid and osteoporosis d. hook of the hamate 60. A patient with paraplegia at the T8 level sustained 51. You have assessed the deep tendon reflexes of a his injury four years ago. He is seen by the patient recently diagnosed with amyotrophic physical therapist at a routine outpatient clinic lateral sclerosis. The results are 2+ left and 3+ visit. The patient has recently purchased a new right. Your interpretation is that the reflex arc: high-density foam wheelchair with cushion. The a. diminished on the left and normal on the skin over the ischial tuberosities and sacral right region is in perfect shape. The patient asks about b. normal on the left and exaggerated on the the need of pressure relief in the wheelchair right c. exaggerated, but within normal limits on considering the new cushion. The therapist both sides should advise the patient to? d. exaggerated on both sides a. discontinue pressure relied as long as 52. On the first day following a cesarean delivery, the visual inspection reveals no skin physical therapist’s primary treatment breakdown responsibilities would consist of teaching the new b. do a push-up in the chair at least once mother: every 15-20 minutes a. gentle partial sit ups and pelvic tilting c. do a push-up in the chair at least once b. breathing, coughing and pelvic floor every 30-45 minutes exercises d. Perform pressure relief once an hour c. assisted ambulation since weight distribution is greatly d. active calf an ankle exercise to prevent improved venous stasis 61. Your preprosthesic examination of a patient with 53. You are performing sensory tests on a patient transfemoral amputation reveals arching of the diagnosed with C6 nerve root impingement. lumbar spine when int the supine position. It is Testing should concentrate on the? most likely this is a result of? a. 3rd, 4th and 5th fingers a. weak back extensors and weak hip b. ulnar border of the hand flexors c. thumb and index fingers b. tight back extensors and weak hip d. medial forearm extensors 54. The muscle that can function as synergist when c. tight hip flexors and weak abdominals acting on the scapula are the? d. tight hip extensors and weak abdominals a. rhomboids and trapezius 62. In a child diagnosed with spastic cerebral palsy, b. rhomboids and serratus anterior use of prone stander would be appropriate if the c. serratus anterior and levator scapulae child could do all of the following except for? d. teres major and infraspinatus a. active trunk flexion 55. If an arterial line dislodges while treating a b. active trunk extension patient, the first thing to do is? c. bear weight when standing or kneeling a. call the nurse d. have the use of upper extremities for b. instruct the patient to place a soft pad weight bearing or activities between teeth during traction 63. When descending stairs, the type contraction c. have the patient demonstrate the performed by the quadriceps femoris on the procedure used and check to see if the stance limb is? angle of pull is correct a. eccentric d. have the patient decrease the amount of b. concentric weight used during traction c. isometric 70. The inflammatory disorder very often d. isotonic characterized by an increased erythrocyte 64. To improve artistic performance you should sedimentation rate, decreased red blood cell advice an opera singers to strengthen the? count and dryness of the mucous membranes is? a. muscles of inspiration a. rheumatoid arthritis b. abdominal muscles b. sjogren’s syndrome c. oblique muscles c. polymyositis d. muscle of expiration d. systemic lupus erythematosus 65. An obstetrician refers a patient to you for prenatal 71. in treating contaminated, open abrasions in exercises. During your examination, the patient athletes involved in contact sports, the MOST says that she belongs to an HMO and her primary effective antimicrobial agent to apply to the care physician had referred her to the wound would be? obstetrician. Your physical therapy report should a. benzalkonium chloride go FIRST to the: b. hydrogen peroxide a. primary care physician c. povidone-iodine iodine b. HMO medical records department d. neosporin ointment c. patient 72. When a patient with quadriplegia is positioned d. referring obstetrician sidelying, the areas of the body that are most susceptible to pressure are the: a. medial malleoli 66. An athlete experiences a first degree strain on the b. lateral malleoli (R) quadriceps muscle. Ice packs were applied for c. Scapulae the first two days. All the end of this time, there d. Knees was no indication of inflammation or reports of 73. To differentiate between pain originating in the pain. However, there was decreased of active and sacroiliac joints as opposed to hip pathology, it passive ROM and the athlete reported tightness. It would be BEST to employ the? would be best if you recommended that the a. noble compression test athlete: b. compression-distraction test a. Use ice massage for five minutes prior to c. fabere test d. straight leg test stretching the muscle group 74. During phonophoresis treatment of the shoulder, b. Continue to apply cold packs twice daily a patient reports to you that he is experiencing a for 20 minutes and do not stretching c. Apply hot pack for 20 minutes deep aching pain. This situation is best remedied immediately before stretching the muscle by? a. using the small sound head but doubling group d. Apply hot pack for 20 minutes and, for the exposure time b. adding more coupling agent and move optimal results, with an additional 20 the sound head rapidly minutes before stretching the muscle c. reducing the power and moving the group sound head over a large area 67. A patient has long standing rheumatoid arthritis d. decreasing the frequency and moving the of the cervical spine, the complication that is sound head more rapidly most likely to be seen and of concern is? 75. You are treating a 54 year-old woman for a. subluxation degenerative arthritis of the (L) knee. Her medical b. disk herniation c. spinal stenosis record indicates that she is on estrogen d. facet joint impingement replacement therapy. In this case, you should 68. An elderly patient with Parkinson’s Dse in a consider that the patient might be more skilled nursing facility and is being see daily by a susceptible to? physical therapist. The patient is taking L-dopa. a. coronary artery dse The optimal time for the therapist to treat the b. osteoporosis c. clinical depression patient would be in? d. weight gain a. the morning, prior to breakfast and 76. You are instructing a new mother to perform ROM administration of the medication and stretching on her newborn who has clubfoot. b. the morning, one hour after breakfast and You would advise her to carefully stretch in the administration of the medication c. midafternoon, just after administration of direction of? a. plantarflexion and inversion the medication b. plantarflexion and eversion d. late afternoon, one hour after a snack and c. dorsiflexion and inversion administration of the medication d. dorsiflexion and eversion 69. As part of a home program, a patient has been 77. In DJD , Heberdens nodes are most frequently instructed in performing mechanical cervical noted in the? traction. When a therapist arrives for a home visit, a. DIP jt of the fingers the patient indicates that the cervical condition b. PIP jt of the fingers seems to be improving as a result of traction; c. DIP of the fingers and toes however, there is now discomfort in the area of d. DIP and PIP of the finger and toes both temporomandibular joints. The physical 78. Following trauma, prolonged called application (> therapist should? 1 HOUR) in the area of fibula head, could result in a. have the patient discontinue the traction unwanted but continue with other exercise a. neuropraxia b. vasoconstriction c. elevated pain threshold b. Intravascular hypovolemia d. decrease in tissue metabolism c. Massive infection 79. a 17 year-old female softball player had an d. Orthostatic hypotension anterior glenohumeral dislocation on her 86. You note in the medical record that a newly dominant side. Now in her third week of admitted patient, with a diagnosis of (R) rehabilitation, it would be most important to cerebrovascular accident, is demonstrating advise her to: prosopagnosia. When examining patient you a. not participate at all in softball practice would expect to find: until eight weeks post injury a. Left-sided neglect b. avoid underhand throwing of the ball b. Inability to follow your direction to move c. avoid any pushing motions on the a body part even if that part is capable of involved side moving d. avoid overhead throwing of the ball c. Inability to recognize familiar object by 80. A patient has complete spinal cord injury at the touch alone C6 neurological level. He has been fitted with a d. Inability to recognize familiar faces tenodesis orthosis that will enhance hand 87. A pregnant client in her third trimester completes function. The motion required to operate this a series of exercises in supine, in order to prevent device is: vena cava compression during the exercise a. wrist flexion session the therapist should? b. MCP flexion a. Elevate the client’s feet 12 inches c. Elbow extension b. Complete the exercises in sidelying d. wrist extension c. Place folded towel under the left side of 81. A sport PT employed a preparatory school, you the client’s pelvis observe one of the baseball player being struck d. Place folded towel under the right side of on the side of the head with a bat during practice. the client’s pelvis Your immediate assessment that the player is 88. Ma’am Jepay, a Physical Therapist of PGH stunned, dizzy and a little disoriented. There is no examines a client seven days status post THR. loss of consciousness. The player seems to be The clients medical record indicates the surgeon fully recovered when you check before he leaves utilized a Posterolateral surgical approach. Which for home. Later that evening, the player’s parents of the following motion would be the most call you on the telephone and tell you that their important to restrict during the initial phase of son has a severe headache, is somewhat agitated, rehabilitation? and has vomited. You advise the parents: a. Knee extension a. That these are normal symptoms b. Knee flexion c. Hip ER following a concussion and to observe d. Hip IR him for any worsening of the symptom 89. A Physical Therapist palpates proximally along b. That you will drive to their house as soon the lateral border of the 5th metatarsal of a client’s as possible to reevaluate the athlete foot. Which bone would be palpate as the c. To make an appointment with a therapist continues to palpate proximally along neurologist to deal with post concussion the lateral border of the foot syndrome a. Cuboid d. To take their son to an emergency room b. Second cuneiform or see a physician immediately c. Third cuneiform 82. It is most likely than treating a patient with d. Navicular Bannwarth syndrome of morethan one year’s duration, the physical therapy focus will be on management of arthritic changes primarily affecting the: a. Small joints of the hands and feet b. Large joints of the body especially the knee c. Axial joints, especially the lumbosaacral spine d. Axial joints, especially the cervical and the thoracic spine 83. You are working on school setting as a Physical Therapist. A supervisor asks you to organize a scoliosis-screening program. It would be best to assess: a. 2nd or 3rd grader b. 6th or 7th grader c. High school freshmen or sophomore d. High school juniors or seniors 84. A family is caring for a child with diagnosis of spina bifida. The physical therapist should write the home program assuming an educational reading level at: a. 2nd-3rd grade b. 5th-6th grade c. 8th-9th grade d. 11-12th grade 85. 24 hours following a major thermal burn, a patients experiences syncope while the physical therapist works on positioning as part of edema management. The syncope is most likely a result of ? a. Extreme pain
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