CAPR provides 50 sample questions for PCE written exam. These practice questions are available as a resource for candidates preparing for the Written Component of the Physiotherapy Competency Examination (PCE).
Let’s answer these questions and try to find the reasons.
A 50-year-old man sustained full thickness burns to his face, upper body, and arms at work. He is admitted to an acute care facility. He has also been diagnosed with a restrictive pulmonary complication secondary to the burn.
- Which of the following findings would the physiotherapist expect to find on assessment with respect to the client’s restrictive pulmonary complication?
A. Decreased vital capacity and increased pulmonary resistance.
B. Decreased vital capacity and decreased pulmonary resistance.
C. Increased vital capacity and increased pulmonary resistance.
D. Increased vital capacity and decreased pulmonary resistance
The answer is “A”
Restrictive pulmonary complication is a type of lung disease that limits the ability of the lungs to expand during inhalation, reducing the amount of air that a person can breathe in. Restrictive lung diseases are a heterogeneous set of pulmonary disorders defined by restrictive patterns on spirometry. These disorders are characterized by a reduced distensibility of the lungs, compromising lung expansion, and, in turn, reduced lung volumes, particularly with reduced total lung capacity. Restrictive lung diseases may result from intrinsic causes such as interstitial lung disease, sarcoidosis, and idiopathic pulmonary fibrosis, or extrinsic causes such as neuromuscular diseases, pleural disorders, obesity, costosternal or costovertebral fusion, a fusion or deviation of the thoracic. Treatment for restrictive lung disease depends on the underlying cause and may include medication, physical therapy, and avoiding environments with toxins, irritants, and allergens that may worsen symptoms1,2,3,4,5.
Option A is the correct answer because the client’s restrictive pulmonary complication is likely to cause decreased lung expansion, leading to a decrease in vital capacity. Vital capacity is the maximum amount of air a person can exhale after taking a deep breath, and it is an indicator of lung function.
In addition, the restrictive pulmonary complication can cause increased pulmonary resistance, which refers to the resistance to airflow in the lungs. This occurs because the lungs are less compliant or elastic than normal, making it more difficult for air to move in and out of the lungs. This increased resistance can also lead to decreased airflow and reduced lung function.
Therefore, a decrease in vital capacity and an increase in pulmonary resistance are both expected findings in a client with a restrictive pulmonary complication.
- The physiotherapist’s caseload has doubled today due to an illness of a colleague. Which of the following would be the best approach for the physiotherapist to manage the increased caseload?
A. Complete full treatments for all clients before leaving work.
B. Shorten all treatments in order to see all clients within work hours.
C. Provide treatment only to clients who were not seen yesterday.
D. Prioritize clients who would deteriorate without treatment.
The answer is “D”
The best approach for the physiotherapist to manage the increased caseload would be to prioritize clients who would deteriorate without treatment. Therefore, option D is the correct answer.
Prioritizing clients who require immediate intervention or who are at high risk of deterioration is an essential aspect of effective caseload management in healthcare. By prioritizing these clients, the physiotherapist can ensure that they receive timely and appropriate care, which can help prevent further deterioration and improve their outcomes.
Completing full treatments for all clients before leaving work (option A) may not be feasible within the allocated work hours, and it may lead to delays in treatment for clients who require urgent care.
Shortening all treatments to see all clients within work hours (option B) may compromise the quality of care provided to clients and may not be appropriate for clients who require a certain length of treatment to achieve optimal outcomes.
Providing treatment only to clients who were not seen yesterday (option C) may not be the best approach, as clients who were seen the previous day may still require ongoing treatment and support.
Conclusion
We tried to answer three items from the CAPR sample questions. How was your result?
I will post other questions with explanations, so let’s beat the exam together!
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