PCE WRITTEN EXAM PRACTICE QUESTIONS – 5(1)

INTRODUCTION

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 54-year-old woman fell on an outstretched right hand while at work. She experienced immediate hand and wrist pain. A Colles’ fracture was confirmed on x-ray. After six weeks in a cast, the client’s xrays show poor callus formation, and she is reporting right shoulder and elbow pain. She is re-casted and referred to a private physiotherapy clinic.

• Before initiating treatment, the physiotherapist describes the proposed treatment and possible outcomes to the client. Why should the physiotherapist do this?

A. To allow the client to make an informed decision about her treatment.
B. To allow the physiotherapist to justify the treatment intervention.
C. To prevent the client from asking too many questions during treatment.
D. To allow the physiotherapist to avoid litigation.

The answer is “A”

By describing the proposed treatment and possible outcomes, the physiotherapist can provide the client with important information they need to make an informed decision about their treatment. This is an important aspect of patient-centered care, which involves treating patients with respect, empathy, and involving them in the decision-making process about their health care.
It is not the purpose of the physiotherapist to justify the treatment intervention (B), prevent the client from asking too many questions during treatment (C), or avoid litigation (D). The primary focus of the physiotherapist should be on providing the client with the best possible care and supporting them in making informed decisions about their treatment.

• During assessment, the client is found to have pain from the shoulder to the elbow, muscle guarding in the shoulder, and limited elbow extension. The pain is disturbing the client’s sleep. The physiotherapist is concerned that the client may be developing adhesive capsulitis of the shoulder. Which pattern of limitation would indicate that the client has a capsular pattern of restriction in the shoulder?

A. External rotation > adduction > internal rotation.
B. External rotation > abduction > internal rotation.
C. Flexion > abduction > external rotation.
D. Flexion > abduction > internal rotation.

The answer is “B”

When you have the capsular pattern of restriction, the movement that will be restricted is a limitation of pain and movement in a joint-specific ratio, which is usually present with arthritis or following prolonged immobilization. The capsular pattern is a reproducible limitation of joint movements when the joint capsule is the limiting structure. The capsular pattern is different for each joint, and it is important for physiotherapists to be able to recognize the capsular pattern of restriction for each joint to help diagnose and treat joint conditions. For example, in the shoulder joint, patients also suffer from restricted shoulder rotations, resulting in limitations in external rotation, abduction, and internal rotation. The capsular pattern is commonly assessed during orthopedic assessment to help diagnose joint conditions1,2,3,4,5.

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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There is more about CAPR and PCE articles in this blog.

• PCE WRITTEN EXAM PRACTICE QUESTIONS – 4
• PCE WRITTEN EXAM PRACTICE QUESTIONS – 3
• PCE WRITTEN EXAM PRACTICE QUESTIONS – 2
• PCE written exam practice questions – 1
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