PCE WRITTEN EXAM PRACTICE QUESTIONS – 5(2)

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.

• Which of the following treatments should be included in the physiotherapist’s initial treatment for the client’s shoulder?

A. A sling for the arm, joint traction, and grade III glides.
B. Active-assisted range of movement, joint traction, and grade I glides.
C. Passive range of movement, joint traction, and grade III glides.
D. Complete shoulder immobilization, with elbow and finger exercises.

The answer is “B”

Active-assisted range of movement, joint traction, and grade I glides should be included in the physiotherapist’s initial treatment for the client’s shoulder.

After a Colles’ fracture, it is common to experience shoulder and elbow pain due to immobilization and disuse. The physiotherapist’s initial treatment should focus on restoring range of motion, reducing pain, and preventing further complications.

Option A is not recommended because complete immobilization of the arm in a sling can lead to joint stiffness and muscle atrophy. Grade III glides are also too aggressive for the initial treatment phase and can further exacerbate pain and inflammation.

Option C, passive range of movement, is not recommended as the initial treatment because it can be too painful for the client and may not provide enough stimulation to the muscles to prevent atrophy.

Option D, complete shoulder immobilization, is not recommended because immobilization can lead to shoulder stiffness and decreased range of motion. Elbow and finger exercises alone will not be sufficient to prevent shoulder and elbow pain.

Therefore, option B is the best initial treatment for the client’s shoulder, as it allows for active-assisted range of motion to prevent stiffness and promote healing, joint traction to reduce pain and inflammation, and grade I glides to provide gentle mobilization without exacerbating pain or inflammation.

• Six weeks later, the client’s cast is removed. She has a bone density study and is diagnosed with osteoporosis. Which of the following interventions should the physiotherapist use with caution in the treatment of this client’s wrist and hand?

A. LASER.
B. Interferential current.
C. Joint mobilization.
D. Soft tissue manipulation.

The answer is “C”

Joint mobilization should be used with caution in the treatment of this client’s wrist and hand due to the diagnosis of osteoporosis.

Osteoporosis is a condition that causes weakened bones and increases the risk of fractures. In individuals with osteoporosis, bone density is significantly reduced, and bones are more susceptible to fracture even with minor trauma. Therefore, it is important for the physiotherapist to use caution when treating clients with this condition to avoid causing further harm.

Option A, LASER, and option B, Interferential current, are non-invasive and safe interventions that can be used to treat pain and inflammation without causing harm to the client.

Option D, soft tissue manipulation, should also be used with caution, particularly in the region of the wrist and hand, where bones are small and fragile. However, if done correctly and with appropriate pressure, it can still be used as a safe treatment option for this client.

Option C, joint mobilization, involves applying force to the joints to restore mobility and reduce pain. However, in individuals with osteoporosis, excessive force can result in bone fractures and other injuries. Therefore, it should be used with caution and only with appropriate force and technique to prevent further harm to the client’s bones.

In summary, while options A, B, and D can be safely used in the treatment of this client’s wrist and hand, option C, joint mobilization, should be used with caution due to the diagnosis of osteoporosis.

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 – 5(1)
• 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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