Liara presents with relapsing-remitting multiple sclerosis with complaints of fatigue and difficulty walking. She reports worsening symptoms in the afternoon but denies any new relapses. Examination reveals mild spasticity in the lower limbs, decreased endurance, and poor postural control. The patient works as a teacher and finds it challenging to maintain energy throughout the day. Which intervention is MOST appropriate to improve the patient’s functional mobility and address her symptoms?

A) Aerobic training at moderate intensity with frequent rest breaks

B) Strength training with resistance bands targeting lower extremity muscles

C) Cooling strategies during physical activity to improve endurance

D) Balance training on a foam surface to reduce fall risk

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Rachel presents with knee pain that worsens with activity and improves with rest. She describes stiffness lasting about 30 minutes in the morning and difficulty with stairs. On examination, there is mild joint swelling and crepitus with knee flexion and extension. Which examination finding is MOST indicative of knee osteoarthritis?

A) Positive McMurray test

B) Reduced knee flexion range of motion

C) Medial joint line tenderness

D) Presence of effusion

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Lorren sustained burns to his right forearm and hand while working with hot oil. The burn area is red with blistering, and the patient reports significant pain. On examination, capillary refill is intact, and the wound blanches with pressure. The patient is referred to physical therapy to prevent complications during the early phase of healing. Which intervention is MOST appropriate during the initial phase of rehabilitation?

A) Daily aggressive stretching to maintain range of motion

B) Moisturizing and scar massage to prevent contracture formation

C) Gentle range of motion exercises to prevent joint stiffness

D) Compression wrapping to reduce hypertrophic scarring

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Nivayah presents with a history of myocardial infarction and type 2 diabetes. The patient reports limited endurance and shortness of breath when walking up a flight of stairs. The physical therapist wants to assess her aerobic capacity and guide the exercise prescription while considering safety due to her cardiovascular history. Which outcome measure is MOST appropriate to assess this patient’s aerobic capacity?

A) VO2 max test using a treadmill protocol

B) 6-minute walk test

C) Borg Rating of Perceived Exertion (RPE)

D) Step test

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Jamie is a 62-year-old female who is referred to outpatient cardiac rehabilitation 3 weeks after a myocardial infarction. She reports feeling fatigued with moderate exertion but denies chest pain. Her resting vitals are HR 80 bpm, BP 128/82 mmHg, and SpO₂ 98%. She completed Phase I rehabilitation without complications and is eager to begin exercising to improve her endurance. Which activity is MOST appropriate to initiate during Phase II of cardiac rehabilitation?

A) Jogging on a treadmill at 70% maximum heart rat

B) Cycling on a stationary bike at 3-5 METs

C) Strength training at 50% of 1-rep max

D) Stretching and light walking only

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Teddy sustained a spinal cord injury at the C7 level after a motor vehicle accident. During the ASIA examination, the patient has preserved sensation at S4-S5 but no voluntary anal contraction. Motor function is absent below C7. Reflex activity is present. How should this patient’s spinal cord injury be classified on the ASIA Impairment Scale?

A) ASIA A (Complete)

B) ASIA B (Sensory Incomplete)

C) ASIA C (Motor Incomplete)

D) ASIA D (Motor Incomplete)

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Carlos is a long-distance runner who presents with deep groin pain that worsens with running and prolonged sitting. He also reports occasional clicking and a sensation of instability in the left hip. Examination reveals full strength and range of motion, but pain is elicited during specific hip movements that compress the joint. Which clinical test is MOST appropriate to confirm the suspected diagnosis?

A) FABER test

B) Thomas test

C) Scour test

D) FADIR test

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Beniah is a 21-year-old female soccer player who presents with right knee pain and instability after pivoting during a game. She reports hearing a “pop” at the time of injury and is now hesitant to bear weight. Examination reveals mild swelling, limited range of motion, and hamstring guarding. Which special test is MOST sensitive for detecting an ACL tear in this patient?

A) Lachman test

B) Anterior drawer test

C) Pivot shift test

D) Valgus stress test

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