Physical Therapy Licensing and Regulations, Exams of Nursing

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California Law Exam - Physical

Therapy exam questions with

answers.

What governing body is responsible for the suspension of PT licenses? A) PT Board of California B) American Board of PT Specialties C) Federation of State Board of PT D) Institutional Review Board - Answer A) PT Board of California Which of the following conditions is an initial requirement in order to participate in an alcoholic diversion program?

A) voluntary admission B) psych eval C) recommended by supervisor D) physician rx - Answer A) voluntary admission How many calendar days does a license have to notify the board of a change of address? A) 15 days B) 30 days C) 45 days D) 60 days - Answer B) 30 days A pt receiving treatment at an outpatient facility had a physician referral that recommends iontophoresis for lateral epicondylitis. The medication to be used is not specified on the referral, but the pt recalls the physician stating that the medicine is for inflammation. Which of the following course of action is BEST for the PT?

A) Administer dexamethasone for inflammation B) Contact physician for referral of desired med C) Discuss policy of iontophoresis with supervisor D) Perform trial with saline solution - Answer B) Contact physician for referral of desired med

• In order to perform iontophoresis a prescription for the specific medication needs to be present from the physician A physical therapist who has employed a PTLA and a PTA should recall which of the following differences between the two? A) Co-signature should occur same day for PTA but not necessary for PTLA B) A d/c summary can't be performed by PTLA C) Telephone communication is considered sufficient supervision for the PTA but not the PTLA D) A PTLA is able to supervise PT aides providing pt related care - Answer C) Telephone communication is considered sufficient supervision for the PTA but not the PTLA

Which of the following procedures is a proper way to transfer a pt from a therapist's records of care? A) Verbally tell the patient B) Write down the name of the new PT in pt's chart C) Place pt on colleagues treatment schedule for re-eval D) Contact and inform patient's physician - Answer B) Write down the name of the new PT in pt's chart The patient record shall indicate: A) Date and nature of service provided B) Name, date, medical dx C) Name and titile of who provided service D) A and C - Answer D) A and C A foreign PT graduate is applying for licensure. They have passed the boards and have already completed 3 months clinical in another state with a non-APTA CI. How many months further is he required for clinical?

A) 9 months B) 6 months C) 3 months D) 12 months - Answer A) 9 months *the 3 months do not count since they were supervised by a non-APTA CI. *3 months may be waived if completed a course in law/ethics or 4 CEUs in ethics You are found guilty of unprofessional conduct, how long may your license be suspended for? A) </= 6 month B) </= 12 months C) </= 18 months D) </= 24 months - Answer B) </= 12 months Which of the following abbreviations indicates a PT who has obtained a license? A) RPT

B) PTLA

C) SPT

D) DPT - Answer A) RPT : registered physical therapist What is the charge for insurance fraud? A) felony + </= $50,000 + 2-5 yrs in prison B) felony + </= $25,000 + 2-5 yrs in prison C) felony + </= $5,000 + 2-5 yrs in prison D) none of the above - Answer A) felony + </= $50,000 + 2-5 yrs in prison A outpatient clinic currently has 3 full time PTs and 1 PTA. Which of the following number is is max # of additional full time PTAs that can be hired at this clinic? A) 2 B) 3 C) 4 D) 5 - Answer D) 5

AS a licensed PT you need to notify the board within 30 days for a change in: (name it) - Answer Name Address of Record Residential Address Email What is the penalty charge and fine for violating rebates for patient referrals? (First offense) A) $1,000 or </= 6 months in jail or both B) $50,000 or </= 6 months in jail or both C) $50,000 or </= 1 yr in jail or both D) $1,000 or </= 1 yr in jail or both - Answer C) $50,000 or </= 1 yr in jail or both

• second offense: jail or both For a license to lawfully make a referral to a physician who is a relative, which of the following must be true?

A) PT verbalized disclosure of possible financial benefit to relative B) Care provided by physician >$7,000 profit C) Pt can see physician if no alternative within 25 min or 40 miles D) Physician can be patent of PT's spruce as not immediate family - Answer C) Pt can see physician if no alternative within 25 min or 40 miles

• If another provider moves into area, must transfer within 6 months

Which of the following are PT's allowed to do> A) Electromyography B) Diagnose disease C) Use roentgen rays/other for diagnostics D) Use electricity for surgical purposed - Answer A) Electromyography *must be board certified to perform

With direct access, a patient see's a PT and after 3 sessions they seem to not be progressing, what is the next course of action? A) PT re-eval pt to assess if need to change POC B) Pt is referred out to MD/surgeon for review C) PT has no red flags and can continue to be seen up to 12 visits or 45 days D) Transfer patient to another PT - Answer B) Pt is referred out to MD/surge or for review *If not, may result in unprofessional conduct of excessive treatments = misdemeanor) A direct access patient has been for 3 sessions, including the eval. It's been 40 days since eval and today's session is on a Friday. The patient desires to schedule an additional appointment for the following week. Which of the following days of the week is the LAST day the PT can see the pt? A) Tuesday B) Wednesday C) Thursday D) Friday - Answer B) Wednesday

• Pt can be seen via direct access for 45 days or 12 visits whichever comes first. Following that duration, a signature from a physician on POC is required. To discuss pt care with the therapist of record, it is BEST to talk with the PT who: A) Performed the most progress notes B) Did the initial eval C) Saw the pt most recently D) Has seen the pt for most # of visits - Answer B) Therapist of record is PT who completed the initial eval *Therapist of record can be transferred but music occur in writing In regarding unlawful referrals, what is the penalty charge and fine? A) $5,000 / public offense B) $1, C) $15,000 cross referral D) Both A and C - Answer D) Both A and C (page 7-9)

You have a patient being seen through direct access, patient needs to see MD for possible meniscal tear. Your ortho surgeon buddy has been asking you to send pts his way, and will do the same. What is the penalty for unlawful referrals? A) $5, B) $2, C) $1, D) $15,000 - Answer A) $5,000 (p. 7-9) *Cross-referral fine is $15, A therapist who is unable to practice actively due to a physical disability is going to start practicing as a volunteer at a homeless shelter a few hours/week. Which is true for this practitioner? A) The 2 year license renewal fee has to be paid with each cycle B) 30 hrs of continuing ed is required each cycle C) Practice in neighboring jurisdiction can occur without transfer

D) Full license reinstatement can occur is 1000 hours volunteered - Answer B) 30 hrs of continuing ed is required each cycle *Fee can be waived for volunteers A medical rebate is when patients receive medical services and medical corporations receive payment for services. A referral is when a patent is "sent" to be seen by a specific practitioner for a medical need. Which of the following is considered unlawful? A) A PT and MD have dual ownership of surgical and surgical rehab for increase effectiveness. B) A PT outpatient clinic profits based on capital and not on # of patients - Answer A) A PT and MD have dual ownership of surgical and surgical rehab for increase effectiveness *Pt rebate violation is $50,000 ; Cross-referral penalty is $15, A licensee who has been issued a citation in addition to a $3,500 administrative fine is MOST likely guilty of which of the following violations

A) 2 accounts of being intoxicated while on the job B) Failing to report an act of child abuse C) Inability to provide requested pt record to board within 16 days D) Renewing a PT license after expiration date - Answer A) 2 accounts of being intoxicated while on the job *$3,500 = more than 1 citation B) failure to report = misdemeanor, $1,000 fine and 6 months in jail C) 15 days to provide records and $1,000/day after D) Delinquency fee $150 + $300 for license renewal Who can be exempt from taking the written exam? A) RPT from another state where qualifications are = or > than CA B) PT/PTAs that meet requirements for foreign graduates C) A and B D) None of the above - Answer C) A and B

How many years must an instructor of a continuing education course maintain attendee's records of completion? A) 4 B) 5 C) 6 D) 7 - Answer D) 7 *Instructors: 7 *Attendee's: 5 Which actions are BEST for a therapist with possible child abuse case? A) Inform supervisor B) Call law enforcement officials C) Document findings in treatment note D) Ask pt about physical safety in home - Answer B) Call law enforcement officials *Telephone call in regards to suspicion of abuse need to occur immediately to local authorities

A licensee who was cited for unprofessional conduct in 2014 has recently been issued an additional citation for DUI in 2018. In what year will the original citation in 2014 be eliminated form licensee's record? A) 2019 B) 2021 C) 2023 D) 2025 - Answer C) 2023

• Citation shall be removed from record following a duration of 5 years from most RECENT citation You want to petition the board for reinstatement of your license after being issued a probation for 3 years. How long before you can petition and what do you need to include with petition? A) >/= 2 years and 2 PT recommendations B) At least 3 years and 2 PT recommendations C) At least 1 year and 2 PT recommendations

D) 5 years and pay citation penalty(s) - Answer A) >/= 2 years and 2 PT recommendations Which of the following penalties is WORST that can aide may receive for identifying as a PT Assistant to pts? A) Felony B) Misdemeanor C) Fine of $2, D) Incarceration for 1 year - Answer B) Misdemeanor A) felony -> includes level of violence C) $1,000 max for aids acting as assistant D) 6 months jail time max PTs are allowed to apply topical medications such as: antispasmodic, adrenocorticosteroids, debring agents, etc. What medications are PTs not allowed to administer? A) Anti-memetic

B) Oral Anti-inflammatory C) Anti-fungal D) All of the above - Answer D) All of the above What is the MOST likely punishment for sharing information about the NPTE? A) Payment of cost with board investigation B) Misdemeanor $1, C) Felony 3 months in jail D) Retake exam - Answer A) Payment of cost with board investigation *Guilty party responsible for cost of litigation & hearing ; NOT TO EXCEED 10 grand A PTA receives a public letter of reprimand issued by the board for accusation of unprofessional conduct. How many days does the PTA have to verbalize agreement/disagreement with allegation? A) 15 days B) 30 days

C) 45 days D) 60 days - Answer A) A licensee is allotted 15 days to respond to letter of reprimand *The notification will be sent 30 days prior to actual letter of reprimand being send What is the fee for renewal of licensure for therapists and assistants whose license expire this year? A) $ B) $ C) $ D) $300 - Answer D) $ A licensee receives a certificate for 1.5 continuing education units. How many additional hours are needed to complete the minimum requirements? A) 10 B) 15

C) 20

D) 25 - Answer B) 15 Which of the following situations are you exempt from renewal fees? A) Military: Active duty B) Disability: may request waiver C) Retirement of license D) Voluntary PT services - Answer Trick question! All of them A student failed the NPTE twice within 8 months prior to 3rd attempt. What mus occur next? A) Payment of re-exam fee B) Completion of certified remediation course C) Written appeal to PT Board of California D) Wait 6 months for next attempt - Answer A) Payment of re-exam fee Kinesiological electromyography is the study of Physical acuity of individual or multiple muscles in relation to another physical/physiological event/exercise and

doesn't. Include evaluation of specific abnormal potentials or evoked responses. How many hours and # of exams are required for board certification? A) 200 hours and 50 kinesiological electromyography exams B) 200 hours and 400 kinesiological electromyography exams C) 400 hours and 50 kinesiological electromyography exams D) 400 hours and 200 kinesiological electromyography exams - Answer A) 200 hours and 50 kinesiological electromyography exams Electroneuromyography is performance of tissue penetration for the purpose of evaluating neuromuscular performance and must include evaluation of specific abnormal potentials and evoked response. How many hours and # of exams are required to be certified after board exam passing? A) 200 hours and 50 kinesiological electromyography exams B) 200 hours and 400 kinesiological electromyography exams C) 400 hours and 50 kinesiological electromyography exams D) 400 hours and 200 kinesiological electromyography exams - Answer D) 400 hours and 200 kinesiological electromyography exams

Therapist reports that informed consent was given by pt which of the following is TRUE? A) Pt incapable of providing informed consent B) Consent needs to be provided in writing C) If guilty, of unprofessional conduct, license revoked for 5 years D) Board can suspended PT license for up to 18 months - Answer A) Pt incapable of providing informed consent Which of the following licensed professional are NOT able to own shares in a PT corporation? A) Podiatrist B) RN C) Speech pathologist D) Chiropractor - Answer D) Chiropractor Which of the following ages represent the earliest that a 16 year old patient record can be discarded?

A) 19

B) 21

C) 23

D) 25 - Answer C) 23

• Pt records for a minor have to be maintained at lease 1 year after they have turned 18 and no less than 7 years Which of the following tasks can be performed by a PTA? A) Document re-eval B) Supervise aide with pt related care C) Be sole PT representative at pt care conference D) Manage a PT clinic - Answer D) Manage a PT clinic How many hours does a mandated reporter have to create a written report after receiving information of suspected child abuse? A) 12 B) 24

C) 36

D) 48 - Answer C) 36 A PT aide is going to perform PROM on PT's shoulder. Which of the following criteria needs to be met in order for the aide to perform their intervention? A) Discussion of outcome of treatment at the end of the day B) PT must be available by phone C) Prior assessment of aid's ability to perform PROM D) Aide shall have worked in PT setting for 6 months - Answer C) Prior assessment of aid's ability to perform PROM Which of the following items of info must be included in a written protocol for the administration of a topical medication? A) Procedure for application of the medication B) License number of the administering PT C) Patient allergies D) List of similar medications - Answer A) Procedure for application of the medication

*Protocol includes:

• Description
• Actions
• Indications / Contraindications
• Proper procedure for application A new outpatient PT clinic uses advertising which of the following is allowed? A) Free initial consult B) Prices as low as $19.99 C) Guaranteed pain-free today D) Be treated by the best PT clinic in town - Answer A) Free initial consult *B-D) Misleading = misdemeanor and constitutes good cause for recitation or suspension of his/her license or other disciplinary action. Administrative fine not to exceed $10,000

A foreign educated therapist is seeking to obtain California license. Which of the following allows the therapist to decrease the required duration of clinical service? A) Pass NPTE B) Take 4 units of ethics CEU C) Teach class at accredited PT program D) > 3.7 GPA - Answer B) Take 4 units of ethics CEU *3 months waived for completion of 4 credits of ethics CEUs or a course in ethics *A month can be waived for each month of clinical service in other states A therapist who has not left California has a license that has been designated as inactive for 2 renewal cycles due to military service. The therapist desires to renew and activate the license to resume clinical practice. Which of the following statements regarding license is TRUE? A) 15 hours of continuing education are required prior to active state B) Exception from continuing education granted for 1 year military service C) If disabling injury is sustained for duration of 1 year during service, exemption from continuing education can occur