Question 1

Which of the following is the most appropriate initial action when assessing a patient with suspected pulmonary embolism (PE) who is acutely short of breath and has dropping oxygen saturations?

Accepted Answer

Withhold physiotherapy and urgently escalate to medical team

Question 2

A 42-year-old patient with long COVID presents with ongoing fatigue, breathlessness, and cognitive difficulties. Which management strategy is LEAST appropriate based on current guidelines?

Accepted Answer

Encouraging graded exercise therapy (GET) for all patients

Question 3

When prioritising the following patients, which should be seen FIRST according to the 'danger, discuss, delegate' principle: 1) Day 1 post-op laparotomy, 2) Respiratory patient with deteriorating status, 3) Discharge patient, 4) New mobility referral, 5) Patient known to you needing more assistance?

Accepted Answer

Respiratory patient with deteriorating status

Question 4

Which of the following is a key consideration when interpreting a chest X-ray using the DRs' ABCDE approach?

Accepted Answer

Assess the airway to ensure the trachea is central and not deviated

Question 5

A patient with bronchiectasis and a new chest infection is drowsy, struggling with secretions, and has not expectorated for several hours. His oxygen saturations have dropped to 84% on 11L O2. What is the most appropriate initial physiotherapy intervention?

Accepted Answer

Perform non-invasive suctioning to clear secretions

Question 6

Which of the following statements about the management of long COVID is CORRECT?

Accepted Answer

A multidisciplinary approach is essential for optimal management

Question 7

Which guideline emphasises the importance of comprehensive assessment, including measures of dyspnoea, exercise capacity, and quality of life, in COPD management?

Accepted Answer

National Institute for Health and Care Excellence (NICE) guideline

Question 8

A patient is on ICU with the following: PEEP 10, PS 15, Sats 83% on 60% O2, reduced breath sounds on left and absent in base, ABGs: pH 7.28, PaO2 8, pCO2 8, HCO3 22, BE -2. What is the most likely diagnosis?

Accepted Answer

Type II respiratory failure (hypoxaemia and hypercapnia)

Question 9

Which of the following is NOT a best practice for virtual consultation in acute/respiratory care?

Accepted Answer

Ignoring the need for multidisciplinary team input

Question 10

Which of the following is a direct impact of the NHS Integrated Care Systems (ICS) model on acute care services?

Accepted Answer

Improved coordination across healthcare settings

Question 11

Which of the following is a contraindication to physiotherapy intervention in a patient with suspected pulmonary embolism (PE)?

Accepted Answer

Confirmed or suspected PE

Question 12

A patient with a total hip replacement is anxious about moving their leg and getting out of bed. What is the most important initial physiotherapy approach?

Accepted Answer

Clarify the patient's concerns and provide reassurance

Question 13

Which of the following is a key feature of the 'Vowel Method' for synthesising patient information in acute/respiratory assessment?

Accepted Answer

It provides a structured way to cover all assessment bases

Question 14

Which of the following is a recommended physiotherapy intervention for a patient with type II respiratory failure and hypercapnia?

Accepted Answer

Active Cycle of Breathing Technique (ACBT)

Question 15

Which of the following is a significant challenge in the implementation of Integrated Care Systems (ICS) in the NHS?

Accepted Answer

Engaging primary care and building trust across sectors

Question 16

Which of the following is a key impact of COVID-19 on physiotherapy practice in acute/respiratory settings?

Accepted Answer

Increased use of telehealth and remote rehabilitation

Question 17

Which of the following is a correct statement regarding the use of chest X-rays in respiratory assessment?

Accepted Answer

Chest X-rays should be interpreted alongside clinical findings

Question 18

Which of the following is a recommended approach for managing exercise intolerance in long COVID patients?

Accepted Answer

Develop a cautious, graded exercise programme

Question 19

Which of the following is a best practice for remote monitoring tools in respiratory patients?

Accepted Answer

Use wearable devices to track oxygen saturation and alert providers to exacerbations

Acute and Respiratory Physiotherapy: Interview Preparation and Clinical Reasoning Guide

Study Guide - Practice Questions

Study Guide - Flashcards