# Scenario 1: You have just evaluated Mary, a secretary who recently experienced a work related low-back injury moving 10 25 lbs. file boxes 3 days ago. Her radiographs are negative and her only symptom is resolving 2/10 pain across the low back with forward bending and prolonged sitting.

## Additional File 1: low-back injury moving 10 25 lbs

### Part A. 13-item modified Fresno Test and scoring rubric

Instructions:
Evidence Based Practice (EBP) involves knowledge and skills related to identifying and evaluating evidence to inform practice. This tool, the modified Fresno Test is designed to assess your EBP skills.

There are 8 short answer questions, 2 questions that require a series of mathematical calculations, and 3 fill-in-the-blank questions. A calculator and note paper have been provided for you.  Additional resources (internet sites, books, etc) are not permitted.

Please complete the entire test in one sitting and allow yourself up to 60 minutes to complete the test.

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Answer questions 1-4 and 8 based on the following clinical scenarios:

Scenario 1: You have just evaluated Mary, a secretary who recently experienced a work related low-back injury moving 10, 25 lbs. file boxes 3 days ago. Her radiographs are negative and her only symptom is resolving 2/10 pain across the low back with forward bending and prolonged sitting. She has been off of work for 2 days and is eager to return but is also anxious about re-injury. You are considering a stabilization exercise program but wonder if manual therapy should be included in the patient’s physical therapy program.

Scenario #2: Marvin is a 10 year-old boy with hemiparesis secondary to stroke associated with an Arterial-Venous Malformation. He presents to outpatient therapy and his parents express particular concern about Marvin’s arm and leg weakness. You are considering implementing an intensive task-specific strengthening program but a colleague warns that such a program is likely to increase the patient’s moderate flexor tone and spasticity and suggests low intensity stretching and a passive positioning program.

#2 Continued

NOTE: RESPONSES TO QUESTIONS 5, 6, AND 7, CAN BE APPLIED TO ANY PORTION OF THE GRADING RUBRIC FOR THOSE ITEMS

NOTE: RESPONSES TO QUESTIONS 5, 6, AND 7, CAN BE APPLIED TO ANY PORTION OF THE GRADING RUBRIC FOR THOSE ITEMS

NOTE: RESPONSES TO QUESTIONS 5, 6, AND 7, CAN BE APPLIED TO ANY PORTION OF THE GRADING RUBRIC FOR THOSE ITEMS

Item #9 was dropped from the final version of the modified FT due to poor psychometric performance.  See Part B of the Appendix for more information.

Rounding is acceptable (e.g. 21.9 to 22 is acceptable)

Part B. Deleted item (#9)

Original question and scoring rubric

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