COKO Professional Practice Sample Exam Questions
From Jurisprudence Handbook 100% Solved
What sentence best describes the roles of the College and professional associations?
i. The College serves the public interest and the professional associations serve the
interests of the profession.
ii. The College and the professional associations both serve the public interest.
iii. The College and the professional associations both serve the interests of the
profession.
iv. The professional associations direct the operations of the College.
The best answer is i. The College’s mandate is to regulate the profession in order to
serve and protect the public interest. Answer ii is not the best answer because
professional associations are designed to serve the interests of their members. While
professional associations care about the public interest and often take actions that
assist the public interest, they are under no statutory duty to do so and are
accountable only to their members. Answer iii is not the best answer because the
College is not permitted to serve the interests of its members under its statute. While
it tries to ensure that it regulates its members sensitively and fairly, and consults
with its members, the College’s mandate is the public interest. Answer iv is not
correct. While the College consults with the professional associations and considers
seriously their views and respects their expertise, the College is not under the
control of any professional association.
Ethics Scenario:
David, a kinesiologist, is always polite to his patients\/clients, in a formal way. He
feels good about himself. However, he often says “God” to express surprise. The
phrase means nothing to him and no one has ever expressed concerns about it. One
of his patients\/clients, Paul, has shared that he is very religious. Whenever David
says “God” Paul flinches a bit. What should David do? – David notices and asks Paul if
the use of the word “God” bothers Paul. Paul says that, actually it does. David makes
a point of not saying “God” anymore in front of Paul. After discussing the incident
with a colleague, David decides that the ethical thing for him to do is to stop using the
word “God” as an expression of surprise whenever he is with a patient\/client
because David cannot tell in advance who will be offended. This relates to the Code of
Ethics that kins must follow.
Discontinuing Professional Services Scenario – Donna, a kinesiologist, wants to stop
treating a patient\/client because the patient\/client has stopped paying. She reads an
article in the College’s newsletter suggesting that patients\/clients should be given at
least two weeks to find a new kinesiologist before one stops treating the
patient\/client. Donna cannot see why she needs to see a patient\/client who is not
paying for her services and does not follow the newsletter suggestion. The
patient\/client experiences pain once the treatment stops and misses ten days of
work before the patient\/client can find another kinesiologist to treat him. The<\/p>\n\n\n\n
patient\/client complains to the College. After investigating the complaint the College
requires Donna to appear before it to receive a verbal caution because Donna
abandoned a patient\/client who was in pain without giving the patient\/client
adequate time to find another kinesiologist. The fact that Donna was not paid did not
remove her duty to the patient\/client who was in pain.
David, a kinesiologist, is registered with the College. David’s father is no longer
registered with the College. David’s father sometimes drops into David’s office to
treat his former long term patients\/clients. The office assistant refers to David’s
father as “Doctor” when booking patients\/clients. A patient\/client complains to the
College when her extended health insurance refused to pay for David’s father’s
services because he was unregistered. Is David at risk for his father’s conduct? – The
answer is yes. It is professional misconduct to permit a person to hold themselves
out as practising the profession when they are not registered. Similarly, permitting a
person to illegally use the title “Doctor” in one’s practice would often be seen as
professional misconduct if David knew about it. David condoned the conduct that
occurred at David’s office. David, by being registered, gave credibility and status to
the illegal conduct of his father. David could face a discipline hearing.
Donna, a kinesiologist, does not really assess her patients\/clients. She just asks the
patient\/client what is wrong and then gives all of them exactly the same treatment. A
patient\/client, Paula, came in with a serious condition. Donna did not recognize it.
Paula’s condition worsened. Donna still did not recognize it. After three months
Paula went to the emergency department of the hospital and was immediately
diagnosed and treated correctly. What is this a case of? – This is an Incompetence
Scenario. Paula complained to the College about Donna’s incompetence. The
Inquiries, Complaints and Reports Committee looked at Donna’s records and heard
Donna’s explanation for what she had done. It sent the case to discipline. The
Discipline Committee agreed that Donna showed a lack of knowledge, skill and
judgment. It ordered Donna to participate in specific upgrading courses aimed at
assessment.
David, a kinesiologist, has been drinking a lot more alcohol the last few months. He
has been coming to work with a hangover. More recently he has been drinking at
lunch. One day David comes back after lunch drunk. Paul, a patient\/client, notices
that David smells of alcohol and that David is stumbling around the office. What is
this a case of? – This is an Incapacity Scenario.
Paul tells the College. At first David denies he has a problem. However, during the
investigation, the College learns that some of David’s colleagues have noticed a
significant change in David’s behaviour in recent months. The College also learned
that David has been charged with impaired driving. The College sends David to a
medical specialist who diagnoses David with a serious substance abuse disorder. The
College encourages David to go for treatment at a treatment centre in his area. David
agrees. The matter is referred to the Fitness to Practise Committee. David and the
College agree to an order requiring David to stop drinking, attend Alcoholics<\/p>\n\n\n\n
Anonymous group meetings, see his new substance abuse specialist regularly and
have a colleague watch David at work and send regular reports to the College.
The sentence “Kinesiologists are sensitive to the wishes of their patients\/clients” is
most likely to be found in which of the following provisions?
i. The definition of incapacity.
ii. The definition of incompetence.
iii. The definition of professional misconduct.
iv. Professional standards published by the College.
v. The Code of Ethics. – The best answer is v. Striving to be sensitive is an ideal that
kinesiologists strive towards. Answer i is not the best answer because incapacity
deals with the kinesiologist’s health condition. Seriously insensitive behaviour may
accompany some illnesses (e.g., addictions), but it is the illness that must be treated
first. Answer ii is not the best answer because incompetence deals with
kinesiologists having an adequate level of knowledge, skill and judgment. Answer iii
is not the best answer because professional misconduct deals with the minimum
conduct that is necessary to avoid discipline. The corresponding professional
misconduct provision would likely be that kinesiologists shall not abuse their
patients\/clients. Answer iv is not the best answer because professional standards
deal with ways in which to practice safely, effectively and professionally. A
professional standard would likely provide practical suggestions about how to
practice sensitively (e.g., advice on how to listen to the patient\/client first before
doing anything else.).
Consent Scenario No. 1 – Donna, a kinesiologist, meets a new patient\/client Paula.
Paula complains about feeling stressed and tired. Donna says: “I would like to fully
understand your personal and family background and your medical history. There
could be a lot of things making you feel tired and stressed and this information will
help me try to figure out why. If you are uncomfortable with any of my questions,
please let me know. OK?” Donna has just obtained informed consent for taking a full
history.
Obtaining a broad consent (often called a “blanket consent”) in writing from the
patient\/client on his or her arrival at the office is probably a bad idea because:
i. The patient\/client does not know if they will need someone to drive them home
afterwards.
ii. The patient\/client does not have confidence in the kinesiologist yet.
iii. The patient\/client does not know what they are agreeing to.
iv. The patient\/client does not know how long the visit will be. – The best answer is
iii. Informed consent requires the patient\/client to understand the nature, risks and
side-effects of the specific procedure proposed by the kinesiologist, as well as who
will be performing the assessment or treatment. It is impossible for the
patient\/client to know these things upon their arrival at the office. Answer i is not
the best answer because it focuses on a side-issue and does not address the main
issue. Answer ii is not the best answer because having confidence in the kinesiologist
is not enough for there to be informed consent. A patient\/client may trust the<\/p>\n\n\n\n
COKO Exam Prep With 71 Questions and 100%
Correct Verified Answers
What is a person with a BMI of 17.5 considered? \u2013 ANS: Underweight
Which class of medication has the greatest influence on both resting and exercises
heart rate?
a. Angiotensin converting enzyme inhibitor
b. Statin
c. Beta blocker
d. Diuretic – ANS: Beta blocker
In general, when does injury or failure of a tissue occur?
a. Whenever a load is applied to the tissue
b. When the applied load exceeds the failure tolerance of a tissue
c. When the applied load is followed by a period of rest
d. When the failure tolerance of the tissue exceeds the applied load – ANS: When the
applied load exceeds the failure tolerance of the tissue
a 25-year old male produces a relative VO2 max of 25 mL\/kg\/min on a treadmill test.
What should the kinesiologist conclude?
a. This person’s CV fitness is very high for his cohort
b. This person’s CV fitness is average\u2026
c. This person’s CV fitness is very low\u2026
d. It is difficult to assess cardiovascular fitness from his VO2 max score – ANS: This
person’s CV fitness is low
Mr. Ron, 44 years old, presents to the clinic with a physician’s referral for weight
management and pre-anthroscopic knee surgery strengthening. Mr. Ron is 103.6kg
with 30% BF, on a 168 cm frame and a weekend athlete. What should the
kinesiologist do?
a. Tell him to lose some weight before surgery and drop calories by 1,000 per day
b. Explain that weight will be an issue post-surgery and discuss lifestyle modification
c. Suggest that he start a high-intensity plyometric program
d. Focus on a pre-surgery rehabilitation plan for his knee – ANS: Explain that weight
will be an issue post-surgery and discuss lifestyle modification
Why is HR higher, both at rest and during exercise, in children?
a. Children typically have a lower stroke volume than adults
b. Children have lower peripheral resistance than adults
c. Children have an increased ability to sweat
d. Children have an increased vascular stiffness – ANS: a. Children typically have a
lower SV than adults<\/p>\n\n\n\n
What action does the serratus anterior have on the scapula?
a. It depresses and retracts
b. It retracts and rotates to depress the glenoid cavity
c. It depresses and rotates the scapula downward
d. It protracts and holds the scapula against the thoracic wall – ANS: d. It protracts
and holds the scapula against the thoracic wall
The kinesiologist is starting a training program with low-altitude athletes at a high
altitude. What effect does high-altitude exposure have on the heart during exercise
during similar intensity exercise at sea level?
a. Increased cardiac output (CO), decreased myocardial oxygen (MO) requirements
b. Decreased CO, increased MO requirements
c. Decreased CO, decreased MO requirements
d. Increased CO, decreased MO – ANS: d. Increased CO, decreased MO
Which task will be most limiting for a person with a supraspinatus injury?
a. Abduction
b. Flexion
c. Extension
d. Horizontal adduction – ANS: a. Abduction
What are the primary ergonomic risk factors for musculoskeletal disorders?
a. Postures, vibration, and work methods
b. Force, repetition and postures
c. Repetition, force, and vibration
d. Work methods, vibration, and temperatire – ANS: b. Force, repetition and postures
For a healthy individual, how is blood pressure affected during exercise with a
progressive increase of intensity?
a. systolic, diastolic, and mean arterial pressures increase
b. systole inc., diastole dec., mean arterial —
c. systolic and mean arterial +, diastolic —,
d. syst and diastol +, mean arterial — – ANS: c. Systolic and mean arterial pressure
increase, diastolic pressure stays the same
A worker is required to perform precises work tasks, such as writing or drawing,
from a standing position. Which working height is considered most desirable to
perform these tasks?
a. Above-elbow height
b. at-elbow height
c. slightly-below elbow height
d. significantly-below elbow height – ANS: a. Above-elbow height
Which movement is most likely to become limited following damage to the gracilis
muscle?
a. Hip abd.<\/p>\n","protected":false},"excerpt":{"rendered":"
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