set 2 questions

8/3/2019 Set 2 Questions

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SET 2 QUESTIONS - MUSCULOSKELETAL

1. You are working in an out-patient setting. Mr. Smith isyour next Pt. he has been in therapy 2X week for 3weeks for shoulder weakness, while reviewing hisexercise flow sheet you see that one of this exercises ischarted as R UE IR Red T-band 3X 12 standing elbow at90 by this information you conclude which muscle isbeing strengthened. Kisner 546

A. SubscapularisB. Middle deltoidC. Biceps brachiiD. SCM

2.While performing passive ROM on Mr. Pauls Rightshoulder, Mr. Paul lets you know by verbal and non-verbal cues that no further motion should to taken, thishappens before any anatomical structure shouldinterfere with ROM. With this information you candescribe that the end-feel as ___ in your notes.O'Sullivan 171

A. FirmB. HardC. EmptyD. Soft

3. If while assessing your patient, you move yourpatients right shoulder through its available range andnotice a firm end feel sooner than the normal ROMexpected with no pain felt by your patient, you wouldsuspect? O'Sullivan 175

a) Fatty tissue in the way

b) Capsular, muscular and or ligamentous shorteningc) Osteoarthritisd) Myositis ossificans

4. While observing a patient who complains of left anklenumbness and weakness, you see that the patient isable to walk in the facility without an assistive device;however did have some gait deviations including a minortoe drag and a very subtle left hip hike for compensation;without performing manual muscle testing you wouldsuspect that the patient is at least a? O'Sullivan 181

a) 3b) 3+c) 2+d) 3-

5. What is the term used to describe abrupt trauma suchas from a direct blow to a muscle that damages bloodvessels and initiates an acute inflammatory response?Shankman 179

A. Muscle TearB. ContusionC. SprainD. Strain

6. Which of the follow is NOT true about a muscleimmobilized in a shortened position? Shankman 185

A. It may atrophy more than a muscle placed in a caslengthened positionB. Sarcomeres in the shortened muscle fiber decreasup to 40%C. A muscle immobilized in a shortened position breadown less proteinD. The amount of Sarcomeres fibers increases once tmuscle is no longer immobilized

7. What is the length of time after a tendon injury thatfibroblasts continue to form dense connective tissuealong the long axis of the tendon? Shankman 188

A. 42 days (6 weeks)B. 49 days (7 weeks)C. 56 days (8 weeks)D. 63 days (9 weeks)

8. Therapeutic exercise for a patient with a tendon inj

repair after a year should be less intense because thastrength of the tendon has been reduced by:Shankman 189

A. 30%B. 40%C. 50%D. 60%

9. A synergistic action that occurs when two or moremuscles produce a force in different linear direction bproduce a torque in the same rotary directions can bedefined as a(n): Mansfield 38

A. synergistB. excursionC. force-coupleD. co-contraction

10. A muscle must receive sufficient amount ofresistance to stimulate hypertrophy, without a significaamount of resistance muscle strengthening will notoccur. This statement describes which of the followingtheory? Mansfield 47

A. The Overload PrincipleB. The Force-Velocity RelationshipC. The Principle of Training SpecificityD. The Length-Tension Relationship

11. The Quadriceps Femoris group is innervated bythe: Biel (Trail Guide) 300

A. Femoral NerveB. Superior Gluteal NerveC. Obturator NerveD. Tibial Nerve


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12. Most of the adult skeleton is made up of ___compact, cortical bone. Shankman 153

A. 40%B. 50%C. 80&D. 90%

13. If a patient exhibits exaggerated lumbar lordosiswhen lying supine, this patient likely has tightness in

his/her ___. Mansfield 250

A. Transverse AbdominisB. Rectus AbdominisC. Hip extensorsD. Hip flexors

14. The force-couple for performing a posterior pelvic tiltinvolved which of the following muscles: Mansfield 255

A. Gluteus medius and tensor fasciae lataeB. Abdominals and hip extensors

C. Hip flexors and erector spinaeD. Hip extensors and gluteus minimus

15. Lateral Epicondylitis is a result of ___?Mansfield 138

A. Hyperextension of the elbow flexors.B. Impingement of the median nerve.C. Inflammation 2* to repetitive use of the wristextensors.D. Inflammation of the Bicipital tendon.

16. What is unique about muscle tissue?Shankman 179

A. It has the ability to regenerate & repair.B. Inability to regenerate after indirect or direct trauma.C. Cannot be controlled with the use of antiinflammatorymeds.D. Is limited by angiogenesis.

17. What of the following is not an effect ofimmobilization on skeletal muscle tissue (shortened)?Shankman 185

A. Increased protein breakdown

B. Increased muscle weightC. Muscle atrophy (type I )D. Decreased anaerobic glycolytic enzymes

18. Tendons heal through three stages; inflammation,repair, and remodeling. What is the time frame to beable to observe the inflammation in the affected areaafter the injury? Shankman 187

A. 24 hoursB. 36 hoursC. 72 hoursD. 96 hours

19. What is the conservative management procedure the treatment for tendinitis? Shankman 189

A. SurgeryB. Aggressive exerciseC. ImmobilizationD. RICE

20. What can contribute to disruption of the blood supto muscle tissue? Shankman 179

A. Direct injury or indirect injuryB. EdemaC. Amplified enzyme build upD. Decreased collagenous scar tissue21. A condition in which the metatarsal bone, usually second metatarsal bone of the foot undergoes avascunecrosis. Shankman 283

A. Lisfranc's fractureB. Interphalangeal fractureC. Talar fracture

D. Freiberg's Infraction

22. A 47 year old patient complains of pain anddiscomfort in her right shoulder during any physicalactivity. During an assessment by her therapist patienwas able to perform shoulder abduction at least 50 %ROM, against gravity, with no resistance. What is thispatients MMT grade? O'Sullivan 181

A. 3-B. 2+C.4-

D. 3

23. Stress is proportional to strain up to a limit, which called proportional limit. This statement describes the

___? Mansfield 72

A. Young's Modulus of ElasticityB. Hooke's LawC. Overload PrincipleD. SAID Principle

24. Two neurophysiologic sensory receptors involved

with the stretch reflex are ___? Mansfield 62

A. Muscle spindles and actinB. Sarcomeres and myosinC. GTO's and muscle spindlesD. Actin and myosin

25. Bone formation in muscle is called: Shankman 181

A. MyosatelliteB. MyoitisC. Myoblast

D. Myo ossificans


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26. What some effects of immobilization on skeletalmuscle tissue. Shankman 185

A. Decreased muscle weightB. Decreased connective tissueC. Sarcomeres decreaseD. Both A and C

27. The lower quarter myotome level of L3, L4 requireswhat action to be tested? O' Sullivan 185

A. Hip flexionB. Knee extensionC. Extension of the great toeD. Plantar flexion

28. MMT grade of minimal observable less than 50%ROM, gravity minimized, no resistance is consideredthat grade? O' Sullivan 181A. TraceB. Poor minus

C. Trace plusD. Poor plus

29. Which of the following principles does not providethe foundation for strength training in physical therapy?Shankman 83

A. Overload PrincipleB. SpecificityC. ReversibilityD. Power Principle

30. The most popular model that describes muscularcontraction is called: Mansfield 38

A. The actin-myosin cross bridgesB. The sliding filament theoryC. Force coupleD. A sarcomere

31. Joint structures consist of: O' Sullivan 159

A. bursa, bone, skinB. cartilage, menisci, capsules

C. ligaments, bursa, boneD. cartilage, skin, capsules

32. Limb lengths are measured from ___ to ___, and arealso compared ___. O' Sullivan169

A. bony landmark, bony landmark, bilaterallyB. bony landmark, joint capsule, unilaterallyC. joint capsule, prominence, bilaterallyD. prominence, prominence, unilaterally

33. Your patient is an athletic 13 year old boy whopresents with tenderness, swelling, and a bump belowthe patella on the tibial tuberosity of his left knee. Hecomplains of pain with activities such as climbing stairunning and kneeling. The most likely diagnosis is?Mansfield 276

A. OsteoarthritisB. Chondromalacia of the patellaC. Osgood-Schlatters DiseaseD. Jumpers knee

34. Your patient is a 30 year old female who has beenunder treatment for lateral epicondylitis. She was feelso much better over the weekend she decided to playhours of tennis and presents to you on Monday withsignificant pain, edema and decreased range of motioWhen assessing her range of motion for supination thEnd-Fell is empty secondary to her pain. What is thenormal End- Feel for supination? OSullivan 175

A. HardB. Firm

C. SoftD. Spongy

35. While observing a football game you witnessPatriots QB Brady receiving a viscous blow to his righknee by Broncos DE Dumervil. Of course, you areimmediately thinking, Oh no, anterior tibial translationWhat test of Bradys knee do you think will be mosttelling?: Shankman 292-293

A. LachmansB. AllensC. AdsonsD. Obers

36. Later in the same football game you observe DenQB Tebow issuing a crushing blow to New England DLove as he pushes through to the end zone for anothBronco score. Injury time out is called as DT Lovescreams out in pain due to a 300 lb teammate havingfallen on his right ankle while it was inverted duringTebow's lambasting. Which of the following would lealikely be negatively impacted by this apparent anklesprain? Mansfield 311

A. Posterior Talofibular LigamentB. Calcaneofibular Ligament

C. Deltoid LigamentD. Anterior Talofibular Ligament

37. If a patient presents with a sprain to the knee, lessswelling and no intraarticular effusion because theresultant bleeding from the injured tissues can evacuathe area and the fluid is not restrained within the jointcapsule. Which of the following it would be?Shankma290

A. ACLB. MCLC. PCL .

D. LCL


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38. An ACL reconstruction was done, the rehabilitationprocess has three phases. However, during themaximum-protection phase, this phase lasts for howlong in general? Shankman 295

A. From 1st day post-op to the 3th weekB. From 1st day post-op to the 6th weekC. From 1st day post-op to the 10th weekD. From 1st day post-op to the 12th week

39. Which one of the above instruments is morefrequently used to measure PROM in the clinical setting:O Sullivan 170

A. Tape measuresB. InclinometersC. Universal goniometersD. Rulers

40. End- Feel may be detected by the therapist during:O Sullivan 171

A. Active ROMB. AAROMC. Passive ROMD. Resistive exercises

41. An angle of inclination of 142 is termed ___.Mansfield 233

A. Coxa ValgaB. Coxa VaraC. Normal AnteversionD. Genu Valgum

42. Long-term weakness of which of the followingmuscles can cause subluxation of the GH joint?Mansfield 69

A. SupraspinatusB. Upper TrapeziusC. Middle DeltoidD. Deltoid (all fibers)

43. Cyanosis is believed to be a lack of ___ andexcessive ___ in superficial blood vessels.

O'Sullivan 168

A) Iron and OxygenB) Carbon dioxide and PotassiumC) Oxygen and SodiumD) Oxygen and carbon dioxide

44. The ability of a muscle to contract repeatedly overthe time is called: O Sullivan 178

A. Muscle powerB. Muscle enduranceC. Muscle strengthD. Muscle capacity

45. Which of the following refers to an injury involvingmuscle and tendon tissue: Shankman 176

A. SprainB. MicrotraumaC. StrainD. Overuse

46. Which of the following are the Primary ScapularUpward Rotators: Mansfield 70-71

A. Upper, middle and lower TrapeziusB. Levator Scapulae, Rhomboids, Latissimus DorsiC. Serratus Anterior, Lower Trapezius and UpperTrapeziusD. Levator Scapulae, Middle Trapezius and Rhomboi

47. What type of end feel is produced when theolecranon process and fossa comes in contact duringelbow extension? O'Sullivan 175

A. Soft

B. FirmC. EmptyD. Hard

48. Full ROM against gravity with no resistancedescribes what MMT grade? O'Sullivan 181

A. FB. F+C. F-D. G-

49. Of the 4 rotator cuff muscles; the only one that donot insert into the greater tubercle of the humerus?Biel 82-83

A. SupraspinatusB. InfraspinatusC. Teres MinorD. Subscapularis

50. The lateral rotators of the hip are located? Biel 322

A. Deep to the Piriformis

B. Superficial to the Gluteus MediusC. Deep to the Gluteus MaximusD. Medial to the sciatic nerves

51. Myositis ossificans: Shankman 181

A. Can be treated with exerciseB. Can be treated with ultrasoundC. Is heterotopic bone formation after blunt trauma.D. Can be prevented by passive stretching


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52. This cell accounts for 90% of all bone tissue:Shankman 153

A. OsteoblastB. OsteocyteC. OsteoclastD. Osteoma

53. What is the position of active insufficiency for thequadriceps muscle? Kisner 44

A. Knee extension and Hip flexionB. Knee Flexion and Hip flexionC. Knee extension and hip extensionD. Knee flexion and hip extension

54. What soft tissues are considered to be part of theUnholy Triad? Kisner 72

A. PCL, MCL, MeniscusB. ACL, MCL, MeniscusC. LCL, PCL, ACLD. MCL, LCL, PCL

55. The cervical and lumbar spine should exhibitmoderate ___ curves and the thoracic spine a moderate

___ curve. O'Sullivan 168

A. Kyphotic, LordoticB. Lordotic, KyphoticC. Kyphotic, KyphoticD. Lordotic, Lordotic

56. A Patient comes into a clinic complaining of severepain in his right hip. Upon examination the PhysicalTherapist notes tight hip flexors using which of thefollowing special test? O'Sullivan 184

A. Ober testB. Hawk testC. Adam testD. Thomas test

57. This test is used to examine inflammation of thetendons of the abductor pollicis longus and extensorpollicis brevis by stretching these structures?O'Sullivan 184

A. Lockman testB. SJs testC. Finkelstein testD. Bunnel-littler

58. The feeling, experienced by the therapist asresistance, or barrier to further motion is called?O'Sullivan 171

A. Trigger PointB. SpasmC. End FeelD. Contraction

59. A myositis ossification can be caused by:Shankman 190

A. a prolonged stretch of a muscleB. a prolonged disuse of a muscleC. a severe blunt traumaD. lifting too much weight at once

60. A repaired tendon will achieve its maximal strengtafter how long?

Shankman 188.

A. 4 monthsB. 6 monthsC. 8 monthsD. 12 months

61. The greatest amount of muscle atrophy occurs wi___ of immobilization? Shankman 185

A. 72 hoursB. 2 weeksC. 1 weekD. 3 weeks

62. Which of the following has the greatest healingresponse due to being highly vascular? Shankman 185

A. BoneB. MuscleC. TendonD. Ligament

63. The 3 segments of the pectoralis major are: clavicsternal and ___? Biel 83

A. costal fibersB. manubriumC. coricoidialD. scapular

64. The transversospinalis group is made up of 3different muscles: semispinalis, multifidi, and ___.Biel 173

A. spinalisB. longissimus

C. rotatoresD. iliocostalis

65. Stretching or tearing of a ligament is known as __Shankman 176

A. OveruseB. StrainC. MicrotraumaD. Sprain


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66. Which of these is the most common sports injuryrelated to the foot? Shankman 260

A. Inversion ankle sprainB. Eversion ankle sprainC. Plantar FasciitisD. Pes Cavus

67. A muscular force-couple is: Mansfield 38

A. Active Length TensionB. When motion is produced in mid-range of a muscle

C. An action at a joint that occurs when 2 or more

muscles produce forces in different linear directions but

produce a torque in the same rotary direction

D. When an agonist and antagonist force produce no

joint movement

68. Delayed Onset Muscle Soreness (DOMS) is greaterwith ___ muscle contraction: Shankman 83

A. ConcentricB. IsometricC. EccentricD. Isotonic

69. A special test designed to test the strength of amuscle when utilizing gravity and/or manual resistanceis? O'Sullivan 178

A. GoniometryB. Manual Muscle TestingC. Break Test

D. Hawkins

70. When considering force-couplings, which other 2muscles are involved with the upper trapezius in upwardrotation of the scapula? Mansfield 65

A. Middle Trapezius and RhomboidsB. Lower Trapezius and Levator ScapulaeC. Lower Trapezius and Serratus AnteriorD. Middle Trapezius and Pec Minor

71. Main function of the Golgi Tendon Organ (GTO) is

to: OSullivan 136

A. alert body to deliver more nutrients to a specific areaB. monitor tension within the muscleC. produce Lactic AcidD. relax the body as a result of stimuli

72. Goniometer is used to measure: OSullivan 170

A. range of motion of a jointB. relationship between two opposing musclesC. body core temperature

D. levels of Gonio in the body

73. Which of the following muscles is NOT a flexor of glenohumeral joint? Mansfield 83

A. Biceps BrachiiB. Anterior DeltoidC. BrachialisD. Coracobrachialis

74. Which of the following bones is NOT a part of thepelvis? Mansfield 228

A. CoccyxB. IliumC. PubisD. Ishium

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