A physical therapist works with a patient diagnosed with anterior cruciate ligament insufficiency. The physician referral specifies closed kinematic chain rehabilitation. Which exercise would not be appropriate based on the physician order?
A. exercise on a stair machine
B. limited squats to 45 d...
A physical therapist works with a patient diagnosed with anterior cruciate
ligament insufficiency. The physician referral specifies closed kinematic chain
rehabilitation. Which exercise would not be appropriate based on the physician
order?
A. exercise on a stair machine
B. limited squats to 45 degrees
C. walking backwards on a treadmill
D. isokinetic knee extension and flexion - ANSWER- Answer Key:D
Feedback:Isokinetic knee extension and flexion require the distal segment to
move freely in space, as a result the exercise is considered to be an open
kinematic chain exercise
The symptoms of ankylosing spondylitis in its early stages can best be managed
in physical therapy by:
A. Back extension, costal expansion exercises, and maintenance of proper
posture to prevent deformity
B. Cardiovascular conditioning, weight-bearing exercises, and joint protection
education
C. Pain management, abdominal strengthening, and breathing exercises
D. Strengthening of anterior chest muscles, costal expansion, and stretching of
scapular stabilizers - ANSWER- Answer Key:A
Feedback:Postural re-education will help to prevent further increases in thoracic
kyphosis and costal expansion exercises will improve breathing efficiency.
Abdominal strengthening and stretching of scapular stabilizers are not indicated
for ankylosing spondylitis.
,A patient diagnosed with right bicipital tendonitis performs upper extremity
resistance exercises using a piece of elastic tubing. What muscle is emphasized
when laterally rotating the involved extremity against resistance?
A. teres minor
B. pectoralis major
C. teres major
D. subscapularis - ANSWER- Answer Key: A
Feedback:The teres minor laterally rotates the shoulder and stabilizes the head of
the humerus in the glenoid. The muscle is innervated by the axillary nerve.
A physical therapist identifies the pisiform after palpating along the proximal row
of carpals. Which carpal bone articulates with the pisiform?
A. trapezium
B. trapezoid
C. lunate
D. triquetrum - ANSWER- Answer Key:D
Feedback:The pisiform is located within the flexor carpi ulnaris tendon and lies
immediately superior to the triquetrum
A therapist identifies signs and symptoms of neurovascular compression after
examining a patient with an upper extremity injury. Which of the following special
tests would not be helpful in identifying the presence of neurovascular
compression?
A. Tinel's Sign
B. Froment's Sign
C. Phalen's Test
D. Bunnel-Littler Test - ANSWER- Answer Key:D
Feedback:The Bunnel-Littler test can be used to assess several structures acting
on the metacarpophalangeal joint. A positive test is demonstrated by an inability
to flex the proximal interphalangeal joint and is indicative of intrinsic muscle
tightness or a contracture of the joint capsule.
Tenderness elicited through palpation on the floor of the anatomical snuffbox can
often be indicative of a fracture. A fracture in the area likely involve the:
A. hamate
B. lunate
C. scaphoid
D. pisiform - ANSWER- Answer Key:C
, Feedback:The scaphoid, also known as the navicular bone, makes up the floor of
the anatomical snuffbox. The bone is located in the proximal carpal row and is
the most frequently fractured carpal bone.
A physical therapist examines a patient's scapulohumeral rhythm as the arm is
actively abducted to 30 degrees. Which description BEST summarizes the action
of the scapula and the clavicle during this movement?
A. Scapula 20 degrees rotation, clavicle 25-35 degrees elevation
B. Scapula 10 degrees rotation, clavicle 15-25 degrees elevation
C. Scapula minimal movement, clavicle 0-5 degrees elevation
D. Scapula 30 degrees rotation, clavicle 5 degrees - ANSWER- Answer Key:C
Feedback:Initial shoulder abduction (first 30 degrees) occurs primarily at the
glenohumeral joint, while the scapula is attempting to stabilize with the clavicle in
slight elevation.
Your patient, a 40-year-old female, presents with complaints of tingling and
paresthesias in the median nerve distribution of the right forearm and hand. The
following tests were found to be negative bilaterally: Adson, hyperabduction,
costoclavicular, Phalen's, and the ulnar nerve Tinel sign. Based on this
information, the diagnosis that has not been ruled out is:
A. Carpal tunnel syndrome
B. Pronator teres syndrome
C. Thoracic outlet syndrome
D. Ulnar nerve entrapment - ANSWER- Answer Key:B
Feedback:All of the above special tests assess neurological compromise of the
lower trunk of the brachial plexus. Special tests to rule out pronator teres
syndrome are: 1) passive supination to elongate the pronator which is tight; this
would compress the median nerve at that level, and 2) active resistance pronation
would compress the nerve as it courses through the pronator muscle belly.
During a postural screen for chronic shoulder pain in a recreational swimmer, the
therapist observes excessive internal rotation of the shoulders and winging of the
scapula during overhead motion. Intervention should focus on:
A. strengthening of pectoral muscles and stretching of upper trapezius.
B. strengthening of upper trapezius and stretching of pectoral muscles.
C. strengthening of rhomboids and stretching of upper trapezius.
D. strengthening of middle and lower trapezius and stretching of pectoral
muscles. - ANSWER- Answer Key:D
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