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Worksheetspath1013a
Total questions: 131
Worksheet time: 1hrs 6mins
What happens to cells in the body when are problems with dystrophin production?
Muscle cells become extremely excitable
Nothing
The body can't go through action potentials
Muscle Cells atrophy and die
Muscle cells stay in a complete contraction.
Most common forms of Muscular Dystrophy are linked to this Chromosome.
Y chromosome
3rd Chromosome
Fusion of two chromosomes
12th Chromosome
X Chromsome
Pick all symptoms associated with Muscular Dystrophy.
Possible mental disability
Progressive
Flacid muscles
Tight tendons requiring surgery
Weakness
How can surgery assist in treating Muscular Dystrophy?
Release tight tendons
Fix curvatures in the spine
Help correct issues in the brain leading to spasticity
Keeps muscle functioning
Pick the true statement about Muscular Dystrophy.
Massage is unlikely to provide relief.
It's more common in women than men
It's progressive
Symptoms can be completely managed with medication
Which treatment can be included during a massage to help slow the progression of Muscular Dystrophy?
Frictions
MLD
Passive stretching
None
What is the best description of a spasm?
Involuntary contraction of all muscle
Voluntary contraction of skeletal
Voluntary contraction of all muscle
Involuntary contraction of skeletal muscle
Which deficiency is associated with spasms?
Calcium
Potassium
Magnesium
Vitamin K
Vitamin C
Which is NOT a factor in exercise-associated muscle cramping?
Dehydration
Hypothermia
Overstimulation of nerves
Electrolyte Imalance
Which treatment is NOT appropriate for spasms?
Botox
Ice
Aggressive frictions
Medications for muscle tone
Massage
"A self-perpetuating lack of oxygen leading to pain-spasm cycle"best describes...
Spasm
Cramps
Splinting
Pain Spasm Cycle
Fasciculations
These are small, usually painless twitches in muscles.
Fasciculations
Stitches
Spasms
Twitches
This descibes an injury to muscle fibers, occasionally including tearing and scar tissue.
Tendinopathy
Spasm
Strain
Sprain
Pick the statement that is incorrect about scar tissue from a strain.
Impairs contractility
Can limit range of motion
Increases the likelyhood of reijury
Found in all tissue in an injured muscle
_____ causes mild-intense local pain, pain with PRROM or passive stretching usually without palpable heat or swelling.
Bursitis
Strains
Sprains
Tendinitis
Folliculitis
What is PRICE?
Protect Rest ice Compression Elevation
Pressure Rest Ice Cobination Eatalotoffood
Intervention is typically best in this stage of healing.
Subacute
Acute
Post-Acute
Chronic
This type of medication is used in the early treatment of strains.
Cortisone
NSAIDS
Ice
botox
When is the application of aggressive massage appopriate for the treatment of strains?
Never
All stages
Chronic
Subacute
This is a cancer that originates in mature bone tissue.
Lymphoma
Myeloma
Osteosarcoma
Osteomyeloma
Pick the correct statement about the etiology of osteosarcoma.
Usually multiple tumors
Doesn't metastasize
Most common in elderly people
Cancer cells replicate and become disorganize
Osteosarcoma can occasionally give symptoms that are very similar too ____.
Growing Pains
Broken Bones
Strains
Flu
Why is the diagnosis of osteosarcoma occasionally difficult to catch early on?
Asymptomatic
Unreliable testing
It's too aggressive to catch early
It looks like many other conditions
This is the best description of the onset of pain with osteosarcoma.
Pain improves with activity
Pain with activity earlier on, At rest later
Pain is never an issue
don't pick this option sorry i was rushing and i'm trying to get some questions done pls don't hate me
What is the purpose of surgery for osteosarcoma?
Remove growth
There is no purpose to surgery. It's usually not done.
Support remaining tissue
Deal with postural devations
This type of cancer relapses without chemotherapy.
Myotoma
Myeloma
Sarcoma
Skin Cancer
How should massage be modified for patients with osteosarcoma?
Massage is contraindicated
No modfications are required
Be aware of extra muscle tightness
Take care of bone stability
This is an irritation and inflammation of the tibial tuberosity.
Osgood-schlatter
Quadriceps Trigger Point
Patellar Bursitis
Iliotibial Band Syndrome
Which demographic sees Osgood-Schlatter most often?
Sedentary Adults
Athletic Adults
Sedentary Adolescents
Athletic Adolescents
Elderly
Pick the complication that is unlikely with Osgood-Schlatter.
Bone Spurs
Avulsion Fracture
Fractured Femur
Permanent Enlargement of tibial tuberosity
What type of activity makes Osgood-Schlatter worse in the acute stage?
Cardio
Hamstrings Exercise
Quadriceps Exercise
Dorsiflexion
All activity
Treatment of Osgood-Schlatter is focused on... (2)
Pain
Range of Motion
Limiting bone damage
Strength
What type of medication is used for Osgood-Schlatter?
NSAIDS
Narcotics
Botox
Muscle Relaxants
Anticholinergic Drugs
In non-acute cases of Osgood-Schlatter, massage should focus on this muscle group.
Intrinsic Foot Muscles
Hamstrings
Calves
Peroneals
Quadriceps
Describe the acute treatment of Osgood-Schlatter with massage.
Frictions
Lymphatic Work
Pin and Stretch
Trigger Point Therapy
Fascial Work
This condition involves bones becoming more porous.
Osteoporosis
Osteoarthritis
Osgood-Schlatter
Osteosarcoma
Chondromalacia
What happens to bone mineral turnover with osteoporosis?
Calcium is replaced faster than it's removed from bones
Magnesium removes calcium from the bones
Calcium is removed from bones faster than it's replaced
Sodium levels in bone remain inconsistent
Why are women more at risk for osteoporosis? (pick all that apply)
Body Size
Increased medications
Hormone Levels
Greater rates of diabetes
Breast Feeding
Pick the risk factor that is controllable.
Ethnicity
Age
Medications
Body Size
Family History
Which is NOT a consideration for osteoporosis?
Calcium Absorption
Vitamin C Levels
Calcium Loss
Bone Density Maintenance
Pick the vitamin/substance that is not associated with calcium absorption.
Vitamin D
Vitamin K
Vitamin E
Vitamin A
Which of the following does NOT contribute to calcium loss?
Meat-based proteins
Menopause
Caffeine
Massage
Medications
Which symptom is associated with early stages of osteoporosis?
Pain
Hyperkyphosis
No symptoms
Loss of height
Fractures
What is a common complication of late-stage osteopororis?
Hip Fractures
Bone Cancers
Muscle Weakness
Nervous System Disorders
Pick the medication that is not associated with osteoporosis.
NSAIDS
Hormone Replacement Therapy
Bisphosphonates
RANK ligand inhibitors
Vitamin and Mineral supplements
This adverse effect is possible when massaging patients with osteoporosis.
Worsening of the Condition
Pressure Ulcers
Inflammation
Rib fractures
These are overdeveloped spinal curves.
Spondylitis
Spondylolisthesis
Postural Deviations
Dysplasia
This is an early-stage deviation involving soft tissue pulling the spine out of optimal alignment.
Functional
Structural
Stage I
Grade 2
Pick the true statement about structural postural deviations.
Always related to underlying disease
Typically treatable with manual therapies alone
Bones and joints change shape to adapt
Soft tissues pull spine out of optimal alignment
This refers to an overdeveloped thoracic curve
Scoliosis
Hyperlordosis
Hyperkyphosis
Rotoscoliosis
This overdeveloped lumbar curve responds well to manual therapy.
Scoliosis
Hyperlordosis
Hyperkyphosis
Rotoscoliosis
This is a lateral devation of the spine, occasionally affecting rib cage movement.
Scoliosis
Dysplasia
Hypolordosis
Spondylosis
Other than NSAIDs for pain, what type of medication is usually used for mild postural deviations?
Bisphosphinates
HgH
None
Narcotics
Muscle Relaxants
This condition leading to hyperkyphosis may have implications for massage.
Rheumatoid Arthritis
Osteoporosis
Metabolic Syndrome
Dislocations
This is another name for Adhesive Capsulitis.
Osteoarthritis
Runner's Knee
Hip Dysplasia
Frozen Shoulder
There is often overlap between Adhesive Capsulitis and this condition.
Fractures
Fibromyalgia
Osteoporosis
Shoulder Dislocation
Metabolic Syndrome
What is the cause of Adhesive Capsulitis?
Idiopathic
Connective Tissue Disorders
Muscle tightness
Bursitis
What best describes the "Freezing" stage?
Severe progressive pain at night
Shouler Instability
Stable shoulder, limited range of motion, painless
Reversal of restrictions
Pick the best description of the "Frozen" Stage.
Severe progressive pain at night
Shoulder instability
Stable joint, limited range of motion, but not painful
Normal ROM and function
What is the thawing stage?
Stable shoulder, limited range of motion
Function returns to normal
Severe pain returns
Which statement best describes the treatment of Adhesive Capsulitis?
Muscle Relaxants
Massage to the Subscapularis
No single treatment shortens cycle
Electrical Stimulation to innervating nerves
Other than analgesics, which medication is occasionally used for Adhesive Capsulitis?
None
Narcotics
Sodium Channel Blockers
Corticosteroid Injections
What direction in relation to the knee does a baker cyst protrude?
Anterior
Lateral
Medial
Posterior
When a baker cyst occurs in an adult, what is usually the cause?
Other Joint Problems
Medications
Kidney Problems
Which action will illicit pain with a baker cyst?
Extension of knee
Flexion of knee
Weight bearing
Lateral gliding of patella
This is a possible complication of a baker cyst.
Patellar Arthritis
Permanent enlargement of gastrocs attachment
DVT
Hamstrings Contracture
Pick all treatments for baker cysts.
Ice
NSAIDS
Surgery
Cortisone Injection
Physiotherapy
Pick the true statement about the implications of baker cysts on massage.
No risk of thrombosis
Responds well to Lymphatic Drainage
Absolute Contrindication
Local Contraindication
Gout is an inflammatory arthritis involving ___ crystals within joints.
Uric Acid
Carboxylic Acid
Calcium Deposits
Bisphosphinates
Carbonate
What is hyperuricemia associated with?
Baker Cysts
Gout
Osteoporosis
This is the most common site affected by gout.
Heel
Middle Toe
Knee
Medial big toe
Skin on the top of the foot
Which of the following is NOT associated with later stage gout?
Tophi
Erosion of bones
Gangrene
Destruction of Joint
Which of the following is not associated with a gouty attack?
Heat at affected site
Shiny skin
Systemic Infection
Fever
There is a close link between gout and ____ disease.
Liver
Kidney
Thyroid
Adrenal
Lymphatic
Why is gout a local contraindication at a minimum?
Massage can cause destruction of the joint
Massage is unlikely to help
It isn't a local contrindication
Massage will spread the gouty attack
This describes any situation where articulating bones aren't in optimal contact.
Dislocation
Joint Disruption
Joint Dysfunction
Disjunction
This is NOT a type of joint disruption.
Dislocation
Disjunction
Subluxation
Dysplasia
This is a type of joint disruption that is not a full dislocation.
Dislocation
Subluxation
Disjunction
Dysplasia
Which of the following joints is commonly dislocated?
Sternoclavicular
Calcaneotalar
Glenohumeral
Intervertebral
This is an abnormal connection between joints due to congenital anomaly.
Malformation
Dislocation
Subluxation
Dysplasia
Acute Trauma, swelling and damage to other structures is obvious with _____.
Dislocation
Subluxation
Kyphosis
Dysplasia
History of dislocations leads to an increased risk of _____.
Rheumatoid Arthritis
Osteoporosis
Frozen Shoulder
Osteoarthritis
Osteomalacia
Treatment for joint disruptions can include _____. (Check all that apply)
Reduce Disruption
Surgery
Gene Therapies
Physiotherapy
Bracing / Splints
What type of massage is indicated with acute joint disruptions?
Lymphatic Only
Pettrissage
Any non-local massage
Trigger Point Therapy
This is another name for joint replacement surgery
Arthroscopy
Arthrogenesis
Arthroplasty
Arthrocopy
Arthrokinesis
This is the most common reason for Joint replacement surgery.
Rheumatoid Arthritis
Acute Trauma
Osteoporosis
Osteoarthritis
Avascular Necrosis
What is the typical life span for a replaced joint?
400,000,000,000,000,000,000,000 years
30+ Years
20-25 years
5 years
10-15 years
Which symptoms are the most likely after a joint replacement surgery has healed?
Pain, Muscle Weakness
Scar tissue, dereased ROM
Clicking, Inflammation
Instability
Why would activities need to be modified after a joint replacement has healed?
Pushing limits can lead to loss of range of motion
Pushing limits can lead to failure of the joint
Increased Risk of DVT
Decreased Cellular Activity
How long is the typical hospital stay-post joint replacement surgery?
3-5 days
1-2 weeks
1-2 days
3-5 weeks
Other than pain, medications may be required to prevent these complications post joint-replacement. (2)
No others are required
Anticoagulants
Antibiotics
Antihypertensives
Muscle Relaxants
Which bacteria is associated with Lyme Disease?
H. Pylori
B. Burgdorferi
Streptococcus Aureus
Staphylococcus B.
Acidophillus
This type of bug is a carrier for lyme disease.
Mosquito
Spider
Tick
Ant
Bee
Ticks pick up bacteria from this animal host for lyme disease.
Coyote
Wolf
Moose
Deer
Mouse
Symptoms in the first stage of lyme disease can look like this type of illness.
Food Poisoning
Flu
C. Diff
Measles
Mad Cow Disease
How long does it take for lyme disease symptoms to show up after a tick bite?
Within 24 hours
7-30 days
2-3 months
Any time after initial infection
Which syptom is NOT associated with a 2nd stage Lyme Disease?
Headaches
Shooting Pain
Cardiovascular Symptoms
Debilitating Fatigue
Tremor
Why is Lyme Disease considered a musculoskeletal condition?
Unlike other infections, early symptoms don't include fever
Can lead to chronic muscle and joint pain
It was originally thought to be an inflammatory arthritis
Can lead to destruction of joints
This type of medication is used for Lyme Disease.
NSAIDS
Muscle relaxants
Narcotics
Antibiotics
Hormone Replacement Therapy
____ contraindicates massaging patients with lyme disease.
Acute Inflammation
Muscle Pain
Fatigue
Brain Fog
This type of arthritis involves synovial joints losing healthy cartilage.
Lyme Disease
Rheumatoid Arthritis
Infectious Arthritis
Ankylosing Spondylitis
Osteoarthritis
_____ decreases chondrocyte activity.
Inflammation
Calcium
Testosterone
Sodium
Which risk factor for osteoarthritis is controllable?
Age
Body Weight
Lax Ligaments
Previous Surgery
Pain and stiffness at joints, crepitus and flare ups during weather changes describe this condition.
Osteoporosis
Osteoarthritis
Rheumatoid Arthritis
Ankylosing Spondylitis
What are the goals of treatment for osteoarthritis? (3)
Reduce Pain
Limit Damage to Joints
Strengthen Muscles
Reduce Inflammation
This rare symptom of osteoarthritis contraindicates massage.
Pain
Acute Inflammation
DVT
Systemic Infection
Kidney Failure
Which condition includes an irritation of the patellar cartilage?
Baker Cyst
Patellofemoral Syndrome
Osteoporosis
Tenosynovitis
Long-term irritation of the patellar cartilage leads to an increased risk of _____.
Osteoarthritis
Bursitis
Tenosynovitis
Tendinitis
Runner's Knee
Pain and crepitus with patellofemoral syndrome typically affect this area of the knee.
Anterior-Lateral
Anterior-Medial
Medial
Posterior
Posterior-Medial
Which of the following is NOT used as a treatment for patellofemoral syndrome.
Bracing/Taping
Ice
Cortisone Injections
Orthotics
Surgery
This medicaiton is used in the treatment of patellofemoral syndrome.
NSAIDs
ACE Inhibitors
Hormone Therapies
Gabapentin
Nerve Blockers
Patellofemoral syndrome can occasionally look like this condition.
Dysplasia
Osteomalacia
Baker Cyst
Tendinosis
Dislocation
_____ is another name fr patellofemoral syndrome. (Pick all that apply)
Jumper's Knee
Chondromalacia
Anterior Knee Pain Syndrome
Overutilization Syndrome
Moviegoer's knee
What type of contraindication is patellofemoral syndrome?
General Contraindication
Absolute Contraindication
Local Contrindication
Not a contraindication
This condition of the spine involves an anterior slipping of a vertebral body in the Lumbar Spine.
Dislocation
Spondylitis
Spondylolisthesis
Ankylosing Spondylitis
People are born with this type of spondylolisthesis.
Structural
Functional
Degenerative
Congenital
This type of spondylolisthesis occurs with arthritis and thinning of IV discs.
Functional
Structural
Congenital
Degenerative
Damage or weakness in this part of a vertabra can lead to spondylolisthesis.
Transverse Process
Spinus Process
Pars inerarticularis
Vertebral Body
Intervertebral disc
Symptoms of spondylolisthesis can look like these conditions. (2)
Peripheral Artery Disease
Varicose Veins
Peripheral Neuropathy
Fractured Tibia
Massage is contraindicated with these spondylolisthesis symptoms.
Acute pain and inflammation
DVT
Diagnosed numbness
Piriformis Syndrome
Exercise in this muscle group is thought to alleviate symptoms of spondylolisthesis.
Quadriceps
Abdominal Muscles
Erectors
Adductors
This is a degenerative arthritis affecting the spine.
Narcotics
Cortisone Injections
SERMs
NSAIDs
Synthethic Thyroid Hormones
Spondylosis leads to _____ of vertical ligaments of the spine.
Ossification
Degradation
Softening ie) chondromalacia
Trauma
Which of the following best describes the symptoms of spondylosis? (2)
Silent
Unpredictable pain
Myelopathy Symptoms eg. Lost balance
Rib Pain
Complications of spondylosis typically occur due to...
Loss of Compliance of the vertebral artery
Compression in the spine
Weakness of Spinal Muscles
Postural Deviations
Which medication isn't used for spondylosis?
NSAIDS
Injected steroidal anti-inflammatories
Anti-clotting medication
Narcotics
Antiseizure Medication
