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path ch3 p2

Total questions: 118

Worksheet time: 40mins

Name
Class
Date
1.

This condition is a tear to a ligament

a)

Tendinosis

b)

Sprain

c)

Strain

d)

Dislocation

2.

Tendons have more _____ than ligaments

a)

Severe Injuries

b)

Swelling

c)

Weight-Bearing Capacity

d)

Elastic Capacity

3.

Pick the symptoms that best describe Acute Sprains

a)

Pain, Heat, Redness

b)

Enlarged Palpable mass

c)

Regained Function, Less inflammation

d)

Joint becomes inelastic and permanently stiff

4.

The most common area of a sprain happens at this joint.

a)

Glenohumeral

b)

Distal Tibiofibular

c)

Calcaneotalar

d)

Talofibular

5.

Which treatment is not appropriate for sprains?

a)

PRICE

b)

Cortisone

c)

Ultrasound

d)

Exercise

6.

This medication is used for sprains.

a)

Tricyclics

b)

NSAIDs

c)

Narcotics

d)

Muscle Relaxants

7.

What type of massage is appropriate during the acute phase of a strain?

a)

Joint Play

b)

Distal Trigger Points

c)

Frictions

d)

Lymphatic

8.

This type of massage at the site of a chronic strain may help with rehabilitation.

a)

Effluerage

b)

Distal Trigger Points

c)

Frictions

d)

Lymphatic Work

9.

This is an umbrella term for several problems around the jaw

a)

TMJD

b)

IBS

c)

HPA Axis Dysfunction

d)

Strains

10.

Which of the following is not a factor in TMJD?

a)

Myofascial Pain

b)

Nerve paralysis

c)

Damage to menisci in jaw

d)

Osteoarthritis

11.

Which non symptom is NOT typical of TMJD?

a)

Altered taste sensation

b)

Lockjaw

c)

Ear Pain

d)

Headaches

12.

Pick all symptoms associated with TMJD.

a)

Shoulder Pain

b)

Clicking in the jaw

c)

Bruxism

d)

Spinal Fusion

13.

Pick all non-surgical interventions for TMJD.

a)

Ultrasound

b)

Physical Therapy

c)

Tricyclic Antidepressants

d)

Hot and cold applications

14.

This type of massage is unique to TMJD.

a)

Temporalis Trigger Point Therapy

b)

Intraoral Massage

c)

Platysma Stretching

d)

Suboccipital PIR

15.

This is an injury or repetitive strain leading to increased pressure in a fascial compartment

a)

Shin Splints

b)

Necrotizing Fasciitis

c)

Compartment Syndrome

d)

Plantar Fasciitis

16.

This is the most common area for compartment syndrome.

a)

Lower Leg

b)

Upper Leg

c)

Wrist

d)

Hands

17.

When compartment syndrome leads to muscle and nerve death, which organ can become damaged?

a)

Thymus

b)

Kidneys

c)

Liver

d)

Lungs

18.

This form of compartment syndrome is a medical emergency.

a)

Grade 4

b)

Type A

c)

Acute

d)

Chronic

19.

This best describes the onset of pain during exercise with chronic compartment syndrome.

a)

At the onset of activity

b)

At a predictable point during activity

c)

At any point throughout activity

d)

After activity has stopped

20.

Surgery for acute compartment syndrome is called ____.

a)

Fasciotomy

b)

Compartmectomy

c)

Lithotripsy

d)

Arthroscopy

21.

Pick all appropriate treatments for chronic compartment syndrome.

a)

Improve footware

b)

Fasciotomy

c)

Add variety to exercise

d)

Massage therapy

22.

This type of medication is appropriate for chronic compartment syndrome.

a)

Botox Injections

b)

RANK Ligand Inhibitors

c)

NSAIDs

d)

Muscle Relaxants

23.

____ is an idiopathic shrinking of the palmar fascia.

a)

Plantar Fasciitis

b)

Dupuytren Contracture

c)

Raynaud Syndrome

d)

Raynaud Phenomenon

24.

Which of the following is not a stage in the development of duypuytren contracture?

a)

Idiopathic Phase

b)

Proliferative Phase

c)

Involution phase

d)

Residual phase

25.

Duypuytren contracture typically starts near this part of the hand.

a)

Proximal 4th digit

b)

Distal 5th Digit

c)

Carpal-Metacarpal Joints

d)

Thumb

26.

Which best describes the position of the hand in duypuytren contracture?

a)

Fingers forcefully extended

b)

Wrist in Full extension

c)

Fingers permanently adducted

d)

Fingers drawn into flexion

27.

Which of the following are early interventions for duypuytren contracture?

a)

Steroid injections

b)

Surgery

c)

Needle aponeurotomy

d)

Muscle relaxants

28.

This is a connective tissue pouch filled with fluid, usually on the wrist, hands or feet.

a)

Ganglion Cyst

b)

Pilonidal Cyst

c)

Canker Sore

d)

Gout

29.

What best describes the signs and symptoms of ganglion cysts?

a)

Hot and Inflamed

b)

Generally Painless

c)

Deep Ache

d)

Hypersensitive

30.

Which of the following is NOT a treatment for ganglion cysts?

a)

Nothing

b)

Corticosteroids

c)

Smash them in a bible

d)

Aspiration, Excision

31.

This is a foot deformity affecting the lateral toes.

a)

Claw Foot

b)

Hammer Toe

c)

Plantar Fasciitis

d)

Morton Neuroma

e)

Distal Neuropathy

32.

Which toe is usually affected by hammer toe?

a)

5th

b)

4th

c)

3rd

d)

2nd

e)

1st

33.

This is the main factor that leads to a hammer toe.

a)

Footwear

b)

Genetics

c)

Previous Injury

d)

Osteoporosis

34.

Where is pain seen in a hammer toe deformity?

a)

Distally

b)

Friction Sites

c)

Deep in the joint

d)

Ankle

35.

Other than NSAIDs for pain, what medication can be used to treat a hammer toe?

a)

Collagen Injections

b)

Botox Injections

c)

Steroid Injections

d)

Narcotic Injections

36.

Which symptom of a hammer toe is a contraindication for massage therapy?

a)

Pain

b)

Acute Inflammtion

c)

Caluses

d)

Antalgic Gait

37.

What is a hernia?

a)

An Aneurysm

b)

Bulge

c)

Hole through which something protrudes

d)

Inflammation

38.

Which symptom doesn't match an abdominal hernia

a)

Sharp or Mild pain

b)

Feeling of Fullness

c)

GERD

d)

Palpable Bulge

39.

GERD and shortness of breath are symptoms of this type of hernia.

a)

Inguinal

b)

Umbilical

c)

Hiatal

d)

Femoral

40.

How are hernias treated?

a)

Massage

b)

Surgery

c)

Abdominal Strengthening

d)

Variety of medications

41.

How does a hernia affect massage treatment.

a)

Indicates massage locally

b)

Local contraindication

c)

Systemic Contraindication

d)

Improves the prognosis of smaller hernias

42.

This conidition involes a thickening of the connective tissue sheath of the common digital nerve.

a)

Morton Neuroma

b)

Distal Tenosynovitis

c)

Compartment Syndrome

d)

Plantar Fasciitis

43.

What area of the foot is supplied by the branches of the common digital nerve?

a)

Heel

b)

Distal Foot

c)

Distal Hand

d)

Posterior Lower Leg

44.

Tightness in these muscles may compress the common digital nerve. (Pick all that apply)

a)

Quadriceps

b)

Dorsiflexors

c)

Plantar Flexors

d)

Hamstrings

45.

Pick all foot problems that can lead to a worsening of Morton Neuroma.

a)

Plantar Fasciitis

b)

Bunions

c)

Hammer Toe

d)

Pes Planus / Cavus

46.

Which toes typically feel shooting pain with a Morton Neuroma?

a)

1st and 2nd

b)

3rd and 4th

c)

1st and 5th

d)

2nd to 5th

47.

Which of the following non-invasive treatments is NOT likely to improve a Morton Neuroma?

a)

Changing Footware

b)

Orthotics

c)

Heat

d)

Stretching

48.

What may elicit symptoms of a morton neuroma in the context of massage?

a)

Achilles Tendon Friction

b)

Light stroking

c)

Stretching

d)

Compression of Foot

49.

This is a degenerative condition affecting the plantar fascia.

a)

Morton Neuroma

b)

Shin Splints

c)

Plantar Fasciitis

d)

Compartment Syndrome

50.

Plantar fasciitis can be a complication of... (pick all that apply)

a)

Gout

b)

Rheumatoid Arthritis

c)

Osgood-Schlatter

d)

Diabetes

51.

When is plantar fasciitis acutely painful?

a)

First few steps after rest

b)

Predictable point throughout

c)

Unpredictably throughout activity

d)

Constant unchanging

52.

Other than NSAIDs for pain, what medication can be used to treat plantar fasciitis?

a)

Tricyclic Antidepressants

b)

Narcotics

c)

Cortisone or Botox Injections

d)

Monoamine Oxidase Inhibitors

53.

How long does treatment for plantar fasciitis take?

a)

4-5 days

b)

2-4 weeks

c)

up to 18 months

d)

Never

54.

This means "Flat Feet"

a)

Pes Cavus

b)

Pes Planus

55.

This means "Caved Feet."

a)

Pes Cavus

b)

Pes Planus

56.

Weakness in this tendon can lead to flat feet.

a)

Tibialis Posterior

b)

Peroneus Longus

c)

Tibialis Anterior

d)

Achilles

57.

Sudden bilateral onset of pes cavus usually occurs from...

a)

Muscle Damage

b)

Sprain

c)

Nerve Damage

d)

Vertebral Fracture

58.

Which word best describes the typical symptoms of pes cavus and pes planus?

a)

Excruciating

b)

Subtle

c)

Instability

d)

Flare-ups

59.

This condition involves signs and symptoms related to the entrapment of the median nerve at the wrist.

a)

Double-Crush Syndrome

b)

Carpal Tunnel Syndrome

c)

Pisiform Syndrome

d)

Thoracic Outlet Syndrome

60.

Which of these three factors can lead to entrapment of the median nerve in CTS?

a)

Edema

b)

Subluxation

c)

Fibrotic Buidup

d)

Elbow Exensors

61.

Pick all conditions that can look like Carpal Tunnel Syndrome. (4)

a)

Neck Injury

b)

Double Crush Syndrome

c)

Wrist Fracture

d)

Radial Neuropathy

e)

Thoracic Outlet Syndrome

62.

Which part of the hand does the median nerve supply? (pick all that apply)

a)

Hypothenar Eminence

b)

Parts of the palm

c)

First three digits

d)

Medial half of 4th digit

63.

Which of the following treatments is typically done as a first approach?

a)

Steroid Injections

b)

Wrist Brace

c)

Surgery

d)

Acupuncture (I swear to Ronald McDonald, if you pick this one...)

64.

Which of the following is NOT a medication used in treating CTS?

a)

NSAIDs

b)

Steroid Injections

c)

Gabapentin (Anticonvulsant)

d)

Lidocain Injections

65.

How can carpal tunnel syndrome affect a massage treatment?

a)

Massage is unlikely to help, but it isn't explicitly harmful

b)

Massage is appropriate

c)

Massage is contraindicated locally

d)

Massage is absolutely contraindicated

66.

This is an umbrella term for problems with intervertebral discs.

a)

Spondylosis

b)

Disc Disease

c)

Spondylolysthesis

d)

Ankylosing Spondylitis

67.

What causes most symptoms of disc disease?

a)

Inflammation

b)

Muscle Strain

c)

Nerve Pressure

d)

Unknown

68.

When an IV disc bulges, which direction does it usually bulge?

a)

Anteriorly + Medial

b)

Anterior + Lateral

c)

Posterior + Medial

d)

Posterior + Lateral

69.

Which of the following is not a type of herniated disc.

a)

Bulge

b)

Protrusion

c)

Extrusion

d)

Contusion

e)

Rupture

70.
Which of the following is a complication of Disc Disease?
a)
a
b)
b
c)
c
d)
d
71.

How can massage be modified for people with disc disease?

a)

Decreased pressure to reduce the risk of fractures

b)

Use of Bolsters to improve positioning

c)

Stimulating techniques to improve blood flow

d)

Cryomassage to reduce inflammation

72.

This condition is associated with the development of trigger points.

a)

Fibromyalgia

b)

Myofascial Pain Syndrome

c)

Repetitive Stress Injury

d)

Lyme Disease

73.

This is considered to be the main issue in the onset of Myofascial Pain Syndrome.

a)

Voluntary overuse of muscles

b)

Sustained involuntary contraction of sarcomeres

c)

Malformation of muscle fibers

d)

Absence of dystrophin

74.

Pick the best description of Myofascial Pain Syndrome Symptoms.

a)

Flare ups of full body pain

b)

Pain that is difficult to isolate

c)

Unpredictable pain

d)

Predictable referred regional pain

75.

Pick the best treatment goal for myofascial pain syndrome.

a)

Reduce active trigger points

b)

Reduce active and latent trigger points

c)

Stretch Muscle Fibers

d)

Decrease remittent flare ups

76.

Which medication is unlikely as a treatment for myofascial pain syndrome?

a)

Injected Anaesthetics or Botox

b)

Anticonvulsants

c)

Tricyclic Antidepressants

d)

Muscle Relaxants

77.

This condition is a neurovascular entrapment of the brachial plexus and blood vessels of the arm.

a)

Thoracic Outlet Syndrome

b)

Carpal Tunnel Syndrome

c)

Double Crush Syndrome

d)

Raynaud Syndrome

78.

Which of the following is NOT a site of entrapment for Thoracic Outlet Syndrome.

a)

Between medial and anterior scalenes

b)

Between Clavicle and First Rib

c)

Near superior sternocleidomastoid

d)

Under Coracoid Process

79.

TOS with nerve compression only is called...

a)

Neurogenic

b)

Vascular

c)

Disputed

d)

Recumbant

80.

TOS where the points are not easily identified is called...

a)

Neurogenic

b)

Vascular

c)

Disputed

d)

Recumbant

81.

Which muscle does not directly contribute to TOS?

a)

Scalenes

b)

Pectoralis Minor

c)

Pectoralis major

d)

Neck Extensors

82.

What is a cervical rib?

a)

Congenital anomaly of a 13th rib

b)

Long TVPs on C7 vertabra

c)

Subluxation of the first rib

d)

Malformation of muscles leading to nodules at the first rib

83.

TOS symptoms can be exacerbated by...

a)

Friction

b)

Cold

c)

Heat

d)

Sweating

84.

Which symptom doesn't apply to TOS?

a)

Numbness and weakness in arms

b)

Difference in Temperature in arms

c)

Tingling in the fingers

d)

Headache

85.

Which of the following is NOT a treatment for TOS?

a)

Analgesics

b)

Physical Therapy

c)

Cryotherapy

d)

Surgery

86.

Other than pain meds and NSAIDs, which medications are used for TOS? (2)

a)

Anticonvulsant

b)

Anticoagulants

c)

Hormone Therapies

d)

Cortisone Injections

87.

This is a condition characterized by a thickened distorted medial great toe.

a)

Hammer Toe

b)

Bunions

c)

Gout

d)

Dupuytren contracture

88.

Which of the following puts pressure at the metatarsal-phalangeal joint? (3)

a)

Footwear that squeezes toes

b)

Tight hip rotators

c)

Flat Feet

d)

Shape of Bones

89.

Other than deformation of the great toe, what sign/symptom may be present with a bunion?

a)

Tophi

b)

Heat and swelling

c)

Bleeding

d)

Back Pain

90.

This simple change can be made to help aleviate foot pain from bunions.

a)

Ice Feet

b)

Change footwear

c)

Go for a run

91.

Pick all medications for bunions.

a)

Tricyclic Antidepressants

b)

Antibiotics

c)

Cortisone Injections

d)

NSAIDs

92.

This symptom of bunions locally contraindicates massage.

a)

Acute Inflammation

b)

Pain

c)

Decreased Range of Motion

d)

Visible bump

93.

This condition is classified by the inflammation of a bursa.

a)

Bursitis

b)

Not bursitis

94.

What commonly causes bursitis?

a)

Internal Bleeding

b)

Traumatic Injury

c)

Genetics

d)

Repetitive Strain

95.

What type of movement will cause pain in the joint with bursitis?

a)

Passive Relaxed

b)

Active Assisted

c)

Active Free

d)

Active Resisted

96.

Pick the statement that best describes the treaetment of bursitis.

a)

Usually Self-Limiting

b)

Usually susceptible to flare ups

c)

Often requires surgery

d)

Always Requires Surgery

97.

This is a group of lower leg injuries, closely related ot compartment syndrome.

a)

Plantar Fasciitis

b)

Shin Splints

c)

Achilles tendinitis

d)

Ankle Sprain

98.

This demographic is most commonly affected by shin splints.

a)

Sedentary people

b)

Elderly people

c)

Young Children

d)

Active people

99.

This is the most common form of shin splints

a)

Medial tibial stress syndrome

b)

Tibialis posterior injury

c)

Periostitis

d)

Stress Fracture

100.

Stress Fractures in the lower leg require ____ to heal.

a)

Rest

b)

Surgery

c)

Activity

d)

Splinting

101.

_____ exacerbates shin splints symptoms

a)

Medication

b)

Physical Activity

c)

Diabetes

d)

Physical Therapy

102.

If symptoms of shin splints don't improve with reduced activity or footware changes, what other conditions could be present? (2)

a)

Peripheral Neuropathy

b)

Compartment Syndrome

c)

Fibular Dislocation

d)

Stress Fractures

103.

____ is an ubrella term for injury, damage to tendon or tenosynovial sheaths.

a)

Sprain

b)

Strain

c)

Tendinopathy

d)

Periostosis

104.

Acute tendinitis involves the secretion of _____.

a)

Calcium

b)

Proinflammatory chemicals

c)

Collagen

d)

Osteocytes

105.

Which of the following is not a type of tendinopathy?

a)

Tendinitis

b)

Tendinosis

c)

Tenosynovitis

d)

Tendinous Syndrome

106.

This tendinopathy involves long-term degeneration of the tendon and disorganized collagen.

a)

Tendinitis

b)

Tendinosis

c)

Tenosynovitis

107.

This structure becomes irritated with tenosynovitis.

a)

Muscle

b)

Tendon

c)

Synovial Sheath

d)

Bony Attachments

108.

When activity leads to the onset of pain with tendinopathies? (2)

a)

Active Contraction

b)

Passive Stretching

c)

Passive Contraction

d)

Assisted Range of Motion

109.

This type of muscle contraction can be helpful in the rehabilitation of a tendinopathy.

a)

Isometric

b)

Concentric

c)

Eccentric

d)

Summation

110.

This type of massage is appropriate with an acute tendinitis.

a)

Frictions

b)

Lymphatic

c)

Distal Trigger Point Therapy

d)

None

111.

This is a cervical acceleration-decellaration injury.

a)

TMJD

b)

Whiplash

c)

Concussion

d)

Anterior-Posterior Isolated Cervical Compression Syndrome

112.

What is the most common reason for whiplash?

a)

Sports Injury

b)

Motor Vehicle Accident

c)

Repetitive Strain

d)

Falling off a ladder

113.

Which muscles are affected by whiplash. (Select all that apply)

a)

SCM

b)

Trapezius

c)

Scalenes

d)

Splenius Cervicis

e)

Cremaster

114.

Which other structures can be affected by whiplash. (Select all that apply)

a)

IV Discs

b)

Spinal ligamnets

c)

Facet joints

d)

Esophagus, trachea, larynx

115.

Which of the following neurological symptoms is not likely with a whiplash?

a)

Headaches

b)

Brain Injury

c)

Altered Taste Sensation

d)

Spinal Cord damage

116.

Pick the treatment that is only appropriate for acute whiplash?

a)

Neck collars

b)

Electrical Stimulation

c)

Massage Therapy

d)

Traction

117.

Which of the following medications for whiplash is unlikely to be injected?

a)

Steroids

b)

Muscle relaxants

c)

Analgesics

d)

Botox

118.

Which is not a type of IV Disc problem?

a)

Herniation

b)

Degenerative Disc Disease

c)

Internal Disc Disruption

d)

Osteoporosis

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