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Thera 2 - Long Quiz

Total questions: 50

Worksheet time: 2hrs 40mins

Name
Class
Date
1.

What is the special test for a relocatable hip?

a)

barlow's

b)

ortolani's

c)

galleazi

d)

pistoning

2.

A 2 y/o female patient has been diagnosed with Congenital Hip Dislocation and has been prescribed with an orthosis. What is NOT an appropriate orthosis for a patient with CHD?

a)

ilfeld

b)

frejka pillow

c)

pavlik harness

d)

NOTA

3.

What is the most common surgical approach for THA?

a)

anterolateral

b)

posterolateral

c)

anteromedial

d)

posteromedial

4.

You are tasked to treat a 75 y/o patient who fell from the stairs a week ago and was admitted at RMCI for a fractured hip. Patient underwent surgery and is now post-op cemented Total Hip Arthroplasty prescribed for In- patient PTR. What is the MOST appropriate approach for this patient?

a)

early WB after 1 week

b)

immediate WB

c)

WB after 6 weeks

d)

NOTA

5.

You are tasked to treat a 75 y/o patient who fell from the stairs a week ago and was admitted at RMCI for a fractured hip. Patient underwent surgery and is now post-op cemented Total Hip Arthroplasty prescribed for In- patient PTR. What should NOT be a contraindication in a patient like this?

a)

Hip extension beyond 90 degrees

b)

Hip abduction beyond 45 degrees

c)

Adduction beyond midline

d)

ER

6.

A short and thin 4 y/o patient comes in to rehab and complains of hip pain and LOM on hip motions. Upon examination, pt presents with a limp and was prescribed a scottish rite orthosis by the rehab MD. With the given symptoms, what is the patient’s condition?

a)

SCFE

b)

Chandler’s Disease

c)

Coxa Valga

d)

LCPD

7.

What is the special test for a patient with (+) ITB Friction Syndrome?

a)

FABER test

b)

patrick's test

c)

noble compression test

d)

figure of 4 test

8.

In children, the chief arterial supply of the head of femur is from the:

a)

Superior gluteal artery

b)

Inferior gluteal artery

c)

Obturator artery

d)

Lateral circumflex artery

9.

The capsular pattern of the hip include the following, except:

i. Extension

ii. Flexion

iii. Abduction

iv. Internal rotation

a)

none of these

b)

ii, iii

c)

i, iv

d)

only i

10.

During gait analysis of a patient with CVA, you noticed lateral trunk bending toward the left as the patient bears weight on the left leg at midstance. This could be a result of weakness of which muscle?

a)

Left gluteus maximus

b)

Left gluteus medius

c)

Right gluteus maximus

d)

Right gluteus medius

11.

Stage 3 of LCPD.

a)

fragmentation

b)

revascularization

c)

remodelling

d)

necrosis

12.

True about the femoral triangle except:

a)

It is bounded laterally by Sartorius

b)

It is bounded superiorly by iliofemoral ligament

c)

It is bounded medially by adductor longus

d)

The floor muscles are iliopsoas, pectineus, adductor longus

13.

Which of the following is true about screw home mechanism except:

i. IR of femur in Closed kinematic chain motion

ii. ER of femur in open kinematic chain motion

iii. Occurs during the last 20 degrees of knee flexion

a)

i,ii

b)

ii, iii

c)

i, iii

d)

ii, iii

14.

During a postural screen for a patient complaining of low back pain, the therapist notices that the knees are in genu recurvatum. Possible contributory postures would include:

a)

Ankle dorsiflexion and posterior pelvic tilt

b)

Forefoot valgus and posterior pelvic tilt

c)

Ankle plantarflexion and anterior pelvic tilt

d)

Forefoot varus and anterior pelvic tilt

15.

Manual glide of the talus anteriorly within the ankle joint mortise can be used as a technique to increase

a)

Tibiotalar dorsiflexion motion

b)

Talocalcaneal inversion

c)

Talocalcaneal eversion

d)

Tibiotalar plantarflexion motion

16.

A patient is limited to 45 degrees in an active SLR. A therapist should apply the contract-relax technique to what muscles to improve AROM?

a)

Hamstrings and hip extensors

b)

Abductors and hip extensors

c)

Adductors and hip flexors

d)

Tibiotalar plantarflexion motion

17.

To increase hip flexion and internal rotation, what direction of glide are you using?

a)

anterior

b)

superior

c)

inferior

d)

posterior

18.

This exercise uses manual or mechanical assistance applied at different joint angles to improve strength throughout the range of motion when dynamic exercise is painful.

a)

Rhythmic stabilization

b)

Joint mobilization

c)

Multiple angle isometrics

d)

Stretching

19.

To increase knee flexion, which of the following techniques of joint mobilization should be used?

a)

posterior glide of tibia , superior glide of patella

b)

anterior glide of tibia, inferior glide of patella

c)

posterior glide of tibia, inferior glide of patella

d)

anterior glide of tibia , superior glide of patella

20.

You are performing an ice massage to an acutely sprained knee and it is the first time of the patient to experience it. what will you tell the patient that he/she will experience:

a)

Numbness, then aching, then burning, followed by intense cold

b)

Intense cold, then aching, then burning, followed by numbness

c)

Aching, then burning, then intense cold, followed by numbness

d)

Intense cold, then burning, aching, followed by numbness

21.

Upon gait assessment, one of your findings is that the patient ambulates with trendelenburg gait. The best intervention to correct this problem is:

a)

Strengthening of gluteus medius

b)

Strengthening of gluteus maximus

c)

Trunk stabilization program

d)

Stretching of abdominals

22.

You are educating a 76 year old man who undergo a cemented posterolateral left total hip Arthroplasty (THA) 24 hours ago. Which precaution would you not stress to the patient?

a)

Avoid hip adduction past midline

b)

Avoid any hip abduction

c)

Avoid hip adduction past neutral

d)

Avoid hip internal rotation beyond neutral when hip is flexed

23.

Knee capsular tightness has limited a patient’s ability to attain full extension. The best treatment to restore joint motion should emphasize:

a)

Anterior glide and IR of tibia

b)

Anterior glide and ER of tibia

c)

Posterior glide and IR of tibia

d)

Posterior glide and ER of tibia

24.

When testing for MCL tear, apply:

a)

Varus stress

b)

Valgus stress

c)

Posterior stress

d)

Anterior stress

25.

The integrity of the anterior talofibular ligament of foot is assessed by:

a)

Kleiger test

b)

Anterior drawer test

c)

Posterior drawer test

d)

AOTA

26.

A 30 year old patient complaining of LBP is positive in Thomas test. With this, what would you include in the treatment plan?

a)

Stretching of hip flexors

b)

Stretching of hip extensors d.

c)

Strengthening of hip flexors

d)

Strengthening of hip extensor

27.

Upon entering of your patient, Joker, he presented: instability of the knee when standing on the right leg, marked swelling of the left knee, possibility of displacement of the tibia forward on femur. Which of the following structures is involved?

a)

MCL

b)

Medial meniscus

c)

ACL

d)

PCL

28.

Action/s of the Popliteus muscle:

a)

Unlocks the knee

b)

Flexes the leg at knee joint

c)

ER of femur on the tibia

d)

All of these

29.

A therapist is performing a lower extremity strength assessment of the tibialis posterior tendon. The most appropriate action is to:

a)

Passively move the patient’s foot into inversion and dorsiflexion

b)

Passively move the patient’s foot into eversion and plantarflexion

c)

Ask the patient to actively move the foot into plantarflexion and inversion

d)

Ask the patient to actively move the foot into dorsiflexion and inversion

30.

Inversion and eversion of the foot occurs in what plane:

a)

Frontal plane

b)

Transverse plane

c)

Sagittal plane

d)

NOTA

31.

Snow has limited pronation and calcaneal eversion at the subtalar joint. What is the accessory motion of calcaneus needs to be emphasized in order to increase limited motions?

a)

Lateral glide

b)

Posterior glide

c)

Anterior glide

d)

Medial glide

32.

The muscle that is a medial rotator of the leg, except:

a)

Semitendinosus

b)

Semimembranosus

c)

Biceps femoris

d)

Gracilis

33.

In ACL injury rehabilitation should focus on strengthening of what muscle to prevent anterior subluxation of the tibia?

a. c.

b. d.

a)

Quadriceps

b)

Hamstrings

c)

Gluteus maximus

d)

VMO

34.

A therapist determines that a patient rehabilitating from ankle surgery has been performing some difficulty with functional activities that emphasizes coronal plane. Which of the following exercises would be the most difficult for the patient?

a)

6 in lateral step up

b)

8 in lateral step down

c)

6 in lateral step down

d)

Forward lunge

35.

A 55 year old female underwent a left total knee replacement. How much knee flexion ROM would be a realistic goal for the patient before discharge?

a)

0-80 degrees

b)

0-110 degrees

c)

0-90 degrees

d)

0-60 degrees

36.

Which activity will most likely aggravate Patellofemoral pain syndrome?

a)

Climbing stairs

b)

Stationary cycling

c)

Swimming

d)

Running

37.

To correct congenital clubfoot deformity:

a)

Forefoot adduction, inversion, plantarflexion

b)

Forefoot abduction, eversion, dorsiflexion

c)

None of these

d)

All of these

38.

After a motor vehicle accident, you noted that the man has shorted right leg. The leg is internally rotated and adducted. He has weak hamstrings. You suspect:

a)

Posterior hip dislocation

b)

Fractured patella

c)

Lateral hip dislocation

d)

Anterior hip dislocation

39.

The following are exercise precautions after PCL reconstruction, except:

a)

Avoid exercises and activities that place posterior shear forces of the tibia on femur

b)

Avoid knee flexion past 60- 70 degrees to restore mobility of knee ROM

c)

Avoid downhill inclines during walking, jogging, or hiking

d)

Consider wearing a functional knee brace during high demand activities

40.

The 45 year old female patient comes to your clinic complaining of pain along the plantar aspect of heel. Upon evaluation, (+) tender on medial tubercle of calcaneus, hypomobile gastroc-soleus muscles, and LOM extending the toes. What would be the possible condition of the patient?

a)

Achilles bursitis

b)

Shin splints

c)

Plantar fasciitis

d)

Ankle sprain

41.

In taping an athlete’s ankle prophylactically before a football game, in what position should the ankle be slightly positioned before taping to provide the most protection against an ankle sprain?

a)

Inversion, dorsiflexion, adduction

b)

Eversion, dorsiflexion, abduction

c)

Inversion, plantarflexion, abduction

d)

Eversion, plantarflexion, adduction

42.

A pt sprained the right ankle 4 days ago. The patient complains of pain (5/10). There is moderate swelling that is getting worse. At this time, which intervention would be best to use?

a)

Intermittent compression followed by limb elevation

b)

Cold/ intermittent compression combination with the limb elevates

c)

Cold whirlpool followed by massage

d)

Contrast baths followed by limb elevation

43.

An older adult received a cemented total hip replacement (THR) 2 days ago. The PT plan of care should have its initial priority:

a)

AROM exercises and early ambulation using a cane, partial weight bearing

b)

Independent transfer technique from bed to wheelchair

c)

Patient education regarding positions and movements to avoid

d)

PROM exercises and gait training using walker NWB

44.

A patient with anterior knee pain has increased hip internal rotation and adduction when performing a squat. The potential cause of this compensatory movement is decreased strength of:

a)

Hip abductors and internal rotators

b)

Hip abductors and external rotators

c)

Hip adductors and knee flexors

d)

Knee and hip flexors

45.

A snowmobile left the trail and struck a tree. The driver’s left knee was flexed approximately 90 degrees and the tibia impacted with the inside front of the snowmobile. What would this mechanism of injury most likely result in?

a)

Sprained or ruptured PCL

b)

Sprained or ruptured ACL

c)

Fractured tibia

d)

Posterior hip dislocation

46.

A physical therapist performs crutch training with a patient following total hip Arthroplasty. The patient has orders for partial weight bearing. Which of the following gait patterns would be the most appropriate?

a)

Swing-to gait

b)

Two- point gait

c)

Four point gait

d)

Three point gait

47.

While examining a patient diagnosed with Achilles tendonitis, a physical therapist notes that the foot and ankle appear to be pronated. Which motions combine to create a supination in weight bearing foot?

a)

Abduction, plantarflexion, eversion

b)

Abduction, dorsiflexion, inversion

c)

Adduction, dorsiflexion, eversion

d)

Adduction, plantarflexion, inversion

48.

An 18 year old male sustained a patella fracture in a MVA. The patient’s knee is maintained in extension using a straight leg knee immobilizer. What gait deviation would be the patient most likely to present?

a)

Lurching backward

b)

Trendelenburg gait

c)

Antalgic gait

d)

Vaulting

49.

Weakness in the quadriceps will cause what type of gait?

a)

Forward lurching gait

b)

Backward lurching gait

c)

Foot slap gait

d)

Trendelenburg

50.

BONUS! SHADE A

a)

STAY HEALTHY

b)

STAY HEALTHY

c)

STAY HEALTHY

d)

STAY HEALTHY