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WorksheetsTherapeutic exercise: midterm practice
Total questions: 69
Worksheet time: 1hrs 9mins
A warm up is best described by which of the following?
5-10 minute period of static stretching
5-10 minute period of total body movements
5-10 minute period of total body movements and dynamic stretching
increased lactic acid in muscles
The Oxidative Phosphorylation system is the steady state energy system in all activities (if reached) and is aerobic.
True
False
Which of the following occurs from bed rest?
increase muscle mass
orthostatic hypotension
increase bone mineral density
increased heart rate
a person running for 90 seconds would use ATP-PC only
False
True
Fitness is based on:
energy expenditure during a bout of physical work
ability of a muscle to exert force repeatedly
distance that body weight is moved in 1 minute
number of large muscles used during exercise
To improve endurance in a healthy individual, which of the following is the best method?
continuous
interval
circuit
circuit interval
The method of aerobic training that is characterized by a series of activities that are repeated several times in success
circuit
continuous
interval
circuit interval
The frequency required to maintain a level of aerobic fitness is less than what is required to improve it.
False
True
Significant aerobic positive changes can be generally measured in how many weeks?
2-4
6-8
8-12
14-16
Aerobic exercise can slow the decrease in functional capacity of an elderly person.
False
True
What % of the Max heart rate is required for a conditioning response of a healthy person?
40-60%
100%
70%
80-90%
Interval training requires complete non active rest intervals to qualify as interval
True
False
AHA and ACSM recommend this as the duration minimum for aerobic conditioning.
10 minutes
20 minutes
30 minutes
5 minutes
Borgs scale of PRE would require this to achieve a training stimulus threshold in a healthy person.
13
17
19
6
Duration of exercise is mostly dependent on frequency.
False
True
a muscles ability to exert force
strength
endurance
power
cardiorespiratory endurance
giving feedback to a patient should always include:
explanation and prom
verbal instruction through explanation
demonstration
written instruction
Specificity applied to strength is:
reps of 8-12
reps of 15-50
set of 1
set of 5
hypertrophy of a muscle will begin at:
4-8 weeks
10-12 weeks
14 days
immediate on training stimulus
isokinetic exercise is most dependent on:
speed of dynamometer
output of patient
perceived rate of exertion
isometric contraction
a muscle on a non used side can acquire up to 60% of performance effects from the used side
cross over
specificity
overload
progression
progression of CKC exercises is NOT:
narrow to wide base of support
wide to narrow base of support
stable to unstable base of support
uniplanar to multiplanar
The PNF pattern that ends with the shoulder in flexion, adduction, and external rotation
D1 flexion
D1 extension
D2 flexion
D2 extension
The PNF pattern that: shoulder in extension, cross body adduction, and internal rotation is:
D1 flexion
D1 extension
D2 flexion
D2 extension
This determinant of exercise is the amount of resistance imposed on a contracting muscle during each repetition
alignment and stabilization
intensity
time or duration
frequency
when the goal of exercise is to increase muscle strength, power, or size.
submaximal loading
near maximal or maximal loading
high repetition
early stages of healing
muscle setting exercises are:
isometric
isokinetic
eccentric
concentric
the eccentric pec major component of the push up is best identified:
counting four seconds during lowering the body to the ground
the hold at the top when the body is highest away from the ground
the rapid acceleration pushing the body from the
the pause at the bottom of the movement when the body is contacting floor
standing shoulder abduction with a dumbbell would be:
concentric and eccentric of the middle deltoid
concentric of the middle deltoid, eccentric of the pec major
isometric of the pec major
isometric of the middle deltoid
valsalva maneuver is identified through all of the following EXCEPT:
breath holding
low blood pressure
higher risk with isometric exercise
lower risk with exhalation on effort
when the goal of exercise is to improve muscle endurance
near maximal or maximal loading
submaximal loading
high intensity
low repetitions (4-6)
initial (0-4 weeks) adaptations in the muscle from resistance training is:
neuromuscular adaptation
hypertrophy
hyperplasia
aerobic conditioning
multi-angle isometrics are indicated for all of the following EXCEPT:
static exercise is painful
dynamic exercise is painful
dynamic exercise is inadvisable
improve strength throughout a range of motion
elevated systolic and diastolic measurements are known as:
hypovolemia
hypertrophy
hypertension
tachycardia
UE D1 Extension would have shoulder:
internal rotation
flexion
adduction
external rotation
a slight increase in strength occurring over time in the same muscle group of the opposite, exercised extremity.
specificity
overload
cross-training effect
exercise induced muscle soreness
stair ambulation always includes
ascending with the affected leg first
ascending with the unaffected leg first
ascending with PTA in front for assistance
descending with the unaffected leg first
the warm up to exercise should have a duration of:
1-2 minutes
3-5 minutes
5-10 minutes
10-15 minutes
long arc quad exercises can be considered:
okc/ isometric knee
okc/ concentric-eccentric knee
okc/ isometric hip
ckc/ concentric-eccentric hip
supine progression includes
bridging
rolling
sit to stand
sitting
closed kinetic chain exercises include all of the following EXCEPT:
free distal segments
joint approximation
proprioceptive improvement
balance improvement
if a patient can perform multiple sets of reps of 12 or more, this should happen.
increase load
decrease load
keep adding sets
increase reps
when a patient is intentionally performing 15 reps or more, the goal would be:
muscle strength
muscle endurance
aerobic conditioning
muscle power
movement of a joint within the unrestricted ROM that is produced entirely by an external force
passive ROM
selective stretching
stretching
active ROM
An indication for Active-Assisted ROM is:
active contraction without assist
ROM is disruptive
acute and inflamed tissue
immobilization with cast
The appropriate rate of motion for a Continuous Passive Motion Machine for a knee is:
1 cycle every 45 seconds
2 cycles per minute
1 cycle every 15 seconds
all of these are acceptable for a knee CPM
Which of the following is not a benefit of using CPM?
Increased synovial fluid lubrication of the joint
Prevents development of adhesions
Long-term functional gains
Enhancing incisional healing
To achieve full PROM of dorsiflexion at the ankle joint, you need to place the limb in:
Knee flexion and ankle dorsiflexion
Knee flexion and ankle plantarflexion
Knee extension and ankle dorsiflexion
Knee extension and ankle plantarflexion
According to the authors, the suggested number of repetitions for AROM to any given joint is:
2-3
3-5
5-10
15-20
If you as the therapist force a motion beyond available range it becomes:
stretching
active ROM
passive ROM
active assisted ROM
When an external force moves a joint through a full-unrestricted range of motion it is known as
PROM
AAROM
AROM
PNF
You are stretching the rhomboid with an agonist contract, what is the agonist?
serratus anterior
middle trapezius
levator scapulae
middle deltoid
When moving the ankle into dorsiflexion, which of the following is an antagonist:
tibialis anterior
extensor hallicus longus
gastrocnemius
peroneal longus
The range limiting muscle is biceps femoris, what is the stretch direction for hold-relax
shoulder extension, elbow extension
hip flexion, knee extension
hip extension, knee flexion
hip extension, knee extension
To best improve flexibility in the "Well-Elderly" you should allow the duration is:
60 sec
30 sec
20 sec
10 sec
When doing ROM, the recommended reps is 3
True
False
Which of the following best defines muscle strength?
Ability of muscle to contract repeatedly against a load
Work produced by a muscle per unit of time
Produce or control forces imposed during functional activities
Force generated during a single maximum effort
Mrs. B. is an 87-year-old resident of Western Hills Skilled Nursing Facility. She sustained a compression fracture of the T12 vertebra several weeks ago when she inadvertently sat down forcefully on a hard chair. Incorporating resistance training that focuses on eccentric exercises of her quadriceps and gluteal muscles in weight-bearing positions (e.g., controlled squatting and partial lunges) represents what principle of therapeutic exercise?
Specificity of training
Reversibility of training
Overflow principle
Overload principle
A patient has mild joint swelling and pain during active ROM, but resisted tests of the muscles that cross the swollen joints do not cause pain. Your goal is to maintain or possibly increase strength through the available ROM. The most appropriate choice of exercise is:
Setting exercises at the end of the ROM
High-velocity isokinetic exercise
Multiple-angle isometric exercise against resistance
Eccentric/concentric, closed-chain exercise against body weight throughout the ROM
If a patient, who is in a prone-lying position with a cuff weight around his ankle, flexes his knee from a fully extended (0°) position to a fully flexed (150°) position, what type(s) of contraction will occur in which muscle group(s)?
The knee flexors contract concentrically through the full ROM
The knee flexors contract concentrically from 0° to 90°, and the knee extensors contract eccentrically from 90° to 150° of flexion
The knee flexors contract eccentrically from 0° to 90°, and the knee extensors contract concentrically from 90° to 150° of flexion
The knee flexors contract eccentrically throughout the full ROM
A patient is holding a piece of elastic tubing with both hands in front of his body. Both elbows are flexed to 90°, and both upper arms are held gently against the sides of the patient's chest. You instruct the patient to internally and externally rotate both shoulders simultaneously in this position. This activity strengthens the:
Internal rotators concentrically and eccentrically
External rotators concentrically and the internal rotators eccentrically
Internal rotators concentrically and the external rotators eccentrically
External rotators concentrically and eccentrically
You are asked to develop a home exercise program aimed at improving strength of a particular muscle group. You set your parameters using which of the following?
Low load, low repetitions
Low load, high repetitions
High load, low repetitions
High load, high repetitions
The principle of resistance training that suggests that adaptive changes are transient unless a person participates in a maintenance program is which of the following?
reversibility principle
overload principle
SAID principle
Wolff's principle
Submaximal exercise loads are recommended for each of the following patients except:
30-year-old patient with an acute rotator cuff strain
65-year-old sedentary patient following a period of prolonged bed rest
8-year-old child with a subacute quadriceps strain
40-year-old client who wants a conditioning program
You are trying to decide if it is time to increase resistance while strength training your patient. Current recommendations are to increase if they can do which of the following volumes without fatigue?
1-2 repetitions, 2-3 sets
2-6 repetitions, 2-3 sets
6-12 repetitions, 2-3 sets
12-15 repetitions, 2-3 sets
An ideal ISOM muscle contraction should be held for how long?
3 seconds
6 seconds
10 seconds
12 seconds
Each of the following exercises could be considered closed-chain work of the lower extremities except:
lunges
step-ups
seated long arc quads
squats
You are coaching a patient doing resistance exercises to avoid a Valsalva maneuver. Any of the following are good strategies except:
Have patient exhale with each resisted effort
Have patient inhale with each resisted effort
Have patient talk during the exercises
Caution patient to avoid breath holding
The PNF pattern of the upper extremity that ends with the shoulder in flexion, adduction, and external rotation is:
D1 flexion
D1 extension
D2 flexion
D2 extension
