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PTAP 1320 Exam 3 review

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

A patient is recovering from a lateral ankle sprain. Which movement pattern should be most restricted in the acute phase to avoid stressing the injured ligaments?

a)

Dorsiflexion and eversion

b)

Inversion and plantar flexion

c)

Dorsiflexion and inversion

d)

Plantar flexion only

2.

Stretching the ankle into dorsiflexion places the greatest strain on which injured structure?

a)

Tibialis posterior tendon

b)

Achilles tendon

c)

Peroneal tendons

d)

Deltoid ligament

3.

Which intervention would best address chronic plantar fasciitis symptoms?

a)

Strengthening peroneals to promote pronation

b)

Using orthotics with arch support

c)

Sleeping in a plantarflexion splint

d)

Stretching the quadriceps

4.

Strengthening which muscle groups is most beneficial for decreasing patellofemoral joint stress?

a)

Hip abductors and external rotators

b)

Quadriceps and adductors

c)

Hamstrings and gastrocnemius

d)

Vastus medialis only

5.

After an arthroscopic meniscectomy, the physician most likely permits early:

a)

Running on soft surfaces

b)

Weight bearing

c)

Closed-chain squats beyond 90°

d)

Hamstring curls with light resistance

6.

Which exercise should be avoided in the initial rehabilitation after meniscus repair?

a)

Short-arc quads in sitting

b)

Hamstring curls to 45°

c)

Full-range resisted knee extension

d)

Hip abduction in standing

7.

Which motion combination is most likely to cause posterior hip dislocation following a posterolateral THA?

a)

Adduction, internal rotation, and flexion > 90°

b)

Abduction, external rotation, and flexion < 90°

c)

Extension with adduction

d)

Flexion with abduction and ER

8.

Which assistive device is typically provided to help a THA patient follow hip precautions?

a)

Sock aid

b)

Sliding board

c)

Reacher

d)

Ankle-foot orthosis

9.

During the first postoperative week following hip ORIF, which intervention has the highest priority?

a)

Resisted hip flexion

b)

Stretching to restore full range

c)

Gait and transfer training

d)

Balance on the involved leg

10.

A patient complains of groin and anterior thigh pain that worsens with weight bearing. This is most consistent with:

a)

Trochanteric bursitis

b)

Acetabular arthritis

c)

Piriformis syndrome

d)

IT band friction

11.

A lateral blow to the knee producing a valgus force most likely injures which structure?

a)

LCL

b)

MCL

c)

ACL

d)

PCL

12.

What is the greatest immediate risk following total knee arthroplasty?

a)

Wound infection

b)

Deep vein thrombosis leading to pulmonary embolism

c)

Joint stiffness

d)

Quadriceps inhibition

13.

Which exercise phase produces the least stress on the ACL in closed-chain activities?

a)

0–30° flexion

b)

30–60° flexion

c)

60–90° flexion

d)

Full extension

14.

A patient eight days post–Achilles tendon repair should most appropriately perform:

a)

Passive dorsiflexion stretch to neutral

b)

Active plantarflexion and dorsiflexion through full range

c)

Gentle AROM in limited range

d)

Resistance training for plantarflexors

15.

Which mechanism best describes a typical PCL injury?

a)

Direct blow to anterior tibia while knee is flexed

b)

Direct blow to posterior tibia in extension

c)

Twisting injury with valgus stress

d)

Sudden deceleration while cutting

16.

A patient presents with a positive Lachman and Pivot Shift test. Which structure is involved?

a)

PCL

b)

MCL

c)

ACL

d)

Meniscus

17.

Which strategy is most appropriate for a patient with rheumatoid arthritis during exercise?

a)

Continue despite pain to improve tolerance

b)

Perform isometric contractions to minimize joint stress

c)

Use high-intensity resistance to preserve bone density

d)

Stretch vigorously to prevent contractures

18.

The “slow-reversal-hold” PNF technique primarily improves:

a)

Strength throughout the motion

b)

Stretch tolerance

c)

Coordination only

d)

Relaxation of antagonist muscles

19.

Which best explains the purpose of rhythmic initiation in PNF training?

a)

Teaching movement through passive to active patterns

b)

Providing maximal resistance throughout range

c)

Maintaining PROM during unresponsive states

d)

Increasing strength at end-range

20.

For a patient with severe knee osteoarthritis, which intervention is most beneficial?

a)

Pool-based range of motion exercises

b)

Deep squats to enhance cartilage nourishment

c)

Walking lunges for strength

d)

Weighted step-downs