RMT MCQ 2019

if 2 parents were each heterozygous recessive (Aa) for a disorder, what would be the chances of their children being born with a disorder?

25%

at what time after a non-recurring, properly managed injury can you perform friction with full force on the site of injury

3 months

t what time after a non-recurring, properly-managed injury would you expect the most rapid synthesis of collagen? 3 hours 3 days 3 weeks 3 months

3 weeks

This movement is produced entirely by active contraction of the muscles

AAROM

a RMT is sitting at her desk finishing paperwork when she hears a sudden crash. she jumps from her chair and races to the window. the energy used for this bout of activity was most likely produced by which pathway

ATP-PCr

These thin filaments are a major component of the contractile apparatus of the skeletal muscle

Actin

The belief that healthcare professionals have an ethical duty or responsibility to make sure that they do not harm their clients. it also requires that healthcare professionals ensure that they prevent harm from occurring to their clients whenever possible

Beneficance

muscles of inspiration

Diaphragm, scalenes, scm, external intercostals

Decreasing sinus congestion is a reflexive effect of what type of treatment technique?

Direct pressure friction

Mr. J. underwent a repair of a torn biceps brachii 2 days ago. During passive ROM exercises, which combination of motions should you avoid at end range to protect (not disrupt) the healing tissue?

Elbow extension, shoulder hyperextension, forearm pronation

Which of the following legislation ensures that professional Colleges allow fair and transparent access to all people applying to the become registrants with a health profession in Ontario? Fair Access Act PHIPA CMTO Standards of Practice Equal Rights Act

Fair Access Act

What does a positive sign for Apley's scratch test indicate?

Glenohumeral joint pathology

The social contract between the profession of massage therapy and society requires that RMT's remain competent. Which of the following activities does not maintain the RMT's competence? participation in the Quality Assurance Program completing 30 CEU's per CMTO cycle identifying a mental health condition Identifying continuing education courses

identifying a mental health condition

A client presents with insidious onset bilateral anterior hip pain which is aggravated by climbing stairs. Active and isometric resisted hip flexion & palpation are the only tests which reliably reproduce the pain located superior to the inguinal fold region. What may this be? trochanteric bursitis degeneration of the hip joint iliopsoas bursitis adductor strain

iliopsoas bursitis

the aponeurosis of which muscle splits to form both the anterior and posterior walls of the rectus sheath

internal obliques

when testing the calcaneofibular fibular ligament for stability, overpressure is applied with the foot in the following position...

inversion

The femoral vein: is protected by the femoral sheath at the level of the femoral triangle occupies the most lateral part of the femoral triangle becomes the internal iliac vein at the level of the inguinal ligament is formed by the great and small saphenous veins

is protected by the femoral sheath at the level of the femoral triangle

Which of the following is TRUE with regards to viruses? it is difficult to mount an immune response as the virus can "hide" within our cells viral infections are not near as common as bacterial infections improper use of antibiotics can result in the creation of drug resistant viral strains viruses can replicate on their own but are dependant on the host cell for nutrition

it is difficult to mount an immune response as the virus can "hide" within our cells

The most important outcome measure in chronic pain syndrome is: range of motion level of function level of pain reduced medication

level of function

Flaccidity usually results from a lesion affecting the:

lower motor neurons

At the level of the cubital fossa, the brachial artery lies _______ to the tendon of biceps brachii.

medial

which of the following conditions involves inflammation and/or microtearing of the periosteum?

medial tibial stress syndrome

Which skin cancer has the worst prognosis?

melanoma

Pott's Disease is characterized by all of the following except: usually secondary to a tuberculosis infection in the lungs it is the most common pediatric spinal infection most commonly affects the 7th cervical vertebrae often the first sign is an abscess in the inguinal area

most commonly affects the 7th cervical vertebrae

Pain is an example of a(n) ____________impairment. musculoskeletal pulmonary central nervous system multisystem

multisystem

a muscle spindle is activated by the stretching of the .... and it causes the muscle to...

muscle, resist the stretch

which structure forms the lateral wall of the nasal cavity?

nasal bones

these techniques affect the contractile function of muscle and increase lymphatic return

neuromuscular

The minimum age a person must be to give consent for massage therapy treatment is_____.

no age of consent/none of the above

Once activated, which of the following alter the regulation of cell growth by releasing unrelenting growth stimulating signals into the cell. They act as an accelerator of excessive cell division and growth

oncogenes

what is tidal volume?

one inspiration and expiration of air

What type of question should conclude the health history interviewing process with a client? open ended question close ended question combination ended question none of the above

open ended

Degenerative joint disease is another name for:

osteoarthritis

the findings of psuedofractures on an x-ray may be indicative of ...

osteomalacia

the first sign of osteoporosis is usually

pathological fractures

Which stroke would be least effective for increasing airway clearance when performed over the ribcage?

petrissage

A client presents to you with heel pain on weight-bearing which is worse after rest. It is aggravated by running. Active and passive ankle dorsiflexion in the end-range reproduce the pain, especially if combined with full MTP extension. Other physical tests are normal. There is point tenderness over the medial calcaneal tuberosity. Your assessment is:

plantar fasciitis

When performing a manual muscle (strength) test for brachialis, you resist elbow flexion with the forearm...

pronated

when performing a manual muscle (strength) test for brachialis, you resist elbow flexion with the forearm....

pronated

Which of the following joints lacks an articular disc? proximal radioulnar acromioclavicular distal radioulnar sternoclavicular

proximal radioulnar

muscles of exhalation

external obliques, internal obliques, transverse abdominus, internal intercostals

the anteroabdominal muscles enable or contribute to which?

forced expiration, urination, compression of abdominal contents

during treatment for the chronic stage of a contusion, what is the deepest technique that you can apply to the hematoma?

friction

The muscles that help the anterior cruciate to limit anterior tibial translation are:

hamstrings

The gait which is always caused by a problem in the central nervous system is:

hemiplagic

which technique would be most effective to increase extension at the thumb interphalangeal joint

high grade dorsal glide

Which of the following is true in regards to gene characteristics? Dominant genes may not be expressed in an individual but may be passed on to future generations If a recessive gene is received from only one parent, the trait will be expressed in the offspring If one parent is homozygous for a dominant trait, then 100% of offspring will exhibit that trait A carrier refers to someone who has dominant gene, in which the trait is not expressed

If one parent is homozygous for a dominant trait, then 100% of offspring will exhibit that trait Incorrect Response

When treating patellofemoral syndrom, you seek to lengthen the connective tissue on which surface of the leg?

Lateral

When treating a client who has supple flat feet and valgus knees, you would perform the most vigorous soft tissue work on which lower leg compartment?

Lateral - peroneals

_is a legal term used to describe a practitioner's failure to provide professional services or exercise the degree of skill that is ordinarily expected of a healthcare professional in a similar situation.

Malpractice

some medications alter how blood vessels react to hot and cold. Clients on blood pressure medication:

May experience a heighten response to hot application due to blood vessel dilation (vasodilation)

Which orthopedic test is performed when your client places his legs in a figure four position, and then slowly lowering his flexed knee towards the table?

Patrick's

The lesser sciatic foramen provides a passageway for structures entering and exiting the....

Perineum

Which of the following joint disorders feels better with activity? osteoarthritis 2nd degree sprain acute gouty arthritis rheumatoid arthritis

RA

The joints affected by osteoarthritis are often enlarged because of: secondary bursitis acute inflammation reactive bone formation the formation of syndesmophytes

Reactive bone formation

_______is used by the therapist during treatments and by the client after treatment as self-care. it includes ROM, resistance exercise and stretching.

Remedial exercise

Which of the folliwng arthritides DOES NOT have a rash associated with it?

Scleroderma

Active trigger points in this muscle decrease maximum chest expansion and causes the patient to feel a shortness of breath

Serratus anterior

If a massage therapist is convicted of sexual abuse of a client, the CMTO discipline committee will publish a report of the offence. the name of....

The therapist is published but the name of the victim is kept confidential

a long distance runner training 40 miles a week presents to you with unilateral right hip pain made worse by running and relieved by rest. He is hyperlordotic. Active and passive movements of the spine, knees and ankles are normal. Active and resisted hip abduction and external rotation are painful on affected leg. During Ober's for both legs, test legs do not drop to the table. Palpation of the area behind the R greater trochanter reproduces pain. Underlying cause of problem is?

Trochanteric Bursitis

Under which condition can muscle fibers generate the most tension? A) When fibers are stretched so that there is no overlap between thick and thin filaments B) When fibers have atrophied and there are fewer thin filaments to overlap thick filaments. C) When fibers are compressed so much that the thick and filaments crumple. D) When fibers have insufficient ATPase to initiate power strokes. E) When fibers have an overlap of thick and thin filaments that is close to their resting length.

When fibers have an overlap of thick and thin filaments that is close to their resting length.

what describes psychological dependence

a feeling of strong and compelling need to have a drug

what is a neuron?

a nerve cell that conducts action potential and carries impulses

You can begin to apply superficial stroking for analgesia on the site of injury during which stage of inflammation and repair?

acute

The floor of the femoral triangle is formed by the following muscles EXCEPT: pectineus adductor longus psoas major iliacus

adductor longus

inspiration occurs when the pressure within what structures falls below the atmospheric pressure?

alveolar sacs

"Increase glenohumeral abduction to 120° in one week", is a an outcome statement for: functional activity in the short-term functional activity in the long-term an impairment in the short-term an impairment in the long-term

an impairment in the short-term

the articular capsule of the elbow is weak...

anteriorly and posteriorly

with your client prone and the arm at a 90 degree angle hanging off the side of the table, how do you find the muscle belly of the middle fibers of trapezius?

by sliding medially and superiorly from the spine of the scapula

What type of relationship exists in which the invading organism benefits but does not cause harm to the host parasitic I symbiotic opportunistic commensalism

commensalism

If the dorsal root of a spinal nerve were cut, what would be the result in the tissue or region that nerve supplies?

complete loss of sensation

What is the name of the articulation between the tubercle of a typical rib and the facet on the transverse process of the corresponding vertebrae?

costotransverse joint

what is vital capacity?

deep inspiration and maximum expiration

When attempting to influence parasympathetic outflow directly, the therapist's hands should be placed on/over the client's

diaphragm and sternum

during which phase of the clinical reasoning process does emphasis on education for home maintenance and self-care increase?

discharge phase

Mckenzie exercises for disk herniation commonly move the lumbar spine into passive....

extension

John is a 45-year manager who spends his workdays at a desk. Five weeks ago he had a bad bout of neck tension, during which he started to experience tingling, numbness and weakness in his left hand. His doctor ordered an MRI and diagnosed a herniated C5-6 disk. The primary focus of his treatment will be to: release trigger points in the neck and shoulder that refer to the hand address his underlying upper-crossed syndrome teach him how to work efficiently at his workstation reduce compression on the nerve root

reduce compression on the nerve root

the primary effect of the application of heat

retrostasis

With a right-thoracic left-lumbar scoliosis, you would want to lengthen: right QL and right thoracic spinal extensors left QL and right thoracic spinal extensors right QL and left thoracic spinal extensors left QL and left thoracic spinal extensors

right QL and left thoracic spinal extensors

the following nerve travels through the adductor canal

saphenous

The most common cause of myofascial pain referred to the medial border of the scapula is:

scalenes

with upper crossed syndrome, a lengthened and weakened muscle is...

serratus anterior

A posterior pelvic tilt could be caused by: weak abdominals short one-joint hip flexors short two-joint hip flexors short hip extensors

short hip extensors

client has a chronic-stage adductor strain near the ischiopubic ramus. the best position to treat this is:

side-lying with affected leg on table

When frictioning the tendon of this muscle, you need to work along the sides of the tendon and underneath it. I biceps brachii infraspinatus soleus rectus femoris

soleus

Which of the following muscles are you stretching when you apply passive forced dorsiflexion to your client's foot while his knee is flexed?

soleus

If you get back and sciatic pain in the involved side, when doing a straight-leg raise on the uninvolved (other) side, there is evidence for:

space occupying lesion

Specific heat is the capacity of a substance to :

store heat

At this stage of inflammation the tissues are very fragile, easily damaged, and adhesions are beginning to form: acute subacute chronic stage unknown

subacute

What does the acronym SOAP stand for in SOAP notes?

subjective objective assessment plan

"Stone facies" is a manifestation associated with:

systemic sclerosis

A client presents with swelling around the entire circumference of the knee, from 4 inches above the joint line to 4 inches below it. The area to which you would apply "swelling technique" (thumb effleurage) is

the distal margin of the swelling

Prognosis is best described as ______________.

the expected outcomes of treatment with compliance

the accessory nerve can be found in which triangle of the neck?

the occipital

Which of the following is FALSE regarding juvenile rheumatoid arthritis? those affected have a 90% chance of developing rheumatoid arthritis as an adult the disease is self limiting but may result in growth disturbances the child often assumes a flexed position to "guard" the joints does not demonstrate symmetry in the affected joints

those affected have a 90% chance of developing rheumatoid arthritis as an adult

What is the states purpose of the Health Care Consent Act?

to enhance the autonomy of the client

Which of the following is one of the four drug names?

trade name

Stimulation of type ____ fibres help to modulate pain. type A delta fibres type A beta fibres type C fibres nociceptors

type A beta fibres

Cervical vascular compromise includes symptoms: dizziness, vertigo, syncope and nystagmus. These symptoms present due to compression/ narrowing of the _________________. radial artery carotid artery vertebral artery jugular vein

vertebral artery