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