MT 2
Progress treatment by: A. increasing the grade B. increase the time of each bout C. add more bouts D. do the technique nearer the end-range E. all of the above
E. All of the above
Assess the uninvolved side first. Feel how it moves; it is your best comparison. A. True B.False
A. True
Move inflamed tissue gently to restore normal pathology, stretch mechanically deformed tissue to restore function. A. True B. False
A. True
On a movement diagram, an R1 and R2 line which is steep, suggests that the end feel of joint is: A. soft B. hard C. normal D. Empty E. hypermobile
B hard
A comparable joint sign is defined as resistance, pain, and/or spasm at an appropriate level, which is most likely related to the patient's symptoms. A. True B. False
A True
Accurate assessment, in all phases of treatment, is the key to self-improvement and better outcomes. A. True B. False
A True
To learn new techniques and then apply them to patients without accurate assessment is completely the wrong idea. If the patient gets better, the improvement is simply the result of random, dumb luck. A. True B. False
A True
For the treatment of stiffness with accessory techniques the joint to be treated is placed: A. near its pathological limit (L) B. in neutral C. in early-range D. at its physiological limit E. in mid-range
A. near its pathological limit (L)
For the examination and treatment of a PAIN-DOMINANT lumbar spine, the grade (vigor) of the examination and treatment techniques will most likely be: A. short of any barriers (I and II's) B. to resistance (IV--) C. to P1 D. into both R1 and P1 E. none of the above
A. short of any barriers (I and II's)
For most patients, the elimination of their inflammatory pain is adequate treatment. A. True B. False
B. False
For most patients, the elimination of their mechanical pain is adequate treatment. A. True B. False
B. False
Which of the following examination and treatment technique(s) is an opening (stretching) technique(s) for the LEFT side of the cervical spine (C-spine)? (there may be more than one correct answer) A. a Right UPA B. a Right rotation C. a Left rotation D. a Left Side bend E. C-spine compression
B. a right rotation, D a left side bend
the 8 clinical hypothesis categories, as described by Jones, are formulated, accepted, modified and/or rejected during: A. the subjective examination B. all phases of the visit C. the home visit D. treatment E. the physical examination
B. all phases of the visit
For the treatment of PAIN with accessory techniques the joint to be treated is placed: A. near its pathological limit (L) B. in neutral, most comfortable position C. in early-range D. at its physiological limit
B. in neutral, most comfortable position
Symptoms from C1/2, such as headache and local pain, are most often produced by examination of: A. a PA movement of the articular pillar of C2, with the C-spine in neutral B. a PA movement on the articular pillar of C2, with the upper C-spine rotated about 30 degrees away from the involved side C. a PA movement on the articular pillar of C2, with the upper C-spine rotated about 30 degrees towards the involved side D. a PA movement on the articular pillar of C3, with the upper C-spine rotated about 30 degrees towards the involved side E. a PA movement on the articular pillar of C3, with the upper C-spine in neutral
C. a PA movement on the articular pillar of C2, with the upper C-spine rotated about 30 degrees towards the involved side
Physical examination of the irritable patient includes all except: A. limited number of active physiological tests B. limited number of passive physiological tests C. a focus on the patient's range of movement D. carefully positioning for comfort E. limited number of passive accessory tests
C. a focus on the patient's range of movement
The patient reports: 1) his constant low back pain peaks at an intensity of 8/10, 2)the 8/10 peak is produced after walking for three minutes, and 3) he has "much difficulty" sleeping at any time. His disorder is best described as: A. a stiff low back B. a painful low back C. an irritable low back D. an unstable low back E. a hypermobile low back
C. an irritable low back
To determine the proper level (or site) of treatment A. ask the patient to identify the proper level B. you determine the level, without input from the patient C. assess the behavior of the tissues at the suspicious level, then get the patient's input D. rely on the most recent biomedical theories E. use the dermatome/myotome charts
C. assess the behavior of the tissues at the suspicious level, then get the patient's input
Therapists do not predetermine or pre-set grades, but rather pre-set desirable outcomes. For the patient with a STIFF-DOMINANT disorder, which of the following is a desirable outcome? A. do not reproduce the pain of the disorder; hope to change the range B. produce and reduce the pain of the disorder, range remains unchanged C. produce and increase the pain of the disorder for 45 minutes; range increases D. produce and worsen the pain of the disorder for 48 hours; range increases
C. produce and increase the pain of the disorder for 45 minutes; range increases
On the movement diagram, when L is very close and to the left of B, the patient has: A. significant loss of movement B. no loss of movement C. slight loss of movement D. unable to determine from the information given
C. slight loss of movement
Selection of the most effective treatment techniques is most often based on: A. the outcome of PE B. outcomes from the traditional diagnostic tests C. the entire assessment D. the outcome of the SE E. a protocol
C. the entire assessment
At times, temporary reproduction, or increasing (not worsening) of peripheral symptoms or symptoms of spinal origin is acceptable. In which of the following disorders is this most acceptable? A. acute sciatica B. recent cervical radiculopathy C. chronic, stable sciatic pain D. chronic, stable, improving sciatic pain E. chronic low back pain
D. Chronic, stable, improving sciatic pain
Which is the most important? A. learning new treatment techniques B. clearly stated, unbiased questioning techniques C. an accurate physical examination D. accurate assessment
D. accurate assessment
An important part of the assessment process is to know what to ask the patient and how to ask the question. Which of the following are considered effective types of questions? (there may be more than one correct answer) A. compound questions B. one-worded questions C. leading questions D. comparative questions
D. comparative questions
Restoration of normal movement in an abnormal spine will most likely do all EXCEPT: A. eliminate and/or reduce the patient's pain B. prevent recurrences C. improve functional activities D. Create new disorders
D. create new disorders
Irritability is determined by: A. the length of the time treatment soreness takes to settle down B. the intensity of the pain C. the pain caused by performing a grade II movement D. how much of an activity causes pain, how much pain, and how long it takes to settle down
D. how much of an activity causes pain, how much pain, and how long it takes to settle down
For the examination and treatment of STIFF-DOMINANT lumbar spine, the grade (vigor) of the examination and treatment techniques will most likely be: A. short of any barriers (I and II's) B. to resistance (IV--) C. to P1 D. into both R1 and P1 E. none of the above
D. into R1 and P1
Which is NOT a sign of "iron hands"? A. white knuckles B. blanched fingernails C. tense muscles D. mobilizing force generated from the therapist's trunk E. nail tracks on the patient's skin
D. mobilizing force generated from the therapist's trunk
When progressing from the treatment of pain to the treatment of stiffness, which one of the following best describes the ideal response during the treatment session? A. resistance and pain both move towards A in the movement diagram B. Resistance and pain decrease C. the intensity of pain decreases D. pain centralizes, and/or reduces E. resistance reduces, pain decreases, and range increases
D. pain centralizes, and/or reduces
At the conclusion of the SE and PE, the therapist often has more than one viable option for treatment. Select the BEST answer: A. perform a technique of treatment twice, before changing B. open, that is stretch, one side of a stiff joint C. use the lowest grade of the most effective technique D. use a technique that reproduces the comparable sign E. close, that is compress, one side of a painful joint
D. use a technique that reproduces the comparable sign
For the patient with a pain-dominant disorder, accessory treatment and examination techniques are: A. done short of pain (P) B. done for brief bouts (time) C. performed in the neutral physiological range D. done for a few bouts E. all of the above are correct
E. all of the above are correct
Which one of the following statements is essential for the effective use of rotations in the assessment and treatment of the lumbar spine? A. balance the patient to feel resistance, and to assess the change in behavior of symptoms B. lower grades of passive movement (I and II) often fail to create mechanical effect C. the position of the hip (flexion or extension) effects the position of the lumbar spine D. in setting the level of rotations, rotation of the pelvis means that L5-S1 is on stretch E. all of the above statements are essential regarding the effective use of rotations
E. all of the above statements are essential regarding the effective use of rotations
With of the following is NOT considered a clinical hypothesis category, according to Jones? A. management and treatment B. source of the disorder C. mechanisms of the disorder D. precautions and contraindications E. diagnosis F. predisposing factors G. prognosis H. capabilities and restrictions
E. diagnosis
For the patient with dominant stiffness, where is R1 in relation to P1 on the movement diagram? A. at the same point on line A-B B. nearer L than P1, on line A-B C. at B D. at A E. further from L than P1
E. further from L than P1
Gr III techniques of examination and treatment are most commonly used for treating: A. end-range pain B. early-range pain C. mechanical pain D. inflammatory pain E. in-range pain F. osteoarthritis G. post-traumatic pain H. Lupuserythematosis
E. in-range pain
Which statement is false? A. right lumbar rotation in side-lying stretches the right side of the lumbar spine B. right glide in standing stretches the left side of the lumbar spine C. increasing side-bending movement in the cervical spine increases extension range D. in the treatment of stiffness, produce the pain of stiffness, and respect the patient's pain E. none of the statements are false
E. none of the statements are false
Treating pain or stiffness? Which factor(s) is LEAST important in making this clinical decision? A. in intensity, duration and location of the patient's pain B. the amount and effects of analgesics and anti-inflammatory medications consumed C. the behavior of the patient's pain during sleep D. the behavior of the patient's pain during the day E. the diagnosis
E. the diagnosis
A cervical headache (H) is reproduced by passive accessory examination of a spinal segment. The disorder is most commonly treated by passive accessory mobilization of: A. the guilty segment, beyond H1 B. the guilty segment to H1, beyond R1 C. the segment below the guilty segment to H1, not beyond R1 D. the segment above the guilty to H1, not beyond R1 E. the guilty segment short of H1, just into R1
E. the guilty segment short of H1, just into R1
For the patient with a stable disorder (stiffness dominant), the treatment technique is seldom the: A. most restricted movement B. movement which produced the disorder C. movement which produces the comparable sign with the least amount of force D. patient's provocative test movement E. the most mobile and painless movement
E. the most mobile and painless movement
When managing a suspected vertebral basilar insufficiently, which of the following is the most sound clinical decision? A. rely on one standard test in the literature for assessment B. do not rotate the upper cervical C. do no extend the lower cervical D. use only active exercises for treatment E. do a continuous assessment of symptoms
E. use a continuous assessment of symptoms
In the lumbar spine, there may be a relationship among side-bending, side-glide, and rotational movements. Which of the following statement is false? A. side-bending and rotation may be coupled in opposite directions in the neutral spine B. side-glide has two components: side-bending and rotation C. side-glide and/or rotation are used to correct a lateral shift D. left side-glide closes the left side of the lumbar spine E. right rotation in extension, done in side-lying, closes the left side of the lumbar spine F. increasing rotational movement decreases side-bending movement
F. increasing rotational movement decreases side-bending movement
Which statement is false concerning the thoracic spine (T-spine)? A. the T-spine is the least studied of all the areas of the spine B. the T-spine is easy to feel on examination C. in the absence of pathology, causing tissue weakness, be vigorous with the T-spine D. transverse passive movement towards the side of symptoms often reproduces the comparable sign E. the T-spine is easy to see on examination F. none of the statements are false
F. none of the statements are false
Regarding lumbar rotations, are any of the following statements false? A. for grades III-IV be sure to balance the patient. You cannot feel changes in resistance without the balance B. Higher grades (III-IV) often produce positive effects, while lower grades often irritate the patient C. in the set-up, pelvic rotation means L5-S1 is on stretch D. flexion and extension of the lumbar spine may be adjusted from below and from above E. feel resistance (pain); centralize and reduce when treating pain. Produce and increase symptoms, under control, when treating stiffness F. increasing rotational movement frequently increases flexion, extension, and/or side flexion G. None of the statements are false
G. None of the statements are false