Acute Care Midterm

What type of grip is used when performing a radiohumeral distraction mobilization? a. Power grip b. Batters grip c. Golfers grip d. Vice grip e. None of the above

C

Which of the following are appropriate terms for a physical therapist to use when describing HVLA techniques? a. Thrust b. Adjustment c. Grade V Mobilization d. Both a and c e. All of the above

D

Which of the following are characteristics of arthrokinematic motion? a. Necessary for full osteokinematic motion b. Include roll, glide, and spin c. Observable d. both a and b e. all of the above

D

Which of the following are indications for joint mobilization? a. Pain relief b. Decrease muscle guarding c. Increase joint mobility d. Improve joint nutrition e. All of the above

E

What is the purpose of placing the mobilizing hand as close to the joint as possible? a. Prevent joint torque b. Prevent joint glide c. Prevent joint play d. Both a and b e. None of the above

A

What is the term for increased joint play with extended, empty, very soft, end-feel? a. Hypermobility b. Hypomobility c. Guarding d. Boney block e. None of the above

A

What physiological changes occurs when connective tissue is immobilized? a. Loss of water b. Greater collagen inter fiber distance c. Greater tensile strength of collagen d. Both a and b e. None of the above

A

What are the four branches of physical therapy first described by Mary McMillan? a. Manipulation to muscle and joint, therapeutic exercise, electrotherapy, and hydrotherapy b. Manipulation to muscle and joint, therapeutic exercise, ultrasound, and hydrotherapy c. Manipulation to muscle and joint, therapeutic exercise, electrotherapy, and motor learning d. Namely-manipulation to muscle and joint, posture, electrotherapy, and hydrotherapy e. None of the above

A

What grade of oscillation mobilization is sometimes referred to as bending the bee's knees? a. Grade I b. Grade II c. Grade III d. Grade IV e. Grade V

A

What is compression primarily used for in joint mobilization? a. Assess the irritability of a joint b. Assess joint play of a joint c. Assess accessory motion of a joint d. Both b and c e. None of the above

A

According to the convex rule when performing wrist curls at the gym in what direction will the proximal row of carpal bones glide? a. Dorsal b. Ventral c. Lateral d. There is no glide e. None of the above

A

According to the convex-concave rule, what accessory motion is necessary for full pain free shoulder external rotation? a. Anterior glide b. Posterior glide c. Inferior glide d. Distraction e. Compression

A

How do you reduce a Nursemaid's elbow? a. Fully extend, supinate, and then flex the elbow b. Fully flex, pronate, and then extend the elbow c. Fully extend, pronate, and then flex the elbow d. Fully flex, supinate, and then extend the elbow e. None of the above

A

Which grades of oscillations are generally used for pain inhibition vs improving mobility? a. Grades I and II b. Grade III and V c. Grades V and IV d. Both a and b e. Both b and c

A

What grade of sustained stretch is used to evaluate joint irritability? a. Grade I b. Grade II c. Grade III d. Grade IV

B

At what point in the stress-strain curve is stress equal to strain? a. Elastic region b. Yield point c. Plastic region d. Failure point e. None of the above

B

What is characteristic of a hypermobile end-feel? a. Soft resistance just before the usual end feel b. Very soft and empty at the end of the range c. Harsh stop before the expected end range d. More elastic and softer at the end range e. None of the above

B

What is produced when the mobilizing hand is distal to the joint space? a. Distraction b. Torque c. Glide d. Both a and c e. None of the above

B

What is the capsular pattern for the shoulder? a. IR-ABD-XR b. XR-ABD-IR c. ABD-XR-IR d. ABD-IR-XR e. None of the above

B

What is the loose packed position for the humeroradial joint? a. 30 degrees of flexion and 10 degrees of supination b. Full extension and full supination c. 30 degrees of flexion and full supination d. Full extension and full pronation e. None of the above

B

When distracting the humeroulnar joint, what position is the elbow held in? a. 90 degrees of flexion and full supination b. 70 degrees of flexion and 10 degrees supination c. 90 degrees of flexion and 10 degrees supination d. 70 degrees of flexion and full supination e. None of the above

B

When treating a joint hypomobility how much of the slack should be taken up? a. Up to the anatomical barrier b. Up to the restrictive barrier c. Up to the physiologic barrier d. Both a and c e. All of the above

B

Where is the treatment plane of the joint located? a. Convex bone b. Concave bone c. Either the convex or concave bone depending on body position d. Both b and c e. None of the above

B

Which of the following are characteristics of osteokinematic motion? a. Not under voluntary control b. Gross movements of bones at joints c. Measured with joint glide d. Unable to measure with a goniometer e. All of the above

B

Who first introduced the convex-concave rule? a. John Mennell b. Freddy Kaltenborn c. James Cyriax d. Geoffrey Maitland e. Stanley Paris

B

How did Andrew Taylor Still discover Osteopathy? a. He manipulated a man's neck that restored his hearing b. He fell off a horse and broke his back c. He fell asleep with his head wedged between the roots of an oak tree d. He became ill with meningitis e. None of the above

C

In order to prevent joint irritation what is applied prior to glide mobilization? a. Massage lotion b. Grade II distraction c. Grade I distraction d. Grade III oscillations e. None of the above

C

In which direction does distraction occur? a. Parallel to the treatment plane b. Oblique to the treatment plane c. Perpendicular to the treatment plane d. Both a and b e. None of the above

C

What cells cause increased tissue permeability after an injury that results in a joint becoming hot, red, and swollen? a. Leukocytes b. Fibroblasts c. Mast d. Macrophages e. None of the above

C

What grade represents normal accessory motion? a. 1 b. 2 c. 3 d. 4 e. 5

C

What is the main difference between Kaltenborn technique and Maitland technique? a. Maitland is more concerned with accessory motion loss and Kaltenborn is more concerned with symptoms b. Kaltenborn technique was developed in Australia and Maitland technique in Norway c. Kaltenborn is more concerned with accessory motion loss and Maitland is more concerned with symptoms d. Both a and c e. None of the above

C

What occurs arthrokinematically when the knee extends during open chain movement? a. The tibia glides posterior and rolls anterior b. The tibia glides anterior and rolls posterior c. The tibia glides anterior and rolls anterior d. The tibia glides posterior and rolls posterior e. None of the above

C

Which of the following mobilization techniques can be used to improve forearm pronation? a. Proximal radioulnar anterior glides b. Humeroulnar distraction c. Humeroradial distraction d. All of the above e. None of the above

C

Who first introduced the concept of the joint end-feel? a. John Mennell b. Freddy Kaltenborn c. James Cyriax d. Geoffrey Maitland e. Stanley Paris

C

If a joint is painful when performing a mobilization, what adjustments can be made? a. Make sure the glide is parallel with the treatment plane b. Make sure a grade III distraction is applied c. Make sure the proximal bone is sufficiently stabilized d. Both a and c e. Both a and b

D

In what direction should you mobilize the clavicle if there is a limitation with shoulder abduction? a. Anterior b. Posterior c. Superior d. Inferior e. None of the above

D

In what position does the patient rest their arm when performing the proximal radioulnar posterior and anterior glides? a. Straight with their hand pronated b. Bent with their hand resting on the chest c. Straight with their hand supinated d. Bent with their hand resting on the ASIS e. None of the above

D

What did Hippocrates recommend after joint manipulation? a. Hot baths b. Leaches c. Massage d. Exercise e. None of the above

D

What is the best reference when assessing joint mobility? a. The amount of osteokinematic motion available b. Experience with other patients and body types c. Pain level d. Comparing to the contralateral side e. None of the above

D

What is the loose pack position for the glenohumeral joint? a. 30 Abduction, 55 Flexion, slight XR b. 55 Abduction, 30 Flexion, slight IR c. 30 Flexion, 55 Flexion, 30 XR d. 55 Abduction, 30 Flexion, slight XR e. None of the above

D

What soft tissue techniques can be used to improve elbow extension? a. Cross friction massage of rotator cuff b. IASTM of the carpal tunnel c. Glide cupping of the triceps d. Crossed hand MFR of the biceps e. None of the above

D

What three variables are assessed and documented with joint mobility testing? a. Swelling, excursion, and pain b. Excursion, tone, and end-feel c. End-feel, bony blocks, and pain d. Excursion, pain, and end-feel e. End-feel, pain, and resistance

D

Which of the following are true according to the concave rule? a. Convex surface is stationary and concave surface moves b. Glide is in the same direction as the osteokinematic movement c. Glide and roll are in the same direction d. All of the above e. None of the above

D

Which of the following are true according to the convex rule? a. The convex surface is stationary and the concave surface moves b. Glide is in the opposite direction to roll c. Glide is in the opposite direction of the osteokinematic motion d. Both b and c e. Both a and b

D

Who first introduced graded oscillations for mobilizing joints? a. John Mennell b. Freddy Kaltenborn c. James Cyriax d. Geoffrey Maitland e. Stanley Paris

D

Why is the Royal Central Institute of Gymnastics (RCIG) so important to the history of physical therapy in the US? a. It's where Edgar Cyriax, physiotherapist, trained before he went to work with James Mennell at St Thomas Hospital in London b. Many of the principles in Mary McMillan's physical therapy textbook originated from the RCIG c. David Daniel Palmer created Chiropractic based on the philosophy of Per Henrick Ling d. Both a and b e. All of the above

D

A limitation in shoulder flexion can be improved with what glenohumeral mobilization? a. Anterior glide b. Posterior glide c. Inferior glide d. Distraction e. Both b and d

E

At what angle to the treatment plane is traction performed? a. Perpendicular b. 45 degrees c. Parallel d. 90 degree e. Both a and d

E

In which of the following situations would you NOT perform grade III or V oscillatory joint mobilizations? a. On a patient that you do not know the medical history b. On a patient who has osteoporosis c. On a patient who has been taking prednisone to control symptoms of an autoimmune disease d. Both a and b e. All of the above

E

What are characteristics of the loose pack position? a. Intra-capsular space is the greatest b. Joint surfaces pressure is the highest c. Lower joint irritability d. Both b and c e. Both a and c

E

What can you do prior to assessing joint mobility to relax spastic muscles? a. Limb rocking b. Apply moist heat c. Trigger point therapy d. Effleurage e. All of the above

E

What factors limit osteokinematic motion? a. Pain b. Swelling c. Joint capsule shortening d. Both a and c e. All of the above

E

What is it called when the distal segment is moved perpendicular to the treatment plane? a. Distraction b. Traction c. Joint Play d. Accessory Motion e. All of the above

E

What is the purpose of performing overpressure when evaluating osteokinematic motion? a. Determine if accessory motion may be contributing to the loss of osteokinematic motion b. Determine if the patient has capsular tightness c. Determine if there is a loss of joint play d. Both b and c e. All of the above

E

What motions do medial and lateral humeroulnar glides improve? a. Elbow flexion b. Forearm supination c. Elbow extension d. Forearm pronation e. Both a and c

E

What's the difference between and osteopathic physician and a medical physician? a. Their initials DO and MD b. DO's follow a more holistic philosophy c. DO's learn some manual manipulation techniques d. Both a and c e. All of the above

E

When is a joint considered hypomobile? a. Hard stop before the expected end range b. No bounce or element of creep at end range c. Excursion is less than the contralateral side d. Both a and c e. All of the above

E

Which of the following mobilization techniques can be used to improve elbow flexion? a. Humeroulnar distraction b. Humeroradial posterior glide c. Humeroradial anterior glide d. Both a and b e. Both a and c

E

Why is it important to apply a grade I distraction prior to performing a lateral or medial glide of the humeroulnar joint? a. Unweight the joint surfaces b. Reduce irritability to the joint c. Make the patient more comfortable d. Both b and c e. All of the above

E

What country did the profession of physiotherapy originate? a. Australia b. Sweden d. France e. Germany c. England

England