Practical (Summer Assessments)

Front 1

When the scapula moves into a protracted position, it moves in what direction relative to the spine?

Back 1

Laterally

Front 2

The structure of bone where longitudinal growth occurs in the?

Back 2

Epiphyseal plate

Front 3

A bone marking that consists of a hollow or depression:

Back 3

Fossa

Front 4

3 types of fibrous joints:

Back 4

Gomphosis, Synarthrosis & Syndesmosis (NOT Synovial)

Front 5

A broad flat tendinous sheet:

Back 5

Aponeurosis

Front 6

Hip medial rotation occurs in which plane & around which axis?

Back 6

Transverse plane through vertical axis

Front 7

The type of end feel that is defined by a lack of normal mechanical limitation of joint ROM is:

Back 7

Empty

Front 8

Motions that occur within the joint necessary for joint motion but not under voluntary control:

Back 8

Accessory movements

Front 9

According to the convex-concave law, the convex femoral head during hip flexion moves in which direction in relation to the direction of the femoral sliding?

Back 9

Opposite direction

Front 10

The intervention of joint mobilization is best performed in the close packed position @ any given joint. (T/F)

Back 10

FALSE

Front 11

When a pt bears weight through the wrist while using a walker, what type of accessory motion force is occurring at the wrist joint?

Back 11

Approximation

Front 12

What type of joint end feel is characterized by a leather like limitation w some give?

Back 12

Capsular

Front 13

2 forces acting in equal but opposite direction resulting in a turning effect is called?

Back 13

Force couple

Front 14

A muscle that generates most of its force back into the joint is producing which type of force?

Back 14

Stabilizing force

Front 15

If the distance of a force arm (FA) is 4 feet & the resistance arm (RA) is 2 feet, then the mechanical advantage would be?

Back 15

2

Front 16

Most concentric exercises done in the body would be considered which type of lever system?

Back 16

Third class (why not 2nd thought the jaw was 3rd?)

Front 17

From the pt's perspective, during which type of exercise can the greatest strength be generated?

Back 17

Eccentric

Front 18

While performing MMT, moving the resistance hand of the PT distally on the extremity would do which of the following? (Assume the pt has a 5/5 MMT in both cases)

Back 18

The PT would not need to generate as much force

Front 19

A pt is unable to complete full aROM against gravity during MMT. The most appropriate action for the therapist to take would be?

Back 19

Place the pt in gravity minimized position

Front 20

A pt w partial active range of motion in gravity minimized position would most appropriately be given what MMT grade?

Back 20

Poor minus

Front 21

A contraction that causes no joint movement while producing muscle fiber tension is called?

Back 21

Isometric

Front 22

The reason that the deltoid muscle is able to effectively contract through its entire ROM is bc of the upward rotation of the scapula, which serves to maintain tension in the deltoid muscle. If the deltoid loses tension, it becomes:

Back 22

Actively insufficient

Front 23

What is the term for a muscle contraction in which the proximal end moves toward the distal end?

Back 23

Reversal of muscle action

Front 24

The reason why you can make a tighter fist w your wrist extended than when your wrist is flexed is?

Back 24

Active insufficiency of the finger flexors

Front 25

If a person were to throw a Frisbee & desired wrist radial deviation, which muscle group would be the antagonists?

Back 25

Wrist ulnar deviators

Front 26

3 things true of an eccentric contraction:

Back 26

1)Contraction produces a greater force than a concentric contraction 2)Muscle attachments move further apart 3)Movement occurs w gravity (NOT contraction is used for acceleration activities)

Front 27

The majority of lower extremity functional activities occurs in a closed kinetic chain manner.

Back 27

TRUE

Front 28

The type of muscle contraction that occurs w fixed speed, fixed resistance & no joint motion is called?

Back 28

Isometric

Front 29

The stress response & stimuation part of the autonomic nervous system is the sympathetic nervous system.

Back 29

TRUE

Front 30

At which level of the spinal cord is damage to the spinal cord no longer a concern?

Back 30

L3

Front 31

Sensory impulses from the peripheral nervous system enter the cord through the anterior horn. (T/F)

Back 31

FALSE

Front 32

A person experiencing foot drop has damage to which of the following nerves?

Back 32

Common peroneal nerve

Front 33

A person w weakness of the knee extensors has damage to which of the following?

Back 33

Femoral nerve

Front 34

A person w wrist drop had damage to which of the following nerves?

Back 34

Radial nerve

Front 35

Quiet inspiration required the use of which of the following?

Back 35

External intercostals

Front 36

During inspiration, air moves into the lungs due to which of the following explanations?

Back 36

Size of thoracic cavity increases & air pressure inside decreases

Front 37

A person attempting to catch her breath will often resort to a position that places the upper extremities in a CKC position. Which principle of muscle action accounts for why this is effective?

Back 37

Reversal of muscle action for the shoulder complex

Front 38

Another name for forced inspiration is?

Back 38

Air hunger

Front 39

Pts in hospitals will often use an instrument called an incentive spirometer to assist in fully expanding their lungs after surgery & prolonged bed rest. This has the pt focus on deep inspiration & would active all of the following except?

Back 39

Rectus abdominis

Front 40

A person w a SCI above which of the following levels would require ventilator dependency?

Back 40

C3

Front 41

Which muscle originates from the spinous processes of C7-T5 & inserts on the vertebral border of the scapula between the inferior angle & the spine of the scapula?

Back 41

Rhomboids

Front 42

The Upper trapezius, Serratus anterior & Lower trapezius have which of the following actions in common?

Back 42

Upward rotation of the scapula

Front 43

Which muscle is responsible for scapular protraction?

Back 43

Serratus anterior

Front 44

The Levator scapula & Rhomboids have which motions in common?

Back 44

Elevation

Front 45

The Serratus anterior & the Pectoralis minor have which motions in common?

Back 45

Protraction

Front 46

If shoulder girdle retraction is the desired motion which of the following 2 muscles are agonists in this motion?

Back 46

Middle trapezius & Rhomboids

Front 47

An example of a muscle group which forms a force couple is?

Back 47

Levator scapula, Rhomboids & Pectoralis minor ?Downward Rot?

Front 48

A person experiencing pain on the superior lateral aspect of the scapula may have pathology involving:

Back 48

Acromion process

Front 49

The ligament that forms an arch over the head of the humerus is the:

Back 49

Coracoacromial ligament

Front 50

Weakness of the Rhomboid muscle could indicate trauma to which of the following nerves?

Back 50

Dorsal scapular

Front 51

Winging of the scapula is caused by weakness of which shoulder girdle muscle?

Back 51

Serratus anterior

Front 52

A person who lacks free motion of upward rotation would be limited in which joint motion?

Back 52

Flexion & abduction

Front 53

What motion would the Upper trapezius do in a reversal muscle action?

Back 53

Head & neck extension

Front 54

You are asked to palpate for tenderness @ the coracoid process of the scapula. Tenderness would mean the pt may have soft tissue inflammation @ the origin of which muscle?

Back 54

Coracobrachialis

Front 55

Which muscle originates on the infraglenoid tubercle of the scapula & inserts on the olecranon process of the ulna?

Back 55

Long head of triceps

Front 56

Which muscle originates on the medial 1/3 of the clavicle & inserts on the lateral lip of the bicepital groove?

Back 56

Pectoralis major

Front 57

The posterior deltoid & teres major have which shoulder motion in common?

Back 57

Horizontal abduction?

Front 58

The Pectoralis major, Latissimus dorsi & Teres major all have which shoulder motion in common

Back 58

Horizontal abduction?

Front 59

The Latissimus dorsi, Subscapularis & Aterior deltoid have which of the following shoulder motions in common?

Back 59

Medial rotation

Front 60

Which muscle flexes the shoulder through its entire range?

Back 60

Anterior Deltoid

Front 61

Which muscles perform shoulder hyperextension

Back 61

Teres major & Latissimus dorsi

Front 62

You are palpating the pt's shoulder & note that she has pain as you palpate the bicepital groove. You determine that this person could have tendonitis of which of the following muscles?

Back 62

Long head of the biceps

Front 63

The reason you have your pt laterally rotate their shoulder when moving between 90-180 degrees of shoulder abduction is to prevent what structure from hitting the acromion process?

Back 63

Greater tubercle

Front 64

Damage to which of the following nerves could result in weakness of the infraspinatus

Back 64

Suprascapular

Front 65

Which bony landmark of the humerus is located on the lateral side near the midpoint of the shaft?

Back 65

Deltoid tuberosity

Front 66

The rotator cuff muscle serves to hold the humeral head against the glenoid fossa & best serves to facilitate which arthrokinematic motion of the shoulder?

Back 66

Slide

Front 67

Which muscle originates on the humeral medial epicondyle & proximal ulna & spans the elbow anteriorly to attach on the lateral surface of the radius near its midpoint?

Back 67

Pronator teres

Front 68

Which muscle originates on the lateral epicondyle of the humerus & inserts on the anterior surface of the proximal ulna?

Back 68

Supinator (Not anconeus?)

Front 69

Which of the following groups are the primary movers in elbow flexion?

Back 69

Brachialis, Biceps & Brachioradialis

Front 70

The triceps is responsible for which of the following motions?

Back 70

Elbow extension

Front 71

What muscles that would act on the forearm to neutralize forearm supination?

Back 71

Pronator teres & Pronator quadratus

Front 72

Weakness of the pronator teres muscle could indicate trauma to which nerve?

Back 72

Median

Front 73

The position of the elbow & shoulder that could possibly make the biceps brachii muscle actively insufficient would be which of the following positions?

Back 73

Shoulder flexion & elbow flexion (NOT SHOULDER EXTENSION & ELBOW FLEXION)

Front 74

When you have a pt do a chair push up to strengthen the elbow triceps, what type of kinetic chain is this?

Back 74

CKC/Closed kinetic chain

Front 75

Which muscle originates on the lateral epicondyle & inserts on the base of the 5th metacarpal?

Back 75

Flexor carpi ulnaris

Front 76

The flexor carpi radialis & flexor carpi ulnaris are agonists for which of the following motions?

Back 76

Flexion

Front 77

Paralysis of the flexor carpi ulnaris muscle could indicate trauma to which of the following nerves?

Back 77

Ulnar

Front 78

If a person repeatedly falls while snowboarding on an outstretched hand(extended wrist) they are @ increased risk of spraining which ligament?

Back 78

Palmar ligaments

Front 79

If you are to instruct a pt in strengthening exercises for wrist radial deviation, which of the position would be the best to place the pt in?

Back 79

Seated w forearm on table & thumb up

Front 80

If you are instructed to work on CKC(closed kinetic chain) upper extremity activity & you have your pt stand & place their hand on a table w their fingers facing forward & rock forward to touch an object w the other hand, which motion is occurring @ the wrist that is on the table?

Back 80

Extension

Front 81

Which muscle originates on the lateral humeral epicondyle & inserts @ the base of the distal phalanx of the 5th finger?

Back 81

Flexor digiti minimus

Front 82

Which muscle originates on the scaphoid, trapezium & flexor retinaculum & inserts on the proximal phalanx of the thumb?

Back 82

Abductor pollicis brevis

Front 83

The flexor digitorum superficialis muscle flexes which 3 joints?

Back 83

Wrist, metacarpalphalangeal & PIP (NOT DIP)

Front 84

Which 3 muscles make up the anatomical snuffbox

Back 84

Extensor pollicis longus, Extensor pollicis brevis & Abductor pollicis longus

Front 85

The intrinsic muscle mass on the LITTLE FINGER side of the palm is made up of which muscles?

Back 85

Hypothenar

Front 86

Damage to the radial nerve would impair which 3 muscles?

Back 86

Extensor digitorum, Extensor indicis, Extensor digiti minimi, Extensor pollicis longus, Extensor pollicis brevis & Abductor pollicis longus

Front 87

Your pt had trauma to the ulnar nerve & cannot actively abduct & adduct their fingers. Which muscle is responsible?

Back 87

Dorsal & palmar interossi

Front 88

A person w inflammation @ the carpal tunnel could have weakness in which 3 muscles?

Back 88

Flexor digitorum profundus, Flexor digitorum superficialis & Abductor pollicis brevis (NOT EXTENSOR Digitorum)

Front 89

Which type of grip is used to grasp a plate?

Back 89

Lumbrical

Front 90

The functional position of the hand?

Back 90

Some wrist extension, thumb in slight opposition & metacarpophalangeal & interphalangeal flexion

Front 91

Normal finding for a lumbosacral angle:

Back 91

30'

Front 92

An increase in posterior tilt of the pelvis is associated w which of the following motions of the vertebral column?

Back 92

Flexion

Front 93

Rotation of the pelvis when the L foot begins swing phase is:

Back 93

Posterior R rotation?

Front 94

Pelvic force couple that combines to pull the pelvis into anterior tilt are:

Back 94

Hip flexors, trunk extensors

Front 95

A lateral tilt (unsupported side) of the pelvis results in which of the following motions of the vertebral column?

Back 95

Lateral bend to the opposite

Front 96

The muscle groups activated when you have a pt do a supine posterior pelvic tilt are:

Back 96

Hip extensors, trunk flexors

Front 97

Rotation of the pelvis just before the R foot begins stance phase is:

Back 97

R posterior rotation?

Front 98

Muscle that originates on the iliac fossa & lateral surfaces of T12-L5 & inserts on the lesser trochanter:

Back 98

Iliopsoas

Front 99

Which 1 joint muscle extends the hip?

Back 99

Gluteus maximus

Front 100

Which muscles are primary movers in hip flexion?

Back 100

Tensor facia latae, Rectus femoris, Iliopsoas

Front 101

A person who has had a hip replacement surgery will have an incision on the lateral side of hip. The hip muscle group most likely to need attention to strengthening after this procedure is:

Back 101

Hip abductors

Front 102

The ligament in the hip that lies within the capsule & contributes to the blood supply to the femoral head is the?

Back 102

Ligamentum teres

Front 103

Trauma to the femoral nerve could impair which muscles:

Back 103

Sartorius, Pectineus, Rectus femoris

Front 104

What is a good exercise to work the hip extensors?

Back 104

Standing lunges

Front 105

Best position to stretch the tensor fascia latae?

Back 105

Hip adduction & extension

Front 106

If a pt lifts his L foot off the ground & the L hip drops which hip abductors need strengthening?

Back 106

R

Front 107

Pt has been in bed for months & has developed lateral hip rotation contractures. The muscle you need to strengthen to improve hip alignment is?

Back 107

Gluteus minimus

Front 108

Muscle that has its origin @ the medial & lateral condyles of the femur & its insertion @ the posterior calcaneus?

Back 108

Gastrocnemius

Front 109

Muscle that is responsible for unlocking the knee?

Back 109

Popliteus

Front 110

Which muscle has its origin on the AIIS & insertion @ tibial tuberosity?

Back 110

Rectus femoris

Front 111

To fully stretch the hamstrings you should do which of the following motions?

Back 111

Knee extension, hip flexion

Front 112

Primary movers of knee flexion include which muscles?

Back 112

Semitendinosus, short head of biceps femoris, gastrocnemius

Front 113

What is the normal Q angles measurements range?

Back 113

13-18'

Front 114

Which ligament prevents excessive forward movement of the tibia on the femur?

Back 114

Anterior cruciate

Front 115

Crush injury to the tibial nerve would cause weakness of which muscle:

Back 115

Gastrocnemius

Front 116

During weight bearing knee extension, which direction does the femur rotate on the tibia…

Back 116

Medially

Front 117

Name 3 effective closed chain exercise to strengthen the quadriceps & hamstring muscle

Back 117

Mini squats, Step ups & lunges

Front 118

Lying supine, instruct your pt to move the R leg toward the ceiling keeping the R knee extended. What type of contraction is occuring in the R quadriceps?

Back 118

Isometric

Front 119

An eccentric strengthening exercise for the hamstrings:

Back 119

Standing slowly extending your knee

Front 120

Descending the stairs & leading w the L foot, the R quadriceps muscles are performing what type of muscle contraction?

Back 120

Eccentric